This is a PPT on the Ayurvedic aspect of Parkinson disease Which is known as Kampavata in Ayurveda along with the Case presentation on Parkinsonism patient treated by ayurveda.

1. KAMPAVATA
Presented by – Rupali Purohit
PG Scholar 3rd year
Department of Panchakarma
Himalayiya Ayurvedic P.G Medical College and Hospital, Doiwala,
Dehradun.

2. DEFINITION
 The word Kampavata is formed by the union of two words –
Kampa + Vata
The word Kampa means “to Move” or “to Shake” and vata is one among the
three humours of body.
So, the word Kampavata means the disorders of Vata which is impaired or not
in Samadoshavastha and it is characterised by Kampa.

3. LITERARY VIEW
 In Charaka Samhita, Kampavata is found by the name Vepathu and has been included in the 80
Vataja Nanatmaja disorders.
 Acharya Sushruta has mentioned the symptoms like Chestasanga, Stambha and Gurugatrata in the
Condition of Kaphavritta Vyana Vayu. Kampa has been mentioned as the updrava of Prameha.
Vepathu is described as a symptom in Sthavara Visha Vigyana.
 Acharya Madhava explained the disease Vepathu in Vata vyadhi for the first time . In Madhava
Nidana, he has described two types of Kampavata, Sarvanga Kampavata and Ekanga Kampavata.
 As per Ashtanga Hridaya, Kampa is found as a symptom in vata Prakopa and Sarvanga vata.
 According to Ashtanga Samgraha, Kampa is Rasakshaya, Pittakshaya and Kaphakshaya condition.
 Acharya Kashyapa has mentioned Vepathu under the Vataja Nanatmaja vikara.
 Acharya Sarangdhar has mentioned Kampa under Vataja Roja and explained Shira Kampa under
Shiro roga. Mashadi nasya has been explained in the management of Kampavata.
 In Bhavprakasha, Acharya Bhavamishra has explained symptoms of Stambha and Kampa in
conditions of Snayugata Vata. He explained even excessive rasa of Tikta rasa will lead to Kampa.
 Yogratnakara has explained Sarvanga Kampa and Shiro Kampa under disease Vepathu in Vata
Vyadhi.

4.  Vangasena has replaced Vepathu by Kampavata as Sarvanga Kampa under Vata Vyadhi and has
also described about the treatment of Kampavata. It has been asserted that Abhyanga, Swedana,
Niruha Basti, Anuvasana Basti, Shirobasti and Virechana are the useful measures for the treatment
(Vata vyadhi adhikara – 155)
 Acharya Chakradatta explains some remedies useful for Kampavata, Dwitiya mashataila (Vata
vyadhi 157-161) and Tritiya mashataila (Vata vyadhi 162-164) and Saptaprastha mahamasha
Taila (Vata vyadhi 162-164) can be used for the treatment of Bahukampa, Shirokampa and
Hastakampa. Internal Snehana, Abhyanga , Nasya and Basti are also indicated.
 Bhaisajya Ratnawali has mentioned specific Chapters named “ Tandava Rogadhikara” and
“Vepathu Vatadhikara” which are found similar to the Symptoms of Parkinsonism.
 According to Bhel Samhita, Ruksha diet is one of the symptoms of Shira Kampa.
 Basavarajiyam has described and explained the symptoms of Kampavata which resembles with
the symptoms of Parkinson’s disease.

5. NIDANA
Kampavata is a Vatika disorder , so the causative factors which provoke vata can be considered
as the etiological factor.
According to Acharya Charaka:
रूक्षशीताल्पलघ्वन्नव्यवायाततप्रजागरैः|तवषमादुपचाराच्च दोषासृक्स्रवतादतत||१५||
लङ्घनप्लवनात्यध्वव्यायामातततवचेतितैः|धातूनाां सङ्क्षयाच्चच्चन्ताशोररोगाततरषषणतात||१६||
दुैःखशय्यासनात क्रोधातिवास्वप्नाद्भयादतप|वेगसन्धारतादामादतिघातादिोजनात||१७||
ममाषणघाताद्गजोिर ाश्वशीघ्रयानापतांसनात|देहे रोताांतस ररक्तातन पूरतयत्वाऽतनलो बली||१८||
ररोतत तवतवधान व्याधीन सवाषणङ्गराङ्गसांतितान|१९|
(Ch. Chi. 28/15-19]
 AHARA: Ati Ruksha, Sheeta, Laghu & Alpabhojana
 VIHARA: Ati Vyavaya, Ratrijagarana, Langhana, Vyayama, Dukhashayyasana, Divaswapna
& Vegasandharana
 ABHIGHATAJA: Marmaghata, Balvad Vigraha, Prapatana, Prapeedana & Vikshepa
Abhighata
 MANASIKA: Chinta, Shoka, Krodha & Bhaya

6. PURVAROOPA
अव्यक्तां लक्षतां तेषाां पूवषणरूपतमतत स्मृतम
(Ch.chi28/19)
Acharya Charaka Says that the Avyakta lakshanas are the Purvarupa of Vata vyadhi.

7. ROOPA
Basavarajiyam has described in detail the symptoms of Kampavata. He explained Two types of
Kampavata Lakshanas
1. Sarvanga Kampavata
ररपादतले रम्पो देहभ्रमतदुच्चखते तनद्रािग्नो मतत: क्षीता रम्पवातस्यलक्षतम ।
 Hand and feet tremors
 Difficulty in body movements
 Disturbed sleep
 Memory loss
2. Bahukampa
एरबाहुप्ररम्पच्च तवरारच्चातप देतहनाम महादुखांतदवरात्रो बहुरम्पस्य लक्ष्तम ।
When tremor is located in one arm, abnormal structural changes take place in
body, all these symptoms produces difficulty and person suffers from hand tremors
throughout day and night.

8. SAMPRAPTI
Nidana Sevana like intake of Vata Vitiating
Ahara and Vihara & Jara ( Old Age)
Dhatu Kshaya
Vata Prakopa
Affecting
Mastulunga Majja
In Shira Marma
Affecting Snayu,
Vatavahi Sira
Karyahani
(Pani, Pada)
Kampa
Kapha Vruddhi by Nidana Sevana
Avarana of Vata by Kapha
Vyana Udana
Gurugatrata,
Vakaswaragraha Aruchi
Gatisanga
Further Avarana of
Udanavrutta Vyana
Chestahani

9.  रफावृत व्यान वायु र
े लक्षत –
गुरुता सर्वगात्राणाां सर्वसन्ध्यस्थिजा रुजः।
व्याने कफार्ृते लिङ्गां गलतसङ्गस्तिाऽलिकः॥
(Ch.Chi. 28/228)
 रफावृत उदान वायु र
े लक्षत –
आर्ृते श्लेष्मणोदाने र्ैर्र्ण्व र्ाक्स्र्रग्रहः।
दौर्वल्यां गुरुगात्रत्वमरुलिश्चोपजायते॥
(Ch.Chi. 28/224)
 उदानावृत व्यान वायु र
े लक्षत –
स्तब्धताऽल्पालिताऽस्वेदिेष्टाहालनलनवमीिनम्।
उदानेनार्ृते व्याने तत्र पथ्यां लमतां िघु॥
(Ch. Chi. 28/214)

10. SAMPRAPTI GHATAKA
Dosha Vata ( Vyana & Udana ), Kapha ( Tarpak Kapha )
Dushya Rasa, Rakta, Mamsa, Meda, Asthi, Majja, Snayu, Kandara
Agni Jatharagni, Dhatavagni
Srotas Rasavaha, Raktavaha, Mamsavaha, Medavaha, Asthivaha,
Majjavaha
Srotodushti Sanga, Vimargagamana
Udbhava Sthana Pakwashaya
Vyatka Sthana Sarva Shareera
Adhisthana Mastishka
Vyadhi marga Madhyama
Sadhyata- Asadhyata Krichha Sadhya

11. CHIKITSA SUTRA
 According to Acharya Charaka
र
े वलां तनरुपस्तम्भमादौ स्नेहौरुपाचरेत वायुां सतपषणवषणसातलमज्जापानौनषणरां ततैः
स्नेहल्कान्तां समाश्वास्य पयोतिैः स्नेहयेत पुनैः
यूषर्ग्ाषणम्याम्बुजानुपरसवाषण स्नेहसांयुतैः । पायसैः र
ृ शरैः साम्ललवतरनुवासनैः॥
नावानस्तपषणतश्चान्नैः सुतस्नग्धां स्वेदयेत्ततैः। (Ch. Chi. 28/75-76)
 According to Acharya Vangasena
वायुां वेपथुनामानां स्वेदाभ्यगानुवासनैः ।
उपाचरेतन्नरुहश्च तशरोबच्चस्त तवरेचनम॥ (Vatarogadhikara 155)

12.  घृत र
े गुत –
घृतां लपत्तालनिहरां रसशुक्रौजसाां लहतम् ।
लनर्ावपणां मृदुकरां स्वरर्णवप्रसादनम् ॥
( Ch. Su. 13/14)
 तल र
े गुत –
मारुतघ्नां न ि श्लेष्मर्िवनां र्िर्िवनम् ।
त्वच्यमुष्णां स्थिरकरां तैिां योलनलर्शोिनम् ॥
( Ch. Su. 13/15 )
 वसा र
े गुत –
लर्द्धभिाहतभ्रष्टयोलनकणवलशरोरुलज ।
पौरुषोपिये स्नेहे व्यायामे िेष्यते र्सा ॥
( Ch. Su. 13/15 )
 मज्जा र
े गुत -
र्िशुक्ररसश्लेष्ममेदोमज्जलर्र्िवनः ।
मज्जा लर्शेषतोऽथथनाां ि र्िक
ृ त् स्नेहने लहतः ॥
( Ch. Su. 13/15 )

13. LINE OF TREATMENT
Shodhana
Chikitsa
Nidana
Parivarjanam
Shamana
Chikitsa

14.  Nidana Parivarjana -
सांक्षेपतैः तक्रयायोगो तनदानपररवजषणनां ।। (Su. Ut. 1/25)

15. SHAMANA AUSHADHIS
RASA YOGAS
1. Ekangveera Rasa
2. Rasaraja Rasa
3. Triguna rasa
4. Kanaka Sundara rasa
5. Gandharva rasa
6. Chaturbheeja rasa
7. Nagarjuna rasa
8. Sarvanga Kampa Rasa
9. Vatagajankusha rasa
10. Gandharva Rasa
11. Chaturbhuja Rasa
12. Smritisagar Rasa
13. Brihatvatachitamani rasa
14. Mahavata Vidhvansa Rasa
15. Trailokya Chintamani rasa
16. Tapyadi Loha
TAILA & GHRITA
1. Nakula Taila
2. Vijaya Bhairava taila
3. Rasna Taila
4. Sahacharadi Taila
5. Ksheerabala Taila
6. Varuni Taila
7. Dhaturradi Taila
8. Mahanarayana Taila
9. Nakuladya Ghrita
10. Brihat Chagaladi Ghrita
11. Masha taila
12. Brihana masha taila
13. Mahamasha taila
14. Karpasa taila
EKAMULIKA PRAYOGA
1. Kapikacchu
2. Bala
3. Shatavari
4. Rasna
5. Eranda
6. Ashwagandha
7. Shalparni
8. Sahachara

16. GULIKA
1. Nagarjuna Vati
2. Yograj Guggulu
3. Mahayograj Guggulu
4. Brahmi Vati
5. Smritisagar Rasa
ASAVA / ARISHTA
1. Ashwagandharishta
2. Balarishta
3. Sarasvatharishta
4. Dashmularishta
5. Draksharishtam
6. Brihaniya
Mahakashaya
RASAYANA
1. Vanari Kalpa
2. Ashwagandha Rasayana
3. Kushmanda Rasayana
4. Kapikachhu
5. Chitrak
6. Lasuna
7. Amalaki
8. Medhya Rasayana like
Shankhapushpi
9. Shilajeeta

17. Shodhana Chikitsa –
Same as vata vyadhi Chikitsa i.e.
 Snehana
 Swedana
 Mridu Virechana
 Basti
 Nasya etc
Acharya Vangasena has described specific therapies for treatment of Kampavata
र्ायुां र्ेपिुनामानां स्वेदाभ्यगानुर्ासनैः ।
उपािरेलिरुहैश्च लशरोर्स्स्त लर्रेिनम्॥ (Vatarogadhikara 155)
 Abhyanga
 Swedana
 Anuvasana Basti
 Niruha Basti
 Shirobasti
 Virechana

18. Importance of Abhyanga
• Abhyanga prevents old age, removes pain in the body and gives Pushti to the
body.
• The veerya of the drug used for Abhyanga gets digested with the help of
Sthanika Bhrajakagni and enters into srotas and starts its action. Abhyanga
with various Taila mentioned for Kampavata like Mahamasha Taila,
Karpasathyadi Taila, Prasriniyadi Taila etc after entering into the body
nourishes tissues, gives strength and increases Agni.
• Does the action of Vatahara, Brimhana, brings Snehana effect to the sandhi.
• Abhyanga has Snigdha, Guru and Mridu properties. In Kampavata, it acts on
Laghu guna and Chala guna and it also does the Balavardhana, Agnivardhana
and nourishes Shushka dhatus.
• Abhyanga with Balaswagandhadhi tailam, Ksheerbala Tailam, Mahamasha
tailam, Karpasathyadi Tailam, Sahacharadi tailam.

19. Importance of Swedana
• Acts as a Vatahara, Rujahara, Brimhana. It acts as vasodilator, Improves the circulation.
Hence, it is very much beneficial in conditions where Shoola, Stambha and Sankocha are
present.
• It cures Stambha, Guruta and Sheetata. In Kampavata, it acts on Sheeta and Guru Guna
of Kapha and Vata producing Stambha.
• It can be given as Nadi sweda, Pinda sweda, Avagaha sweda etc.
• Various Swedana karma for Kampavata –
1. Choorna Pinda Swedana with Dhanyamla and Kolakulathadi Choorna.
2. Shastika Shali Pinda sweda
3. Patra pottali Swedana
4. Upanaha by Kakolyadi gana can be done in Kandara snayu gata vata
5. Kaya Seka with prabhanjan vibharjan taila + Karpasathyadi taila
6. Anna lepan
7. Kapikachhu Kwath Dhara

20. Importance of Nasya
• Acharya Chakradatta and Acharya Vangasena has recommended Nasya
Karma in Kampavata. Brimhana Nasya provides nourishment to the
shiroindriya and other organs and alleviates the vitiated vata. Hence, it
is useful in Vatajanya ailments.
• Brimhana nasya, Shodhana nasya, Pratimarsha nasya are used widely
for Kampavata according to the condition and severity of the disease.
• Nasya with Anu Taila, Ksheerbala 101 avarti, Karpasathyadi Taila,
Mahamasha Taila can be given in the Kampavata.

21. Importance of Basti
 All our acharyas have advocated Basti Karma for treating Vata Dosha .
 The Basti karma with appropriate adoption facilitates expulsion of mala,
kapha, pitta, Adhovata and Mutra and improves strength.
 Anuvasana Basti , by their Snigdha, Guru and Ushna properties destroys
Ruksha, laghu and Sheeta Characteristics of Vata.
 Niruha Basti cause expulsion of Malas and doshas from all circulating
channels. It relieves Sankocha and Stabdhata.
 Basti which can be given in Kampavata are –
 Matrabasti with Dhanvantara Taila, Sahacharadi Taila, Ashwagandha Taila
 Niruha Basti with Baladi Yapana Basti, Erandamuladi Basti, Dashmoola
Basti, Dashmoola Ksheera Basti, Rajyapana Basti, Mustadi Yapana Basti,
Panchshali Yapana Basti, Kukutanda Yapana Basti, Mamsa Aatmaguptadi
Yapana Basti

22. Importance of Virechana
 According to Acharya Charaka , In Kampavata no specific drug
have been mentioned. For all Vata vyadhi, Virechana with
Snehasamyukta aushadhi is advised.
 Eranda taila is recommended as Mrudu Virechana. Taken with milk
it provides Bala to Indriyas and improves Agni and does
Koshtashuddhi.

23. Importance of Shirodhara/ Shirobasti
 According to Acharya Vagbhata, Murdhni Taila is highly beneficial for Brain, Nerves,
sense organs and hairs. It Controls Vitiated Vayu and Pitta in the head.
 Murdhni taila is of 4 types –
1. Shirobhyanga
2. Shirodhara
3. Shiropichu
4. Shirobasti
Mainly Shirodhara and Shirobasti are indicated in Kampavata.
Taila used are – Mashabaladi Taila, Kampavata- Ksheerabala Taila, Dhanvantaram Taila,
Kampavata Himsagar Taila, Brahmi Taila, Balashwagandha Taila etc

24. Shamana and Shodhana Chikitsa according to
Various Samhitas
Samhita Chikitsa
Basavarajiyam  Mashataila - Basti prayoga in Bahukampa
 Karpasatailam – Bahukampa,
 Vijayabhairava rasa
Ashtanga Hridaya (A.H.Ch 21/66)  Brihatamasha Taila
Sarangdhar Samhita  Sahacharadi Taila
 Dashmoola Taila
 Varuni Taila.
Vangasena  Brihanmasha Taila -Hasta , Shirokampa
 Sahacharadi Taila, Mashataila- Hastakampa
 Mahamasha Taila, Brihanmashataila - Basti, Abhyanga, Pana,
Navana in Hastakampa and Shirokampa.
Bhaisajya Ratnawali  Nakulataila
 Nakulagrita
 Brihatchagaldya ghrita
 Sarvanga kampari rasa

25. Samhita Chikitsa
Chakradatta  Dwitiya Mashataila – Pana, Abhyanga, Basti, Nasya in Hastakampa and
Shirokampa
 Tritiyamasha Taila- Basti, Nasya, Parisheka in Bhujakampa,
 Saptaprastha mahamasha Taila- Basti, Abhyanga, Pana, Navana in
Hastakampa
Bhel Samhita  Snehapana, Nasya & Anuvasana Basti – Shirokampa
 Rasna Taila – Gatrakampa
Sahastrayogam  Sarvamyantakaghrita, Ajamamsaghrita, Datturataila and Maharasanadi
kwatha in Shirokampa
AFI  Chagaladhya ghrita: Hastakampa & Shirokampa..

26. CASE
PRESENTATION

27. DESCRIPTION OF PATIENT
 NAME : XYZ
 AGE : 52 YEAR
 SEX : MALE
 RELIGION : HINDU
 ADDRESS : RAIWALA
 OCCUPATION : BUSINESS
 SOCIO – ECPONOMIC STATUS : UPPER MIDDLE CLASS
 EDUCATION : GRADUATE
 OPD NO. : 33523

28. CHIEF COMPLAINTS
 K/C/O Parkinsonism and Type 2 DM
 Tremors in both upper and lower limbs especially in Left
hand and feet since 5 years
 Slowness in all movements
 Slurred speech
 Difficulty in Balance and Co-ordination

29. ASSOCIATED COMPLAINTS
 Tendency to fall forward with difficulty in walking since
5 year
 Difficulty in writing, holding objects and activity of
daily living since 4 year
 Constipation (on & off)

30. HISTORY OF PRESENT ILLNESS
According to Patient, he was apparently healthy before 5 years. Suddenly he developed weakness in
Right lower limb. After some time, he experienced weakness with mild tremors in Left hand. Then,
after some days he experienced increased tremors in left hand with difficulty in writing and holding
objects so at last he Consulted a Neurologist in Himalayan Hospital, Jollygrant and diagnosed with
Parkinson’s disease and was put on medications. Patient took treatment for some time and then
suddenly stopped the medication without consulting the doctor following which there was increase
in the symptoms along with tendency to fall, slowness in movements and Stiffness in whole body.
Then, he again Consulted Neurologist in Delhi who suggested for surgery. So, at last they visited
HAMC hospital for better management.

31. PAST HISTORY
 Known Case of Diabetes Mellitus since 7-8 yrs.
 No H/O HTN, THYROID, ASTHMA, TUBERCULOSIS
 S/H – Surgery of Right hand because of Glass injury

32. TREATMENT HISTORY
 T. SYNDOPA PLUS – 1 Tab TDS
 T. SELEGILINE – 1 Tab BD
 T. PACITANE – 1 Tab BD
 T. TELELIGLIPTIN 20 MG – 1 OD
 T. GLYCOMET GP 1 – 1 TAB BD (Before Meals)

33. PERSONAL HISTORY
 DIET : Mixed Diet
 APPETITE : Reduced
 SLEEP : Disturbed since 1 year
 BOWEL : 1-2 times/day, Constipated
( Incomplete evacuation)
 MICTURITION : 5-6 times/day

34. GENERAL PHYSICAL EXAMINATION
 General Condition : Fair
 Built : Moderately Built
 Nourishment : Moderately Nourished
 Pallor : Not Present
 Oedema : Not Present
 Cyanosis : Not Present
 Icterus : Not Present
 Lymphadenopathy : Not Present
 BP : 110/70 mmhg
 PR : 82 BPM
 Tongue : Normal in Size, shape & Colour
 Height : 5’9”
 Weight : 74 kg

35. SYSTEMIC EXAMINATION
 PER ABDOMEN EXAMINATION –
 Inspection – No Scar, No Lesion +
 Palpation – No Palpable mass, No Tenderness +
 Percussion – Normal area of Dullness and resonance
 Auscultation – Bowel sound + ( 4/min )

36.  RESPIRATORY EXAMINATION –
 Inspection – Chest B/L Symmetrical, No Scar +
 Palpation – No Tenderness +
 Percussion – Normal area of Resonance +
 Auscultation – Normal Breath sound here
 CARDIOVASCULAR EXAMINATION –
 Inspection – Chest B/L Symmetrical, No Scar +
 Palpation – No Palpable mass
 Percussion – Area of Cardiac dullness found normal
 Auscultation – S1 & S2 are heard normal

37. CENTRAL NERVOUS SYSTEM EXAMINATION
1. HIGHER MOTOR FUNCTION
 Conscious - YES
 Orientation to time, Place, Person – Present
 Memory – Recent - Intact
Remote – Intact
 Intelligence - Intact
 Hallucination & Delusion – Absent
 Speech Disorder - Mild Slurring of Speech present

38. 2. CRANIAL NERVES EXAMINATION
 Olfactory - Smell sensation – Intact
 Optic - a) Visual acuity - difficulty in distant reading
b) Visual field -Not affected
c) Light reflex Not affected
d) Drooping of eye lids (Ptosis) -Absent
 Oculomotor, Trochlear, Abducent Nerve - Eye ball movement – possible in all directions.
Pupil - Position - Shape - Size – Symmetry - No abnormality detected
 Trigeminal Nerve - Sensory – Touch, Pain, Pressure sensation - Present
Motor - Clenching of teeth - Possible
Lateral movements of jaw - Possible
 Facial Nerve - a) Forehead frowning - Present
b) Eyebrow raising - Possible
c) Eye closure against resistance – Possible
d) Teeth showing - No deviation of angle of mouth
e) Blowing of cheek - Not Possible
f) Nasolabial fold - Equal on both sides

39.  Vestibulo cochlear -
Rinne’s test - Negative
Weber’s test - Equal on both sides
 Glossopharyngeal & Vagus nerve -
Position of uvula - No deviation
Taste sensation - Intact
 Accessory Nerve –
Shrugging the shoulder - Possible against resistance
Neck movement - Possible against resistance
 Hypoglossal Nerve –
Protrusion of tongue - Possible
Tongue movements - Possible

40. 3. SENSORY EXAMINATION
Superficial - a) Touch – Intact
b) Temperature - Intact
c) Pain – Intact
4. MOTOR EXAMINATION
 Attitude of limbs - Upper limb : Normal
Lower limb : Normal
 Muscle Bulk - Right (in inches ) Left (in inches)
a) Upper limb
Arm 12 12
Forearm 9 9.5
b) Lower limb
Thigh 18 19
Calf 13 12.5

41.  Tone - Upper limb – Mild Rigidity present
Lower limb - Normal
 Power – 5/5
 Coordination - Romberg sign- +ve
Upper limb- Finger nose test- Able to perform (slowly)
Lower limb-Knee heel test – Able to perform
 Involuntary movements - Present
Left hand - Tremor
 Gait- Parkinsonian/festinating gait

42.  Reflex
Reflex Right Left
Biceps jerk 2+ 2+
Triceps jerk 2+ 2+
Knee jerk 1+ 2+
Ankle jerk 2+ 2+
Plantar Reflex 0 0
Babinski Sign Negative Negative

43. DASHVIDHA PAREEKSHA
 प्रक
ृ लत - र्ात- कफज
 लर्क
ृ लत - दोष- र्ात- कफज
दू ष्य - रस, रक्त, माांस, मेद, अस्थि, मज्जा, स्नायु
 सार - मध्यम
 सांहनन – मध्यम
 प्रमाण - मध्यम
 सात्म्य - मध्यम
 सत्व - मध्यम
 आहार शस्क्त - अभ्यर्हरन शस्क्त - अर्र
जरण शस्क्त - अर्र
 व्यायाम शस्क्त - अर्र
 र्य - मध्यम

44. CHIKITSA

45. DATE TREATMENT
04/05/2022
TO
20/05/2022
SHAMANA 1) Dhanadanyanadi Kashaya – 20 ml BD With equal amount of water ( empty stomach )
2) T. Zandopa Plus – ½ tsf TDS with lukewarm water ( After meal )
3) Bruhat vatachintamani Rasa – 1 Bd (After meal)
4) Cap. Bravobol – 1 BD (After meal)
5) Ksheerbala Capsule – 1 BD (After meal)
SHODHANA 1) Patra Pottali sweda with Mahanarayana Taila
2) Yapana Basti
3) Nasya with Karpasathyadi Taila ( 8 drops each nostril )
4) Virechana by Trivritta Avleha
DATE TREATMENT OBSERVATION
14/08/2022
TO
14/09/2022
SHAMANA 1) Zandopa Plus – 1 tsf BD with lukewarm water ( After meal )
2) Cap. Bravobol – 1 BD (After meal)
3) Ashtavargam Kashayam – 20 ml BD with equal amount of water
( Empty Stomach )
4) T. Anshield – 1 BD (After meal)
5) Jatamansi Phanta – 5 gm BD with 1 cup water (Empty stomach)
Mild Improvement in Balance
problem and weakness in Left
hand.
SHODHANA Ksheerbala 101 oil Pratimarsha nasya – 2 drops each nostril - BD

46. DATE TREATMENT OBSERVATION
14/09/2022
TO
13/10/2022
SHAMANA 1) Zandopa Plus – 1 tsf BD with lukewarm water ( After
meal )
2) Gandharvahastadi Kashayam - 20 ml BD with equal
amount of water ( Empty Stomach )
3) T. Anshield – 1 BD (After meal)
4) Cap. Bravobol – 1 BD (After meal)
5) Jatamanshi Churna - 5 gm
Ashwagandha Churna - 3 gm
Guduchi Churna - 5 gm
Vacha Churna - 3 gm
1 x 2 ( After meal )
• Tremor reduced markedly
• Sleep Improved
• Romberg Sign Negative
• Constipation relieved
• Able to hold objects
without any involuntary
movements for 5 minutes
• Sound Sleep
SHODHANA 1)Shastika Shali Pinda Sweda for 16 days
2) Brahmi Ghrita Pratimarsha Nasya – 2 drops in each
nostril – BD for 1 month
2) Matra Basti with Ksheerbala Oil – 60 ml for 16 days

47. DATE TREATMENT OBSERVATION
15/11/2022
TO
30/11/2022
SHAMANA 1) Zandopa Plus – 1 tsf BD with lukewarm water ( After
meal )
2) Rasnaerandadi Kashayam - 20 ml BD with equal
amount of water ( Empty Stomach )
3)Vasant kusumarkar Rasa – 1 BD (After meal)
4) Cap. Bravobol – 1 BD (After meal)
5) Brahmi Ghrita – 1 Tsf BD
• Tremor reduced markebly
• Sleep Improved
• Romberg Sign Negative
• Improvement in slowness
of movements
• Constipation relieved
• Able to do his routine
activities
SHODHANA 1) Matra Basti with Ksheerbala Oil – 60 ml
2) Sarvanga Abhyanga & Swedana
3) Shirodhara with Ksheerbala oil
4) Nasya with Ksheerbala oil

48. THANK
YOU