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Kampavata (Parkinsons Disease): Care by ayurveda

Dr. Imlikumba, Health Naturally Clinic, Mercy Building: Kevijau colony, Dimapur: Nagaland, imlikum
Published on 10 Dec. 2017 6:52 PM IST
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Ayurveda the Ancient Science of life deals with physical, mental and spiritual wealth of mankind. It aims to preserve the health of healthy persons and cure the diseases of the patient. Kampavata (Parkinson's disease) is a progressive neurodegenerative disorder associated with insidious onset, usually in second half of life, characterized by slowly progressive akinesia, rigidity, postural abnormality and tremor. Because of its crippling nature and non-available of curative treatment Parkinsonism has remained a great problem in the aging society. Home treatment may be helpful early on in Kampavata (Parkinson’s disease) when the disease has not disrupted your life or after having got substantial relief following treatment for same. Modify diet and your activities and your home- simplify your day to day activities have good benefits at all stages of the disease when done on a regular basis.
Sign & symptoms: If we study the literature of Ayurveda it is observed that following are the key symptoms of kampavata 
• Kampa (Tremor)
• Sthambha (Rigidity)
• Chestasanga (Slowness Of Movement)
• Vak Vikriti (Speech Disorder)
• Avanamana (Flexion Posture )
• Kshinamati (Dementia)
• Smritihani (Loss Of Memory)
• Vivandha (Constipation) 
Kampa (tremor) is found in many part of body like Shirkampa (tremor in head), Hasta kampa (tremor in hands), Pada kampa (tremor in legs)
Diagnosis: Diagnosis is based primarily on signs and symptoms. Resting tremors (tremors which occur when the body is at rest and there is no voluntary initiation of motion) along with rigidity, loss of facial expression or gait abnormalities strongly suggests the disease. 
As only 70% of patients exhibit tremors, the other 30% of the cases are more difficult to diagnose. This condition may be confused with other causes of tremors, depression and gait abnormalities.
Management: There is no separate description of treatment of kampavata is available in samhitas. That is why general ayuvedic treatment of vatavyadhi is considered for kampavata also. The exposition of the line of treatment of the diseases due to the provocation of Vata has been given in all the major Ayurvedic texts. 
• Snehana: It means oleation of the body by external and internal intake of medicated oil, ghee, vasa and majja. External oleation is done by abhyanga or message of the body by medicated oils while internal medication is performed by internal intake of medicated oil, ghee, vasa and majja. Few effective oils used for Abhyanga are Balataila, Laghuvishagarbha taila, Maha vishagarbha taila, Narayan taila, Prasarini taila, TilaTaila, Ksheerabala Tailam and Mahamasha Tailam.
• Swedana (fomentation therapy): Swedana is a treatment procedure in which sweating is induced. Swedana is usually done after Abhyanga and or Snehana. When patient becomes well oleated with Snehana therapy he should be given Svedana treatment. After oil Abhyanga the patient may be subjected to the suitable type of Sveda like Nadi Sveda, Prastara Sveda, Samkara Sveda etc. in, which unctuous articles should be mixed.
• Basti chikitsa: Basti is said to be the best treatment for vitiated Vayu, which is the chief cause of Kampa Vata. When Vayu is controlled by the action of Basti all the other disturbed body elements fall into rhythm and equilibrium. Basti strengthens the joints and soft tissues, rejuvenates health, aids fast healing and prevents recurrence. Basti is of two types:
A)Asthapana Basti (Kashaya Basti): Herbal decoctions or milk (ksheera Basti) processed with decoctions is given as enemas in this type of Basti. Below mentioned are some of the best Asthapana Basti's in Parkinson's disease –Erandamuladi Kashaya Basti, Dashamula Kashaya Basti, Dashamula Ksheera Basti, Raja Yapana Basti, Mustadi Yapana Basti etc.
B)Sneha / Anuvasana Basti: Medicated oils or ghee is used for enemas. With above mentioned treatment many oral medications are also employed for better result.
• Single drug: Ashwagandha, Kakoli, Ksheerakakoli, Brahmi, Mandukaparni,Shankapushpi,Vidari, Jivanti, Punarnava, Guduchi, Amalaki, Pippali, Shatavari, Shilajit and Yashtimadhu. 
• Compound formulation: Asava /Arishtam: Dashamularishtam, Balarishtam, Saraswatharishtam, Ashwagandharishtam, Punarnavasavam and Draksharishtam Vati.
• Gulika (tablets): Yogaraja Guggulu Mahayogaraja Guggulu, Trayodashanga Guggulu, Panchatikta ghrita guggulu, Brahmi Bati, Smritisagar Rasa, Vatakulantaka Ras, Vatagajankush Ras, Brihatvatachintamani Ras, Mahavata-vidhwans Ras, Chaturbhuja Ras and Tapyadi loha.
• Rasayana medicines: Vanari kalpa, Vajikara Rasayanam, Ashwagandha Rasayanam, Ajamamsa Rasayanam, Drakshadi Rasayanam /Drakshadi Leham, Kushmanda Rasayanam, Chyavanaprasham, Dashamula Haritaki
Other measures:-These modalities include; 
Education - Education about disease, its management and progression to patient and their family. Support - There are many support organizations like American Parkinson’s Disease Association, National Parkinson’s Foundation, and Local Hospitals etc. Parkinson’s disease patients can take help of these organizations by discussing their problems and struggles through the internet. 
Exercise: Exercise is an important factor in the medical and psychological wellbeing of patients. Exercise increases the patients overall health and functionality. It has a positive impact on mood and energy levels. All these factors are important in treating chronic disease. Gains from physical therapy only last as long as exercise is maintained, so continuation is essential.
Ten basic exercises for the Parkinson's patients:-
• Bring the toe tip with every step you take in Parkinson’s disease “you never make a move” without lifting the toes.
• Spread the leg (10 inches) when walking or turning to provide a wide base a better stance and to prevent (falling it may not look beautiful but neither does falling.
• For greater safety in turning use small steps with feet widely separated. Never cross one leg over the other when turning. Practice walking a few yards and turn. Walk in the opposite direction and turn do so fifteen minutes a day.
• Practice walking into tight corners of and room, to overcome fear of close places.
• To insure good body balance, practice rapid excursion of the body. Backward forward and to the right and left, five minutes several time a day. Don’t look for a wall when you think you are falling. It may not be there. Your body will always be there to protect you, if you will practice balance daily.
• When the legs feel frozen or “glued” to the floor, a lift of the toes eliminates muscle spasm and the fear of failing you are free to walk again.
• Swing the arms freely when walking. It help to take body weight off the legs, lessens fatigue and loosens the arms and shoulders.
• If getting out of a chair is difficult rise with “lightning speed to overcome the pull of gravity” sitting down should be done slow, with body bent sharply forward, until one touches the seat practice this at least a dozen times a day.
• If the body lists to one side. Carry a shopping bag loaded with books or other weights in the opposite hand to decrease the bend.
• Any task that is difficult. Such as buttoning a shirt or getting out of bed if practiced 20 times it day becomes easier the 21st time.
Nutrition : Patients with Parkinson’s disease have decreased muscle mass and more weight loss than healthy control subjects, patients should be instructed to eat healthy diet and to take multiple vitamins with calcium if needed. 
Yoga and Meditation: Yoga and meditation help to build the resistance and immunity in the body. They also help in the regulation and balance functioning of central nervous system.
NOTE: Ayurvedic medicines and treatments should be taken under Qualified Ayurvedic Doctor/Physician. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician.

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