Effect of Mustadi Rajayapana Vasti and selected treatment regimen in the management of spinal cord injury- A Case Study

Abstract

The damage begins from the moment of injury when displaced bone fragments, disc material or ligaments bruise or tear into spinal cord tissue. This is known as spinal cord injury (SCI). The clinical outcomes of SCI depend on the severity and location of the lesion with partial or complete loss of sensory or motor function below the level of injury. 36.5% of SCIs occur during traffic accidents. Limited pharmacological therapies such as early surgeries, cellular therapies and rehabilitations for enhancement of spinal cord functions are available. This patient who was treated had met with a road traffic accident (RTA). According to MRI report, there was a posterior bulging of C4/C5 and C5/C6 inter vertebral disc. Marmabhighata is an etiology of Vatavyadhi. Therefore, traumatic SCI can be considered as a type of Vatavyadhi. As such, general line of treatments of Vatavyadhi was applied when treating this patient. Especially Ayurveda Panchkarma treatments have excellent effects on reconstruction of nerves, nourishment of muscle tissues and rejuvenation of the body. So in this study, Abhyanga, Patrapinda Sweda, Shashtikshali Pinda Sweda, Matra Vasti, and Mustadi Rajayapana Vasti were adopted for a period of 82 days with selected Ayurveda medicines. Remarkable improvement in Spinal Cord Independence Measure Score (SCIM) and Medical Research Council (MRC) grading scale in muscle power was observed during the period of administering Mustadi Rajayapana Vasti.