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

Objective

Discussion

Conclusion

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