Hirayama disease primarily affects the motor nerves in the neck, leading to muscle weakness and wasting. In the Siddha-Ayurvedic perspective, this condition can be related to Vata dosha imbalance, affecting the nervous system and muscular function. To address this, the focus would be on balancing Vata while nourishing the muscular-skeletal tissues, or “mamsa dhatu,” to support rejuvenation.
Start with Abhyanga, a daily oil massage using warm Maha Narayana or Dhanvantaram oil, focusing on the neck, arms, and hands. This promotes circulation, soothing Vata and supporting nerve and muscle function. Apply gentle heat to the area using a warm towel post-massage to enhance absorption.
Include Ashwagandha and Bala in your diet or as supplements after consultation with a qualified Ayurvedic practitioner. These herbs are known to strengthen the body and promote muscle health. Try incorporating a balanced diet rich in warm, moist, and slightly oily foods, avoiding anything very dry or raw, to stabilize Vata. Consider moong dal, ghee, and cooked vegetables.
For yoga, gentle stretches and specific asanas like Tadasana and Bhujangasana may encourage better nerve function. Practice under guidance to avoid strain. Since acupuncture is already a part of your regimen, it complements these therapies without interfering, but base any combination on professional advice to ensure safety.
Monitoring the condition is critical, considering the progressive nature of Hirayama disease. If symptoms worsen significantly, consult your neurologist promptly, as timely medical interventions might be necessary.



