Importance of Kaphanupurvi Chikitsa in the Management of Bell’s Palsy

Abstract

Bell’s palsy is due to the involvement of the lower motor neuron characterized by motor and sensory weakness of one half of the face. The facial nerve is a mixed cranial nerve containing both motor and sensory components. Ardhita is a Vatavyadhi, where the vitiated Vata affects Ardha mukha. The signs and symptoms of Arditha are similar to Bell’s palsy. The objective of this study is to evaluate the role of Ayurvedic management in Bell’s palsy. This is a case study of a 56-year-old male patient who came to Kayachikitsa OPD having complaints of deviation of the mouth towards the left side and difficulty in closing the right eye for 10 days. Based on the history and clinical findings, the case was diagnosed as Ardhita (Bell’s palsy). The case was admitted in IPD for further management, including Sthanika Nadisweda, Sadyo vamana, Upanaha, Lepa, Kseeradhuma, Nasya, and Talam, along with internal medications. The outcome was evaluated using the House and Brackmann grading system, and significant improvement was seen within a relatively short duration. This case report suggests that Kaphanupurvi vatahara chikitsa, following the classical Ardhita line of management, along with general Vatavyadhi treatment principles, is effective in cases of Bell’s palsy.