04
Prakupita vata if affect only one leg then it is called as khanja
If it affects both the legs then it is called as pangu(kriyaheenatha)<br>
05
Nidana Vataprakopaka nidanas
Along with sahaja karana and abhigata will play a main role
Snayu gata vata vikara
Where , snayu ,sira,khandaras also involved<br>
06
In khanja: patient does not able to move one leg
In pangu: Patient does not able to do movement in both legs<br>
07
Monoplegia Paralysis of single limb
Common in arms than legs
Frequently associated with cerebral palsy
It can also be used if one group of muscle or a particular muscle is affected
It is aften thought as a hemiplegia with much less involvement of other limb<br>
08
Monoplegia results from damage to the brain and spinal cord<br>
09
Symptoms Curling of the hand
Stiffness of feet
Weakness,numbness
Paralysis
pain<br>
10
Main cause CP
Other causes
Tumour of the brain
Stroke
Nerve trauma
Nerve inflammation
Multiple sclerosis<br>
11
Treatment
Physical therapy<br>
12
Diplegia in legs Mild diplegia
Usually walk,but might walk little differently,can usually play and run to a limited extent
Moderate diplegia
Person can usually walk with slight bend in the knee
They usually cant run and have to use the handrails to go up and down stairs<br>
13
Severe diplegia
Need walker or wheel chair to be able to get around
Children with diplegia of legs will have delayed growth in their leg muscles which causes the muscles to be short
This causes the joints to become stiff and range of movement to decrease as the child grows<br>
14
Age of onset
2 to 5 years
Parents suspecting diplegia should take their child to the doctor potentially get an earlier diagnosis
Treatment
Physiotherapy<br>
15
Chikitsa of khanja and pangu उपचारेदभिनवं खन्जं पंगुमथापि च।
विरेकास्थापनस्वेदगुग्गुलुस्नेहबस्तिभि।
Koshta shodhana-virechana
Later –asthapana and sneha basthi(vyadhipratyanika)
Externally : Swedna (balya and correct the deformity)
Internally
Guggulu prayogas<br>
16
Virechana: eranda with dugda
Anuvasana : dashamula taila,ksheerabala taila,bala taila
Asthapana : eranda mula,dashamula
Externally : abhyanga: MN taila,Prasarini taila
Naadi sweda: dashamula kwatha<br>
17
Mahayogaraja guggulu
Dashamularishta
other treatment
Daha karma
Upanahas
Raktamokshana<br>
18
Cerebral palsy Poor muscle control .spasticity,paralysis and other neurological problem resulting from brain injury before,during or shortly after birth
CP is not a disease.It is a constellation that results from damage to the part of brain that control muscle movement(motor areas)<br>
19
Brain damage that occur during
Pregnancy
During birth
After birth
Early child hood<br>
20
Causes Injury to brain
Prenatal infection such as rubella,toxoplasmosis or cytomegalovirus
Premature infants are particularly vulnerable because the blood vessels of brain poorly developed and bleed easily
High level of bilirubin in the blood can lead to brain damage(kernicterus)<br>
21
Step of brain injury in CP
Meningitis
Sepsis
Trauma
Severe dehydration<br>
22
Symptoms Different from person to person
Spastic state
Chorea athetoid
Ataxic
Mixed
(mental retardation,behavioural problem and seizure disorder)<br>
23
Spastic state Muscles are stiff and weak
Affected arms and legs are poorly developed and weak
Mental retardation along with seizures and trouble swallowing
Due to this prone to chocking on secretion from mouth and stomach(aspiration)
Aspiration injure the lung causing difficulty in braething<br>
24
Chorea athetoid Abrupt movement of arms alegs with jerks
Strong emotions make the symptoms worse
In sleep it disappears<br>
25
Ataxic type 10% chances
Coordination have problem
Trembling
Muscle weakness
Dysdiadokinensis is positive<br>
27
Lab tests Blood
Ct scan of the head
EEG
MRI<br>
28
Treatment Prana,vyana,udana vata affected
Sarvanga vata chikitsa
Vatahara
Medhya
Balya
Ghrita prayoga<br>
29
Sahacharadi kashaya
Badradarvadi kashaya
Guduchyadi kashaya
Danadanyadi kashaya
Vidaryadi kashaya<br>
30
Rajanyadi churna
Saraswatha churna
Yashtimadhu churna
Purna chandrodaya
Makaradwaja
Swarna bhasma<br>
31
Kushmanda lehya
Brahmi ghrta
Kalyanaka ghrita
Cetasa ghrita
Balarishta
Ashwagandarista<br>
32
Externally
Udwartana with jeevantyadi churna
Kapikacchu churna
Utsadana
Jivantydi churna with honey
Thalam
Kshirabala taila
Abhyanga
Sahacharadi taila
Bala lakshadi taila
Masha taila<br>
33
Patrapottali sweda
Vasti
Danavntara taila
Rajayapana basthi
Nasya
Kshirabhala taila
Yashtimadhu taila
Chyavanaprasha
Ashwaganda lehya<br>
34
Khalli Prakupita vata
There is twisting pain in the hasta mula,pada,janga and uru
(ankle joint,knee,thigh and wrist)<br>
35
खल्ली तु पाद जंगोरुकरमूल अवमोटनी।(च.चि २८)<br>
36
Treatment खल्यां त्रष्णोपनाहम्
Upanaha using payasa,krashara,mamsa,taila,ghrita
खल्यां स्निग्धाम्ल लवणे;स्वेदमेदोपनाहम्
Snigda amla lavana rasa dravya pottali-swedana
Kwatha –swedana
Choorna for mardana
Kalka -upanaha<br>
37
Treatment protocol Vatanulomana
Shoola prashmana
Brihmana aushadi<br>
38
Danvantara kashaya
Danvantara gutika
Poorna chandrodaya vati
Danvantara arishta
Ashwagandarishta<br>
39
Externally
Karpooradi taila
Nagaradi lepa<br>
40
As per bhava prakasha
Kushta saindava lavana kalka
+ chukra taila
Sukhoshna mardana
Vishagarbha taila for abhyanaga<br>