🔺CASE STUDY NO : 49 🔺 PART NO : 02 🔺 SARVANGAVATAM (QUADRIPARESIS) 🔺DIFFERENTIAL DIAGNOSIS OF SARVANGAVATA 📌Sarvangavata : Guillain-Barré Syndrome (GBS) 📌Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) 📌Diabetic Polyneuropathy 📌Motor Neuron Disease (e.g., ALS) 📌Multiple Sclerosis (MS) 📌Peripheral Neuropathy 📌Transverse Myelitis 🔺 SAMPRAPTI (PATHOGENESIS) -Due to nidana, Vata dosha gets vitiated and moves through the body via dhamanis and srotas, getting lodged in snayu (ligaments), asthi (bones), and sandhi (joints). -It causes depletion of rasa and other dhatus, leading to dryness, rigidity, tremors, and pain across the entire body.(Reference:Charaka Samhita, Chikitsa Sthana 28/17-18 Ashtanga Hridaya, Chikitsa Sthana 21/20-21) 🔺 UPASHAYA (RELIEVING FACTORS) -Application of sneha (oil) internally and externally -Swedana (fomentation) -Intake of warm, unctuous, nourishing food -Gentle massage -Basti karma with medicated oils or decoctions 🔺ANUPASHAYA (AGGRAVATING FACTORS) -Exposure to cold wind or cold water -Dry, light, rough foods -Excessive movement or stress -Suppression of urges -Inadequate sleep 🔺SAMANYA CHIKITSA (GENERAL TREATMENT) -Main Treatment Principles for Vata Vyadhi: -Snehana (oleation): internal (snehapana) and external (abhyanga) -Swedana (fomentation): Bashpa sweda or Nadi sweda -Basti (enema therapy): Niruha and Anuvasana basti (main line of treatment) -Brimhana (nourishment) therapy: milk, meat soups, ghee -Reference:Charaka Samhita, Chikitsa Sthana 28/25-30 Ashtanga Hridaya, Chikitsa Sthana 21/33-38 📌COMMON FORMULATIONS: -Maharasnadi Kashayam -Dashamoola Kwatha -Yograj Guggulu -Bala Taila, Ksheerabala Taila -Maha Narayana Taila (Abhyanga) 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT OF SARVANGAVATA) 📌INTERNAL MEDICATIONS (ORAL) *Maharasnadi Kashayam:15–30 ml twice dailyWarm water Anti-inflammatory, analgesic, Vatahara *Dashamoola Kashayam15–30 ml twice dailyWarm water Anti-inflammatory, nourishing *Ashwagandha Churna3–6 g twice dailyMilk or warm water Balya (strengthening), Rasayana, neurotonic *Yogaraja Guggulu250–500 mg 2–3 times dailyWarm water or milk Deepana, Vatahara, Shothahara *Maha Vatavidhwamsaka Rasa 125–250 mg twice dailyHoney or ghee Potent Vata pacifier (use under supervision) *Ekangaveer Rasa125–250 mg twice dailyGinger juice or honey Effective in neurological deficits, facial palsy, hemiplegia *Bala Taila (internal use)5–10 ml dailyWarm milk Strengthens nerves and muscles *Rasnasaptakam Kashayam 15–30 ml twice daily Warm water Relieves stiffness and pain *Kaishora Guggulu250–500 mg twice dailyWarm water Supports detox, anti-inflammatory 📌External Therapies *Abhyanga (Oil massage)With -Mahanarayana Taila, -Dhanwantaram Taila, or Bala Taila Daily or as per patient strength *Swedana (Fomentation) -Nadi Sweda or Patrapinda Sweda Helps reduce stiffness and pain *Basti (Medicated Enema) -Anuvasana Basti with oil, Niruha Basti with decoction (Dashamoola etc.) One of the best therapies for Vata disorders *Shirodhara:With Ksheerabala Taila or Brahmi Taila Calms nervous system, good in Vata-induced anxiety *Nasya: With Anu Taila or Ksheerabala Taila In chronic neurological cases affecting head/neck 🔺RASAYANA *Chyawanprasha – 1–2 tsp daily with milk *Brahma Rasayana – for cognitive and nervous rejuvenation *Ashwagandha Avaleha – for strength and nerve tonification 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB