🔺CASE STUDY: NO 38 🔺PART NO : 2 🔺PAKSHAGHATA / PAKSHAVADHA (STROKE / HEMIPLEGIA) 🔺 DIFFERENTIAL DIAGNOSIS (MODERN CLINICAL ASPECT) • Transient Ischemic Attack (TIA) • Brain tumor • Seizure disorder with postictal paralysis • Multiple sclerosis • Hypoglycemia or diabetic ketoacidosis (DKA) • Bell’s palsy (facial nerve palsy) • Migraine with hemiplegic symptoms • Peripheral neuropathy (may present with one-sided numbness) 🔺SAMPRAPTI (PATHOGENESIS) • Vitiated Vata, especially Vata-Pitta dosha imbalance, causes blockage or rupture of blood vessels, leading to poor circulation and oxygen supply to the brain • Impaired circulation in the brain leads to brain cell death and symptoms of hemiplegia, aphasia, and paralysis • The condition worsens if not addressed promptly due to aggravated Vata affecting motor and sensory functions(Ref: Charaka Samhita, Sutra Sthana 17/9-10; Ashtanga Hridaya, Sutra Sthana 5/6-7) 🔺UPASAYA AND ANUPASAYA (PALLIATIVE & AGGRAVATING FACTORS) Upasaya: • Consuming light, warm, and easily digestible food (e.g., porridge, soups) • Warm oil massages (e.g., sesame or medicated oils) to balance Vata and improve circulation • Nasya therapy with Anu Taila to pacify Vata dosha • Use of herbs such as Ashwagandha, Shatavari, and Brahmi to support brain function and calm Vata • Stress management techniques like meditation, yoga, and breathing exercises Anupasaya: • Exposure to cold and dry environments that aggravate Vata • Overexertion or excessive physical strain, especially after a stroke • Mental stress, anger, and anxiety • Excessive consumption of dry and rough foods that aggravate Vata • Alcohol and tobacco use(Ref: Charaka Samhita, Sutra Sthana 17/12-13; Ashtanga Hridaya, Sutra Sthana 5/8-9) 🔺SAMANYA CHIKITSA (GENERAL LINE OF TREATMENT) • Immediate management of stroke with the restoration of blood flow (medications or surgery as indicated) • Administration of Vata-pacifying drugs (e.g., Dashamoola, Ashwagandha) • Dietary modifications to support the body, focusing on nourishing, warm, and grounding foods • Maintaining proper hydration and electrolyte balance • Regular physical therapy to improve motor function and prevent complications from immobility • Encourage mental calmness and emotional stability through counseling or stress-reducing practices(Ref: Charaka Samhita, Sutra Sthana 17/14-16; Ashtanga Hridaya, Sutra Sthana 5/10-11) 🔺VISHESHA CHIKITSA (SPECIFIC TREATMENT) 1. For Vata-Pitta Type Stroke (Hemorrhagic Stroke): o Virechana with Dashamoola or Trivrit o Medicated oils like Maha Narayana Oil for external application and massage o Use of Shirodhara with Brahmi or Ashwagandha oil for mental clarity 2. For Vata-Kapha Type Stroke (Ischemic Stroke): o Nasya therapy with Anu Taila o Shadbindu Taila in the nasal passages to clear blockages o Use of Brahmi Rasayana to support cognitive function 3. For Aphasia or Speech Issues: o Use of Shatavari and Yashtimadhu for speech improvement o Vata-pacifying diet and therapies to restore mental clarity 4. For Paralysis and Motor Issues: o Regular physiotherapy exercises along with Vata-pacifying therapies o External application of oils like Mahanarayan Taila or Bala Ashwagandha Taila Specific Yogas: • Ashwagandha Rasayana • Brahmi Rasayana • Dashamoola Kvatha • Mahanarayan Taila for massage(Ref: Charaka Samhita, Sutra Sthana 17; Ashtanga Hridaya, Sutra Sthana 5) 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2