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Poliomyelitis

Definition

In Ayurveda it is described as Vatavyadhi or Bala pakshvadha. It is common acute viral infection affecting various parts of central nervous system.

Causative factors

It is a disease of children under the age of 5 years. However during epidemics, older children and dults can get affected. It is due to high Vata and Pitta affecting nervous and muscular system. I can be due to virus, which is spread by droplet infection and fecal contamination (in acute phas of viremia). From the blood it passes to the central nervous system.

Four types of clinical picture may develop – infection, minor illness, nonparalytic poliomyelitis, and paralytic poliomyelitis

Symptoms of Poliomyelitis

In the early stage 9prodromal) there may be symptoms of respiratory and gastrointestinal disturbanceslike coryza, sore throat, cough, nausea, vomiting, diarrhea, and other symptoms like ever, headache and irritability. These symptoms are more aggravated in preparalytic stage. In Paralytic stage which starts between second and fifth day, lower limbs are frequently affected, rarely upper limb paralysis ad respiratory disturbances are found. During this time, fever is still present. Predisposing factors are operative procedures like tonsillectomy, exertion, fatigue and infections of any material into limb.

Treatment of Poliomyelitis

To pacify vitiated vata, external massage is the best treatment. It should be started only when the tenderness in muscles disappears. Chandan bala lakshadi oil, narayan oil, mahanarayan oil or dhanvantari oil should be gently massagd followed by warm bath. Pizicchil or fomentation by pouring hot medicated oil by drip method on the body is useful. Navarakkizi is another treatment in which patient is assaged with rice bolus cooked in medicated milk. Then bundles of cotton with handful or rice with husk are prepared. Each bundle is tied with thread and then all bundles are kept in the boiling milk. When the rice in bundles is cooked, then it is ready for massage. The patient is given oil massage, and then 4 masseurs start massaging the affected limbs and the whole body with these bundles. This procedure is done for 45 minutes. When the rice bundles become cool, they are again dipped in to the hot boiling decoction and massage is done. Both these treatments are very specific for paralyzed muscles and are also indicated in diseases like pseudo muscular dystrophy or multiple sclerosis.

Both treatments are often combined with alternate oil enema and cleansing enemas. According to the predominance of doshas, particular herbs are selected for cleansing enemas. Brihan basti or special tonifying enema is indicated which is a mixture of milk, meat soup, honey , ghee and decoction of tonifying herbs. Thisshould be given by drip method very slowly. This type of enema has much beneficial effects for increasing the tone of the paralyzed muscles.

Shatapaki bala oil is another specific treatment. This is special oil cooked 100times with medicated herbs. Give 5 to 10 drpos of this oil internally every day for 3 weeks.

Herbs like sida cordifolia, ashwagandha, shatavari, white musali (asparagus adscendens) and black musali (curculigo orchoides) are indicated.

Tab. Ashwagandha or tab bala or tab kapikacchu 250 mgm. 3 times a day for 1 month gives beneficial results. Tab. Ekangaveera rasa (BNR) 250 mgm. Twice a day for 1 month is ideal.

Diet for Poliomyelitis

Anti Vata diet should be given. Plenty of dairies like milk, ghee should be given. Meat sou, basmati rice, plenty green vegetables should be advised.


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