MANAGEMENT OF MANYASTAMBHA (SPASMODIC TORTICOLLIS / CERVICAL DYSTONIA) THROUGH NASYA KARMA – A CASE STUDY

Ayurveda

Manyastambha [Spasmodic Torticollis / Cervical Dystonia (CD)] is a rare neurological condition characterized by sustained involuntary muscle contraction of neck leading to involuntary movement of the head. Cervical dystonia is one variety among various types of dystonia, in which pain, spasm, rigidity, abnormal posture of neck, inability to move or turn the head, mal-positioning of shoulder and chin occurs. All these symptoms point out towards aggravated Vata in causation and worsening of Manyasthambha over a period of time. Manyastambha is Nanatmaj Vata Vyadhi. Hence, the aim of treatment is to do ‘Vata Shamana’. For the treatment of Vatavikara; Abhyanga, Swedana, Basti and Nasya are indicated as a general line of treatment. नासा हि शिरसो द्वारम्। and Nasya is indicated in Urdhvajatrugat Vikara. Thus in present study we selected Nasya karma for the management of manyasthambha. This is a single case study of a male patient aged 53 years old having symptoms of cervical dystonia was treated with combination therapy of Nasya karma and Shamana Chikitsa. The subjective parameters were assessed to see the efficacy of the treatment. Result was encouraging and patient was relieved from symptoms.

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