Ayurvedic management guide to major Neurological Disorders, covering:Cerebrovascular Disease, (Stroke), Headache, Dementia and Coma

Ayurvedic management guide to major Neurological Disorders, covering:

• Cerebrovascular Disease (Stroke)

• Headache

• Dementia and Coma

Each includes Ayurvedic correlation, Samprāpti (pathogenesis), Chikitsā Sūtras, key formulations, Panchakarma, and classical references.

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🧠 1. Cerebrovascular Disease (Stroke / CVA)

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🔹 Ayurvedic Correlation:

Modern Term	Ayurveda Equivalent
Ischemic Stroke	Pakṣāghāta (पक्षाघातः)
Hemorrhagic Stroke	Raktavata, Sirābhisyanda, Raktapitta janya Pakṣāghāta

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📜 Classical References:

• Charaka Cikitsā 28

• Suśruta Uttara Tantra 63

• Aṣṭāṅga Hṛdaya Uttara 23

"Vātaḥ śarīrasya balasya kāraṇaṁ, tan mārute vyāpadeśaḥ pakṣāghātaḥ smṛtaḥ"

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🔹 Samprāpti (Pathogenesis):

• Vāta prakopa due to stress, trauma, age, vega dhara, etc. → occlusion/rupture of Sirā (vessels) → Ruk, shosha, stabdha, kampana

• In hemorrhagic stroke: Rakta + Vāta dushti → Raktapitta lakṣaṇas

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🔹 Chikitsā Sūtra:

"Pakṣāghāte snehanaṁ swedanaṁ bastiḥ… vātaśāmakaṁ prayojayet" – C.S. Cikitsā 28

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🔹 Treatment Strategy:

Phase	Management
Acute	Vāta-shāmaka, Mṛdu Snehapāna, Niruha/Anuvāsana basti, Nasya
Chronic	Br̥ṃhaṇa, Medhya Rasāyana, Strengthening of Dhātu, Rehabilitation

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🔹 Key Formulations:

• Maha Mashadi taila (Basti + Abhyanga)

• Ashwagandhādi churna, Bala taila, Ksheerabala taila

• Ekāngavīra rasa, Dashamoola kvātha, Rasnā saptaka kvātha

• Brahmī vati, Saraswatarishta, Abhraka Bhasma (Jīrṇa pakva)

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🔹 Panchakarma:

• Basti – Primary (especially Mātrā basti, Anuvāsana)

• Nasya – with Brahmī taila, Ksheerabala taila

• Shirodhāra – for improving neural communication

• Abhyanga & Swedana – for stiffness and motor rehab

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🤕 2. Headache (Primary Headaches & Migraines)

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🔹 Ayurvedic Correlation:

Modern Type	Ayurveda
Tension headache	Suryavarta, Shirashoola
Migraine	Ardhāvabhedaka (अर्धावभेदकः)
Cluster headache	Anantavāta, Karnashoola with Shirashoola

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📜 Classical References:

• Mādhava Nidāna 53, A.H. Uttara 23

“Tīkṣṇaṁ tīvraṁ ardhamukhe bhedanaṁ dāhaṁ cha darśayet।
Tam ardhāvabhedakaṁ proktaṁ vātabhūyastvāt॥”

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🔹 Samprāpti (Pathogenesis):

• Vitiation of Vāta-Pitta (migraine), or Vāta-Kapha (tension headache) in Śiras marma

• Results in bheda (splitting pain), photophobia, nausea

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🔹 Treatment Strategy:

Type	Approach
Ardhāvabhedaka (Migraine)	Snehapāna, Nasya, Deepana, Virechana
Suryavarta (Tension)	Shiro-abhyanga, Pachana, Rasāyana
Kapha/Vāta dominant	Lepa, Nasya, Dhumapāna

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🔹 Formulations:

• Godanti bhasma, Sootashekhar rasa, Mahāvatavidhwansa rasa

• Pathyādi kwātha, Dashamoola kwātha, Triphala guggulu

• Brahmi vati, Ashwagandhādi lehyam, Shirashulādi vajra rasa

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🔹 Nasya & External Therapies:

• Anutaila, Shadbindu taila, Brahmi taila

• Lepa: Dashamoola + Eranda moola paste on forehead

• Takradhārā for chronic migraines

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🧓 3. Dementia & Coma

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🔹 Ayurvedic Correlation:

Modern	Ayurveda
Dementia	Smṛtikṣaya, Buddhi mandya, Jīrṇa Unmāda, Ojokṣaya
Coma	Mūrcchā (मूर्छा) / Sannyāsa (सन्न्यास)

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📜 Classical References:

• Suśruta Uttaratantra 62

• Charaka Cikitsā 10 (Unmāda), A.H. Uttara 7–8

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🔹 Samprāpti:

🔸 Dementia:

• Gradual depletion of Medhā, Smṛti, and Ojas

• Mānasika doṣa (Rajas–Tamas) along with Vāta–Pitta dushti

🔸 Coma:

• Sudden loss of consciousness due to doṣa avarana of Prāṇa Vāta, Hridaya dushti, Ojas kṣaya

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🔹 Treatment Approach:

Condition	Strategy
Dementia	Medhya Rasāyana, Br̥ṃhaṇa, Oja vardhaka, Mānasika chikitsā
Coma	Prāṇa vātānulomana, Ojovardhana, Nasya, Kriyākāla based reversal

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🔹 Formulations:

📘 For Dementia:

• Saraswatarishta, Brahmī vati, Vachā + Yashtimadhu churna

• Medhya Rasāyana: Mandukaparni, Shankhapuṣpī, Jyotiṣmati taila

• Abhraka bhasma, Swarna bhasma (microdose)

🛏️ For Coma (Mūrcchā/Sannyāsa):

• Rājata bhasma, Abhraka bhasma, Mahānārāyaṇa taila (abhyanga)

• Nasya: Brahmī taila, Kshirabala taila

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🔹 Panchakarma:

Procedure	Use
Nasya	Regain consciousness, improve memory
Basti	Chronic Vāta kopa in dementia
Śirodhāra	Anxiety, confusion, emotional calmness
Shirobasti	Useful in long-term cognitive degeneration

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📘 Summary Table

Disease	Ayurvedic Name	Doṣa	Management
Stroke	Pakṣāghāta	Vāta + Rakta	Basti, Nasya, Br̥ṃhaṇa
Headache	Shirashoola / Ardhāvabhedaka	Vāta-Pitta/Kapha	Nasya, Lepa, Deepana
Dementia	Smṛtikṣaya / Medhākṣaya	Vāta + Rajas-Tamas	Medhya Rasāyana
Coma	Mūrcchā / Sannyāsa	Vāta + Ojas kṣaya	Ojovardhana, Prāṇa shāmaka

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🔬 Scientific Integration

• Brahmi, Mandukaparni – Cognitive enhancers (published in IJAR)

• Ashwagandhā – Neuroprotective, supports GABA pathways

• Ksheerabala Basti – Promotes neuro-regeneration in stroke rehab

• Shirodhāra – Reduces cortisol, improves quality of life in chronic headache and dementia