OVER VIEW ON APASMARA/EPILEPSY WITH CASE REPORTS

1. OVERVIEW of APASMARA &
CASE REPORT
PRESENTER
Dr. Shivaprasad Sharma Thanugula
Final year PG Scholar
Dept. of Kayachikitsa
WELCOME
KAHERs Shri BMK Ayurveda Mahavidyalaya,Post Graduate Studies and Medical
Research Centre.Belagavi

2. CASE REPORT 01
08/12/2018 SMARA-2018 2
C/o Episodes of
involuntary body
movements
(Bibhatsa Chesta)
and unawareness
since 18 months
1st episode December
2016
2nd episode Oct 2017
3rd episode Jan2018
4th and 5th in July 2018.

3. Relevant details of the
patient
• Age : 53 years
• Life style : Sedentary
• Stress : 23 years old son is addicted to
alcoholism
• Sleep : Disturbed
• Food habits : Vidahi /spicy / non vegetarian
• Menopause attained 4 years ago
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4. HISTORY OF PRESENT ILLNESS
• The patient developed involuntary movements (convulsions) one
& half year ago. The patient didn’t having any preceding aura and
started developing a moaning cry followed by stiffness in the
entire body and involuntary movements in upper and lower limbs.
It was associated with complete lack of awareness of the event
and loss of consciousness.
• The patient regained conscious after a period of 30min but was
still confused.
• She c/o headache and generalized body pains soon after the attack
which lasted for a day. There was no froth from the mouth. She
developed such episodes 3 times since then at interval of 4
months .
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5. • The first episode was associated with tongue bite
and lip bite with significant amount of bleed.
There is no history of any precipitating factor.
• There is no significant past and family history
• The general physical and systemic examination of
the patient is within normal limits.
• The laboratory investigations did not show any
derangements.
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HISTORY OF PRESENT ILLNESS

6. 08/12/2018 SMARA-2018 7

7. 08/12/2018 SMARA-2018 8
Treatment Plan
Date Treatment Action
03-08-2018
6-dec-2018
1) Tab. Tantupashana 1OD
No more epileptic attacks were
noted since the initiation of
tantupashana for the past
5months
Same medicine was continued
Added
1)Kalyanka grutha 2tsf BD E/S
2)Brahmi vati 1BD AF
3)Patola churna + dhamasa churna
+ guduchi churna + amlaki
churna + nagara churna 1tsf
BD with water AF
Restoration of
intracranial
homeostasis
(pH and AA levels)

8. CASE REPORT 02
08/12/2018 SMARA-2018 9
• AGE : 31 years
• SEX : Male
• OCCUPATION: Shopkeeper
• Date : 16-04-17
• ADDRESS : Chikkodi
• OPD No. : KLE 18019023
• Migraine since age of 12
• Sedentary lifestyle
• Alcoholic and nonveg, Curd
intake (abhishyandi
• Stress
• Sleep disturbance
c/o Episodic transient loss of
consciousness
since 6years

9. HISTORY OF PRESENT ILLNESS
• The patient is K/C/O Migraine since 12 years of age.
• He started developing episodes of transient loss of
consciousness since the last 6 years.
• Patient reports that there are unprovoked and sudden
episodes where he loses his sense of belonging to the
environment and is unaware of what is happening around
him. Such episodes would occur upto 15 - 20 times per
day.
• There is no loss of consciousness or confusion after such
episodes. There is no associated headache or preceding
aura, no history of palpitations, bowel or bladder
incontinence.
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10. NEGATIVE HISTORY
• No history of head trauma
• No h/o high grade fever, projectile vomiting
and neck rigidity.
• No h/o chronic drug intake.
• No h/o recurrent syncope/transient partial focal
neurological deficient.
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11. PAST HISTORY
• The patient is known case of migraine since the
age of 12 and is symptom free since last 4 years.
• The patient complaints of passing hard rounded
stools since 1year. There is no h/o associated pain
or bleeding per rectum.
• No h/o Diabetes/Hypertension / Tuberculosis /
Asthma / Cardiac and Renal disorders.
• Family history: No h/o Epilepsy
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12. TREATMENT HISTORY
• The patient consulted a hospital in Chikkodi and was
prescribed Valproic acid. The episodes however did
not reduce in frequency.
• Later the patient consulted the OPD of Shree BMK
Hospital, Belagavi where he was advised to get
admission to undergo prescribed treatment protocol.
The patient adhered to the treatment guidelines and his
episodes saw gradual reduction in number and is now
symptom free since the last four months.
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13. NIDANA PANCHAKA
• Rasa- Amla, Lavana, Katu
• Ajeerna Bhojana / Mamsa / Anupa mamsa /
masha
• Atimatra asanam - AAMA Pradosha
Hetunam- (agrya dravya)
• Santarpana apatarpana vyatyasa –
krama virudha
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15. ROOPA
• Tama –
(तमःप्रवेशोऽन्धकारप्रवेश इव ज्ञानाभाव इत्यथथः)
• Smruthi Vibrama
(स्मृततश्च ज्ञानोपलक्षणं, तेनानुभवागमोऽतप बोध्यः)
• कालान्तरेण स पुनश्चैवमेव तवचेष्टते
08/12/2018 SMARA-2018 17

16. TREATMENT PLAN
08/12/2018 SMARA-2018 18
Date Treatment Outcome Action
16/04/17
3/09/18
Mukha Abhyanga with Ksheerabala
Taila
f/b Nasya Karma with Anu Taila 8 drops
in each nostril f/b Dhoomapana f/b
kavala for 8 days
Shamana:-
1)Tab Tantupashana 1OD
2)Tab Kamdudha Rasa (plain) 1BD BF
3)Tab Migrakot 1BD AF
2 Episode of
Absence
Seizure
noted in Jan
2018 / July
2018
Restoration
of
intracranial
homeostasis
(pH and AA
levels)
He is symptom free since 2 months hence
the same medicine was continued

17. Research evidences
TITLE: Tantupashan in treatment of epilepsy –An indigenous
drug with anticonvulsant properties
Summary: On out patient basis with regard to interseizure
interval(ISI), the response was graded as very-good, good and
promising. Out of 35 cases of confirmed epilepsy response was
very good in 16, good in 5 and promising in 14. No side effects
was noted
TITLE :Recurrent subtle manifestation of epilepsy and their
management with an appropriate ayurvedic drug
Summary: More than 400 patients suffering from various
manifestations of epilepsy have been treated with Tantu pashana
and patient suffering from idiopathic and subtle forms of epilepsy
responded well.(Sagar pharmaceuticals)
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18. CONCLUSION
• The above mentioned case scenario i.e GTCS
and absence seizures, both are generalized
seizures.
• The drug Tantupashana has proven
efficacious in reducing the frequency of
seizures in both the types with other shamana
line of treatment.
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