Management of Hirayama Disease through Panchakarma- A Case Report

Amrithalatha K, Jigeesh P P
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Abstract

Hirayama disease (HD) also called as Monomelic amyotrophy (MMA) is characterized by juvenile onset of unilateral muscular atrophy of a distal upper extremity. The pathogenic mechanism of Hirayama disease is cervical cord compression by the posterior dura with forward displacement in the neck flexed position. Here is a case report of a 26 year old male with HD who had been treated at outpatient and inpatient level of VPSV Ayurveda hospital. The case was considered as a Vatavyadhi and the treatment protocol applied accordingly with incorporation of treatment of Apabahuka particularly. The treatment consisted of a variety of treatments including Udvartana, Snehapana, Swedana, Virechana, Vasthi, Nasya and Rasayana. Even though the condition of the patient was irreversible, the patient could hinder the course of disease during follow up and was able to regain the functional status after restarting the treatment later. The case highlights the improvement in quality of life of Hirayama patient along with improvement in UEFI score after Ayurvedic management.
通过Panchakarma治疗平山病1例
平山病(HD)也被称为单侧肌萎缩症(MMA),其特征是上肢远端单侧肌肉萎缩的青少年发病。平山病的发病机制是颈部屈曲位后硬脑膜压迫颈髓并向前移位。本文报告一位26岁男性HD患者,曾在阿育吠陀VPSV医院门诊和住院治疗。该病例被视为Vatavyadhi,因此适用了治疗方案,特别是纳入了Apabahuka的治疗。治疗包括Udvartana、Snehapana、Swedana、Virechana、Vasthi、Nasya和Rasayana等多种治疗方法。尽管患者的病情是不可逆的,但患者在随访期间可能会阻碍疾病的进程,并在随后重新开始治疗后能够恢复功能状态。该病例强调了平山患者在阿育吠陀治疗后生活质量的改善以及UEFI评分的改善。
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