🔺CASE STUDY : NO 44 🔺 PART NO : 2 🔺 (EKANGAVATA HEMIPLEGIA ) 🔺DIFFERENTIAL DIAGNOSIS -Stroke (CVA) -Cervical Spondylotic Myelopathy -Motor Neuron Disease (MND) -Multiple Sclerosis (MS) -Peripheral Neuropathy -Brain Tumor -Transverse Myelitis -Guillain-Barre Syndrome (GBS) 🔺SAMPRAPTI (PATHOGENESIS) -Due to vata-aggravating factors, Vata dosha becomes vitiated. -This vitiated Vata obstructs the srotas (channels) of Rakta, Mamsa, Meda in Ekanga (one part of body). -Causes dushti and dysfunction of motor and sensory functions in that limb. 📌SAMPRAPTI GHATAKAS: -Dosha: Vata -Dushya: Rasa, Rakta, Mamsa, Meda, Majja -Srotas: Rasavaha, Mamsavaha, Majjavaha -Adhisthana: Eka anga (one limb or side) -Roga marga: Madhyama (neurological) -Udbhava sthana: Pakwashaya (site of Vata) 🔺 UPASHAYA (ALLEVIATING FACTORS) -Snehana (oleation: internal and external) -Swedana (fomentation) -Brimhana (nourishing therapies) -Warm environment -Anulomana (mild purgatives) -Medicated Basti (oil-based enema) 🔺ANUPASHAYA (AGGRAVATING FACTORS) -Cold exposure -Dry, rough food and habits -Fasting or undernutrition -Physical exertion -Emotional stress 🔺SAMANYA CHIKITSA (GENERAL TREATMENT) -Principles of Vata Vyadhi chikitsa -Snehana -Bahya – Abhyanga with oils like MahanarayanaTaila,Dhanwantaram Taila -Antah – Snehapana with Tila Taila, Maha Tiktaka Ghrita -Swedana: Nadi sweda, Patra pinda sweda -Basti: Best for Vata – Anuvasana and Niruha basti with Vatahara drugs -Mridu Virechana – castor oil, Trivrit -Brimhana chikitsa – nourishing decoctions and foods (Reference: Charaka Chikitsa 28/63-70; Ashtanga Hridaya Chikitsa Sthana 22) 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT OF EKANGAVATA) -Internal Medications: -Dashamoola Kwatha -Ashwagandha Churna or Avaleha -Rasnasaptaka Kwatha -Bala Taila (for internal use) -Yograj Guggulu, Trayodashanga Guggulu 📌Panchakarma: -Taila Basti / Ksheera Basti with medicated oils like -Mahanarayana Taila -Nasya Karma with oils like Ksheerabala Taila -Shirodhara / Shirovasti – calming Vata in the head region -Pizhichil (Sarvanga Taila Dhara) – effective in neurological disorders 📌External Therapies: -Abhyanga: Full-body massage -Pinda Sweda: Using medicated bolus -Kati, Janu, or Ekanga Basti as per affected area -Maharasnadi Kashayam Reduces Vata in limbs -Dashamoola Kwatha :Anti-inflammatory, balances Vata -Bala Taila / Dhanwantaram Taila (external application):Nerve tonics, used in abhyanga (massage) -Ashwagandha Churna or Capsule:Strengthens nerves and muscles Yogaraja Guggulu:Vata pacifying and detoxifying -Vatagajankusha Rasa:Strong Vata-pacifying formulaOften used in paralysis & spasticity Reference: Charaka Samhita, Chikitsa Sthana 28 Ashtanga Hridaya, Chikitsa Sthana 22 🛑 https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2