Ayurvedic Management of Acute Transverse Myelitis

Abstract

Acute Transverse Myelitis (ATM) is a neurological disorder caused by inflammation of the spinal cord, leading to motor, sensory, and autonomic dysfunction. In Ayurveda, this condition correlates with Kaphavrutta Vata, characterized by progressive weakness, sensory loss, and bladder-bowel disturbances. Case Description: A 52-year-old male auto-driver presented with a 10-month history of bilateral lower limb weakness (Left > Right), chronic lower backache, and an inability to walk without support. Associated symptoms included constipation, urinary retention, and poor appetite. Clinical examination revealed a muscle power of 3/5 in the lower limbs, generalized hypotonia, and sensory numbness below the upper trunk, though coordination remained intact. Intervention: The patient underwent a structured Panchakarma regimen. The protocol began with Sthanika Udwartana (Triphala and Kushtha Powder) followed by Dashamoola Kashaya Dhara for 7 days. This was followed by Sarvanga Abhyanga (Bala oil) and Patra Pinda Sweda for 8 days to improve muscle tone. The internal cleansing phase involved Dashamoola Yoga Basti for 8 days, followed by Matra Basti (Ksheerabala Taila) for 7 days to pacify Vata and nourish the nervous system. Treatment concluded with 15 days of Shamana (palliative) medicines. Outcome: Post-treatment, the patient showed significant improvement in muscle power and tone. Numbness below the upper trunk was reduced, and the patient reported a marked decrease in generalized weakness and improved mobility. Conclusion: This case demonstrates that a multi-modal Ayurvedic approach- focusing on Srotoshodhana (cleansing) and Brimhana (nourishment)- is effective in managing the neurological deficits associated with Acute Transverse Myelitis.