Journal of Ayurveda and Integrated Medical Sciences

Introduction

According to Ayurveda most of diseases of Vata are degenerative disorders of nervous system. 80 types of vatic disorders are described in Ayurveda texts. The Parkinson’s disease comparable to Kampavata, which categorised among Nanatmaja disorders of Vata. Kampavata as one among them manifests with Dehabhramana (postural instability), Karapada Tale Kampa (tremors in hands and legs), Matiksheena (dementia), and Nidrabhanga (sleeplessness). In Charaka Samhita, Vepathu has been considered under Nanatmaja disorder of Vata.[1]

Many other references regarding the Kampa are available in the name of Vepathu, Vepana, Prevepana. The main symptoms of the disease viz. Kampa (tremor) and Stambha are found in some pathological conditions of Vata Vyadhi. The decreased Vata affecting the Marma cause Vepana.[2] This concept provides understanding for the pathology of tremors relating to brain (Marma). Charaka included Stambha in symptoms of vitiated Vata and explained that Stambha is a disorder of Snayu. Charaka mentions that the conditions where Pitta is decreased and Kapha and Vata are increased then they produce symptoms like Kampa and Stambha.^[3]

Case Report

Atura Paricharya
1. A 70 year old male patient came to OPD of Jammu institute of Ayurveda and Research Jammu on 26 Feburary 2024.
2. Patient name - XYZ.
3. Age/ sex - 70/M.
4. Religion - Hindu.
5. Occupation - Shopkeeper.
6. Address - Bantalab, Jammu.

Pradhana Vedana
1. Unable to walk without support since 2 years.
2. Involuntary tremors since 2 years.
3. Difficulty in speech since 2 years.

Anubandh Vedana
Unable to hold bolus in mouth since 2 years.

Vedana Vruttanta
Patient was apparently alright 2 years ago, then he developed tremors in right upper limb, the Tremors are resting Tremors. Onset is progressive.

7. Trochlear - Eye ball movement possible in all directions
8. Abducent - Eye ball movement possible in all directions
9. Position - Shape, Size, Pupil symmetry - No abnormality detected.

Trigeminal Nerve: Sensory Touch, Pain, Pressure sensation - Present
Motor - Clenching of teeth - Possible.
Lateral movements of jaw - Possible.

Facial Nerve
a) Forehead frowning - Absent.
b) Eyebrow raising -Possible
c) Eye closure against resistance -Possible
d) Blowing of cheek- Not Possible
e) Nasolabial fold- Equal on both sides

Vestibulo Cochlear Nerve
1. Rinne's test- Negative
2. Weber's test- Equal on both sides.

Glossopharyngeal and Vagus Nerve
Position of uvula - No deviation
Taste sensation - Intact

Accessory Nerve
Shrugging the shoulder- Possible against resistance
Neck movement -Possible against resistance

Hypoglossal Nerve
Protrusion of tongue - Possible
Tongue movements - Possible

1. Higher mental function – slow, slur speech
2. Muscle movements Coordination – poor
3. Finger to nose test –Positive, patient was not able to do it perfectly due to tremors.
4.Involuntary movements – resting tremors in right limb were found.

Ashthasthana Pariksha
Nadi - Vataj  

Mala - Niram

Mutra - Samanya  

Jiwha - Saam  

Drik - Samanya

Shabda - Ksheena

Sparsha - Khara

Akruthi - Krish

When Vata is vitiated to its peak level, it tends to deplete all the tissues in the body; the Pitta and Kapha Doshas, the immunity and life span of an individual. Thus, control of Vata is the only key in treatment of Parkinson’s disease. Hence, removal of strotodushti Vata Shamana, Vatanulomana and Rasayana therapy by the administration of effective medication and treatment will lead to effective cure of Parkinson’s disease and also have to avoid Vata Prakopakara Ahara and Vihara.^[5]

So, here, Sarvanga Abhyanga, Nadi Sweda, Shiro Pichu and Basti were adopted to calm the Prakupitha Vata as external measures. Due to Medhya Rasayana and stress relieving properties of these therapies these helps to calm the nervous system as Kampa Vata is a neuro degenerative disease, so these therapies help to cure Kampvata. Sarvanga Abhyanga will helps in the strengthening of muscles, bones and joints, provides analgesic effect, nourishment of Sushka Dhathus and also do Vatahara and Vatanulomana action by doing Abhyanga in Anuloma Gatiwhich will also hampers the Viguna Gati of Vata Dosha in the pathology. Patrapind sweda will also help in Vatahara action and also helps in reducing the stiffness of the body Internally, Kapikachu Beeja Churna was given which contain natural source of 1-dopa. It replenishes depleted stores of striatal dopamine. Ashwagandha Churna is also given which is a Rasayana drug, as Rasayana drugs are essentially nutritional agents and Medhya Rasayana are specific nerve tonics with nootropic effect.

This is because; Ayurveda considers this type of movement disorders under Vata DoshaVikaras and to overcome the neuro nutrients by Rasayana remedies. Bruhat Vata Chintamani Rasa is Vata Shamak and acts as nervine tonic and stimulant. Gandharva Hastayadi Taila is Vata Shamak and Pitta Rechak . It eliminates vitiated Dosha through anus by the action of virechana. Matra Basti is Vata Shamak which helps to reduce tremors and in Kampvata Vata is vititated and hence Matra Basti helps to calm and stabilize Vata Dosha. Hence the above prescribed medicine helps to improve patient’s symptoms.

Conclusion

Hence the above interventions showed improvement in patient’s health, as the patent started walking after treatment. This treatment can be given to many more patients of Kampvata.