International Journal For Multidisciplinary Research

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Ayurvedic Therapeutic Application of Shodhana and Shamana Chikitsa in Pakshaghata (Haemorrhagic Stroke): A Case Study.

Author(s) Dr. M K N Anusha, Dr. Srinivasa S, Dr. Sowjanya J
Country India
Abstract Introduction: Pakshaghata is one among the Vataja Nanatmaja Vikara according to Acharya Charaka while Acharya Sushruta categorises it under Mahavatavyadhi. Due to indulgence in prolonged and excessive Vatakara Ahara and Vihara, Vata dosha gets vitiated and accumulates in Rikta srotas leading to Pakshaghata. The Classical Lakshana includes Chesta nivrutti Vakstambha, Ruja, Akarmanya, Achetana, and Sandhi-Bandha Vimokshana.
Pakshaghata can be interpreted as Cerebro-vascular accident or Stroke.
Methodology: A 73year old male subject with complaints of weakness and reduced movements in (the) right side of the body, slurred speech, incontinence of bowel and bladder, drowsiness, tiredness and increased sweating since 1 ½ months with a history of irregular intake of Hypertensive and Diabetic medications, reported to Kayachikitsa OPD. On Clinical examination, the patient was conscious with mild impairment noted in orientation to time, place and person. Neurological assessment revealed a motor power of 4/5 in the right upper and lower limbs, altered muscle tone on right side of the body and pill rolling movements in the right fingers were present.
The case was diagnosed as Pakshaghata (Haemorrhagic Stroke) based on clinical parameters and was managed with Dashamoola parisheka, Agnichikitsa lepa, Shirodhara, Shirobasti, Abhyanga, Matrabasti and Shamanaushadhi. The assessment of the patient’s condition was recorded and monitored before and after treatment using NIH-S and MMSE scales.

Result: After Shodhana and Shamana therapy, significant improvements were observed in the clinical signs and symptoms. The power of the right upper limbs improved, while hypertonicity reduced. The Grip strength, finer finger movements and quality of speech improved. NIHSS Score reduced from 7 to 3. MMSE Score improved from 20 to 25.

Discussion: Considering the Bala, Agni, Dosha and Roga avasta of the subject, a therapeutic regimen comprising Ama pachana, Deepana, Shamana, Shodhana, Balya, Bruhmana and Rasayana Chikitsa was adopted.

Conclusion: In the present case study, treatment was planned according to dosha and sthana dusthi described by Acharya Sushruta. The outcomes were satisfactory and encouraging, leading to the improvement in the patient’s quality of life.
Keywords Pakshaghata, Haemorrhagic Stroke, NIHSS, MMSE, Shodhana, Shamana
Field Medical / Pharmacy
Published In Volume 7, Issue 6, November-December 2025
Published On 2025-12-13
DOI https://doi.org/10.36948/ijfmr.2025.v07i06.63352
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