An Ayurvedic approach in the management of Watershed Stroke - A Case Report

Abstract

Stroke is an acute onset of neurological dysfunction due to an abnormality in cerebral circulation with resultant signs and symptoms that correspond to involvement of focal areas of the brain and is commonly seen in elderly. However, the most common causes are thrombus, embolus and haemorrhage. Cerebraovascular Accident (CVA) is the third most common cause of death in high income countries after cancer and Ischemic Heart Disease (IHD), and the most common cause of severe physical disability.^[2] Watershed stroke are a concern because they comprise approximately 10% of all ischemic stroke cases.^[3] Among the stroke survivors, almost 50% will experience some disability. The main goals of therapy are to minimize brain damage and there by minimize neurologic deficit and disability and to improve the quality of life after the manifestation of stroke. Here is a case study of Watershed stroke, A 61 years old male patient presented with weakness of all four limbs and stiffness since 1 ½ years, associated with Slurred speech, which was treated under Ayurveda principles. As per Ayurvedic Classics, this condition can be paralleled with Sarvanga Roga. This is explained in the context of Pakshaghata. Loss of function of half of the body with or without facial involvement is called as Pakshaghata or Ekanga Roga. If the same affects both halves of the body i.e., all 4 limbs, is called as Sarvanga Roga. In this case, there is Raktamarga Avarodha in Shiras by Kapha resulting in Vatavriddhi and Dhatukshaya. So Kaphahara followed by Vatahara, Bahirparimarjana Chikitsa like Sarvanga Dhanyamla Seka, Sarvanga Taila Seka and Sarvanga Shashtikashali Pinda Sweda were adopted which does Kaphahara, Vatahara and Brimhana respectively. Along with these treatments Kala Basti and Shamanaushadhis were administered and has proved beneficial.