Ayurvedic Management of Stroke: An Evidence Based Case Report

Abstract

Stroke is a leading cause of disability and the second most common cause of death worldwide, with ischemic stroke accounting for approximately 85% of cases. Ischemic stroke results from cerebral vessel occlusion, leading to reduced blood flow and subsequent neuronal injury. This case study reports a 48-year-old male who presented with right upper and lower limb weakness and speech difficulty for seven days, diagnosed with ischemic stroke based on clinical features, physical examination, and MRI findings. In Ayurveda, this condition correlates with Pakshaghata, a Vata Nanatmaja Vyadhi characterised by unilateral motor dysfunction involving either half of the body. The patient was treated with Udwarthanam, Shirodhara, Nasya, Shiro Pichu, Abhyanga with ushma sveda, and Shashtika Shali Pinda Sveda, along with internal Ayurvedic medications, for 30 days. Significant clinical improvement was observed following Ayurvedic treatment, while conventional medications were continued. Follow-up was conducted two weeks later. Outcomes were assessed using the Barthel Index, NIHSS, and Modified Rankin Scale. This case study showcases the positive outcomes of Ayurvedic intervention in the management of Pakshaghata, highlighting its potential role as an effective therapeutic option when conventional treatments offer limited benefit.