Charcot-Marie-Tooth disease is a group of hereditary disorders
that affect the nerves in the extremities. Symptoms typically appear in
adolescence or early adulthood, and include weakness in the legs, ankles
and feet; loss of muscle bulk; high foot arches; curled toes; decreased
ability to run; foot drop; awkward gait; frequent falls; and numbness
and pain in the legs and feet.
The Ayurvedic treatment of this
condition is aimed at treating the symptoms and repairing the damage to
the nerves supplying the extremities. Medicines like Tapyadi-Loh,
Kaishor-Guggulu, Trayodashang-Guggulu, Yograj-Guggulu,
Sinhanaad-Guggulu, Ekang-Veer-Ras, Vat-Gajankush-Ras,
Maha-Vat-Vidhwans-Ras, Maha-Rasnadi-Guggulu and Bruhat-Vat-Chintamani
are used to treat the nerve damage, muscular weakness and decreased
sensation of the affected extremities. Herbal medicines which can be
used for this purpose include Guggulu (Commiphora mukul), Shallaki
(Boswellia serrata), Rasna (Pluchea lanceolata), Nirgundi (Vitex
negundo), Tagar (Valeriana wallichii), Vishwa (Zinziber officinalis),
Guduchi (Tinospora cordifolia), Deodar (Cedrus deodara), Erandmool
(Ricinus communis), Bala (Sida cordifolia), Ashwagandha (Withania
somnifera), Shalparni (Desmodium gangeticum) and Prushnaparni (Uraria
picta).
Medicated oils like Mahanarayan oil, Vishgarbha oil, Bala
oil, Mahamash oil and Chandan-Bala-Laxadi oil are applied on the
affected parts. This is followed by localized steam fomentation using
medicines like Nirgundi-Qadha and Dashmool-Qadha. Specialized Panchkarma
procedures like 'Pizichil' and 'Shashtikshali-Pindsweda' are also
useful in improving muscular bulk and strength in the affected
extremities. In Pizichil, a continuous, warm drip of medicated oil is
maintained on the affected part, along with mild massage. In
Shashtikshali-Pindsweda, cloth-packets containing rice and Bala (Sida
cordifolia), cooked in milk, are gently rubbed over the affected
muscles.
Early initiation of treatment is important to prevent
atrophy of muscle and permanent deformities of the feet. Regular
exercise, physiotherapy and care of the feet are important aspects in
the management of this condition.
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