Integrative Ayurveda Treatment approach in the management of Focal Impaired awareness Seizures (Complex Partial Seizure) and Psychosis symptoms: A Case Report

Abstract

Background: Acharya Charaka described Apasmara (epilepsy) as a condition where the mind loses its memory and is troubled by convulsions due to the imbalance of dhi and sattva. This condition primarily involves the Vata and Rajo doshas, affecting both the body and mind, causing problems with perception, memory, and behaviour. Clinical findings: A 25-year-old woman visited the Manasaroga OPD with episodes of altered consciousness that had occurred over two years, along with auditory and visual hallucinations and behavioural disturbances. Although traditional antiepileptic medications and antipsychotics provided some relief, they were stopped due to side effects and lack of effectiveness. Given the chronic nature of the condition and its involvement of multiple doshas, a treatment plan was developed that included Yoga Basti (medicated enema), Shirodhara (continuous application of medicated oil to the forehead), and Nasya (nasal instillation), along with palliative Ayurvedic medications. Outcome: Within a month, the number of episodes decreased, and both sleep and behaviour improved, leading to a better quality of life. The patient was pleased with the treatment, and palliative care was recommended to maintain the benefits. Conclusion: The treatment was carried out for 3 months in addition to her ongoing conventional anti-convulsant medicines and notable clinical improvements were observed with respect to episodes of altered consciousness, auditory, visual hallucinations, and behavioural disturbances.  This case report shows the potential benefits of holistic Ayurvedic intervention, including panchakarma and palliative therapies, in a non-responsive Apasmara patient, and highlights an improvement in quality of life.