MANAGEMENT OF PARKINSON’S DISEASE THROUGH PANCHAKARMA: A SUCCESS STORY

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Dr. Imlikumba
B.A.M.S, M.D (Panchakarma), KRTC (Jamnagar)
MO (Ayur) Bokajan PHC
Chief consultant @Health Naturally Clinic
Kevijau Colony Dimapur                                                                                Email: [email protected]
Ph: 09483328411
 
MANAGEMENT OF PARKINSON’S DISEASE THROUGH PANCHAKARMA: A SUCCESS STORY 
 
IMLIKUMBA*, B.A LOHITH**, ASHUTOSH CHATURVEDI***, NIRUPAM BHATTACHARYYA****,RAHUL GUPTA***** AND MAHESH PARAPPAGOUDRA******
 
*(Corresponding author) PG Scholar, Department of Panchakarma, SDM College of Ayurveda & Hospital, Hassan, Karnataka India. e-mail :imlikumba
@gmail.com
**Associate Professor &HOD ,Department of Panchakarma, SDM College of Ayurveda & Hospital, Hassan, Karnataka India.
***PG Scholar,Department of Panchakarma, SDM College of Ayurveda & Hospital, Hassan, Karnataka India.
****PG Scholar,Department of Panchakarma, SDM College of Ayurveda & Hospital, Hassan, Karnataka India.
*****PG Scholar, Department of Rachana Shareera, SDM College of Ayurveda & Hospital, Hassan, Karnataka India.
**********PG Scholar,Department of Panchakarma, SDM College of Ayurveda & Hospital, Hassan, Karnataka India.
Letter No.V-34564,Reg.533/2007-2008 INDIAN JOURNAL OF RESEARCH(2015)9,55-58 ANVIKSHIKI ISSN 0973-9777 Advance Access publication 20 August 2015

Abstract:

 Parkinson’s disease having degenerative pathology in Substantia Nigra (a part of brain) and usually affects after the age of 50 years. In spite of advancements in the field of medicine, treatment of Parkinson’s disease remained highly symptomatic. No curative treatment is available. This instils a need for ayurvedic management of Kampavata (Parkinson’s disease) is needed.Line of treatment of Kampavata is SnehanSwedanShodhan and Shaman Basti Shirobasti and Virechana i.e.Brimhan line of treatment is followed. in the following case study all above issues are considered and thus success was achieved

 

Keywords: Kampavata, Ayurveda, Panchakarma, Parkinson’s disease, Yapana Basti

 

Introduction:

‘Parkinson’s disease’ is the second most common neurodegenerative disorder after Alzheimer’s disease.The prevalence of PD is about 0.3% of the whole population in industrialized countries. PD is more common in the elderly and prevalence rises from 1% in those over 60 years of age to 4% of the population over 80. The mean age of onset is around 60 years. Some studies have proposed that it is more common in men than women, but others failed to detect any differences between the two sexes. Sex incidence is about equal. Prevalence varies greatly throughout the world ranging from 14/100000 in China to 328/

100000 in India. Morbidity rate of Parkinson’s in India is about 328.3/1000000.1 The incidence of PD is between 8 and 18 per 100,000 person–years. In idiopathic Parkinson’s disease, pathologic examination shows loss of pigmentation and cells in the substantia nigra and other brainstem centres and the presence of filamentous eosinophilic intraneural inclusion granules (Lewy bodies), in the basal ganglia, brainstem, spinal cord, and sympathetic ganglia.

Idiopathic Parkinson’s disease is characterized by bradykinasia, rigidity, shuffling gait, postural instability, tremor & loss of automatic movement. There is currently no treatment to cure Parkinson’s disease. Several therapies are available to delay the onset of motor symptoms and to ameliorate motor

symptoms.

All of these therapies are designed to increase the amount of dopamine in the brain either by replacing dopamine, mimicking dopamine, or prolonging the effect of dopamine by inhibiting its breakdown. Studies have shown that early therapy in the non-motor stage can delay the onset of motor

symptoms, thereby extending quality of life. Modern treatments are effective at managing the early motor symptoms of the disease, once activities of daily living start getting affected, use of dopamine agonists or levodopa is recommended. The golden rule for all antiparkinsonian drugs is “start low and go slow”. As the disease progresses and dopamineneurons continue to be lost, a point eventually arrives at which these drugs become ineffective at treating

the symptoms and at the same time produce a complication called dyskinesia, marked by involuntary writhing movements. Diet and some forms of rehabilitation have shown some effectiveness at alleviating symptoms. Surgery and deep brain stimulation have been used to reduce motor symptoms as a last

resort in severe cases where drugs are ineffective. Research directions include a search of new animal models of the disease and investigations of the potential usefulness of gene therapy, stem cell transplants and neuroprotective agents. There is currently no treatment to cure Parkinson’s disease. Many studies

are looking at treatment that might improve some of the symptoms of Parkinson’s disease.

Understanding of Parkinson’s disease in terms of Ayurveda can be done under the vatavyadhi, to be specific, caused due to the Avarana of vata. Hence it may be compared to Kaphaavruta vyana,2 Pranaavruta samana,3 Vepathu,4 Where in Avarana is present in relation with Marma, Asthi, Sandhi is involved directly/indirectly, as it is vatavyadhi, the line of treatment for the above said revolves around Yapanabasti/Rasayana chikitsa in the form of Panchakarma. Current study shows the improvement in the signs

and symptoms of the Parkinson’s disease.

 

Case Details

A 66 year male came to physician with complain of shaking movement in left forearm. Difficulty in doing daily activities, reduced strength in the left hand since 2 yrs. Associated complaints of pain in the low back. The patient was apparently healthy 2 years back.Then he gradually noticed reduced strength

in the left hand.So he went to Mysore and took medications for six months but didn’t have any improvement. Later on went to hospital at Bangalore and took treatment for 6 months but condition remained same. Afterwards he went to homeopathic hospital and took treatment for 3 months but patient didn’tobserved any change.

 

Nidan Panchaka:

 

Nidana – Abhighatha, ruksha ahara.

Poorvaroopa – weakness,decreased strength & giddiness.

Roopa – Tremors,slurred speech, rigidity.

 

Samprapti Ghatakas:

 

Dosha : Vyana Vata.

Dushya : Sira, Mamsa, Kandara, Asthi, Snayu.

Srotas : Mamsavaha, Asthivaha.

SrotoDushti : Atipravritti.

Roga Marga : Madhyama.

UdbhavaSthana : Pakwashaya.

VyaktaSthana : Sarvashareera.

SancharaSthana : Sarvashareera.

VyadhiSwabhava : Chirakari.

Sadhyaasadhyata : Yapya

 

Chikitsa sutra5

Acc to Vangsena Vata Vyadhies/155, its mentioned for Sweda, Abhyanga, AnuvasanaBasti, NiruhaBasti,Sirobasti and Virechana. Brumhana line of treatment.

 

Chikitsa Karma

On admission treatment was advised for 13 days

 

Poorvakarma- Pachana Deepana with Panchakola Phanta 50 ml thrice daily and Chitrakadi vati 2tablets thrice daily with Shadanga Paneeya. The whole procedure was done for three days. Fourth day massage was done to whole body with Ksheera Bala Taila followed with Swedana by bhaspa Sweda then Shastika Shali Pinda Sweda .Along with Shastika Shali Pinda Sweda and Bashpa Sweda,

 

Pradhana Karmamodified kala Vasti (schedule of fifteen Vasti’smodified to 9 days) was followed.

 

Mustadiyapana basti6;

 

Anuvasana:Brihat Chaghaladi Ghrita7-120gm,

Niruha:

Honey-120gm

Saindhava Lavana:12 gm

Brihat Chaghaladi Ghrita-60ml

Maha Masha Taila 8-60ml

Kalka: Aswagandha, Bala and Kappikachu9 15 gms each

Kashaya: Mustadi kashay-350,

Avapa: Mamsa rasa10-100ml.

 

Kala Vasti schedule contains fifteen Vasti’s (nine Anuvasana Vasti’s and six Niruha Vasti’s modified to nine days ). Kala Vasti schedule starts with Anuvasana Vasti followed by twelve Vasti’s (six Niruha Vasti’s and six Anuvasana Vasti’s alternatively) and ends with two Anuvasana Vasti’s. At the time of discharge patient was happy as he was able to do his regular activities without pain and support and trembling in hand reduced with slight increase in strength of left hand.

 

At the time of discharge On 14/3/15 patient took medicine for 1 month

Zandopa granules 2-0-2 tsf with warm milk A/F

Tab Myostal fort 1-1-1 A/F

Tab Kumarabharana 0-1-0 K.B taila for E/A were prescribed as internal medicines.

 

Patient again came for admission on 12/4/15 treatment advised for 8 days Vanarikalpa 3-0-3 teaspoon with warm milk.

Tab Kumarabharana 1-0-1 A/F.

Shirodhara with ksheerabala taila.

Sarvanga Abhyanga with Prabhanjana Vimardhana Taila.

Matra Basti with BrihatChaghaladiGhrita 80ml.

Patient was able to climb the stairs without support at the time of discharge. The treatment protocol followed in the present case was unique. The recovery was promising and worth documenting.

 

Conclusion

The compound used for Kampavata is based on Yukthi of physician which has seen success. This can be used by all Ayurvedic physicians for successful treatment of Kampavata. As preventive remedy MatraBasti with Brihat Chaghaladi Ghrita this has to be repeated at least twice in a year for a month after assessing the Agni of the patient to avoid reoccurrence. All the procedures as explained above should be done without skipping any. The whole procedure should be carried under strict supervision by expert. Monitoring of aseptic precautions, proper guidance to the patient in every step should be done. Patient response may be different in different cases. Physician assessing Roga Bala sensitivity etc can alter the dosage. Pathyapathya was followed strictly Shaman Aushadhi was asked to continue for one week. After the course of three months, there was 60% relief in tremors, Gait of the patient was improved 40%, and Rigidity was reduced 50% along with improvement in other symptoms as well.

 

REFERENCES

1. MELDRUM, DARA, et al. “Effectiveness of conventional versus virtual reality based vestibular rehabilitation in the treatment of dizziness, gait and balance impairment in adults with unilateral peripheral vestibular loss: a randomised controlled trial.” BMC Ear, Nose and Throat Disorders 12.1 (2012):

2. Sushrita, Sushurata samhita. Edited by vaidya Jadvji Trikamji acharya. Reprint 2010.Chaukhamba Sanskrit sansthan Varanasi. PP: 824 Page no: 263

3. Agnivesha. Charaka Samhita, edited by Jadavji Trikamji Acharya, Chaukamba Prkashan, Reprint 2009. Varanasi PP :738 page no:625

4. Madhavakara.Madhava nidanam. Edited by Dr.brahmananda tripathi. Chaukhamba subharthi prakashana. Reprint 2008 Varanasi vol 1 PP:658 page no: 551

5. Acharya Vangasena. Vangasena Samhita Chapter 60 155, Vaidya Shankarlalji Jain,editor.Vatavyadhi chapter. Mumbai: Khemraj Sri KrishnadasPublication; 1996. p. 335

6. Agnivesha. Charaka Samhita, Commentary by Chakrapanidatta‘Ayurveda Dipika’. Vaidya JadhavjiTrikamji Acharya, editor. 5thed. Siddhi Chapter 12 14(1). Varanasi: Chowkambha publication;2001 p. 686.

7. BRAMHASHANKARA MISHRA. BhaishajyaRatnavali, Sri RajeshwaraDattaShastri, editors. 2nd ed. Vatavyadhi chapter. Varanasi: Chowkambha publication; 1961. p. 390, 412- 414.

8. BRAMHASHANKARA MISHRA. BhaishajyaRatnavali, Sri RajeshwaraDattaShastri, editors. 2nd ed. Vatavyadhi chapter. Varanasi: Chowkambha publication; 1961. p. 420 , 453- 454.

9. DR. JLN SHASTRY. Study of Essential Medicinal Plants in Ayurveda,Dravyaguna Vignana.2nd ed. Kapikacchu chapter. Varanasi:Chowkambha publication; 2005 p. 175-178.

10. BRAMHASHANKARA MISHRA. BhaishajyaRatnavali, Sri RajeshwaraDattaShastri, editors. 2nd ed. Vatavyadhi chapter. Varanasi: Chowkambha publication; 1961. p. 120, 48- 50.

KampavataParkinsonsdisease

 

 

AUTHOR
Dr. Imlikumba

Ayurveda Specialist

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2 thoughts on “MANAGEMENT OF PARKINSON’S DISEASE THROUGH PANCHAKARMA: A SUCCESS STORY”

  1. My husband was diagnosed with Parkinson’s disease nearly 7 years ago, when he was 49. He had a stooped posture, tremors, right arm does not move and also has a pulsating feeling in his body. He was placed on Sinemet for 8 months and then Sifrol was introduced which replaced the Sinemet. During this time span he was also diagnosed with dementia. He started having hallucinations, and lost touch with reality.I searched for alternative treatments and and started him on Parkinson’s herbal formula i ordered from Health Herbal Clinic, Just 7 weeks into the Herbal formula treatment he had great improvements with his slurred speech, there is no case of Rigid muscles and Slowed movement (bradykinesia) since treatment, visit Health Herbal Clinic official website www. healthherbalclinic. net or email [email protected] healthherbalclinic. net. This treatment is incredible!

  2. I am a 77-year-old lady. My Parkinson’s disease appeared at the age of 55. My symptoms at the beginning were fine tremors and rigidity with joint stiffness. I was taking Entacapone with Levodopa, Carbidopa, and Pramipexole. My Parkinson’s disease was not under control. I lost touch with reality.I searched for alternative treatments and and started on Parkinson’s herbal formula i ordered from Health Herbal Clinic, Just 7 weeks into the Herbal formula treatment i had great improvements with my slurred speech, there is no case of Rigid muscles and Slowed movement (bradykinesia) since treatment, and my tremors completely gone, visit Health Herbal Clinic official website on www. healthherbalclinic. net or email [email protected] healthherbalclinic. net. This treatment is incredible!

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