Paralysis

Paralysis is a loss of strength in and control over a group of muscles in a specific part of the body or loss of muscle function .It can affect any part of your body resulting from diseases of the cerebral vasculature and cerebral contents.
In Ayurveda, Paralysis is correlated Pakshaghata which means "paralysis of half side of the body" where "Paksha" denotes either half side of the body, and disability of body parts and difficulty in movement is known as"Aghata ".
Types of Paralysis
Facial Paralysis- loss of strength and movement of facial muscles.
Monoplaegia- loss of strength of one limb.
Hemiplegia- involving one side of the body.
Paraplegia- Paralysis of both legs.
Quadriplegia- Paralysis of all four limbs.
Causes
Cerebro-vascular accidents (Stroke)
Cerebral hemorrhage
Subarachnoid hemorrhage
Cerebral thrombosis
Internal carotid artery thrombosis or stenosis
Cerebral embolism
Venous sinus thrombosis
Hypertensive encephalopathy
Cerebral tumors
Acute encephalitis
Brain or spinal cord nerve's impairment
Multiple sclerosis
Brain infections and environmental toxins
Peripheral neuropathy infectious or autoimmune disorders like HIV, spondylitis, Lyme disease, and Guillain-Barre syndrome
Nervous system disorders like Bell's palsy and cerebral palsy
Direct trauma to a nerve due to toxin, poison, and radiation
Risk factors
Age
Sex
Smoking, Alcohol abuse
Obesity
Hyperlipidemia
Hypertension
Diabetes mellitus
Clinical features
Changes to the kidneys and gastrointestinal system
Abnormality in muscles, joints, and bones
Changes to circulation and respiration
Spasticity of the limbs
Clasp-knife type spasticity
Muscle spasms
Pressure sores
Edema
Blood clots in the lower limbs
Skin injury
Mobility of the hands along with finger are more affected than those of the upper arm
Bacterial infection
Disruption of the normal functioning of the tissues, glands, and organs
Constipation
Loss of control of urination
Abnormal sweating
Tongue is projected towards the paralyzed side (in case of facial palsy)
Unilateral loss of voluntary functions in the affected arm, leg, and the lower portion of the face
Abnormal breathing or heart rate
Balance problems
Difficulty in speaking or swallowing
Vision difficulty
Management approaches
1. Prevention
Add black gram, horse gram, onion, garlic, ginger, radish, ash gourd, green gram in regular diet.
Use fruits like pomegranate, mango, grape, etc.
Consume low fat and high fiber diet and take Rasayana drugs
Control diabetes mellitus, heart diseases, and hypertension.
Take necessary treatment of hypertension (if any)
Control cholesterol level and weight
Practice regular exercises
Regulated consumption of processed food, packed food, refined sugars, astringent or salty, oily food and incompatible diet, Bengal gram, peas, and barley
Avoid Excess physical exercises, extreme starvation, suppressing natural urges like thirst, hunger, and urination.
Avoid alcohol consumption, smoking
Avoid discontinuation of any daily medication without medical advice
2. Medical management
Line of treatment (Charaka Chikitsa sthana-28/100)
Nidana parivarjana (avoid causative factors)
Handling of treatable risk factors (diseases) like high blood pressure, encephalitis (Acute inflammation of brain), cardiovascular diseases and avoid trauma.
Samshodhana chikitsa
Snehana (Oleation)
Prabhanjana vimardana taila
Kshirabala taila
Mahamsha taila
Bala taila
Sahacharadi taila
Dhanvantara taila
Karpasasthyadi taila
Svedana (Medicated fomentation)
Shashtika shali pinda sveda (with shali rice, Bala Mula, Ashvagandha Mula,etc. and milk) and Patra Potli pind sweda for 14 days
Sarvanga sveda(steaming with decoction) for 14 days.
Virechana (Purgation)
Decoction of the mentioned herbs is helpful
(a) Draksha (Vitis vinifera) - 10 gm,
or
(b)Aragvadha Phala Majja(Cassia fistula Fruit pulp) - 10gm
or
(c) Haritaki (Decoction or powder form) - 10 gm
or
(d) Katuki - 5 gm along with Eranda tail - 10ml or
only Eranda tail (Riccinus Communis oil) -20 ml with half glass of warm milk at night
Vasti (medicated enema)
Matra Basti with Narayana taila 50 ml daily for 14 days
Kashaya vasti for 15 days with Eranda Mula kvatha - 480 ml, Taila - 240 ml, Honey-240ml, Kalka - 30 gm, Saindhava lavana - 15 gm
Kshira vasti - 400 - 500 ml for 14 days.
Nasya
Nasya with Shadbindu taila or Anu taila 4-4 drops in both nostrils for 14 days
Shirovasti
Medicated oils like Ksheera Bala taila or Chandana Balaadi taila or maashadi taila can be used to perform Shirovasti regularly for 50 minutes for 14 days
Shirodhara
Medicated oils such as Narayana taila / Ksheera Bala taila / Chandana Bala lakshadi taila / decoctions etc. can be used to perform Shirodhara daily 40 minutes for 15 days
Churna Pinda Sweda
In the disorders of soft tissues like muscles, ligaments ,tendons etc. churna pinda sweda is very beneficial. Fine or coarse powder of ayurvedic herbs is known as churna. Pinda means a bolus and Sweda means fomentation. Sudation given by using a potli which is prepared from cotton cloth by the combination of various herbal powders is called Churna pinda sweda.
3. Yogic practices
The following yogic practices are very useful in Hemiplegia; but, these should be practiced only under the guidance of a qualified Yoga teacher.
Practice of Pranayama (Nadi shodhana, Bhramari,udgeet, and meditation along with the practice of Yama and Niyama.
Deep relaxation technique such as yoga Nidra
Asanas to be corrected for postural imbalances