Facial Paralysis (Ardita)

Facial paralysis is loss of facial movement because of nerve damage. Your facial muscles droop or become weak. It usually happens on just one side of the face and is typically caused by:
• Infection or inflammation of the facial nerve
• Head trauma
• Head or neck tumor
• Stroke
Facial paralysis can come on suddenly (in the case of Bell’s palsy) or can happen gradually over a period of months (in the case of a head or neck tumor or any other inflammatory conditions). Depending on the cause, the paralysis might last a short or extended period of time.
About facial nerves:
Each side of the face has its own facial nerve, so damaging of one side of facial nerve will only affect that particular side of the face, and vice versa. Each nerve roots starts at the brain and enters the face to the front of the ear where it then divides into five separate branches. These branches supply the muscles which are used for facial expression. Tears, saliva production and taste are also controlled by the facial nerve in different ways. Paralysis or weakness in these particular nerve branches leads to the wasting of the muscles, and thus causes the problem called Facial paralysis.
According to ayurveda:
Ardita is a disease in which there is a deviation or crookedness leading to deformity of one side of the face alone or along with one side of the body
Therefore according to Acharya Dridabala – it can be compared to
• Facial Paralysis or
• Facial paralysis with paralysis of one side of the body (hemiplegia)
But the reference and explanation given by Acharya Susruta points out Ardita towards a clear case of Facial Paralysis without the involvement of one side of the body.
The vitiated vayu when gets lodged in the head, nose, lips, chin, forehead and the joints of the eye (or joints of all the above said parts) causes severe troublesome disturbances and causes deviation of face to one side. When the excessively vitiated vayu gets localised in one half of the head and face, it depletes the blood and hence causes contractures in the upper and lower limbs and knee joints. It also causes deviation of the face towards one side. It also deviates and causes crookedness in the nose, eye brows, forehead, eyes and jaws. This is called Ardita.

Causes:
Facial paralysis is almost always caused by:
• Damage or swelling of the facial nerve, which carries signals from the brain to the muscles of the face
• Damage to the area of the brain that sends signals to the muscles of the face
In people who are otherwise healthy, facial paralysis is often due to Bell palsy. This is a condition in which the facial nerve becomes inflamed.
Bell’s Palsy:
Bell’s palsy is the most common form of facial paralysis. This condition causes the muscles on one side of the face to droop noticeably.
Exact cause of Bell’s palsy is not known. It may be related to some viral infection of the facial nerve, but the good news is that most patients with Bell’s palsy recover completely in about six months.
Other Causes: may include
• Skull fracture or any trauma to the face
• Head or neck tumor
• Stroke
• Chronic middle ear infection or other ear damage
• High blood pressure
• Diabetes
• Lyme disease, a bacterial infection transmitted to humans by a tick bite
• Ramsay-Hunt Syndrome, a viral infection of the facial nerve
• Autoimmune diseases such as multiple sclerosis, which affects the brain and spinal cord, and Guillain-Barre syndrome, which affects the nervous system
• Sometimes at birth, minor injury to the facial paralysis in some babies may cause paralysis, however, 90 percent of babies with this type of injury recover completely without treatment.

Classification of facial nerve injuries
There are three different kinds of facial nerve injury:
• First degree injury – when the facial nerve is just bruised and recovers within eight weeks.
• Second degree injury – where the facial nerve is more severely damaged but still retains its outer layer. The nerve begins to show the first signs of recovery at about four months as it slowly repairs itself.
• Third degree injury – when the facial nerve is more severely damaged, any recovery is much slower and always incomplete. Sometimes the nerve is completely damaged and surgical repair is needed to restore facial function.

Symptoms
• Deviation of face to one side
• Crookedness or deviation of neck to one side
• Trembling or involuntary shaking of head
• Obstruction to speech or speech deformity
• Crookedness, pain and pulsations in the eyes, brows, cheeks, nose etc.
• Pain in the neck, chin, teeth, jaws on the side of deformity
Additional symptoms may include:
• The food enters the mouth obliquely (difficulty to eat food) when the person tries to eat food
• When the person tries to speak, his nose gets crooked or deviated to one side and eyes get stiff or fixed at a gaze
• Obstruction of sneeze in spite of the impending reflex
• When the person tries to speak,the words comes with difficulty (strained and hardly audible), broken (words get broken), interrupted, unclear and comes in splits and parcels
• Teeth starts shaking
• Deafness of varied intensities
• Hoarseness of voice with interrupted speech

Classification

According to ayurveda Facial paralysis, depending on dosha predominancy can be divided into three:

Facial paralysis due to Vata imbalance, which exhibits symptoms like:
Nausea, shivering, pulsation, lock jaw, edema over the lips, pain in the specific parts of the face etc
Ardita due to Pitta imbalance which exhibits symptoms like:
Yellowish discoloration of the face, fever, thirst, syncope, sensation of fumigation etc
Facial paralysis due to Kapha imbalance, which exhibits symptoms like:
Edema over the hair margin, cheeks, face and neck, stiffness of the muscles etc.

Diagnosis and tests
• To determine other medical conditions or medical history for tumor, lyme disease, stroke.
• Physical examinations of neck head and ear.
• Electromyography (EMG) to determine the extent of nerve damage and its location. The electrodes are placed on the face to measure the electrical activity of nerves and muscles in response to stimulation.
• MRI, X-rays and CT Scans are very helpful to detect the other underlying conditions such as fracture, tumor, and bacterial infection.

Treatment
According to Ayurvedic line of treatment neurological disorders or diseases like ardita or facial paralysis, due to the vitiation of the Vata Dosha,
The main methods of treatment are
• purification of the body or sodhana by panchakarma chikitsa through mild unctuous purgation or virechana karma
• oil and decoction enemas or basti chikitsa
• massages or abhyanga with medicated oils
• Swedana or fomentation (heat application after oil massage, pouring of warm medicated oil over body parts or the head etc.)
• administration of Vata controlling drugs through the nose or nasya karma
• pouring different types of herbal decoctions or oil over face and head called dhara chikitsa
• introducing shaman aushadies or oral medication that includes vata pacifying medicines,brain tonics and rejuvenating preparations
Neurological diseases always require a long term treatment or repeated treatments with intervals. The success rate of Ayurvedic treatment is comparatively high
Single herbs useful in facial palsy:

  1. Lashuna-garlic– Garlic is a very good in normalizing Vata and clearing the body channels from obstructions. Garlic relieves also releives swelling pain. It stimulates facial nerves by improving blood circulation.
    2. Nirgundi- Vitex negundo – is good to relieve nerve pain and to improve muscle strength. It is widely used in neurological, psychological, blood vessel and muscle related conditions.
    3. Eranda- Castor leaves and oil – Ricinus communis – One of the powerful herbs to balance Vata and improve nerve strength. Its leaves are heated and directly applied to relieve inflammation. Its oil is also used for mild purgation purpose to relieve constipation and other dryness etc like symptoms caused by vitiated vata.
    4. Lavanga –Clove- Syzygium aromaticum – Regular intake of 3 – 4 drops of clove oil helps to strengthen nerves
    5. Sarshapa- Mustard – Mustard oil is hot and piercing in nature. If the palsy is caused due to blockage of artery and after the routine treatments, to avoid further blockage and to improve local blood circulation, mustard – internal usage and mustard oil for massage is useful. But because mustard oil is quite hot in nature, care should be taken during massaging near eyes. If the patient does not tolerate raw mustard oil, it can be mixed in 50:50 along with Ayurvedic oils for palsy like Prasarini taila
    6. Rasna- Alpinia galanga – powerful Vata balancing herb
    7. Masha- Blackgram – black gram is known for its Vata balancing and nourishing qualities. If the paralysis is caused due to weak nerves, then black gram can be used in form of many dishes and its oil Mahamasha tailam can also be used.
    8. Bala- Sida cordifolia – one of the prime herbs to balance Vata.
    9. Hingu-Asa foetida, is the best anti vata medicine ever used in the ayurveda
    10. Guggulu- Guggulu resin- Commiphora mukul

Ayurvedic medicines useful in Facial paralysis
• Karpasathyadi taila
• Mahanarayana taila
• Mahamasha taila
Saindhavadi taila
• Laghuvishagarbha taila and Vishagarbha taila
• Prasarini taila
Vijayabhairava taila
• Ashwagandha Capsules
• Mahayogaraja guggulu
Ekangaveera rasa
Rasona pinda – garlic is the main ingredient
Maharasnadi kwatha
Rasnadi guggulu
Dashamoola rasayana
• Chandraprabha Vati
• Ekangveer Ras
• Swarna Makshik Bhasm
• Rasraj Ras
• Vat Kulantak Ras
• Vrihat Vat Chinta Mani Ras
• Vat Gajankush Ras
• Abhrak Bhasm
• Giloy Satva
• Praval Panchamrit Ras

Unwholesome diet and habits
1. Etiological factors
2. Stress and strain
3. Bitter and dry substances
4. Fried eatables
5. Work exhaustion

Natural Cures For Bells Palsy
• Massage regularly To Protect the Face
• Hot fomentation – An Easy Way To Relax The Facial Muscles

  • Garlic intake To Cure Swellings and inflammation of the nerve
  • Castor Oil Heals the Damaged Nerve, by relieving the vata dosha
  • Include Celery In the Diet, as high protein diet heals the damage nerve rapidly
  • Clean the gut regularly so as to eliminate the toxin from the body frequently

Causes
Facial paralysis is almost always caused by:
• Damage or swelling of the facial nerve, which carries signals from the brain to the muscles of the face
• Damage to the area of the brain that sends signals to the muscles of the face
In people who are otherwise healthy, facial paralysis is often due to Bell palsy. This is a condition in which the facial nerve becomes inflamed.
Bell’s Palsy:
Bell’s palsy is the most common form of facial paralysis. This condition causes the muscles on one side of the face to droop noticeably.
Exact cause of Bell’s palsy is not known. It may be related to some viral infection of the facial nerve, but the good news is that most patients with Bell’s palsy recover completely in about six months.
Other Causes: may include
• Skull fracture or any trauma to the face
• Head or neck tumor
• Stroke
• Chronic middle ear infection or other ear damage
• High blood pressure
• Diabetes
• Lyme disease, a bacterial infection transmitted to humans by a tick bite
• Ramsay-Hunt Syndrome, a viral infection of the facial nerve
• Autoimmune diseases such as multiple sclerosis, which affects the brain and spinal cord, and Guillain-Barre syndrome, which affects the nervous system
• Sometimes at birth, minor injury to the facial paralysis in some babies may cause paralysis, however, 90 percent of babies with this type of injury recover completely without treatment.

Classification of facial nerve injuries
There are three different kinds of facial nerve injury:
• First degree injury – when the facial nerve is just bruised and recovers within eight weeks.
• Second degree injury – where the facial nerve is more severely damaged but still retains its outer layer. The nerve begins to show the first signs of recovery at about four months as it slowly repairs itself.
• Third degree injury – when the facial nerve is more severely damaged, any recovery is much slower and always incomplete. Sometimes the nerve is completely damaged and surgical repair is needed to restore facial function.

Symptoms
• Deviation of face to one side
• Crookedness or deviation of neck to one side
• Trembling or involuntary shaking of head
• Obstruction to speech or speech deformity
• Crookedness, pain and pulsations in the eyes, brows, cheeks, nose etc.
• Pain in the neck, chin, teeth, jaws on the side of deformity
Additional symptoms may include:
• The food enters the mouth obliquely (difficulty to eat food) when the person tries to eat food
• When the person tries to speak, his nose gets crooked or deviated to one side and eyes get stiff or fixed at a gaze
• Obstruction of sneeze in spite of the impending reflex
• When the person tries to speak,the words comes with difficulty (strained and hardly audible), broken (words get broken), interrupted, unclear and comes in splits and parcels
• Teeth starts shaking
• Deafness of varied intensities
• Hoarseness of voice with interrupted speech

Classification

According to ayurveda Facial paralysis, depending on dosha predominancy can be divided into three:

Facial paralysis due to Vata imbalance, which exhibits symptoms like:
Nausea, shivering, pulsation, lock jaw, edema over the lips, pain in the specific parts of the face etc
Ardita due to Pitta imbalance which exhibits symptoms like:
Yellowish discoloration of the face, fever, thirst, syncope, sensation of fumigation etc
Facial paralysis due to Kapha imbalance, which exhibits symptoms like:
Edema over the hair margin, cheeks, face and neck, stiffness of the muscles etc.

Diagnosis and tests
• To determine other medical conditions or medical history for tumor, lyme disease, stroke.
• Physical examinations of neck, head and ear.
• Electromyography (EMG) to determine the extent of nerve damage and its location. The electrodes are placed on the face to measure the electrical activity of nerves and muscles in response to stimulation.
• MRI, X-rays and CT Scans are very helpful to detect the other underlying conditions such as fracture, tumor, and bacterial infection.

Treatment
According to Ayurvedic line of treatment neurological disorders or diseases like ardita or facial paralysis, due to the vitiation of the Vata Dosha,
The main methods of treatment are
• purification of the body or sodhana by panchakarma chikitsa through mild unctuous purgation or virechana karma
• oil and decoction enemas or basti chikitsa
• massages or abhyanga with medicated oils
• Swedana or fomentation (heat application after oil massage, pouring of warm medicated oil over body parts or the head etc.)
• administration of Vata controlling drugs through the nose or nasya karma
• pouring different types of herbal decoctions or oil over face and head called dhara chikitsa
• introducing shaman aushadies or oral medication that includes vata pacifying medicines,brain tonics and rejuvenating preparations
Neurological diseases always require a long term treatment or repeated treatments with intervals. The success rate of Ayurvedic treatment is comparatively high
Single herbs useful in facial palsy

  1. Lashuna-garlic– Garlic is a very good in normalizing Vata and clearing the body channels from obstructions. Garlic relieves also releives swelling pain. It stimulates facial nerves by improving blood circulation.
    2. Nirgundi- Vitex negundo – is good to relieve nerve pain and to improve muscle strength. It is widely used in neurological, psychological, blood vessel and muscle related conditions.
    3. Eranda- Castor leaves and oil – Ricinus communis – One of the powerful herbs to balance Vata and improve nerve strength. Its leaves are heated and directly applied to relieve inflammation. Its oil is also used for mild purgation purpose to relieve constipation and other dryness etc like symptoms caused by vitiated vata.
    4. Lavanga –Clove- Syzygium aromaticum – Regular intake of 3 – 4 drops of clove oil helps to strengthen nerves
    5. Sarshapa- Mustard – Mustard oil is hot and piercing in nature. If the palsy is caused due to blockage of artery and after the routine treatments, to avoid further blockage and to improve local blood circulation, mustard – internal usage and mustard oil for massage is useful. But because mustard oil is quite hot in nature, care should be taken during massaging near eyes. If the patient does not tolerate raw mustard oil, it can be mixed in 50:50 along with Ayurvedic oils for palsy like Prasarini taila
    6. Rasna- Alpinia galanga – powerful Vata balancing herb
    7. Masha- Blackgram – black gram is known for its Vata balancing and nourishing qualities. If the paralysis is caused due to weak nerves, then black gram can be used in form of many dishes and Its oil Mahamasha tailam can also be used.
    8. Bala- Sida cordifolia – one of the prime herbs to balance Vata.
    9. Hingu-Asa foetida, is the best anti vata medicine ever used in the ayurveda
    10. Guggulu- Guggulu resin- Commiphora mukul

Ayurvedic medicines useful in Facial paralysis
• Karpasathyadi taila
• Mahanarayana taila
• Mahamasha taila
Saindhavadi taila
• Laghuvishagarbha taila and Vishagarbha taila
• Prasarini taila
Vijayabhairava taila
• Ashwagandha Capsules
• Mahayogaraja guggulu
Ekangaveera rasa
Rasona pinda – garlic is the main ingredient
Maharasnadi kwatha
Rasnadi guggulu
Dashamoola rasayana
• Chandraprabha Vati
• Ekangveer Ras
• Swarna Makshik Bhasm
• Rasraj Ras
• Vat Kulantak Ras
• Vrihat Vat Chinta Mani Ras
• Vat Gajankush Ras
• Abhrak Bhasm
• Giloy Satva
• Praval Panchamrit Ras

Unwholesome diet and habits
1. Etiological factors
2. Stress and strain
3. Bitter and dry substances
4. Fried eatables
5. Work exhaustion

Natural Cures For Bell’s Palsy

  • Massage regularly to Protect the Face
  • Hot fomentation – An Easy Way to Relax the Facial Muscles
  • Garlic intake to Cure Swellings and inflammation of the nerve
  • Castor Oil Heals the Damaged Nerve, by relieving the vata dosha
  • Include Celery in the Diet, as high protein diet heals the damage nerve rapidly
  • Clean the gut regularly so as to eliminate the toxin from the body frequently