AN AYURVEDIC MANAGEMENT OF IDIOPATHIC 6TH NERVE (ABDUCENCE NERVE) PALSY – A CASE REPORT

Abstract

Background: Idiopathic 6th nerve palsy involves paralysis of lateral rectus muscle leading to unilateral uncrossed horizonal diplopia and convergent squint. In Ayurveda exact correlation is not there so we can correlate it with symptoms of Dwitiya patalagata timira according Vagbhata and Tritiya patalagata timira according to Sushruta. Conventional management involves “watchful waiting” for 6 months and Eye patching, Eye exercises. Case Report: A 55 years old female patient presented with double vision and inward deviation of left eye since 1 month. Based on detail history and examination of the eye it was diagnosed as Idiopathic 6th nerve palsy and treated. Intervention: Deepana pachana followed by Nasya with Anutaila, Tarpana with Jeevantyadi Gritha, Annalepa and along with some internal medications were given. Outcome: After Nasya treatment significant improvement was appreciated by the patient. After 24 days of treatment patient experienced reduction in signs & symptoms. Conclusion: This case highlights Ayurvedic treatment speeding up of the spontaneous resolution of the of idiopathic 6th nerve palsy. Which helped the patient to carry out daily activities.