🔺CASE STUDY: NO 42 🔺 PART NO : 2 🔺 ARDITA (BELL'S PALSY) 🔺 DIFFERENTIAL DIAGNOSIS OF ARDITA (BELL’S PALSY) -Bell’s Palsy: -Stroke -Ramsay Hunt Syndrome: - Lyme Disease: -Guillain-Barré Syndrome (GBS) -Acoustic Neuroma (Vestibular Schwannoma) -Parotid Gland Tumors: -Diabetic Neuropathy: 🔺 SAMPRAPTI (PATHOGENESIS) -Vata dosha vitiation is the main cause. -Predominantly affects the Urdhva Jatru region (above the clavicle). -Vata gets localized in the Manya, Hanusandhi, Kapala, and Mukha, causing facial paralysis. 🔺 UPASHAYA (PALLIATIVE/BENEFICIAL FACTORS) -Sneha (Oleation) with medicated oils (Maha Narayana Taila, Ksheerabala Taila) -Swedana (Fomentation) -Nasya (Nasal therapy) and Shirobasti -Warm and nourishing diet -Gentle massage and facial exercises 🔺 ANUPASHAYA (AGGRAVATING FACTORS) -Exposure to cold or wind -Fasting or light diet -Stress, anger, or mental strain -Physical exertion -Use of Vata-provoking foods (dry, cold, or light items) 🔺 SAMANYA CHIKITSA (GENERAL LINE OF TREATMENT) -Snehana (Oleation): Internal (Ghrita), External (Taila abhyanga) -Swedana (Sudation) -Nasya karma: Use of medicated oils (e.g., Anu Taila, Ksheerabala Taila) -Vasti karma: For systemic Vata management (Anuvasana and Niruha vasti) -Shamana aushadhi: -Dashamoola kwatha -Yogaraja Guggulu -Mahavatavidhwansa rasa -Ekangaveer rasa -References:Charaka Chikitsa Sthana 28/42–47 Ashtanga Hridaya Chikitsa Sthana 23 🔺VISHESHA CHIKITSA (SPECIFIC TREATMENT) -Ardita due to trauma (Raktaja): Raktamokshana may be considered if indicated. -Ardita with Kapha involvement: -Vamana therapy (emesis) can be used in selected cases. -Ekanga Roga or Pakshaghata overlap: Use Rasayana therapy for nerve regeneration. -Local therapies: -Pratimarsha Nasya -Shirodhara/Shirobasti -Karna Purana (ear oleation) classical referencesCharaka Samhita Chikitsa Sthana 28 -Internal (Snehapāna) -Medicine: Maha Narayana Ghrita or Ksheerabala 101 Avarti TailaDose: 5–10 ml once daily early morning on empty stomach Duration: 5–7 days or until samyak sneha lakshana is achieved -External (Abhyanga) -Oil: Maha Narayana Taila / Dhanwantharam Taila -Duration: 20–30 min daily before sudation -Swedana (Sudation therapy) -Nadi Sweda (tube fomentation) using dashamoola kwatha Duration: 10–15 minutes post abhyanga - Nasya (Nasal Therapy) -Medicine: Ksheerabala Taila / Anu Taila / Shadbindu Taila -Dose: 6–8 drops per nostril - Oral Medications (Shamana Aushadhi) -Ekangaveer Rasa:125 mg BD Honey or warm water -Dashamoola Kwatha: 40–60 ml BDBefore food,15–30 days -Yograj Guggulu: 500 mg TID Warm water, 1–2 months -Ashwagandha Churna:3–5 gm HS,Warm milk,1 month -Ksheerabala 101 Avarti Capsules: 1 capsule BD,Warm milk,15 days–1 month -Basti Chikitsa (Enema Therapy) -Type: Anuvasana Basti with Ksheerabala Taila and Niruha Basti with Dashamoola or Eranda-moola decoction -Schedule: Karma Basti (as per Kala) – 8 Anuvasana and 6 Niruha over 16 days -Ardita Chikitsa Ashtanga Hridaya Nidana and Chikitsa Sthana Sushruta Samhita Nidana Sthana 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2