Abstract

AYURVEDIC MANAGEMENT OF MULTIPLE SYSTEM ATROPHY: A CASE STUDY

Dr. Manasa S. Shetty*, Dr. Vijayamahantesh Hugar, Dr. Varsha Kulkarni and Dr. Sukhesh M. K.

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Abstract

Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterised by gradual deterioration of function and death of various nerve cells within the brain and spinal cord. The symptoms encompass bradykinesia, tremors, rigidity, impaired coordination, quivering speech and bladder control issues. From an ayurvedic perspective, MSA can be considered as Kshaya or Apachaya of Mastishka, primarily afflicting the elderly population. Managing this condition involves Mastishkya, Brumhana and Rasayana therapies. A 67 year old patient presented with complaints of bilateral lower limb weakness, tremors in bilateral upper and lower limbs, difficulty in walking, urinary urgency and tendency to fall. Treatment encompassed both Bahya and Abhyantara modalities. Bahya Chikitsa involved Shirodhara with Ksheerabala Taila and Brahmi Taila followed by Sarvanaga Abhyanaga and Shastika Shali Pinda Sweda. Abhyantara Chikitsa included Nasya with Ksheerabala 101 followed by Mustadi Yapana Basti. Significant improvement was seen in the overall condition of the patient in terms of tremor reduction, gait improvement, stance stability and walking ability.

Keywords: Multiple system atrophy, Mastishka Apachaya, Neurodegenerative disorder, Rasayana, Yapana Basti.