Hemiplegia is referred to complete paralysis of half part of body. If there is a weakness in muscles of half part of body, then it is called as Hemiparesis.

Hemiplegia is referred to complete paralysis of half part of body. If there is a weakness in muscles of half part of body, then it is called as Hemiparesis.

  • Complete –Involving face, upper & lower limb.
  • Incomplete - Involving only upper & lower limb.
  • Ipsilateral - Facial muscle involvement of same side.
  • Contralateral - Facial muscle involvement of opposite side.


The most common cause of Hemiplegia is Brain Stroke (Cerebrovascular accident). Other causes include Brain or Spinal cord injury, brain infections, any brain disease, brain tumours or spinal cord tumours, demyelinating diseases for eg. multiple sclerosis, degenerative brain disorders like ALS, seizures, poorly controlled diabetes or low blood glucose level, hysteria.


The onset of Paralysis can be acute or transient depending upon the causative factors. Other associated clinical features which may be present are poor balance, loss of speech or slurred speech, difficulty in swallowing, blurring of vision or paralysis of Gaze to the opposite side, numbness, tingling sensation or complete loss of sensation of one half of body, loss of control on urine and stool, loss of memory or poor memory, inability to walk.


Due to much resemblance in the symptoms, Hemiplegia can be correlated with “Pakshaghat” in Ayurveda.

Pakshaghat is caused due to aggravation of Vata Dosha. It is considered to be Prominent of all Vata Diseases.


The causes which aggravate Vata dosha are causative factors of Pakshaghat also.

Two main factors that aggravate Vata Dosha are:-

  • Dhatu Kshaya (degeneration of body tissues).
  • Margavarodha (obstruction of channels).

Dhatu Kshaya in case of Hemiplegia can be referred to degeneration of brain or demyelination of spinal nerve tissue and diabetes mellitus.

Margavrodha can be referred to any obstruction in the supply of oxygen and glucose to brain leading to death of brain cells as in case of stroke, tumours, infections, brain disease, low blood glucose.


Due to the causative factors, Vata Dosha situated in nutritive channels of one half body gets vitiated. Due to its dry and cold properties it constricts the blood vessels which leads to impaired supply of nutrition to Mansa (Muscles) Dhatu and Snayu (Ligaments). It also leads to derangement of sandhi (Joints) in that part of body. This ultimately results in immobilization and loss of functions of affected body part which is called as Pakshaghat.


Loss of functions of affected half body, difficulty in speech, stiffness of jaw, contractures of upper/ lower extremities of affected side, severe pain in affected body parts, atrophy of tendons and ligaments, dryness of skin in affected arms and legs, thinning of affected arms/legs.


The main line of treatment for Pakshaghat can be divided into three types:-

  • Identifying and treating the cause.
  • Shodhana (Panchkarma).
  • Shaman (Conservative treatement).

Hemiplegia is a medical emergency which requires immediate medical attention.

Shodhana Treatment includes – Snehana, Swedana, Virechana and Basti. Of these Virechana has been said as main treatment modality by Acharya Charaka.

Shamana treatment includes vata pacifying, brimhana (nourishing), Balya (Strengthening) and Rasayana (Rejuvenating) drugs.


Single Herbs – Nirgundi (Vitex negundo), Bala (Sida cordifolia), Ashwagandha (Withania somnifera), Shunthi (Zingiber officinale), Rasna (Pluchea lanceolata), Brahmi(Bacopa monnieri), Kaunch (mucuna pruriens), Kupilu (Strychnos nuxvomica), Vacha (Acorus calamus).

2) Powders – Balamoola churna, Dashmoola churna, Naarsingh churna, Ashwagandhadi churna.

3) Guggulu preparations – Yograj guggulu, Tryodashang guggulu, Mahayograj guggulu, Rasnadi guggulu

4) Herbomineral Preparations – Malla Sindoor, Vatgajankush Rasa, Vatchintamani Rasa, Yogendra Rasa, Ekangvir Rasa, Shilajeet Bhasma

5) Kwath (Decoctions) – Rasnasaptak Kwath,Maharasnadi Kwath, Mashbaladi Kwath

5) Kwath (Decoctions) – Rasnasaptak Kwath,Maharasnadi Kwath, Mashbaladi Kwath

7) Asava/Arishta (Alcoholic Preparations) – Dashmoolarishta, Ashwagandharishta, Balarishta.


The purpose of Ayurvidya is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider regarding your medical condition or treatment and before undertaking any new health care regimen.