3. ATHURA PARICHAYA
Name-MRS.MITTALI SRIVATSAVA
Age-32 years
Sex-female
Occupation-Software employee
Date of admission-2/10/2020
Date of discharge-22/10/2020
OP no -13882
Ip no-33835
4. CHIEF COMPLAINT
Patient complaints numbness in the right
hand and also all tips of fingers in the left
hand since 2 months.
Patient c/o numbness in the left leg which is
on & off.
5. ASSOCIATED COMPLAINT
Patient also c/o tiredness in the evening time
Pulling type of pain in the back side of head
region.
Patient feels tremors in vaginal region while
neck flexion.
6. HISTORY OF PRESENT
ILLNESS
Patient is known case of multiple sclerosis since 2018. As per the
statement given by patient , pt c/o numbness in the right hand and all
the tips of fingers of left hand , weakness in the left side of the body.
On 15-09-2018 pt develops squint eyes and got diagnosed with
multiple sclerosis. Pt was on steroids for one month and felt better by
treatment. Again she approached second set of steroid treatment in the
month of august 2018 and later she developed same symptoms. Hence
she approached our hospital for further management.
N/K/C/O DM, HTN &Thyroid dysfunction.
7. Family History- No history of similar complaints in family.
VYAKTIKA VRUTTANTA ;
1)Diet – Mixed
2) Appetite- normal
3) Sleep- Sound sleep( 8-9 hrs)
4)Bowel – 1/2 times a day
5) Micturation- 4/5 times a day
6) Habits- Tea once a day
8. CLINICAL FINDINGS
CNS : Conscious, well oriented to time, place, person.
Babinski sign – Negative
Superficial tendon reflex – within normal limit
Deep tendon reflex – within normal limit.
CVS : S1, S2 Heard.
RS : NVBS Heard.
P/A : Soft & Non tender
MUSCULOSKELETAL SYSTEM –
Abnormal gait – Absent
Lhermitte sign – Absent
Sensory function – Normal
Muscle weakness – Absent
9. General Examination
Built - Moderate
Nourishment – Well nourished
Temperature - 98.6 F
Respiratory rate -20/min
Pulse rate –76 bpm
B.P – 110/80mm of Hg
Pallor - Absent
Edema - Absent
Clubbing - Absent
Cyanosis - Absent
Icterus - Absent
Lymphadenopathy – Absent
Tongue - coated
Height- 5.3’’
Weight-74 KG
10. Asthasthana Pareeksha
Nadi - 76bpm
Mootra- 4-5 times/ day
Mala - Once a day
Jihwa- lipta
Shabda - Avishesha
Sparsha - Anushna sheeta
Druk - Prakrutha
Aakruti - Madhyama
15. MULTIPLE SCLEROSIS
A disease in which the immune system eats away at the protective covering of nerves.
It cause the communication problems between brain and rest of boby.
Is a long standing disease that can effect brain, spinal cord and optic nerves.
It scars the multiple tissuse in the body.
The exact cause is unknown, but it may be a combination of gentics and environmental factors.
SYMPTOMS may differ greatly from person to person
Tremor can occur during precise movements in hands or limbs
Difficulty in walking, muscle paralysis, rigidity, weakness, stiffness, spasms
Fatigue, dizziness, vertigo, tingling and burning sensation.
Blurred, double or loss of vision, mood swings
Difficulty or slurred speech, constipation, numbness of face, tounge.
Sexual dysfunction, difficulty in thinking and understanding.
17. TREATMENT PROCEDURE
SIRO ABYANGA with ASWAGANDHA BALA LAKSHADI TAILA for 1 day on 2nd Oct.
SARVANGA UDVARTANA and NADI SWEDA with KOLAKULLATHADI LEPA CHURNA +
TRIPHALA CHURNA + DHANWANTARAM TAIALA for 1 day on 2nd Oct.
SNEHAPANA with DHANWANTARAM GRITHA + ASWAGANDAHA GRITHA for 4 days 3-
6 Oct.
SIRO BASTI with ASWAGANDHA BALA LAKSHADI TAILA for 11 days from 3-8 Oct & 10-
14 Oct.
SARVANGAABYANGA and BASPA SWEDA with ASWAGANDHA BALA LAKSHADI
TAILA for 3 days 7-9 Oct.
VIRECHANA with TRIVRITH LEHA with sukhoshna jala on 9th Oct.
SARVANGA PIZHICIL with ASWAGANDHA BALA LAKSHADI TAILA for 4 days from 11-14 Oct.
18. Cont…
8. YOGA BASTI for 8 days from 13-20 Oct.
a)Anuvasana Basti – ASWAGANDHA GRITHA 40ml + SATAVARI GRITHA 40ml +
YASTIMADHU TAILA 20ml
b) Niruha Basti – DASHAMOOLA KWATHA (100ml) + BALAMOOLA KWATHA (100ml)
ERANDAMOOLA KWATHA (100ml) + TRIPHALA CHOORNA (50gms)+
MADHU (30ml) + SAINDHAVA LAVANA (6gms)+ SHATAPUSPA (6gms)+
ASWAGANDHA GRITHA 40ml + SATAVARI GRITHA 40ml +
YASTIMADHU TAILA 20ml
9. SHIRODHARA with DASHAMOOLAKWATHA CHOORNA for 1day on 15th Oct.
10. SARVANGA PATRAPINDA SWEADA with DHANWANTRAM KHUZUMBU for 2 days from 15-16 Oct
11. SARVANGA SHASHTIKASHALI PINDA SWEDA for 4 days from 17-20 Oct.
12. SARVANGAABHYANGA & BASHPA SWEADA for 1 day on 21th Oct.
13. NASYA KARMA with KSHEERABALA 101 for 1 day on 22th oct.
14. SARVANGA KASHAYA SEKA with DHANWANTRAM KHUZUMBU for 1 day on 22th Oct.
19. ORAL MEDICATIONS
1. AGNITUNDI VATI 0-0-1 was given in the night after food for 20days
2. ASWAGANDHA KSHEERA PAKA 100ml at 12pm for 17days
3. Cap. PALSINEURON at bed time for 8 days
4. Cap. PALSINEURON thrice daily for 12 days
5. DASHSAMOOLA KWATHA CHURNA + BALA MOOLA KWATHA
CHOORNA+ERANDA MOOLA KWATHA CHOORNA 100ml each
+MASHA CHOORNA 5gms+4 LASHUNA with 2 pinch of SAINDAVA
LAVANA & 1/4th pinch of ASTHA CHOORNA- 100ml given at 11am &
5pm for 19 days.
6. ASTHAVARGAM KASHAYA 10ml + DHANWANTARAM KASHAYA
10ml+20ml of water after food was given at 8am & 8pm.
20. CONDITION AT THE TIME OF
DISCHARGE
Vitals are stable.
Patient feels lightness in body.
Numbness in the right hand has reduced upto 45%.
21.
22. ADVICE ON DISCHARGE
1. Tab BRUHATVATA CHINTAMANI RASA given in the morning and night after food.
2. Tab BRAHMI VATI in afternoon after food.
3. DANWANTARAM KASHAYAM 15ml with 15ml of water in morning and night after
food.
4. KSHEERABALA101 for NASYA KARMA
5. KSHEERABALA TAILA for facial massage before NASYA KARMA.
6. PIPPALI CHOORNA 25gms+ ASHWAGANDHA CHOORNA 50gms
+KAPIKACCHU CHOORNA 50gms +SHATAWARI CHOORNA 50gms+VACHA
CHOORNA 25gms + YASTHIMADHU CHOORNA 25gms+ SHATAPUTI
ABRAKABASHMA 10gms+SUVARANA BASHMA 250mg, 3gm in the morning and
night with MADHU before food.
23. CONCLUSION
According to Ayurveda
Dhatuksayajanya vata vyadhi being Vatavyadhi, mainly need Snehana,
Swedana & Basti to pacify vatadosha.
External Panchakarma procedures are aimed for the symptomatic relief
of numbness, weakness etc. Thus by the rational prescription of both
internal and external Panchakarma procedures, DHATUKSAYAJANYA
VATA VYADHI can be managed in both system and local levels.
