AYURVEDIC MANAGEMENT OF CHRONIC SHIROMARMABHIGHATAJANYA PAKSHAGHATA: A CASE REPORT

Agantuja Shiromarmabhighata (traumatic injury to cranial vital points) can lead to Pakshaghata, a neuromotor disorder comparable to hemiparesis, primarily due to Vata Dosha aggravation affecting neuromuscular function. Traumatic brain injury (TBI) remains a major cause of long-term disability with persistent deficits despite conventional care. This case study evaluates Ayurvedic management in a chronic case of post-traumatic hemiparesis. A 28-year-old male presented with right-sided weakness, impaired gait, tremors, and speech difficulty following a road traffic accident nine years prior. He was treated with a multimodal Ayurvedic approach including Shamana Chikitsa, Panchakarma procedures (Nasya, Basti, Swedana), Virechana, Rasayana therapy followed by Bruhana, along with physiotherapy, pranayama, and beejamantra chanting for speech improvement. Post-treatment, the patient showed marked improvement: muscle strength increased from 2/5 to 4/5, muscle tone normalized, gait improved, tremors reduced by ~80%, and speech clarity enhanced. He achieved independent ambulation with an overall recovery of approximately 85%. This case highlights the potential of integrative Ayurvedic therapies in improving neurofunctional outcomes in chronic neuromuscular disorders.