SHORT REVIEW: AYURVEDIC PERSPECTIVE AND MANAGEMENT GUIDELINES IN CARPAL TUNNEL SYNDROME
DOI:
https://doi.org/10.70066/jahm.v6i4.390Keywords:
Carpal tunnel syndrome, kandara, vyanavayu, agnikarma, siravyadhaAbstract
Carpal tunnel syndrome is the most common form of entrapment neuropathies. It is characterised with
numbness, paraesthesia, pain, along the median nerve distribution, and in advanced cases it will lead to wasting and finally
loss of function of hand. It is diagnosed clinically and by electrophysiological studies like nerve conduction study. In
Ayurveda the advanced stages of Carpal Tunnel Syndrome can be seen in viswachi (functional loss of hand) and khalli
(viswachi associated with pain). Both are considered as dysfunction of vata in kandara (abnormal activity of vata in
ligaments following abnornal motor innervation). Hence it should be understood as vyana vayu( neuronal conduction)
dysfunction within the median nerve due to kupitavata( initiator of pathology by extraneously formed substances).
Management depends upon the stage of the disease. Numbness and reduced sensation phase should be treated with
swedana (formentation) and kapahavata samana( maintaining equilibrium by correcting metabolism), pain predominant
phase should be treated with vata pitta samana( correcting metabolism) and snehana ( improving the structure by
nourishment) wasting / functional loss phase should be treated with vata samana(correcting metabolism) and
brmhana(nourishing the structure). Agnikarma(cauterisation), siravyadha(venesection) and sneha virechana( purgative by
lipids) is ideal as vyadhi vipareeta chikitsa ( management aiming at reversing the pathophysiology) in numbness, pain and
wasting phase respectively.
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