Abstract
AYURVEDIC MANAGEMENT OF TRANSVERSE MYELITIS - A CASE REPORT
Dr. Jithesh M.* and Uma Venugopal
ABSTRACT
Transverse myelitis (TM) is one of the common clinical conditions faced by a neurologist and is one of the leading causes of disability, in those affected. The inflammation at a particular area of the spinal cord leads to symptoms, based on the area affected. The management includes the acute management and the management of the resultant neurological deficits. From the Ayurvedic perspective, the condition is to be discussed under the concept of Avarana, the involved dosha being categorized, as per the clinical presentation. The function of the Vatha gets obstructed by the obstructing dosha, which is in an aggravating state, due to its own contributory aetiology. The initial stage may also be associated with aama, which has to be managed without fail. Fixing the associative dosha in the pathogenesis, along with the main dosha, Vatha, helps to fix the protocol, to be framed. The selected Ayurvedic protocol including the internal medications, snehapana and procedures such as Virechana, Sarvanga seka, Nirooha followed by appropriate rasayana has been found effective, in the case of Transverse myelitis. Here the case of a 35 year old man is discussed, who presented with features suggestive of paraparesis with urinary incontinence and also sensory disturbances on lower half of the body as a part of the TM. He positively responded to the proposed Ayurvedic management.
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