Abstract

A CONCEPTUAL STUDY-UNDERSTANDING SHADKRIYAKALA IN PAKSHAGHATA (CEREBROVASCULAR ACCIDENT DUE TO INFACT)

Rekha R.*, Rajouri Joshi, Vasantha B. and Mutappa Totad

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Abstract

Pakshaghata is one of the Vata-nanatmaja vyadhi[1] and Asthamahagada. In modern parlance, Pakshaghata is cerebrovascular accident (CVA), which is a rapid onset of focal neurological deficit. CVA is the leading causes of disability and death resulting in social and economic burden. Shadkriyakala is a unique concept to understand the disease pathogenesis in six stages. For the present study, materials were collected from Ayurvedic Samhitas, text books and data available on internet. There has been an effort to pursue the stagewise pathogenesis of Pakshaghata (CVA) in the light of shadkriyakala. In sanchayavasta, doshas accumulate, initiating plaque buildup in vessels of brain. In Prakopavasta, aggravated dosha causes plaque buildup. In Prasaravasta, the plaques dislodge (vimarga-gamana of dosha). In Stanasamshrayavastha, prodromal clinical features manifests in the form of transient ischemic attacks. In Vyaktavasta clinical features of Pakshaghata are seen. In Bhedavastha, complication of Pakshaghata manifests and disease become chronic. Further it lead to permanent disability.[14] The stagewise pathogenesis is leading pathway to understand diagnosis, prognosis and management.[2] The earliest intervention can arrest process and progression. Understanding Shadkriyakala in Pakshaghata is crucial for a successful physician to fetch improved outcomes.

Keywords: Shadkriyakala, Pakshaghata, Pathogenesis, Cerebrovascular accident, Infarct, Stroke, Ayurveda.