An integrated approach for management of Parkinson’s Disease – A case report

Abstract

Background: Parkinson's disease (PD) is a progressive neurodegenerative disorder characterised by resting tremor, rigidity, bradykinesia, gait and postural instability. Under the purview of Kampavata, a Vatavyadhi, Ayurveda treatment aims to restore neuromuscular functions along with improvement in overall health and well-being. Clinical Findings: In this case report, a 70-year-old truck-driver, a known case of PD and Hypertension for 5-years and BPH for 5-months, was diagnosed based on rogi-roga pareeksha under the spectrum of Vatavyadhi (Kampavata). Interventions: Sarvanga-abhyanga with ksheerabala-taila followed by dashamoola-parisheka and shashtikashali-pinda-sweda, anuvasana-basti with ashwagandha ghrita (30 ml) and pippalyadi-anuvasana taila (50ml), shirotalam with brahmi churna+jatamansi churna+rasna churna+ashwagandha ghrita, veshtana with ksheerabala-taila to bilateral upper limb and mustadi-yapana-basti were done as external panchakarma therapies, and brihatvatachintamani-rasa-gold, kampavatari rasa, dashamoolarishta, Anuloma-DS and Zandopa granules were utilised based on condition as internal medication. along with the treatment, counselling was adopted as a part of sattwavajaya chikitsa. Results: The treatment significantly relieved symptoms and enhanced the patient's quality of life. The Unified Parkinson's Disease Rating Scale (UPDRS)-8 scores showed improvement in motor and non-motor functions during treatment from 25/40 to 12/40 and 10/40 at follow-up. Conclusion: The patient with 5-year history of PD was treated with shamana and panchakarma therapies using Kamapavata-Chikitsa for 8-days, along with mustadi-yapana-basti and anuwasana-basti, resulting in significant improvement in UPDRS-8 scores, decreasing from 25 to 12 at discharge and to 10 at 1-month follow-up, with enhanced well-being and no adverse events or side effects.