An approach of Ayurveda clinical diagnosis in managing acute Pakshavadha (~hemiplegia): A case report

Abstract

The case presented is to exemplify the use of Ayurveda diagnostic techniques in treating diseases. Among the diagnostic tools, Upashaya-Anupashaya (~understanding of aggravating and relieving factors) is useful during unclear pathology and symptomatology. Upashaya is the betterment, and Anupashaya is the aggravation of disease by medication, diet, and lifestyle. The case presented here is of a 60-year-old male with sudden weakness of the left upper and lower extremities, with no other symptoms and significant previous medical history. The provisional diagnosis was Pakshavadha (~hemiplegia) and treated through Brimhana (~nourishing therapy), which led to the aggravation of the disease condition. Anupashaya by Brimhana treatment confirmed the diagnosis to Kaphavrita Vata (~occlusion of Vata by Kapha dosha) and was treated with Rukshana (~dryness inducing therapies), Pachana (~enhancing digestion) with significant relief in symptoms within four days, with no recurrence. The significance of Upashaya-Anupashaya in the confirmation of disease and treatment is highlighted in this case.