Pakshaghata, or paralysis of one side of the body, can be treated effectively through Panchakarma therapies according to Ayurveda. The document outlines a treatment plan involving snehana or oleation therapies, swedana or sweating therapies, nasya or nasal administration, mridu virechana or mild purgation, and basti or enema therapies. These Panchakarma treatments aim to pacify the vitiated doshas of vata, pitta, and kapha that are the root cause of Pakshaghata when administered properly according to the patient's dosha imbalance and health condition.

1. ROLE OF PANCHAKARMA IN
PAKSHAGHATA
PRESENTER:
Dr. Meenakshi
2nd Year PG Scholar
GUIDE:
Dr. Lohith BA
Professor
Department of Panchakarma
SDM College of Ayurveda and Hospital
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2. CONTENTS
• INTRODUCTION
• TREATMENT
• DISCUSSION
• CONCLUSION
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3. INTRODUCTION
• Pakshaghata is Vata-Nanatmaja vyadhi.
• Means paralysis of one half of the body.
• Impairment of Karmendriyas, Gyanendriyas and Manas.
• It can be correlated with Hemiplegia results from CVA-stroke.
• Stroke is defined as sudden onset of neurological deficit.
• According to WHO, 15 million people suffer from it world wide.
• It has poor prognosis, making the person poor disabled.
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4. PAKSHAGHATA TREATMENT
स्वेदनं स्नेहसंयुक्तं पक्षाघाते
ववरेचनम्||१००|| (Ca.Ci.28:100)
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5. TREATMENT
PANCHAKARMA CHIKITSA:
 Snehana
 Swedana
 Nasya
 Mridu virechana
 Basti
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6.  Bahya
 Abhyantra
Bahya:
IN AMA: Should be done opposite of hair follicle with Brihata
saindhavadi taila, sarshapa taila etc.
IN NIRAMA:
In sthoola: Brihata saindhavadi taila etc.
In madhyama: Mahanarayan taila etc.
In krisha: Ksheerbala taila etc.
Abhyantra: Should be given after proper deepana and pachana
and rukshana.
Snehapana with SUKUMARA GHRITA, INDUKANTA
GHRITA etc.
SNEHANA
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7. SWEDANA
• In ama awastha:
Baluka sweda, busha and tusha pinda
Ama avasta with pittanubhanda = Parisheka with Dhanyamala
Isath snigdha:- Churna pinda sweda, sweda dipping in
dhanyamla, kanji, takra etc.
In Stiffness:- Jambeera pinda sweda, Patra pinda sweda
Snigdha sweda like shastika shali pinda sweda, mamsa pinda
sweda
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8. SHODHANA
• Mridu shodhana should be given to Pakshaghata patient.
• For shodhana, patient should be balawana.
• Bala is important else patient will die.
• In Pakshaghata bahudosha avastha is there, for this shodhana
is indicated.
• In Ayurveda we gives importance to both Rogi and Roga.
• So Acharyas mentioned Mridu Shodhana.
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9. VIRECHANA
Mridu snigdha virechana is
advised for vata anulomana
and to remove associated
kapha and pitta with:
• Tilvaka siddha ghrita
• Saptala siddha ghrita
• Eranda taila with ksheera
• Nimbamrutadi eranda taila
• Gandharvasthadi taila
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10. BASTI
• If patient is not fit for Virechana so we can go for basti.
• Else after Virechana we can go for Basti after seven days gap.
ANUVASANA BASTI:
In Vata: Narayana taila,
Mahanarayana taila, etc.
In Vata-Pitta:
Ksheerabala taila etc.
In Vata-Kapha:
Sahacharadi taila etc.
NIRUHA BASTI:
With Deepaniya and
Pachaniya gana drugs
With Vatahara kashyas
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11. • In Ama:
Lekhana Basti
Choorna Basti
• In Nirama:
Mustadi Yapana Basti
Dashmoola Ksheera Basti
In old aged Patient Matra Basti should be given with:
• In Ama:
Panchtiktaka Ghrita etc.
• In Nirama:
Mahanarayana Taila etc.
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12. NASYA
• If patient approached in unconscious state- Give Pardhmana
nasya with:
Vacha churna
Apamarga churna
Vidanga churna
Pippali churna etc.
• According to dosha condition in a day we can give:
In morning kapha is more so Pardhman nasya with Brahmi
churna+Vacha churna.
In evening pitta is more so Pratimarsha nasya with Brahmi ghrita
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13. • Other Nasyas also can be given:
 Navan- Ksheerbala taila, brahmi ghrita
 Avapeeda- Brahmi swarasa
 Dhamapana- Vacha churna, pippali churna
 Dhooma- Ksheera+ Bala churna
 Pratimarsha- Dhanwantara 101 taila, Anu taila.
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14. DISCUSSION
• With Panchakarma we may cure completely or make patient
self abled.
• Before starting proper Shodhana, rookshana should be done
upto nirama avastha.
• Bahya and Abhyantara both rookshana we have to do.
• Bahya with rooksha churnas massage and Baluka pottali
sweda.
• Abhyantara by giving takra, nagakesara, chitrakadi vati etc.
• After this we will go for snehana and swedana according to
condition of patient.
• Then proper shodhana by Virechana, Basti and Nasya.
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15. • Nasya and Basti should not administer same time.
• Nasya, shamana aushadhi, other therapies and pathya apathya
should be followed continuously after samsarjana karma.
• Repeated shodhana is mandatory in Pakshaghata patient.
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16. CONCLUSION
• Though Pakshaghata is difficult to manage.
• But if appropriate treatment is given at proper time,
management will be easy.
• By Shodhana Chikitsa good results are obtained.
• It pacifies the root cause of disease.
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17. THANKS
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