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
‘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
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.
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.
Nidana – Abhighatha, ruksha ahara.
Poorvaroopa – weakness,decreased strength & giddiness.
Roopa – Tremors,slurred speech, rigidity.
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
Acc to Vangsena Vata Vyadhies/155, its mentioned for Sweda, Abhyanga, AnuvasanaBasti, NiruhaBasti,Sirobasti and Virechana. Brumhana line of treatment.
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 Karma– modified kala Vasti (schedule of fifteen Vasti’smodified to 9 days) was followed.
Anuvasana:Brihat Chaghaladi Ghrita7-120gm,
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.
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.
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