Paralysis

Paralysis is the inability of a muscle or group of muscles to move voluntarily. Muscles are controlled by messages sent from the brain that trigger movement. When part of the brain is damaged after a stroke, messaging between the brain and muscles may not work properly

Paralysis of the muscles of the face, arm, and leg on one side of the body is called hemiplegia ("hemi" means "half") and usually results from damage to the opposite side of the brain. Damage to the nerves of the spinal cord affects different parts of the body, depending on the amount of damage and where it occurred. Paralysis of both lower limbs is called paraplegia, and paralysis of both arms and both legs is called quadriplegia. Paralysis may be temporary or permanent, depending on the disease or injury. Because paralysis can affect any muscle in the body, a person may lose not only the ability to move but also the ability to talk or to breathe unaided.

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Symptoms, Precautions & Treatments

हत्वैकं मारुतः पक्षं दक्षीणं वाननेव वा। कुर्याच्चेष्टा निवृत्तिं हि रुजं वाक्स्तम्भमेव च॥

गृहीत्वा अर्ध शरीरस्य सिराः स्नायूर्विशोष्य च। पाद सङ्कोचयत्येकं हस्त वा तोदशूल कृत्॥(च चि २८ /५३,५४)

दाह संतापमुउर्च्छाः स्युर्वायौ पित्तस। शित्य शोथ गुरुत्वाग्नि तस्मिन्नेव कफान्विता॥(मा नि २२/४२)

  • Loss of function of the affected body parts
  • Dysarthria
  • Lock jaw
  • Contractures of upper /lower extremities of affected side
  • Severe pain in the affected part
  • Atrophy of tendons
  • Muscular atrophy of affected arms/legs
  • Burning , Hyperpyrexia, Fainting

Cold extremities , Oedema, Heaviness.

  • Unilateral loss of voluntary power in the affected arm, leg and in the lower face
  • Changes in level of consciousness.
  • Confusion.
  • Dizziness.
  • Loss of coordination.
  • Seizure.
  • Changes in vision
  • Tongue is protruded towards the paralysed side (in facial palsy)
  • upper limb flexed at the elbow and wrist forearm slightly pronated
  • movement of the hand and fingers are more affected than those of upper arm
  • Atrophy of tendons , muscles
  • Severe pain in the affected parts of body
  • Dysarthria , lock jaw
  • Cold extremities, edema , heaviness

Some people are born paralyzed. Others develop paralysis due to an accident or a medical condition. Stroke is the leading cause of paralysis. It’s responsible for nearly 30 percent of cases. Spinal cord injury accounts for an estimated 23 percent of cases. Multiple sclerosis causes an estimated 17 percent of cases.

Other causes of paralysis include:

Multiple sclerosois, cerebral palsy, post polio syndrome, neurofibromatosis, Nerve injury, gullian – Bare syndrome , congenital syphilis, panic anxiety disorder, Hyperthyroidism, meningitis, Post –polio syndrome.

Vata gets aggravated by the following:
Food (Ahara)

Intake of Ruksha(dryness), Sheeta (cold), Alpa (less quantity) and Laghu anna (light-to-digest food)

Vihara:

  • Prajagara – Remaining awake at night in excess
  • Ati plavana – Excessive swimming
  • Ati langhana – Excessive fasting
  • Atyadhva – walking for long distance
  • Ati vyayama – Resorting to wayfaring, exercise and other physical activities in excess.
  • Dhatu Samkshayaat – depletion of body tissues, loss of Dhatus.
  • Chinta Shoka karshana – weakening due to excess stress, grief and worries
  • Roga Ati karshana – Excessive emaciation because of affliction of diseases
  • Dukha Shayyasana – Sleeping over uncomfortable beds and sitting
  • Vega vidharana – suppression of natural urges
  • Krodha (Anger), Diwa swapna (sleep during day time), Bhaya (fear)
  • Formation of Ama (product of improper digestion and metabolism), suffering from trauma and abstention from food.
  • Prakriti analysis of the patient
  • BAHYA CHIKITSA : (EXTERNAL TREATMENT)

Abhyanga  : means performing massage , massage of afflicted part or joint with herbal oils  with mahanaryana taila , Kottamchukkadi taila , dhanwantaram taila , Ksheera bala taila etc

Svedana- (Fomentation / Sudation ) : It is type of treatment where sweating is induced , usually done after abhyanga or snehana , among which Bashpa sweda , Sarvanga bashpa sweda , Nadi sweda

 Dhara /seka /Pizhichil : pouring of medicated liquids in steams with gentle stroking for a fixed duration.

Upanaha  : Upanaha means poultices using dry powders

ABHYANTARA CHIKITSA (INTERNAL TREATMENT ):

Snehana : intake of medicated oils /ghee

Shodana :                     

Virechana : is given after the snehana  &  svedana .

Vasti  : means medicated enemas , for vitiated vata given with kashaya or using oils /ghee.

Conservative line of management is followed , if patient is not fit for panchakarma , Yogaraja guggulu, malla sindura,vatari guggulu , ashwagandharista ,  can be prescribed .     

Note :

 Ekanga roga (monoplegia) : is a paralysis of single limb or single group of muscle

 एकांगरोगं तं केचिदन्ये पक्षवधं विदुः।(अ हृ नि १५/४० )

In ayurveda it is explained that ekanga vata also has same sign & symptoms as pakshaghata but involves only one limb .

sarvanga roga (Quadraplegia)

Quadraplegia is paralysis of all four limbs

सर्वांग रोगं तद्वाच्च सर्वकायाश्रिते sनिले॥।(अ हृ नि १५/४० )

सर्वांगे कुपिते वाते गात्रशुरन भण्जनं। वेदर्नाभिः परितापश्च शुतन्तिवास्यसन्धयः॥(च चि २८/२५)

In ayurveda it is explained that sarvanga vata also has same sign & symptoms as pakshaghata but involves all four limbs .

  • As in ayurveda , PAKSHAGHATA / PARALYSIS is considered among one of the vataja disorders , Diet plan which is followed in vataja disorders goes the same .
  • Food with Ruksha (Which reduces corpulence ), Avidahi (which are not spicy ), Alavana (not salty), Food should always be fresh and avoid excess food.A low fat milk lactovegetarian diet, which favours sweet , bitter and astringent taste .Diet rich in fruits , vegetables , moderate in protein rich in magnesium , potassium , calcium and fibre .Bananas in plenty –Good source of
  • Coconut water – which has good quantities of potassium & magnesium.Ginger –cardamom tea.Eating water melon or drinking melon juice .Frequent self massage with oil
  • Pranayama, Yoga

Excessive intake of alchohol/salt and pungent foods.Do not eat until the previous food is not digested.Complete eliminate from coffee , tobacco , pan .Day time sleep must be avoided .Anger , jealousy, frustration , must be avoided.

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