Management of Ardita (Facial Paralysis) Through Ayurvedic Intervention - A Clinical Case Report

Introduction- Ardita, described under Vata Vyadhis in Ayurvedic classics, is a neurological disorder characterized by unilateral facial paralysis due to aggravated Vata Dosha affecting the facial musculature and nerves. It clinically correlates with Bell’s palsy in contemporary medicine which is an acute, idiopathic facial nerve paralysis. Patients typically present with deviation of the mouth, inability to close the eyelids, slurred speech and impaired facial expressions. Etiological factors such as exposure to cold, excessive stress, and improper dietary habits contribute to Vata vitiation. Ayurveda emphasizes a holistic approach in managing such conditions by addressing the root cause and restoring Dosha balance. Methods- A clinically diagnosed case of Ardita was selected for Ayurvedic management. Diagnosis was based on classical Ayurvedic signs and symptoms, supported by clinical neurological examination. The treatment protocol focused on Vata Shamana (pacification of Vata) and included both internal medications and Panchakarma therapies. Internal medications comprised Ekanga Veer Ras, Cap. Cervilon, and Vacha with Yasthimadhu churna as external application on tongue followed by Dashamula Kwatha and formulations with neuroprotective and rejuvenative properties. Panchakarma procedures included Nasya (nasal instillation of medicated oils), Abhyanga with Dhanwantari Taila, Swedana with Dhashamula and Basti (medicated enema), administered in a sequential manner. The patient was monitored regularly, and clinical assessment was carried out using the House- Brackmann grading system. Results- The patient showed progressive and significant improvement during the treatment period. There was marked reduction in facial asymmetry, improved muscle tone, and restoration of voluntary facial movements. Functional recovery, including improved eye closure and speech clarity, was observed. The House-Brackmann grading demonstrated a shift from a higher grade of dysfunction to near normal facial nerve function, indicating substantial recovery. Discussion-The observed clinical improvement can be attributed to the combined effect of internal medications and Panchakarma therapies in balancing aggravated Vata and enhancing neuromuscular function. Therapies like Nasya directly influence the cranial region, while Abhyanga and Swedana with Kukkutanda Pinda Sweda improve circulation and muscle relaxation. Basti, considered the prime therapy for Vata disorders, plays a crucial role in systemic correction. This case highlights that Ayurvedic management not only provides symptomatic relief but also promotes holistic recovery. The findings suggest that Ayurveda can be an effective alternative or complementary approach in managing facial paralysis, warranting further clinical studies for validation.