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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.

<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

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

==Causes ([[hetu]])==  

==Causes ([[hetu]])==  

Aggravating factors of vata dosha lead to hemiplegia. These include following:

Aggravating factors of ([[vata dosha]]) lead to hemiplegia. These include following:

*Excessive intake of tikta (bitter), katu (pungent) and kashaya (astringent) tastes.

*Excessive intake of ([[tikta]]) (bitter), ([[katu]]) (pungent) and ([[kashaya]]) (astringent) tastes.

*Consuming insufficient quantity of food  

*Consuming insufficient quantity of food  

*Contractions (spasticity) on the legs and hands on either side.

*Contractions (spasticity) on the legs and hands on either side.

*Pricking pain or sharp pain in the body. [Cha.Sa. Chikitsa Sthana 28/53-55]

*Pricking pain or sharp pain in the body. [Cha.Sa. ([[Chikitsa Sthana]]) 28/53-55]

*Loss of activity (akarmanyata), and loss of sensation (achetana) of the affected side. [Su.Sa. Nidana Sthana 1/60-62]<ref name=":1">Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>

*Loss of activity (akarmanyata), and loss of sensation (achetana) of the affected side. [Su.Sa. Nidana Sthana 1/60-62]<ref name=":1">Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>

|'''Clinical features'''

|'''Clinical features'''

|-

|-

|Pitta associated condition

|([[Pitta]]) associated condition

|Burning sensation (daha)

|Burning sensation (daha)

|Coldness (shaitya)

|Coldness (shaitya)

Swelling (shotha)

Swelling (([[shotha]]))

Heaviness (gurutva)

Heaviness (gurutva)