A 67 years old female patient came with presenting complaints of

  1. tremors in the hands (involuntary movements of fingers and thumb)since 3.5 years
  2. pulling pain in to the both leg muscles starting from soles up to calf region
  3. low energy levels
  4. less concentration and slow initiation in activities
  5. Significant loss of weight

Allopathy Ayurveda
K/C/O: Hypertension Prakriti: KaphaPitta.
Past Medical history: Cervical spondylosis, on tranquilizer for the disturbed sleep Dosha Sammurchhana: Vata
Condition at the time of admission
GC: Stable, Afebrile.
Dushya-Sammurchhana Rasavaha, Raktavaha, Mamsavaha, Asthivaha & Majjavaha srotasas.
General Findings:

Weight: 56 KG.
Blood Pressure: 110/70 mm of Hg.
Pulse: 68 beats /min
Koshta, - Madhyam
Clinical Examination:

PA:Soft, non-tender, No Organomegaly
CVS: S1, S2 heard
Rogi Bala Madhyam
CNS examination: Memory was found affected Roga Bala - Madhyam.
Sleep: Disturbed Agni Bala - Manda
Family history myeloma cancer - mother and father was hypertensive. Mala (bowel) – Ksheen
Lab Investigations:

All the blood results were grossly normal.
Sara- Madhyam
Samhanana- Madhyam
Pramana- Madhyam
Satva- Madhyam
Satmya- Snigdha
MRI of Lumbo - Sacral spine region –

A. Mild posterior bulge on L2 - L3 disc indenting the dural sac with posterior osteophytes.
B. Mild posterior bulge on L4 - L5 and L5 - S1 disc compressing the anterior epidural fat, indenting the dural sac.
C. Cervical and lumbar spondylosis.
Ahara Shakti- Avara
Jaran Shakti- Madhyam
Vyayam Shakti- Avara
Vaya- Jeerna

1. Pramipex, Restyl (6.5 mg),
2. Syndopa plus (125mg),
3. Cardiaz (5mg), without any relief since 1 year.
Chikitsa Done:

Duration- 21 days, in-patient treatment

1. Ksheerabala and Narayana Tailam as Sarvanga Abhyanga for 7 days.
2. Anutaila as Pratimarshanasya (2 drops)
3. Sirodhara was started and continued for 7 days.
4. Swedan - Pindaswedan with Patra potali (Erandapatra & Arka patra) for 7 days.
5. Nasya Kriya as principal treatment, twice a day with Anutailam for 7 days
- Internal medication:

1. Ashtavargam Kashayam 15 ml with 45 ml water on empty stomach (BDS)
2. Ksheerabala Thailam (101 aavarti) - 10 drops (BDS).
3. Ashwagandharishtam 3 tsf with water TDS
4. Vidaryadi Ghritha 1 tsp (BDS) after meal.
5. ManasamithraVatakam 2 tabs once at bed time with milk
Symptoms Before treatment After treatment Follow up @ 6 months
Pulling pain in legs(VAS) 10 5 0
Tremors(VAS) 10 0 0
Weight (kg) 50 51 60.6
BMI 18 19 22
Quality of Sleep as measured on Parkinson’s disease Sleep Scale 102(Poor) 120(Significantly improved) 150(Very Good)
Adverse drug reactions of Allopathy medicines (Anorexia, weight loss, nausea, constipation, dry mouth, loss of mental alertness, memory loss) Present Absent Absent
Gait Mobility score : 12 18 18
Bed Mobility score :(Lindop Parkinson’s Assessment Scale) 8 12 12

1. There was significant improvement in the presenting complaints of the patient like pain, tremors.

2. And the overall well-being and quality of life which is usually affected severely in the Parkinson’s patients.

3. Significant weight gain which brought a underweight BMI 18 to normal BMI range of 22.

4. Adverse effects of conventional medicines brought down significantly and completely on Ayurveda medicines after a period of 8 months

5. Sustained wellbeing recorded upon review after 1 year.