MODERN DISEASE EXPLANATION
Hemiparesis, or unilateral paresis, is weakness of one entire side of the body (hemi- means "half"). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiplegia is a form of paralysis that affects just one side of the body, often just one arm and one leg, but occasionally with symptoms extending partially into the torso. A related condition, hemiparesis, is significant loss of strength and mobility on one side of the body, but without full paralysis. Some people with hemiplegia develop the condition after a bout of hemiparesis. Others may alternate between times of hemiparesis and hemiplegia.
What is Hemiplegia?
The brain is divided into two hemispheres, separated by a bundle of fibers called the corpus callosum. Generally speaking, the right side of the brain controls muscles and other functions on the left side of the body, while the left side of the brain controls much of the right side of the body. Thus hemiplegia and hemiparesis almost always indicate a problem with one side of the brain.
Hemiplegia may come on suddenly, or develop slowly over time. A condition related to hemiplegia, spastic hemiplegia, causes the muscles to get stuck in a contraction, resulting in little muscle control, chronic muscle pain, and unpredictable movements. People with hemiplegia often show other signs of brain damage or head injury, and may experience issues with other areas of their bodies.
Hemiplegia, like other forms of paralysis, is characterized by significant loss of sensation and control in the affected area. People with hemiplegia may experience intermittent pain, and may be better able to control their limbs at some times than at others.
What Causes Hemiplegia?
Though the arms, legs, and possibly torso are the regions of the body most obviously affected by hemiplegia, in most cases of hemiplegia these body regions are actually perfectly healthy. Instead, the problem resides in the brain, which is unable to produce, send, or interpret signals due to disease or trauma-related damage. Less frequently, hemiplegia results from damage to one side of the spinal cord, but these sorts of injuries more typically produce global problems, not just paralysis on one side of the body.
What’s the Difference Between Hemiparesis and Hemiplegia?
Hemiparesis is characterized by weakness on one side of the body. A person with hemiparesis might not be able to move their arm, or may feel tingling or other odd sensations on just one side. Hemiplegia is paralysis on one side of the body. Though stereotypes of paralysis suggest that paralysis completely removes the ability to move, the reality is a bit more complicated. People with paralysis may retain some sensation, and the degree to which they are paralyzed can change over time. Thus it can be hard to establish a clear line of demarcation between hemiparesis and hemiplegia, particularly in the case of mild hemiplegia and severe hemiparesis.
SYMPTOMS OF HEMIPLEGIA
Paralysis can change over time, and not all people with hemiplegia are completely immobilized or suffer a complete loss of sensation on the affected side. Nevertheless, if paralysis is not extensive, a doctor will likely diagnose hemiparesis instead of hemiplegia. Symptoms of hemiplegia include:
• Difficulty moving, or the inability to move, one side of the body.
• Difficulty with bowel or bladder control.
• Changes or loss in sensation on one side of the body.
• Keeping one hand in a fist.
• Difficulty swallowing or with speech.
• Breathing difficulties.
SOME COMMON CAUSES OF HEMIPLEGIA INCLUDE:
• Traumatic brain injuries to one side of the brain only. These may be caused by car accidents, falls, acts of violence, and other factors.
• Cardiovascular problems, particularly aneurysms and hemorrhages in the brain.
• Strokes and transient ischemic attacks (better known as TIA or mini-strokes).
• Infections, particularly encephalitis and meningitis. Some serious infections, particularly sepsis and abscesses in the neck, may spread to the brain if left untreated.
• Conditions that cause demyelination of the brain, including multiple sclerosis and some other autoimmune diseases.
• Reactions to surgery, medication, or anesthesia.
• Loss of oxygen to the brain due to choking or anaphylactic shock.
• Brain cancers.
• Lesions in the brain, even if non-cancerous, since these lesions can impede function on one side of the brain.
• Congenital abnormalities, including cerebral palsy and neonatal-onset multi-inflammatory disease.
• Rarely, psychological causes; some states of catatonia can cause hemiplegia, and people with parasomnia—a sleep disorder leading to unusual nighttime behavior—may experience nighttime episodes of hemiplegia.
DISEASE- AYURVEDA CONCEPT
Pakshaghata [ Hemiplegia ] : -The disease has been discussed in Ayurveda under Vatavyadhi neurological disorder. The terms Paksaghata, Paksha Vadha and Ekanga Vata have been used to describe hemiplegia in Ayurveda. The term paksha means half of the body and loss of function of paksha is seen in Pakshaghata. It is mainly a vata vyadhi and pitta and kapha doshas also associate vata in the causation of the disease. Charaka observes that sira snayu vishoshana( arteries and ligaments degeneration) leads to pakshaghata, but sushruta notes the involvement of dhamani (veins)in the pathogenesis of Pakshaghata. Chakrapani says that without understanding the prakruti (physiology) correct knowledge of vikruti (pathology) is not possible. The implications of sira, dhamani and srotas are very essential to understand the pathogeness of pakshaghata.Pakshaghata, is a vatavyadhi. It can be correlated to the biomedical ceribrovascular condition called ‘stroke’. The lakshanas include, ruja, vakstambha, etc. It's types are kaphanubandha and pittanubandha. Even though pakshaghata is a vata vyadhi, and mentioned in the nanatmaja vataja vikaras of charaka, it is not a shuddha vataja condition. There is samsarga of Pitta and kapha, clearly mentioned by Susrutha and Madhava nidana. In all the above explanations it is clear that raktadushti leading to vata prakopa is the underlying cause of the disease.In this light, it has been clearly stated that ‘Nidana Parivarjanam’ is one type of Chikitsa. With the review of Ayurvedic literature it is evident that no specific aetiological factor has been described separately for Pakshaghata. Vata in the body are likely to be the root cause of Pakshaghata. Hence, the general causative factors of Vata Vyadhi or factors vitiating Vata Dosha in the body may be regarded as the aetiological factors of Pakshaghata as well.
TREATMENT PROTOCOL
Line of treatment (Charaka. Chikitsa sthana. 28/100)
TREATMENT ACCORDING TO AYURVEDIC PERSPECTIVE : TREATMENT ACCORDING TO AYURVEDIC PERSPECTIVE “SNEHANAM SWEDASAYAKUTAM PAKSHAGHATE TU VIRECHANAM” CHARAKA SUSRUTHA GENERAL LINE
1. Nidana parivarjana (avoidance of aetiological factors) - Management of treatable risk factors and diseases like hypertension, acute encephalitis, heart disease etc. and avoid trauma.
2. Samshodhana chikitsa - (Bio-cleansing therapies) followed by aamana chikitsa
(Palliative therapy) should be advocated.
i. Snehana (Oleation): massage with medicated oils such as
• Maha narayana taila
• Sahacharadi taila
• Dhanvantara taila
• Karpasasthyadi taila
• Prabhanjana vimardana taila
• Kshirabala taila
• Mahamsha taila
• Bala taila
ii. Svedana (Medicated fomentation)
•Shashtika shali panda sveda (made from shashtika shali(Navara Rice), Bala mula, Ashvagandha mula and milk)/Patra pind sweda for 7-14 days
• Sarvanga sveda for 7 - 14 days
iii. Virechana (Purgation)
iv. Vasti (medicated enema) • Matra vasti with Narayana taila 50 ml daily for 7 - 14 days
• Kashaya vasti for 15 days (Kala vasti krama) Eranda mula kvatha - 480 ml,Taila - 240 ml,Honey - 240 ml, Kalka - 30 gm,Saindhava lavana - 15 gm
• Kshira vasti 350 - 500 ml for 7 - 14 days
v. Nasya karma/ Brinhana nasya with Purana ghrita (old ghee) / Narayana taila /Ksheera bala taila 8-8 drops in both nostrils for 7 days
vi. Shirovasti with medicated oils (Narayana taila / Ksheera bala taila / Chandana bala lakshadi taila) daily 45 minutes for 7 days
vii. shirodhara with medicated liquids (Narayana taila / Ksheera bala taila / Chandana bala lakshadi taila / decoctions etc.) daily 45 minutes for 21 days
CLASSICAL MEDICINES
1. Maha narayana taila
2. Sahacharadi taila
3. Dhanwantara taila
4. Karpasasthyadi taila
5. Prabhanjana vimardana taila
6. Ksharabala taila
7. Mahamsha taila
8. Bala taila
9. Dhanadhanayanadi kashayam
10. kseerabala(101)
11. Dhanwantharam (101)
ETC....
AHARA VIHARAM
1.Add masha (black gram), kulattha (horse gram), palandu(onion), rasona (garlic),Shunthi/Ardraka (ginger), mulaka (radish), kushmanda (ash gourd), mudga (green gram) in regular diet
2. Use fruits like dadima (pomegranate),Amra (mango), draksha (grape) etc.
3. Consume low fat and high fiber diet and Rasayana drugs
4. Control the treatable risk factors like diabetes mellitus, hypertension, and heart diseases
5. Take neccessry treatment of hypertension (if any)
6. Control cholesterol level and weight
7. Practice regular exercises
8. Avoid excessive use of pungent, astringent and/ or salty, oily/ fatty food and incompatible diet, chana (bengal gram), peas, barley etc.
9. Avoid excessive starvation, excess exercises, suppressing of natural urges and awakening in the nights
10. Avoid alcohol consumption, smoking
11. Avoid discontinuation of any regular medication without medical advice
Hemiparesis, or unilateral paresis, is weakness of one entire side of the body (hemi- means "half"). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiplegia is a form of paralysis that affects just one side of the body, often just one arm and one leg, but occasionally with symptoms extending partially into the torso. A related condition, hemiparesis, is significant loss of strength and mobility on one side of the body, but without full paralysis. Some people with hemiplegia develop the condition after a bout of hemiparesis. Others may alternate between times of hemiparesis and hemiplegia.
What is Hemiplegia?
The brain is divided into two hemispheres, separated by a bundle of fibers called the corpus callosum. Generally speaking, the right side of the brain controls muscles and other functions on the left side of the body, while the left side of the brain controls much of the right side of the body. Thus hemiplegia and hemiparesis almost always indicate a problem with one side of the brain.
Hemiplegia may come on suddenly, or develop slowly over time. A condition related to hemiplegia, spastic hemiplegia, causes the muscles to get stuck in a contraction, resulting in little muscle control, chronic muscle pain, and unpredictable movements. People with hemiplegia often show other signs of brain damage or head injury, and may experience issues with other areas of their bodies.
Hemiplegia, like other forms of paralysis, is characterized by significant loss of sensation and control in the affected area. People with hemiplegia may experience intermittent pain, and may be better able to control their limbs at some times than at others.
What Causes Hemiplegia?
Though the arms, legs, and possibly torso are the regions of the body most obviously affected by hemiplegia, in most cases of hemiplegia these body regions are actually perfectly healthy. Instead, the problem resides in the brain, which is unable to produce, send, or interpret signals due to disease or trauma-related damage. Less frequently, hemiplegia results from damage to one side of the spinal cord, but these sorts of injuries more typically produce global problems, not just paralysis on one side of the body.
What’s the Difference Between Hemiparesis and Hemiplegia?
Hemiparesis is characterized by weakness on one side of the body. A person with hemiparesis might not be able to move their arm, or may feel tingling or other odd sensations on just one side. Hemiplegia is paralysis on one side of the body. Though stereotypes of paralysis suggest that paralysis completely removes the ability to move, the reality is a bit more complicated. People with paralysis may retain some sensation, and the degree to which they are paralyzed can change over time. Thus it can be hard to establish a clear line of demarcation between hemiparesis and hemiplegia, particularly in the case of mild hemiplegia and severe hemiparesis.
SYMPTOMS OF HEMIPLEGIA
Paralysis can change over time, and not all people with hemiplegia are completely immobilized or suffer a complete loss of sensation on the affected side. Nevertheless, if paralysis is not extensive, a doctor will likely diagnose hemiparesis instead of hemiplegia. Symptoms of hemiplegia include:
• Difficulty moving, or the inability to move, one side of the body.
• Difficulty with bowel or bladder control.
• Changes or loss in sensation on one side of the body.
• Keeping one hand in a fist.
• Difficulty swallowing or with speech.
• Breathing difficulties.
SOME COMMON CAUSES OF HEMIPLEGIA INCLUDE:
• Traumatic brain injuries to one side of the brain only. These may be caused by car accidents, falls, acts of violence, and other factors.
• Cardiovascular problems, particularly aneurysms and hemorrhages in the brain.
• Strokes and transient ischemic attacks (better known as TIA or mini-strokes).
• Infections, particularly encephalitis and meningitis. Some serious infections, particularly sepsis and abscesses in the neck, may spread to the brain if left untreated.
• Conditions that cause demyelination of the brain, including multiple sclerosis and some other autoimmune diseases.
• Reactions to surgery, medication, or anesthesia.
• Loss of oxygen to the brain due to choking or anaphylactic shock.
• Brain cancers.
• Lesions in the brain, even if non-cancerous, since these lesions can impede function on one side of the brain.
• Congenital abnormalities, including cerebral palsy and neonatal-onset multi-inflammatory disease.
• Rarely, psychological causes; some states of catatonia can cause hemiplegia, and people with parasomnia—a sleep disorder leading to unusual nighttime behavior—may experience nighttime episodes of hemiplegia.
DISEASE- AYURVEDA CONCEPT
Pakshaghata [ Hemiplegia ] : -The disease has been discussed in Ayurveda under Vatavyadhi neurological disorder. The terms Paksaghata, Paksha Vadha and Ekanga Vata have been used to describe hemiplegia in Ayurveda. The term paksha means half of the body and loss of function of paksha is seen in Pakshaghata. It is mainly a vata vyadhi and pitta and kapha doshas also associate vata in the causation of the disease. Charaka observes that sira snayu vishoshana( arteries and ligaments degeneration) leads to pakshaghata, but sushruta notes the involvement of dhamani (veins)in the pathogenesis of Pakshaghata. Chakrapani says that without understanding the prakruti (physiology) correct knowledge of vikruti (pathology) is not possible. The implications of sira, dhamani and srotas are very essential to understand the pathogeness of pakshaghata.Pakshaghata, is a vatavyadhi. It can be correlated to the biomedical ceribrovascular condition called ‘stroke’. The lakshanas include, ruja, vakstambha, etc. It's types are kaphanubandha and pittanubandha. Even though pakshaghata is a vata vyadhi, and mentioned in the nanatmaja vataja vikaras of charaka, it is not a shuddha vataja condition. There is samsarga of Pitta and kapha, clearly mentioned by Susrutha and Madhava nidana. In all the above explanations it is clear that raktadushti leading to vata prakopa is the underlying cause of the disease.In this light, it has been clearly stated that ‘Nidana Parivarjanam’ is one type of Chikitsa. With the review of Ayurvedic literature it is evident that no specific aetiological factor has been described separately for Pakshaghata. Vata in the body are likely to be the root cause of Pakshaghata. Hence, the general causative factors of Vata Vyadhi or factors vitiating Vata Dosha in the body may be regarded as the aetiological factors of Pakshaghata as well.
TREATMENT PROTOCOL
Line of treatment (Charaka. Chikitsa sthana. 28/100)
TREATMENT ACCORDING TO AYURVEDIC PERSPECTIVE : TREATMENT ACCORDING TO AYURVEDIC PERSPECTIVE “SNEHANAM SWEDASAYAKUTAM PAKSHAGHATE TU VIRECHANAM” CHARAKA SUSRUTHA GENERAL LINE
1. Nidana parivarjana (avoidance of aetiological factors) - Management of treatable risk factors and diseases like hypertension, acute encephalitis, heart disease etc. and avoid trauma.
2. Samshodhana chikitsa - (Bio-cleansing therapies) followed by aamana chikitsa
(Palliative therapy) should be advocated.
i. Snehana (Oleation): massage with medicated oils such as
• Maha narayana taila
• Sahacharadi taila
• Dhanvantara taila
• Karpasasthyadi taila
• Prabhanjana vimardana taila
• Kshirabala taila
• Mahamsha taila
• Bala taila
ii. Svedana (Medicated fomentation)
•Shashtika shali panda sveda (made from shashtika shali(Navara Rice), Bala mula, Ashvagandha mula and milk)/Patra pind sweda for 7-14 days
• Sarvanga sveda for 7 - 14 days
iii. Virechana (Purgation)
iv. Vasti (medicated enema) • Matra vasti with Narayana taila 50 ml daily for 7 - 14 days
• Kashaya vasti for 15 days (Kala vasti krama) Eranda mula kvatha - 480 ml,Taila - 240 ml,Honey - 240 ml, Kalka - 30 gm,Saindhava lavana - 15 gm
• Kshira vasti 350 - 500 ml for 7 - 14 days
v. Nasya karma/ Brinhana nasya with Purana ghrita (old ghee) / Narayana taila /Ksheera bala taila 8-8 drops in both nostrils for 7 days
vi. Shirovasti with medicated oils (Narayana taila / Ksheera bala taila / Chandana bala lakshadi taila) daily 45 minutes for 7 days
vii. shirodhara with medicated liquids (Narayana taila / Ksheera bala taila / Chandana bala lakshadi taila / decoctions etc.) daily 45 minutes for 21 days
CLASSICAL MEDICINES
1. Maha narayana taila
2. Sahacharadi taila
3. Dhanwantara taila
4. Karpasasthyadi taila
5. Prabhanjana vimardana taila
6. Ksharabala taila
7. Mahamsha taila
8. Bala taila
9. Dhanadhanayanadi kashayam
10. kseerabala(101)
11. Dhanwantharam (101)
ETC....
AHARA VIHARAM
1.Add masha (black gram), kulattha (horse gram), palandu(onion), rasona (garlic),Shunthi/Ardraka (ginger), mulaka (radish), kushmanda (ash gourd), mudga (green gram) in regular diet
2. Use fruits like dadima (pomegranate),Amra (mango), draksha (grape) etc.
3. Consume low fat and high fiber diet and Rasayana drugs
4. Control the treatable risk factors like diabetes mellitus, hypertension, and heart diseases
5. Take neccessry treatment of hypertension (if any)
6. Control cholesterol level and weight
7. Practice regular exercises
8. Avoid excessive use of pungent, astringent and/ or salty, oily/ fatty food and incompatible diet, chana (bengal gram), peas, barley etc.
9. Avoid excessive starvation, excess exercises, suppressing of natural urges and awakening in the nights
10. Avoid alcohol consumption, smoking
11. Avoid discontinuation of any regular medication without medical advice
0 Comments
If you have any doubts on about Ayurveda treatments about different diseases, different Panchakarma Procedure, Home Remedy, Alternative Medicine, Traditional medicine,Folk medicine,Medicinal Plants, Special diets, Ayurveda medicine ,Complementary medicine LET ME KNOW