Gradation Of Sandhibandhan Vimokshayan As A Gait Examination In Pakshaghata By Evaluating CT Brain

Abstract Pakshaghata is made up of two words Paksha (half part of body) and Aghat (loss of function). Ayurved literature is full of textual references where Pakshaghata is described extensively. It is considered as Vata Dosha predominant Vyadhi [1]. Pakshaghata described in Ayurveda occurs due to Sira-Snayu-Vishoshoshya leading to Sandhibandhan Vimokshayan, Hasta-Pada Sankocha, Vaakstambha and Vichetana. Prognosis depends on many factors including Vaya, Bala, Dosha involvement etc. In modern science all the motor activities are controlled by brain. Cerebrovascular accidents are mainly responsible for loss of function in body and due to maximal similarity they can be correlated with Pakshaghata [2].CT Brain evaluation provides an objective tool to identify site, extent and severity of cerebral involvement. In clinical practice, gradation of Sandhibandhan Vimokshayan can be established through gait examination, which reflects the degree of joint instability, muscular weakness, and neurological deficit. By correlating Ayurvedic lakshanas with CT Brain findings, an integrated approach emerges to assess progression and prognosis. This study aims to grade Sandhibandhan Vimokshayan by linking gait abnormalities in Pakshaghata with radiological evidence, thereby creating a bridge between Ayurvedic clinical parameters and modern diagnostic imaging. Such correlation not only validates traditional observations but also enhances clinical understanding, rehabilitation strategies, and patient outcomes in stroke management. Keywords: Pakshaghata , Vyadhi , Sira- Snayu Vishoshya , Sandhibandhan Vimokshayan , Hasta – Pada Sankoch , Vaaksthambha , Vichetana