Introduction

The Vyanavata^[1] is present in the body and circulates throughout it. It always performs as Gati, Prasarana, Akshepaka, Nimeshadi Kriya.^[2] All of the body's central nervous system functions are under the supervision of the Vata dosha. All of the bodily movements are controlled by it.^[3]

There are more than 80 Nanatmaja Vyadhi in Vatavyadhi.^[4] "Vatadrute Naasti Ruja" makes it very clear that how important Vata is for causing pain.^[5] Vitiation of Vata dosha cause disorders like Pakshaghata, Ardita, Gridhrasi, Avabahuka, Viswachi, Ekangavata and Sarvangavata, etc.

In case of Ekanga^[6] the effects limited to the particular parts of body and in case of Sarvanga the effects of Vata vitiation resides to whole body. Here an attempt is made to evaluate the effect of Panchakarma procedure in managing Sarvanga Kupita Vata.

Materials and Methods

Case Report:A 60y female patient approached Panchakarma outpatient department of SDM Ayurveda Hospital, Hassan with complaints of

Table 1: Chief complaints and duration of present illness

History of Road traffic accident 9days before.

Associated complaints:

• Abrasions over face and around mouth because of RTA.
• Disturbed sleep due to pain.

Past history: Not K/C/O - Hypertension and Diabetes mellitus

Surgical history: nothing specific

Personal history:

Occupation - Home maker
Appetite - good
Bowel - constipated
Micturition - incontinence was present (catheterized)

Table 3: Muscle tone of upper and lower limb

Muscle bulk - No changes noticed

Laboratory parameters:

Hb: 9.6 gm%,
E.S.R: 80 mm/h

Results

Improvements were observed in the Lakshanas, Muscle power after Panchakarma treatment.

Table 4: Observation

Mode of action of Intervention

Parisheka Sweda^[8]: Initially Parisheka was done with Dashamoola Kashaya + Dhanyamla. Parisheka is Vatahara, and Rujapaha and can be performed in Kshata (inury). Dashamoola Kashaya is Vatakphahara^[9] and Dhanyamla is having Ushna Guna clears Sroto Avarodha^[10] by which both pacifies vitiated Vata Dosha. There by resulting in reduction of heaviness and minimum amount of reduction in pain.

Vestana: Vestana is one among Vatasya Upakrama which is done with Muruvenna Taila^[11] that helps in relieving from pain because of Vata Dosha. Here patient was tied with Vestana whole night resulted in Snehana for long duration.

Matra Basti: Anuvasana Basti's classification Matrabasti was planned. First phase Panchatikta Guggulu Ghrita was given. It alleviates even the Sandi-Asthi-Majjagata Vata^[12] and provides strength. Later Matra Basti was given with Bruhat Chagalyadi Ghrita, which is told in the context of Bhaishajya Ratnavali's Vatavyadhi Prakarana.^[13] It increases Muscle Strength and lowers Shoola.

Pinda Sweda: Initially Snigdha Ruksha Sweda was planned in the form of Patrapinda Sweda (3 days) and Jambeera Pinda Sweda (3 days) as it is Vata-Kaphahara it relieves pain, Stamba and Shotha.

Followed by Snigdha Sweda was planned in the form of Shashtikashalipinda Sweda^[14] it is Vatahara and promotes Dhatu Poshana and Sthirata to the Angas.

Conclusion

Abhighata is characterized by an instant Prakopa of Vata Dosha, which leads to extreme pain throughout the body and decreased strength in the upper and lower limbs. Consequently, in this instance, and various Panchakarma procedures were carried out, which assisted in reducing the pain and have excellent effects on reconstruction of nerves, nourishment of muscle tissues and rejuvenation of the body.

Acknowledgement

The authors would like to thank the Department of Panchakarma, Sri Dharmasthala College of Ayurveda and Hospital, Hassan, Karnataka for their assistance in data collection and other aspects of this research.