Under the valuable guidence of :

Dr.KARTIKEY
M.D.
Asst. Professor
PG Dept Of PANCHAKARMA

By: Deepika
Sangeeta
Neha
BAMS
HAMC& Hospital
Batch 2010

General Introduction
Clipped winged bird cannot fly freely as per its wish. In the same

way the person who is afflicted with pakshaghata exhibits either

loss or retarded movements may be gross or fine. Out of 80 Vata
vyadhis Pakshaghata is one among them.

PAKSHA :
Here, the word paksha stands for :

1)Flank or side or half of anything

2)One side of body
3)Shareerardham
AGHATA:
Considering the word Aghata

meanings, they are

The Ghata depicts different

1)Vadha
2)Hanana

In Modern Terms
HEMIPLEGIA:
Word hemiplegia can be segregated into
Hemi & Plegia
and Hemi means Half in Greek where as Plegia means
Stroke in Greek. Hence, word meaning after aggregation
appears as, loss of strength or voluntary on either side of
body.
Synonyms Paralysis
- Stroke
- Cerebro vascular accident.
Hence, considering the Etymology of word Pakshaghata and
Hemiplegia, it shows that both are having same meaning.

Different Terms Used In Same

Context
Hemiplegia
Paraplegia
Monoplegia
Quadriplegia

According To Acharya
Charaka
According to Charaka Chikitsa 28 chapter the

prakupit vayu will take place in half part of the

body and by vishoshana of Shira & Snayu
present there it will produce Sankocha and
Toda in one Hand and Leg. If the same
symptoms are limited in one part only then
called Ekanga Roga & if whole body is affected
is called Sarvanga Roga.

According To Acharya
Shushruta
According to Acharya Shushruta when

prakupita vayu will reach to Urdhvagami,

Adhogami, Adhogami and Tiryaggami
Dhamani then this prakupit vayu will destroy
any one half of the body and the
sandhibandhana alsowill be affected.

According to Acharya
Vagbhatta
According to Astang Hrudaya Nidan Sthana

due to its nidana the prakupita Vayu will take

place in half part of the body and will do
Shithilan of Sandhi Bandhana and Vishoshana
of Shira & Snayu of that part. By this in half
part of the body the Kriya and Chetana will be
affected. May be of two types 1)Sarvanga or
2)Ekanga.

Nidana
Same nidana of Vata Vyadhi are mentioned as

Nidana for Pakshaghata like: Ruksha Sheeta

Alpa Ahara, Ati Vyavay, Ratri Jagrana, Ati
Langhana, Plavana, Adhva, Vyayama, Diwa
Swapna, Krodha, Chinta, Shoka Vega
Sandharana, Abhighata, Marmaghata, Ushtra
Ashwa Gaja Shighra Yana Etc.

Poorvarupa
Purvarupa of Pakshaghata are not described

in any Ayurvedic text. But purvarupa

represents the initial stage of manifestation of
disease;as it is one among the vata-vyadhis so
we can take purvarupa of vata vyadhis i.e.
Avyakta lakshanas as purvarupa of
pakshaghata.

Rupa

RUPA
C.S
Chestanivruthi +
Dakshina/
Vama paksha
Vakstambha
+

S.S
+

A.S
+

A.H
+

Ruja

Achetana/Vic

hetana
Sandhi
bandha
vimoksha
Hasta padasanckocha

Samprapti
According to acharya Vagbhatta:

nidana sevana
Vata Prakopa
Sthana Sanshraya in Shira & Snayu
Shoshana of Shira & Snayu
Half part
of the body will not be able to work properly.

According to Acharya Shushruta:

Prakupita Vayu
Sthansanshraya in
Urdhva, Ado, Tiryaga gami Dhamani
Vimoksha of sandhi bandhana of any one half
of the body and will be functional loss of half
part of body.

Samprapti Ghataka
Dosha- Vata Pradhana Tridosha
Dushya- Rasa, Rakta, Mansa, Meda
Adhisthana- Shariardha Bhaga
Srotas- Rasavah, Raktavaha, Mansavaha,

Pranvaha
Srotodushti Prakara- Sang
Agni- Vishmagni
Vyadhi Swabhava- Chirkari, Ashukari
Sadhy/Asadhyata- Krucchasadhya, Asadhya

Chikitsa Sutra
Line of treatment for vata vyadhi:

when only vata is aggrivated without any avarana

first treat the patient by Sneha like ghruta, taila,
vasa & majja.
After this snehana Swedana should be
administered in the form of Nadi, Prastara and
sankara Sweda.
After Snehan and Swedana according to
requirement one can administer Mrudu Virechana,
Basti, Anulomana, Nasya, Dhumapana, Parisheka,
Abhyanga, Avgaha and Upnaha.

Different Treatment
Modalities Of Pakshaghata
THERAPY
Snehana
Swedana
Virechana
Vamana
Anuvasana
Asthapana
Mastishkya
Shirobasti
Abhyanga
Upnaha
Yatha-Dosha Samsarga chikitsa

C.S
+
+
-

S.S
+
+
+
+
+
+
+
+
+
+
-

Rasayana

Role Of Virechana
Acharya charak has mentioned Swedana and

Snigdha virechan as first line of treatment for

pakshaghata in chikitsa sthana 28th chapter.
Acharya Shushruta and Vagbhatta also
considered Virechana as treatment modality
for vata vyadhi.

Role of Basti
Niruha Bast
Anuvasana Basti

Role of Nasya Karma

Role of Abhyanga

Role Of Parisheka

Role of avgah

Role Of Alepa

Role of Taladharana

Role Of Shirobasti

SADHYA-ASADHYATA
Acharya Sushruta and Vagbhata have

considered vatavyadhis under mahagada or

maharoga, and it has been also quoted that
all the maharogas are dushchikitsya by
nature.
According to Acharya Charaka, Pakshaghata
has been classified as Kasta Sadhya or
Asadhya

Thank
you !