*Dr. Waheeda Banu and Jonah S.


Background: Pakshaghata or else known as Pakshavadha is one among 80 types of nanatmaja Vatavyadhi. It is considered as a maharoga with the due consideration of problems encountered in the effective management. Internal and external oleation, unctuous sudation as well as unctuous purgation forms the sheet anchor of the treatment of pakshaghata. Pindasweda is a variety of sudation and is claimed as an effective treatment in the management of pakshaghata. This study is intended to evaluate the effect of Shali Pindasweda and Tila pindasweda in patients suffering from pakshaghata / Vascular Hemiplegia. Objective: To evaluate the therapeutic effect of Tila pindasweda and shali pindasweda in patients suffering from pakshaghata / Vascular Hemiplegia. Design: Study Type: Interventional; Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Double Group Assignment; Masking: Open Label; Primary Purpose: Treatment. Setting: Patients admitted to Sri Dharmasthala Manjunatheshwara Ayurveda Hospital with complaints related to pakshaghata / acute Vascular Hemiplegia. Participants: 30 patients with confirmed diagnosis of pakshaghata / Vascular Hemiplegia with stable general condition between January 2016 and January 2017. Interventions: Abhyanga with mahanarayana taila followed by Tila pindasweda every day for 14 days. Main outcome measure: Change from baseline in muscle power of extremities at 15 days. Result: Pakshaghata of recent onset with stable general condition were selected in the study. In most of the patients the duration of the illness is between 3 to 10 days (72%). Initially before the Tila pindasweda, the patients had no movements in the upper and lower extremities of affected side. Following Tila pindasweda, maximum number of patients showed improvement in movements in the form of flickering type to gravity eliminated movement. These improvements in the muscle power of upper and lower extremities are also statistically significant. Swedana is known to reduce the pain and stiffness of the body parts and alleviate the morbidity of vata dosha. The improvement in the muscle power following medication also proves the beneficial effect of Tila pinda sweda in alleviating the morbidity of vata dosha. Conclusion: Pakshaghata caused by vitiation of vata dosha, characterised by loss of muscle strength in vertical half of the body is best treated by Tila pinda sweda than Shali pindasweda. That improves the muscle power.

Keywords: Pakshaghata, Tila Pindasweda, Shali Pindasweda, Vascular Hemiplegia.

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