A CLINICAL STUDY ON AYURVEDIC APPROACH IN PRASAV KALEEN ABHIGHAT (BIRTH INJURY) WITH SPECIAL REFERANCE TO ERB’S PALSY

A 3 month old Female baby was brought to my clinic and was presented with complete paralysis of Rt. Upper limb with typical waiter tip deformity associated with Dislocation of Rt. Shoulder. The baby was treated with the integrated approach of Allopathy and Ayurveda with the intension of faster recovery of the Baby, So that the baby can live a normal life. Innitially, Dislocated Rt. Shoulder Joint was fixed with the Help of Orthopedic Surgeon and was immobilized for 6 weeks. Later, baby was clinically showing. Asymmetric Moro's Reflex, the rt. arm is adducted and internal rotated at elbow and flexion of wrist and fingers i.e Waiter tip deformity of the same hand which was suggestive of Erb's Palsy i.e Injury to the Brachial Plexus (C5, C6)[9]. As per Ayurveda Classics: the Condition can be co-rrelated with Ekangvat which is Apatarpan in nature ( Disease which hampers the growth of the body tissues).[17] The Choice of Treatment is Santarpan Chikitsa ( nourshing treatment of the body tissues). Santarpan Chiktisa was palnned for both Antarparimarjan and Bahirparimarjan Chikitsa which nourishes the body tissues both internally as well as Externally. Antarparimarjan Chikitsa included a combination of Bala Churna, Shatawari Churna, Ashwagandha Churna, Musta Churna , shunti churna [7]with mother's Milk where as Bahirparimarjan Chiktisa included Abhyang (external oiling) with Bala Ashwagandh laksha Tailam along with Shigru Pareebhadradi Tailam ( considering Birth trauma i.e Aghataj Hetu) ,Shashtik Shali Anna Lepan ( Application of Medicated Rice paste in the form of Hot Fomentation) and Matra Basti (Medicated Oil Enema).[17],[2] Remarkable Results were Observed in the form of reduction of dispatrity in length and mid arm circumference of rt. Upper limb as compared to Lt. Upper limb. The Muscle Power improved from 0 to IV. Thus, Facilitating baby to near normal Movement.