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Pakshaghata (view source)

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}}Hemiplegia (paralysis or hemiparesis) is known as ‘pakshaghata’ or ‘pakshavadha’ in Ayurveda. It is classified under 80 diseases due to the vitiation of vata dosha (nanatmaja vata vyadhi). There is complete or partial paralysis of the arm, leg, and trunk on one side of the body. The most typical cause of hemiplegia is cerebrovascular stroke. A stroke affecting the corticospinal tract results in hemiplegia. Other causes are trauma, diabetes, infections affecting the nervous system, neoplasms, demyelination disorders, congenital disorders, multiple sclerosis, parasomnia etc. As per Ayurveda pathophysiology, the vitiated vata dosha afflicts half of the body by causing desiccation of nerves or blood vessels (sira) and muscles or tendons (snayu). It finally results in the signs and symptoms of pakshaghata. [Cha.Sa. Chikitsa Sthana 53-55] Rehabilitation is the primary treatment of hemiplegia to regain maximum function and quality of life. It includes both physical and occupational therapy. Ayurvedic management is vatahara (pacification of vata dosha) in nature. It can improve motor functions by vatanulomana (proper elimination of flatus, faeces, urine etc., by proper functioning of vāyu) and balya (which provides strength) forms of medications.

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<p style='text-align:justify;'>}}Hemiplegia (paralysis or hemiparesis) is known as ‘pakshaghata’ or ‘pakshavadha’ in Ayurveda. It is classified under 80 diseases due to the vitiation of vata dosha (nanatmaja vata vyadhi). There is complete or partial paralysis of the arm, leg, and trunk on one side of the body. The most typical cause of hemiplegia is cerebrovascular stroke. A stroke affecting the corticospinal tract results in hemiplegia. Other causes are trauma, diabetes, infections affecting the nervous system, neoplasms, demyelination disorders, congenital disorders, multiple sclerosis, parasomnia etc. As per Ayurveda pathophysiology, the vitiated vata dosha afflicts half of the body by causing desiccation of nerves or blood vessels (sira) and muscles or tendons (snayu). It finally results in the signs and symptoms of pakshaghata. [Cha.Sa. Chikitsa Sthana 53-55] Rehabilitation is the primary treatment of hemiplegia to regain maximum function and quality of life. It includes both physical and occupational therapy. Ayurvedic management is vatahara (pacification of vata dosha) in nature. It can improve motor functions by vatanulomana (proper elimination of flatus, faeces, urine etc., by proper functioning of vāyu) and balya (which provides strength) forms of medications.

'''National Ayurveda Morbidity code:''' AAC-24

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|'''Clinical features'''

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|Pitta associated condition

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|Pitta associated condition

|Burning sensation (daha)

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''' Table 2: Prognosis'''

{| class="wikitable"

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| '''Clinical feature'''

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|'''Clinical feature'''

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| ''' Prognosis'''

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|''' Prognosis'''

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|Association of kapha and pitta dosha

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|Pariharya (untreatable)

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|In bala (children), vridha (old age), garbhini (pregnant women), sutika (puerperal women), kshina (exhausted), asruksrutha (developed by hemorrhage)

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| In bala (children), vridha (old age), garbhini (pregnant women), sutika (puerperal women), kshina (exhausted), asruksrutha (developed by hemorrhage)

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|Pariharya (untreatable)

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| Pariharya (untreatable)

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[Ma. Ni 22/43]<ref name=":2" />

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In a comparative clinical study conducted among 40 patients, kalabasti with dasamoola kashaya, yavanyadi kalka, and sahacharadi taila has shown better improvement both in subjective and objective parameters as compared to the group of nasya (nasal medication) with karpasasthyadi taila and group with samana (pacification) drugs only.<ref>Dr. Sayeda Nikhat Inamdar, Dr. Prashanth A S, Dr. Rahul kumar. Clinical evaluation of basti and nasya in pakshaghata (hemiplegia). PIJAR/July-August-17/volume 1/Issue-6, ISSN:2456:4354

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'''3.''' A case on management of stroke of a male patient aged 40 years with chief complaints of loss of function of the left upper & lower limb is repored. He was a diagnosed case of stroke based on clinical presentation and brain computed tomography-scan. In the case, Ayurveda medications were found to be effective in providing relief in chief complaint with improvement of overall health of the patient. Treatment protocol was snehana, swedana, mridu virechana, basti karma, murdhni taila (shirodhara) along with internal medication which is mentioned by Acharya Sushruta.<ref>Santhosh kumar Bhatted, Uttamram Yadav. (2020). Treatment Protocol of Stroke (Pakshaghata) Through Ayurveda Medicine -A Case Study. International Journal of Health Sciences and Research. Vol.10; Issue: 1; January 2020 Website: www.ijhsr.org Case Study ISSN: 2249-9571.</ref>

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