"AYURVEDIC MANAGEMENT OF PAKSHAGHAT W.S.R. TO HEMIPLEGIA"– A CASE STUDY

Pakshaghata, a major Vata disorder categorized under Vatavyadhi and regarded as Ashtamahagada, closely correlates with hemiplegia in modern medicine. It commonly results from cerebrovascular accidents and leads to significant disability. Ayurveda emphasizes Basti, Sneha, and Swedana as key therapies for Vata disorders. To evaluate the effectiveness of Ayurvedic Panchakarma and supportive therapies in a patient with left-sided hemiplegia following right basal ganglia intracranial hemorrhage. A 45-year-old male presented with left-sided weakness, difficulty walking, numbness, slurred speech, and facial deviation, four months post-stroke. Neurological examination revealed hypotonia, reduced power, impaired coordination, and altered reflexes on the affected side. The treatment protocol included Snehana, Swedana, Matrabasti with Ashwagandha Ghrita and Bala-Ashwagandha Taila, Majja Basti, Nasya with Panchendriya Vardhan Taila, Shirodhara, and selected Shamana Aushadhi. Physiotherapy was given concurrently to enhance functional recovery. Results is significant improvement was noted after the treatment course. Muscle tone returned to normal, power improved from 3/5 to 5/5, coordination was restored, and plantar reflex became negative. The patient regained functional mobility and independence with marked reduction in neurological deficits. Conclusion is the integrated application of Ayurvedic Panchakarma therapies, internal medications, and physiotherapy proved effective in managing Pakshaghata (hemiplegia). The combined approach facilitated Vata pacification, neuromuscular strengthening, and functional recovery, demonstrating its potential role in post-stroke rehabilitation.