Parkinsonism

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Table of Contents
Casestudies of Contents

Brief Medical History

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

Medical History:

She waspre-diagnosed as Parkinsonism (Kampavata). She consulted several doctors and was under allopathic medications with

1. Pramipex, Restyl (6.5 mg),

2. Syndopa plus (125 mg),

3. Cardiaz (5 mg), without any relief since 1 year.

She came with tremors in the hands and pulling pain in to the both leg muscles starting from soles up to calf region (especially more in the left leg than right one)since 3.5 years. She was gradually feeling low energy level with less concentration and slow initiation in activities, since 6-10 months.Neck movement on left side was restricted, and fine tremors were present on both upper limbs. Her Basal Metabolic Index was scored 18.

K/C/O: Hypertension

Past Medical History: Cervical spondylosis, on tranquilizer for the disturbed sleep

Integrated Summary

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
RS: NVBS

Rogi Bala Madhyam

CNS examination: Memory was found affected

Roga Bala - Madhyam.

Sleep: Disturbed

Agni Bala - Manda

Family history myeloma cancer—mother and father were 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

Medications

1. Pramipex, Restyl (6.5 mg),
2. Syndopa plus (125 mg),
3. Cardiaz (5 mg), 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. Manasamithra Vatakam 2 tabs once at bed time with milk

Outcome

Outcome Parameters Metric Before Treatment After Treatment 21 days Follow Up @ 6 Months
Pulling pain in legs
VAS 0-10
10
5
0
Tremors
VAS 0-10
10
0
0
Weight
Kg
50
51
60.6
BMI
-
18
19
22
Quality of Sleep
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:
Lindop Parkinson's Assessment Scale
12
18
18
Bed Mobility Score:
Lindop Parkinson's Assessment Scale
8
12
12

Conclusion

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.

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* Outcomes may vary from person to person

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