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AKSHEPAKA

Reference - Cha.Chi - 28
Su. Ni - 1

A.H.Ni - 15

 Akshepaka is not a disease. It is a symptom.


 A/C to Acharya Charak-
 मु हुराक्षिपति क्रुद्धो गात्राण्याक्षेपकोऽनिलः ।
पाणिपादं च सशोष्यं सिराः सस्नायु कण्ड़राः ।। (Cha.Chi-28/50)
The provoked vata contracts vessels, tendons, ligaments of the hands and feet cause episodic
contraction in different parts of the body.
 A/C to Acharya Sushruta -
यदा तु धमनी: सर्वा: कुपितोऽभ्येति मारुतः।।

तदाक्षिपत्याशु मुहुर्मुहर्देहं मुहुश्चरः । मुहुर्मुहुस्तदाक्षेपादाक्षेपक इति स्मत


ृ ः।।

It is defined as pravesha of prakupita vata in dhamanis causes ankuchana prasharana called as

akshepaka.

 Clinically seizures, convulsion and fits are used as synonyms.


 It is defined as an abnormal electrical discharge in motor neuron area of brain caused abnormal
uncontrolled tonic clonic movement of limbs.

Etiology/Causes -
At birth- Birth asphyxia, Brain Neonatal period- Graha rogas Infant period - Meningitis,
( Pitrugraha, Skandapasmara, Tubercular meningitis, Tetanus
trauma, Meconium aspiration, Balagraha) infection, Encephalitis, Enteric
Nabhinalakartajanyaupadrava Udarakrumi fever, Cerebral malaria, Epilepsy,
Ulvaka roga Round worm infection, Cerebral
Balapasmara palsy, DPT vaccine
Margavarana by pitta -
kernicterus, septicemia

Other causes - Febrile convulsion (100-106°F), If mother taking opium during pregnancy etc.

Biochemical factors- Hypocalcaemia, Hypoglycemia, Pyridoxine (deficiency of vit B6)

Samprapti Chakra -
Nidana sevana

Vata dosha prakopa

Sthanasamaraya of prakupita vata at sharirastha dhamanis

Repatedly Ankuchana of dhamanis

AKSHEPAKA

Samprapti ghatak -
Dosha -Vata

Dushya - Rasa, Rakta, Sira, Dhamani

Adhistana- Dhamani
Srotas - Rasavaha, Raktavaha

Srotadusti- Sanga, Vimarga gamana

Vyadhi swabhava - Chirakari

Sadhyasadhyata -Krichhrasadhya

Types - Pitta yukta Vataja ( Sadhya)


Kaphayukta Vataja (Sadhya)

Vataja (Asadhya)

Abhighataja (Asadhya)

Chikitsa/Treatment -

 Principles - Nidana Parivarjana


Vata shamana chikitsa

 Medicines -
1. Br.Vatachintamani rasa - In akshepak it is best with mamsadi kwatha anupana.
2. Vatakulantaka rasa -
3. Kalyanaka ghrita
4. Brahmi ghrita - Ingredients- Brahmi, Bacha, Kutha, Sankhapuspi

Dose - 7.5gm × BD in empty stomach

Indication- Apasmara, Akshepaka, Unmada, Swarabhanga

5. Apatanrakari vati - Ingredients- Hingu, Kapura, S.Bhanga beeja, Tagara, Jatamansi

Dose - 1-2tab × BD with Luke warm water ×AF

Indication- Covulsive disorders, Epileptic seizures

Ref - Ayurveda sarasangraha

6. Brahmi vati - Dose - 1-2tab × BD × AF ( Best with mamsadi kwatha)

Ref - Sidha yoga

7. Mamsadi kwatha

8.Saraswatarista -Acts as- Ojabardhaka, Hridya rasayan, Medha brudhi


Dose - 7.5ml with equal amount of water × BD × AF

Ref - B.R

9. Abhyanga with - Himasagar taila - Used in various neuromuscular condition and vata diseases.

Excellent for pain relief and burning sensation relief.

Ref - B.R (vatavyadhi rogadhikara)

Himanshu taila - Used in shirarogas and acts as coolant property.

Mahanarayan taila -Best in vata disorders

10. Shirodhara with - Brahmi taila, Himasagar taila, Himanshu taila

11. Siropichu with - Mahachaitasa ghrita, Panchagavya ghrita

12. Nasya with - Panchagavya ghrita

Results and discussion -

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