PANCHAKARMA IN STROKE REHABILITATION: INTEGRATING AYURVEDIC PRINCIPLES WITH CONTEMPORARY NEURO-REHABILITATION

Stroke is a major neurological disorder and an important cause of long-term disability, frequently resulting in hemiparesis or hemiplegia, spasticity, impaired coordination, sensory disturbances, speech and language impairment, cognitive dysfunction and limitations in activities of daily living. Recovery following stroke is a multidimensional and long-term process that requires coordinated rehabilitation aimed at restoring functional abilities, promoting independence and improving quality of life. Modern stroke rehabilitation primarily utilizes physiotherapy, occupational therapy, speech and language therapy, cognitive rehabilitation, task-oriented training and other approaches based on the principles of neuroplasticity. Ayurveda describes the clinical presentation of hemiplegia under the concept of Pakshaghata, predominantly considered a Vata Vyadhi. Classical Ayurvedic texts emphasize the importance of Snehana, Swedana, Mridu Shodhana, Basti, Nasya and other appropriate therapeutic measures in the management of Pakshaghata. Panchakarma, when selected according to Dosha involvement, Avarana, Bala, stage of disease and chronicity, may provide a therapeutic framework for addressing functional impairment and supporting the rehabilitation process.