Ayurvedic Treatment for Hemorrhagic Stroke: Explore Herbal Remedies, Therapies

Introduction

Hemorrhagic stroke is a life-threatening condition caused by the rupture of blood vessels in the brain, resulting in bleeding and functional loss. In Ayurveda, it is strongly correlated with Pakshaghata, a subtype of Vata Vyadhi, where deranged Vata affects one side of the body, leading to paralysis, speech defects, and sensory-motor dysfunctions.

According to the World Health Organization, stroke remains the second leading cause of global mortality, with nearly 5.87 million deaths annually. Modern medicine offers emergency stabilization, but Ayurveda focuses on long-term functional recovery, neuro-rejuvenation, and prevention through individualized, dosha-specific interventions.

For free consultation with top ayurvedic doctors, download our app from the Play Store, “AyurCare“

Classical Ayurvedic Context: What is Pakshaghata?

As per Charaka Samhita and Sushruta Samhita:

“Pakshaghata is a Nanatmaja Vata Vyadhi resulting from either Dhatukshaya (tissue depletion) or Margavarodha (obstruction of Vata channels).”

It involves impairment of:

• Karmendriya (motor function)

• Gyanendriya (sensory perception)

• Vak (speech)

Classical Features:

• Chestahani (loss of voluntary movement)

• Vakstambha (slurring speech)

• Hasta Pada Samkocha (limb rigidity)

• Vakvakrata (facial deviation)

• Sandhi Bandhavimoksha (joint laxity)

Acharyas prescribe a stepwise treatment beginning with: “Swedana, Snehana, Mridu Virechana, followed by Basti, Shirodhara or Shiropichu.” – Charaka Chikitsa Sthana 28/100

Causes of Hemorrhagic Stroke

Modern Perspective:

• Aneurysm rupture (e.g., DACA, MCA)

• Uncontrolled hypertension

• Brain trauma

• AVMs (arteriovenous malformations)

• Coagulopathies

• Intracerebral or subarachnoid hemorrhage

Ayurvedic View:

• Vata vitiation (from stress, exertion, dry/cold food)

• Pitta aggravation (high metabolism, anger, spicy food)

• Ama (toxins) blocking Vata pathways

• Margavarodha + Dhatukshaya

• Suppression of natural urges (Vegavarodha)

Ayurvedic Diagnostic Framework

At Adyant Ayurveda, diagnosis is made using a classical lens:

• Rogi Bala – Patient’s overall strength and constitution

• Vyadhi Avastha – Stage of disease (acute, sub-acute, chronic)

• Dosha Dushya Samurchana – Interaction of vitiated dosha and affected tissues

• Affected Srotas – Commonly Prana Vaha, Majja Vaha, Rakta Vaha

• Samprapti Vighatana – Strategy to break the disease pathology

Ayurvedic Treatment Protocol at Adyant Ayurveda

Inspired by case studies and classical principles, Adyant Ayurveda follows a 3-phase structured treatment:

Phase 1: Ama Nirharana (Toxin Elimination Phase)

• Sarvanga Dhanyamla Seka (11 days) – Ruksha and Ama-pachaka

• Internal: Gandharva Hastadi Taila (10 ml) before food

Phase 2: Vata Shamana (Vata Pacification Phase)

• Abhyanga (7 days) – Maha Masha Taila

• Ushna Jala Snana

• Sarvanga Shastika Shali Pinda Sweda (14 days)

• Taila Dhara on head (19 days) – Ksheerabala Taila

• Matra Basti (26 days) – Dhanwantaram Ghrita + Ksheerabala Taila 101

Phase 3: Brimhana & Rasayana (Rejuvenation Phase)

• Rasaraja Rasa – 1-0-1 × 30 days

• Tapyadi Loha – 1-0-1 × 30 days

• Masha Atmaguptadi Kashaya – 50 ml BID × 30 days

Deep Dive into Classical Ayurvedic Therapies for Hemorrhagic Stroke

Detailed Classical Therapies and Their Mode of Action

• Abhyanga with Bala-Ashwagandhadi Taila – Stimulates Sparshanendriya, improves muscle tone, reduces Vata

• Nadi Swedana with Dashamoola Decoction – Ushna, Shothahara, opens Srotas

• Mridu Virechana with Gandharva Haritaki – Anulomana, Deepana, detox via Adho Marga

• Matra Basti with Yashtimadhu Taila – Rakta Sthambhaka, pacifies Vata, rejuvenates the brain-gut axis

• Shiropichu with Ksheerabala Taila – Reduces ICP, improves Shirogata Vata

• Nasya with Ksheerabala Taila – Enhances neuro-regeneration, Shiro-Vatahara

Therapeutic Role of Each Drug (Guna–Virya–Vipaka Based Actions)

Specialized Procedures

• 🗣️ Jihva Pratisarana: Vacha + Yashtimadhu – for speech and sensory stimulation

• 💊 Bruhat Vata Chintamani Rasa: Medhya, Rasayana, Yogavahi – supports neuro-repair

• 🧠 Rasayana Herbs: Brahmi Vati, Gokshura, Punarnava, Pushkarmoola, Sariva

Summary Chart of Panchakarma + Internal Medicines

Recovery Outcome: Based on NIHSS Assessment