Therapeutic Approach in Ayurveda for Vertebral Compression Fracture W.S.R. to Pangu-A Case Study

Abstract

Pangu is a disease  described among 80 Vatarogas. The normal role of Vata is to regulate motor and sensory systems, and its imbalance leads to a decline in these functions. Pangu originates in the Kati region, possibly involving Katyasritavata i,e Apana Vayu along with Vyana Vayu.  Spastic Paraplegia is a condition characterized by progressive muscle stiffness and weakness in lower limbs typically caused by damage to the spinal cord. It often results from injury or disease and affects both legs and, in some cases, parts of the lower torso. This case study documents the clinical management and recovery of a 21-year-old male patient presenting with a D9 vertebral compressive fracture with complete motor loss (0/5 power) in the left lower limb and severe paresis (1/5 power) in the right lower limb along with cathetherisation due to neurogenic bladder dysfunction. The patient underwent a comprehensive Panchakarma protocol along with  Ayurvedic oral medications over a three-month period. Significant neurological and functional improvement was observed, with motor power improving to 4/5 in both lower limbs by the end of the treatment duration. This case highlights the potential role of integrative Ayurvedic interventions in the rehabilitation of spinal cord injuries. Additionally, the urinary catheter was successfully removed, and the patient achieved voluntary bladder control.This case reinforces the potential for significant motor recovery even in cases presenting with initially severe deficits.