Role of Panchakarma in Bell's Palsy.

1. ROLE OF PANCHAKARMA IN BELL’S PALSY

2. INTRODUCTION
• Bell’s palsy is a paralysis or weakness of the
muscles on one side of the face due to damage
to facial nerve that controls muscles on that side
of the face . It is the most common neurologic
disorders of the cranial nerves .
• The symptoms may lasts from hours to days and
may become maximum within 3 weeks.Facial
weakness may be partially or fully disappears
within 6 months.The attack of bells palsy usually
seen after the age of 40.

3. BELLS PALSY
• Causes : In most cases nerve damage
is due to inflammation.
Herpes virus that causes cold sores.

4. • Drooping of facial muscles (main symptom
IMAGES

5. Difficulty to close eyelid on affected
side

6. unable to close eyelid simultaneously

7. Symptoms
• Acute onset of unilateral upper and lower facial
paralysis (within48-hr period
• Drooling.(flow of of saliva from the mouth)
• Eye problems such as excessive tearing or dry
eye.
• Loss of ability to taste.
• Pain in or behind the ear.
• Numbness in the affected side of the face.
• Increased sensitivity to sound.

8. • Hyperacusis
• Taste disturbances
• Otalgia
• Facial paralysis (within48-hr period)

9. • Epiphora
• Ocular pain
• Blurred vision
• Flattening of forehead and nasolabial fold on the
side affected by palsy
• When patient raises eyebrows, palsy-affected
side of forehead remains flat
• When patient smiles, face becomes distorted and
lateralizes to side opposite the palsy .

10. • Some may have permanent muscle weakness
or other problems on the affected side of the
face.

11. Recover without treatment, in 1 to 2
months

15. CLINICAL EXAMINATION
• Talk to the patient
Ask the patient about onset of the disease . “.
Bell’s palsy reaches maximum severity within
hoursto days.
Perform a brief neurologic exam. You want to
determine if the facial weakness is caused by a
peripheral or central lesion.

16. • Mouth: nasolabial fold—the wrinkle between the corner of
their nose and the corner of their mouth.
• Absence of nasolabial fold
• Unable to smile in severe cases
• In some facial weakness ,able to smile but absence of
nasolabial fold occurs.
• Mouth weakness may present in both central and peripheral
lesions.

17. • Diagnosis
• Examination for Bell palsy includes the following:
• Otologic examination: otoscopy and tuning fork
examination, particularly if evidence of acute or
chronic otitis media
• Ocular examination: Patient often unable to
completely close eye on affected side
• Oral examination: Taste and salivation often affected
• Neurologic examination: All cranial nerves, sensory and
motor testing.

18. • Eyes
Observe palpebral fissure,the distance between eyelid
margin.
Asymmetry in eyelid closure
Forehead: Ask the patient wrinkle their forehead, as if
they’re surprised. In peripheral lesion, the patient will
be unable to wrinkle their forehead on one side, or
have fewer wrinkles on that side.In central lesion, the
forehead should lift symmetrically, due to bilateral
cortical innervation of the frontalis muscle.

19. • In bell’spalsy only facial weakness on same side.
• The facial nerves emerges from the middle of the
brainstem (the pons) and carry motor fibers to the
muscles of facial expression.
• in brain stem damage the multiple cranial nerves may
also get affected including the motor and sensory tracts
travelling to spinalcord. So in brainstem ischemia also
facial weakness occurs.
• Weakness or numbness in the arm or leg
may be on same or opposite side due to the crossing
sensory and motor fibers in the brainstem.

20. • Slurred speech (dysarthria)-ask to say a few words
like “baseball player,” “fifty-fifty” and “tip-top.”in
addition to standard conversation .(brain stem
ischemia)

21. • Complete blood count
• Erythrocyte sedimentation rate
• Thyroid function
• Serum glucose
• Blood glucose

22. Ardita
अतिवृद्धः शरीरार्धमेक
ं वायः प्रपध्यिे
यदा िदोपशोष्य असृक
् बाहं पादं च जानं च |
िस्मिन् संकोचयति अर्धमखं तजह्मं करोति च ||
(च .तच .२८/२८ )
• अर्े िस्मिन् मख अर्े वा क
े वल स्याि् िदतर्धिम्
(च .तच .)

23. References
• च .तच.२८ /३८-४२
• च . तच २८ / १८
• अ.हृ .तच २१ /७२५
• अ.हृ .तन १५/५३३
• स .तन .१/२६७
• स . तच ४ /४२१ ,४२२
• मा .तन .वाितनदानाध्याय /४५

24. तनदान
• उच्चैर्व्ाधहरिोत्यर्थं
• खाििः कतिनातन वा
• अति हास
• जृम्भ
• भार
• तवषमशातयनः

25. Nidana
• उच्चैर्व्ाधहरिोत्यर्थं खाििः कतिनातन वा |
हसिो जृम्भिो वातप भारातिषम शातयनः ||
मा . तन .
• तशरसाभार भरणादतिहास्य प्रभाषणाि् |
उत्कासवक्त्रक्षवर्थखरकामधककषधणाि् ||
तवषमादपर्ानाच्च कतिनानां च चवधणाि् |
अ . हृ
• सामान्य वािर्व्ातर् तनदानं (च .तच.२८ )

26. Samprapti
• तशरोनासौष्ट तचबकललािेक्षणसंतर्गः
अर्धयत्यतनलो वक्त्रमतर्धिं जनयत्यर्ः ||
( मा . तन )
The vata undergoes prakopa and gets
sthanasamsraya in the sandhies of sira , nasa , oshta ,
chibuka , lalata and causes vakrata in the ardha
bhaga of mukha leads to ardhita.

27. लक्षण
• उक्तं – वक्री करोति
• हतसिं
• ईतक्षिं
• मूर्ाध क
ं पन
• वाक
् संग
• स्तब्ध नेत्रि
• दन्त चाल
• स्वर भ्रंश

28. • श्रति हातन
• क्षव ग्रह
• गन्ध अञ्जानं
• िृति संमोह
• त्रास
• त्रास सप्तस्य
• तनतष्टव
Pain above शरीरार्धभाग ,pain inpaada, hasta , akshi,
jankha , uru , shankha , sravana
Diffculty to take food

29. ROLE OF PANCHAKARMA
अतर्धिे नावनं मूर्धतन िैलं स्रोत्रातक्ष िपधणम् |
सशोफ
े वमनं दाहरागयक्ते तसरार्व्र्ः ||
(अ .हृ .तच .)
• नाडीस्वेदोपनाहस्चाप्यानूप तपतशिैतहधिः |
(च.तच .)

30. • स्वादम्ललवणः तिग्धैराहरैः सििं पनः |
नावनैर् र्ूमपानैश्च सवाधनेवोप पादयेि् ||
इति सामान्यिः प्रोक्तं वािरोगे तचतकस्मििम् ||
(च . तच )
• प्रत्येक
ं स्र्थान दू ष्यातदक
ृ यां सवधत्रकारयेि् ||

31. बाहतशषध गिेनस्यं पानं च उत्तरभस्मक्तक
ं |
(च .तच.२८ /)

32. Other

38. THANK YOU