TITLE OF PAPER: EVALUATION OF EFFICACY OF SHIROVASTHI IN THE MANAGEMENT OF PAKSHAGHATA: A PILOT STUDY.

Now a days the present day life is very fast, competitive so, patients also looking for immediate cure. Though number of techniques & remedies are available most of people prefers Ayurveda only for Pakshaghata. The term Pakshaghata denotes a specific variety of Vatavyadhis it is characterized by impairment of sanghavaha & chestavaha function. Pakshaghata is such a disease caused predominately by Vata dosha even though all the three doshas also take part besides its dushyas namely siras, snayu, dhamani, sandhi & mamsa resulting into this disease.since the Shirovasthi selected for clinical trial is possessing the qualities of antagonists to the Pakshaghata. Sirovasthi particular for Pakshaghata is indicated by Sushruta. The gunas of Vatahara taila directly reach site of lesion of Pakshaghata I.e., Mastishka by shirovasthi. Tailam used is Dhanvantaram Tailam which is unique remedy for vata vyadhi. Both snehana swedana is done simultaneously in pakshaghata. For this study 9 patients satisfying the selection criteria were randomly selected from the OPD & IPD of Panchakarma Department of Dr. B.R.K.R Govt. Ayurvedic College and Hospital, Erragadda, Hyderabad. The assessment of results was made on pre & post treatment data of subjective & objective parameters of clinical study signs and symptoms of Pakshaghata taken as subjective & objective parameters. Over all result of shirovasthi therapy is 78% in Pakshaghata. By Observations it is noted that on walking it has shown 70%, on lifting of arm at shoulder 94%, on lifting of leg at hip joint 83%, on loss of speech 76%, on finger movement 65% improvement seen. On Tendon reflexes 76% and on muscle power it has shown 85% improvement. Good improvement in 4 patients, moderate improvement in 5 patients, no poor improvement is seen during study so, hence it is concluded from the study that the shirovasthi is statically highly significant.