Management of Chronic Inflammatory Demylinating Polyneuropathy by Dr. Meghana Jadhav SignUp
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Ayurveda Share This Page
Management of Chronic Inflammatory Demylinating Polyneuropathy
by Dr. Meghana Jadhav Bookmark and Share
 

Abstract

Chronic inflammatory demyelinating polyneuropathy is an acquired immune mediated inflammatory disorder of the peripheral nervous system. The disorder is sometimes called chronic relapasing polyneuropathy. It is closely related to Guillain Barre syndrome and is considered the chronic counterpart of that acute disease. Its symptoms are also similar to progressive inflammatory neuropathy. As per modern management is concerned, there is no established treatment for it except steroids which causes lots of side effects. Hence Ayurvedic treatment is one of best for management of Chronic inflammatory demyelinating polyneuropathy. The present case study has focus effectiveness of Ayervrdic therapy.

Introduction

Chronic inflammatory demyelinating polyneuropathy is a neurological disorder characterised by progressive weakness and impaired sensory function of limbs. The disorder sometimes called chronic relapsing polyneuropathy, is caused by damage to myelin sheath of the peripheral nerves. Although it can occur at any age and in both genders, it is more common in young adults & in male. It often presents with symptoms that include tingling or numbness, weakness of limbs, areflexia, Fatigue and abnormal sensation. Treatment of this disease includes corticosteroids with immunosupressent, plasmapheresis & Immunoglobins. Treatment of Chronic inflammatory demyelinating polyneuropathy by Ayurveda involve the use of such medicines which have specific action on nerve cells and on entire nervous system. These medicines help in gradual & progressive regeneration of damaged peripheral nerves & thereby gradually reduce symptoms. Medicines may also have to given for immunomodulation, so as to reduce autoimmuno reaction to prevent further damage to nervous system.

Case Report
Case History
Patient name- ABC
Age- 27 yrs Sex – Male
Occupation- Student
Admitted on - 2/9/2014
Discharged on- 4/10/2014

C/O- Unable to walk without support since 15 days
Tingling and numbness in both lower limbs since 15 days
Pain in both lower limbs since 15 days

History of Present Illness

Patient was apparently all right before 2 months. After he had developed weakness in both limbs and tingling & numbness in both limbs. Patient was unable to walk & admitted in Allopathic Hospital & disease diagnosed as Chronic inflammatory demyelinating polyneuropathy. Patient was able to walk with support after steroid therapy for 15 days but Pain, tingling & numbness was not reduced so admitted in Ayurvedic hospital.

Past Hostory

No/h/o- HTN/DM/PTB/BA/Epilepsy/ or any other serious medical illness
No/h/o-Any surgical illness
Family History- NAD
O/E-
GC- Fair, Afebrile
Pulse-74/min
BP- 120/84 mmhg
S/E
RS- AEBE clear Pupils- Rt & Lt NSRL
CVS-S1 S2 NAD RTVC RTDS
CNS- Conscious, oriented Plantar- B/L Flexor
Reflexes- Biceps Jerk Triceps Jerk Knee Jerk Ankle Jerk
RT 2+ 2+ 1+ absent
LT 2+ 2+ 1+ absent
MPG – Rt - Upper Limb- 5/5 Lt- Upper limb-5/5
Lower Limb- 3/5 Lower limb - 3/5

All routine investigations of this pt was within normal limits.

Treatment given

Pindswed- 21days (Milk, Shalishashtic tandul)
Sarswatarista- 4 tsp with luke warm water twice a day
Rasraj ras – 10 tablets of rasraj+ Guduchi satva was given in fourty devided doses twice a day with Goghruta
Smritisagar Ras- 10 tablets of Smritisagar + Guduchi satva was given in fourty devided doses twice a day with honey.

Results

Subjective

Symptoms

Before Treatment

After Treatment

Difficulty in walking

Unable to walk without support

Can walk without support

Tingling and numbness in both lower limbs

Severe

Mild & ocassionaly

Objective

MPG

Before Treatment

After Treatment

Right

Left

Right

Left

Upper limb

5/5

5/5

5/5

5/5

Lower limb

3/5

3/5

5/5

5/5

Reflexes

Before Treatment

Rt Lt

After Treatment

Rt Lt

Knee jerk

1+

1+

2+

2+

Ankle jerk

absent

Absent

2+

2+

Discussion

Sr No

Kalpa

Content

Karma

1

Rasraj Ras

Rssindur, Abhraka bhasma,Suvarns bhasma,Loha bhasma,Roupya bhsma, Vanga bhasma,

Reduces nerve irritation, inflammation

Helps in strengthening nerve & muscle

2

Saarswat arishta

Madhu, sita, Brahmi, Shatavari, vidari, haritaki, usher, adraka, shatahvha, Swarnmakshika

Nourishes brain, Vat shamak

3

Smriti sagar ras

Shuddha Parad, Gandhak, Haratal, Mansheela,Tamra bhasma all purified vacha, brahmi, Katabhi,

Give Strength to nerves

4

Guduch satva

Act as immunomodulator.

5

Pindswean

Shalishashtic tandul were boiled in milk

Gives strength to muscle and nerves, vas shaman

Conclusion

The Ayurvedic treatment which gives strength to muscle and nerves is effective in Chronic inflammatory demyelinating polyneuropathy.

21-Feb-2015
More by :  Dr. Meghana Jadhav
 
Views: 1021
Article Comment Dear doctor,
I am suffering from chronic inflammatory dises please suggest my age 49 Bangalore. taken wysolene steroid as treatment now I can walk
Manjunath
06/27/2016
Article Comment I have been diagnosed with CIDP and go for 2nd round of IVIG treatment. Need your help. Please contact me.
Akhil Kumar
06/10/2016
Article Comment i am 35 year old male diagnosed with CIDP NIMHANS Bangalore and advised to take steroids ( Wysolone30 mg ), i have been taking wysolone for the last 1 year . doctor ihad gone through all MRI ,2D Echo EEG all blood tests (intrinsic factor )have been done but no use. i wanted to know if there is any cure for this in AyurvedaQ
krishna
07/17/2015
Article Comment Dear Ma'am,
Thanks for Posting such Useful Information.
My Mother is suffering from Chronic Inflammatory Disease Since last more than 3 Years. Her age is 49 yrs.She is unable to walk & do anything. She is having power & sensation in every parts . Kindly Suggest some best Ayurvedic treatment /doctor/hospital for the Same.

Will be waiting for the reply.

Sharma Ravi
05/25/2015
 
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