Jindal Nitin, Shamkuwar Manoj K, Berry Sadhan
Lecturer, Department of Panchakarma, Ayurveda and Unani Tibbia College and Hospital, New Delhi, India.
Ayu. 2012 Jul;33(3):402-5. doi: 10.4103/0974-8520.108852.
In Charak Samhita, all the treatment modalities have been classified broadly into six types, i.e., Langhana (depleting therapy), Brimhana (nourishing therapy), Rookshana (dehydrating therapy), Snehana (oleation therapy), Swedana (sudation therapy) and Stambhana (astringent therapy). Out of these six types, Rookshana is of the same importance as others but is used less frequently as main line of treatment. Since decades, Ayurveda treatment is considered most promising treatment for neurological disorders. Most of the neurological disorders are generally considered to be Vata Vyadhis in which Snehana Karma is recommended. In case of neurological disorders if symptoms are suggestive of Kapha dominance, then Rookshana must be done initially. Transverse myelitis is a neurological disease, which has an autoimmune process involved in its pathology. It is an acute, subacute, generally monophasic inflammatory disease of the spinal cord. In the present case of transverse myelitis, the patient was found having Kapha dominant symptoms such as coldness of feet, loss of appetite etc., and so the patient was subjected to Rookshana Karma in various forms. Just after 15 days, all these symptoms were subsided and tremendous improvement was found thereafter. The paraplegic patient under study was able to walk independently in just two and half months of treatment. All other typical features related to the disease were also improved. This particular case has proved the importance of Rookshana therapy in neurological disorders.
在《阇罗迦集》中，所有治疗方法大致分为六种类型，即泻法（Langhana，消损疗法）、补法（Brimhana，滋养疗法）、脱水法（Rookshana，脱水疗法）、油疗法（Snehana，油疗）、汗法（Swedana，发汗疗法）和涩法（Stambhana，收敛疗法）。在这六种类型中，脱水法与其他方法同样重要，但作为主要治疗方法的使用频率较低。几十年来，阿育吠陀疗法被认为是治疗神经系统疾病最有前景的疗法。大多数神经系统疾病通常被认为是风型疾病，推荐采用油疗（Snehana Karma）。对于神经系统疾病，如果症状提示痰湿占主导，则必须首先进行脱水法治疗。横贯性脊髓炎是一种神经系统疾病，其病理过程涉及自身免疫反应。它是一种急性、亚急性、通常为单相的脊髓炎症性疾病。在目前这个横贯性脊髓炎病例中，发现患者有痰湿占主导的症状，如脚部发冷、食欲不振等，因此对该患者采用了多种形式的脱水法治疗。仅仅15天后，所有这些症状都消退了，此后发现有了巨大改善。正在研究的截瘫患者在治疗仅两个半月后就能独立行走。与该疾病相关的所有其他典型特征也都有所改善。这个特殊病例证明了脱水法治疗在神经系统疾病中的重要性。
