"Role of Panchakarma in Pakshaghata" Presented by Dr.Meenakshi ,PG Scholar, Department of Panchakarma, SDMCAH Hassan

1. ROLE OF PANCHAKARMA IN
PAKSHAGHATA
PRESENTER:
Dr. Meenakshi
2nd Year PG Scholar
GUIDE:
Dr. Lohith BA
Professor
Department of Panchakarma
SDM College of Ayurveda and Hospital
3/7/2018 1

2. CONTENTS
• INTRODUCTION
• TREATMENT
• DISCUSSION
• CONCLUSION
3/7/2018 2

3. INTRODUCTION
• Pakshaghata is Vata-Nanatmaja vyadhi.
• Means paralysis of one half of the body.
• Impairment of Karmendriyas, Gyanendriyas and Manas.
• It can be correlated with Hemiplegia results from CVA-stroke.
• Stroke is defined as sudden onset of neurological deficit.
• According to WHO, 15 million people suffer from it world wide.
• It has poor prognosis, making the person poor disabled.
3/7/2018 3

4. PAKSHAGHATA TREATMENT
स्वेदनं स्नेहसंयुक्तं पक्षाघाते
ववरेचनम्||१००|| (Ca.Ci.28:100)
3/7/2018 4

5. TREATMENT
PANCHAKARMA CHIKITSA:
 Snehana
 Swedana
 Nasya
 Mridu virechana
 Basti
3/7/2018 5

6.  Bahya
 Abhyantra
Bahya:
IN AMA: Should be done opposite of hair follicle with Brihata
saindhavadi taila, sarshapa taila etc.
IN NIRAMA:
In sthoola: Brihata saindhavadi taila etc.
In madhyama: Mahanarayan taila etc.
In krisha: Ksheerbala taila etc.
Abhyantra: Should be given after proper deepana and pachana
and rukshana.
Snehapana with SUKUMARA GHRITA, INDUKANTA
GHRITA etc.
SNEHANA
3/7/2018 6

7. SWEDANA
• In ama awastha:
Baluka sweda, busha and tusha pinda
Ama avasta with pittanubhanda = Parisheka with Dhanyamala
Isath snigdha:- Churna pinda sweda, sweda dipping in
dhanyamla, kanji, takra etc.
In Stiffness:- Jambeera pinda sweda, Patra pinda sweda
Snigdha sweda like shastika shali pinda sweda, mamsa pinda
sweda
3/7/2018 7

8. SHODHANA
• Mridu shodhana should be given to Pakshaghata patient.
• For shodhana, patient should be balawana.
• Bala is important else patient will die.
• In Pakshaghata bahudosha avastha is there, for this shodhana
is indicated.
• In Ayurveda we gives importance to both Rogi and Roga.
• So Acharyas mentioned Mridu Shodhana.
3/7/2018 8

9. VIRECHANA
Mridu snigdha virechana is
advised for vata anulomana
and to remove associated
kapha and pitta with:
• Tilvaka siddha ghrita
• Saptala siddha ghrita
• Eranda taila with ksheera
• Nimbamrutadi eranda taila
• Gandharvasthadi taila
3/7/2018 9

10. BASTI
• If patient is not fit for Virechana so we can go for basti.
• Else after Virechana we can go for Basti after seven days gap.
ANUVASANA BASTI:
In Vata: Narayana taila,
Mahanarayana taila, etc.
In Vata-Pitta:
Ksheerabala taila etc.
In Vata-Kapha:
Sahacharadi taila etc.
NIRUHA BASTI:
With Deepaniya and
Pachaniya gana drugs
With Vatahara kashyas
3/7/2018 10

11. • In Ama:
Lekhana Basti
Choorna Basti
• In Nirama:
Mustadi Yapana Basti
Dashmoola Ksheera Basti
In old aged Patient Matra Basti should be given with:
• In Ama:
Panchtiktaka Ghrita etc.
• In Nirama:
Mahanarayana Taila etc.
3/7/2018 11

12. NASYA
• If patient approached in unconscious state- Give Pardhmana
nasya with:
Vacha churna
Apamarga churna
Vidanga churna
Pippali churna etc.
• According to dosha condition in a day we can give:
In morning kapha is more so Pardhman nasya with Brahmi
churna+Vacha churna.
In evening pitta is more so Pratimarsha nasya with Brahmi ghrita
3/7/2018 12

13. • Other Nasyas also can be given:
 Navan- Ksheerbala taila, brahmi ghrita
 Avapeeda- Brahmi swarasa
 Dhamapana- Vacha churna, pippali churna
 Dhooma- Ksheera+ Bala churna
 Pratimarsha- Dhanwantara 101 taila, Anu taila.
3/7/2018 13

14. DISCUSSION
• With Panchakarma we may cure completely or make patient
self abled.
• Before starting proper Shodhana, rookshana should be done
upto nirama avastha.
• Bahya and Abhyantara both rookshana we have to do.
• Bahya with rooksha churnas massage and Baluka pottali
sweda.
• Abhyantara by giving takra, nagakesara, chitrakadi vati etc.
• After this we will go for snehana and swedana according to
condition of patient.
• Then proper shodhana by Virechana, Basti and Nasya.
3/7/2018 14

15. • Nasya and Basti should not administer same time.
• Nasya, shamana aushadhi, other therapies and pathya apathya
should be followed continuously after samsarjana karma.
• Repeated shodhana is mandatory in Pakshaghata patient.
3/7/2018 15

16. CONCLUSION
• Though Pakshaghata is difficult to manage.
• But if appropriate treatment is given at proper time,
management will be easy.
• By Shodhana Chikitsa good results are obtained.
• It pacifies the root cause of disease.
3/7/2018 16

17. THANKS
3/7/2018 17