Hello
I get how scary and painful it is to see someone you love in a coma after a brain bleed. It’s especially tough given their age and condition, and you need clear and honest advice.
PATIENT INFO
– Age: 82
– Diagnosis: Coma (eyes open) from a brain bleed
– How long: 2 weeks
– Awareness: Eyes open, but not responding
– Feeding: Tube
– Movement: Very little or none
AYURVEDIC VIEW
In Ayurveda, this is called Mūrcchita Sannipātaja Avasthā which means:
– Big problems with Vata (nerve issues, loss of awareness)
– Pitta & Rakta issues (bleeding in the brain)
– Kapha blocking things up (which leads to the coma)
The brain (Majja Dhatu) and Prana Vayu (life force) are badly affected.
WHAT TO EXPECT
After 2 weeks in a coma at 82, a full recovery is unlikely. Partial recovery is possible if we start treatment now That could mean they move their eyes, swallow, or start recognizing people and become less dependent.
The goals are to:
– Stop any more damage to the brain
– Get blood flowing to the brain better
– Reduce swelling and clots
– Help nerves heal
– Prevent infections and bedsores
AYURVEDIC PLAN
This isn’t just about taking medicine. It involves specialized therapies, herbal remedies, and supportive care.
1️⃣ Head & Brain Care
– Shiro Pichu: Cotton pads soaked in special oils (Ksheerabala Taila ) on the scalp for 45 mins a day.
– Shiro Abhyanga: Gentle head massage every day to wake up the neurons.
INTERNAL MEDICATION (If they can take them through the feeding tube)
1.Brahmi Ghrita 1 tsp morning empty stomach Helps the brain repair
2.Saraswatarishta 30ml twice a day (For awareness)
DIET PLAN
✅INCLUDE
– Cow’s ghee
– Almond paste
– Milk
– Soft khichdi (rice and lentil dish)
– Herbal soups
Tube feeding with good liquids is important.
Physical Therapy & Senses
– Move their arms and legs every day
– Talk to them
– Play music they know
– Gently massage their hands and feet
This helps wake up the brain.
No treatment can promise a cure, but Ayurveda can offer a better chance when paired with good care.
Even if modern medicine says to wait, Ayurveda can sometimes help the nervous system. I hope they recover as much as possible.
Warm Regards
Dr. Snehal Vidhate
FROM AN AYURVEDIC PERSPECTIVE THIS STATE IS CONSIDERED A SEVERE DISTURBANCE OF PRANA VATA AND UDANA VATA ALONG WITH DAMAGE TO MAJJA DHATU AND SIRA STRUCTURES THE BRAIN BLEED ITSELF IS AN ACUTE LIFE THREATENING EVENT AND PRIMARY LIFE SAVING MANAGEMENT MUST CONTINUE UNDER NEURO PHYSICIAN CARE AYURVEDA PLAYS A SUPPORTIVE AND RECOVERY ORIENTED ROLE AND SHOULD NEVER REPLACE EMERGENCY OR NEUROLOGICAL MANAGEMENT AT THIS AGE AND AFTER TWO WEEKS OF COMA THE GOALS SHOULD BE STABILIZATION PREVENTION OF FURTHER DAMAGE SUPPORTING BRAIN HEALING AND MAINTAINING BODY FUNCTIONS FULL RECOVERY CANNOT BE PROMISED BUT IMPROVEMENT IN AWARENESS RESPONSE AND COMFORT MAY BE POSSIBLE IN SOME CASES AYURVEDIC SUPPORT IS GENERALLY CONSIDERED ONLY AFTER THE BLEED IS STABLE AND THERE IS NO ACTIVE INCREASE IN PRESSURE OR NEW HAEMORRHAGE INTERNAL MEDICINES ARE VERY LIMITED AND GIVEN ONLY UNDER SUPERVISION AS DIGESTION AND SWALLOWING ARE OFTEN AFFECTED EXTERNAL THERAPIES ARE MORE IMPORTANT GENTLE HEAD AND FOOT OIL APPLICATION WITH MEDICATED OILS USED FOR VATA SHAMANA MAY HELP CALM THE NERVOUS SYSTEM AND SUPPORT PRANA VERY MILD SHIRO TAILA DHARA OR SHIRO PICHU MAY BE CONSIDERED ONLY IF BLOOD PRESSURE IS STABLE AND DOCTORS ALLOW NASAL THERAPIES AND STRONG PANCHAKARMA ARE STRICTLY AVOIDED IN THIS STAGE FEEDING CARE POSITION CHANGES PHYSIOTHERAPY CHEST CARE AND PREVENTION OF BED SORES ARE EXTREMELY IMPORTANT AND MAKE A BIG DIFFERENCE IN OUTCOME PROGNOSIS DEPENDS ON SIZE AND LOCATION OF BLEED LEVEL OF BRAIN DAMAGE AGE EXISTING ILLNESSES AND RESPONSE OVER TIME SIGNS LIKE PURPOSEFUL MOVEMENT BETTER RESPONSE TO VOICE OR PAIN AND STABLE VITALS ARE POSITIVE SIGNS
Consulting the AYURVEDIC shalakya ENT SPECIALIST for better examination and treatment
do panchkarma therapy near your panchkarma gov. hospitals and consult ENT AYURVEDA
HELLO, आयुर्वेदिक दृष्टिकोण से, इंट्रासेरेब्रल हेमरेज के बाद आंख खुली कोमा एक गंभीर, जीवन-धमकी देने वाली स्थिति मानी जाती है, जो अक्सर प्राण वायु के असंतुलन, मज्जा धातु क्षय, रक्त के कारण महत्वपूर्ण चैनलों में रुकावट से जुड़ी होती है। 82 वर्षीय मरीज में 2 सप्ताह के बाद प्रग्नोसिस सावधानीपूर्वक होता है, और आयुर्वेद का उपयोग केवल सहायक देखभाल के रूप में किया जाता है, कभी भी आईसीयू के स्थान पर नहीं। मुख्य सिद्धांत - जीवन की सुरक्षा - बढ़े हुए वायु का शमन - मस्तिष्क की सूजन और रक्त दोष का कम करना - न्यूरो सहायक रसायन चिकित्सा - आगे के अपक्षय को रोकना बाहरी रूप से ये वायु को स्थिर करने और न्यूरोलॉजिकल रिकवरी में मदद करते हैं शिरोधारा = बहुत हल्का, ब्राह्मी तैल जैसे औषधीय तेल शिरोपिचु = सिर पर औषधीय तेल में भिगोया हुआ कपास का पैड अभ्यंग = क्षीरबला या महानारायण तैल के साथ हल्की तेल मालिश पाद अभ्यंग - पैर की मालिश - वायु नियंत्रण के लिए महत्वपूर्ण कोई मजबूत प्रक्रियाएं नहीं जैसे शिरोवस्ति या नस्य अस्थिर अवस्था में शांत वातावरण हल्का मंत्रोच्चारण या वैदिक मंत्र - परिवार की उपस्थिति हम वादा नहीं कर सकते - कोमा से गारंटीकृत रिकवरी - व्यापक मस्तिष्क क्षति का उलटाव - उन्नत आयु में हेमरेजिक स्ट्रोक के बाद तेजी से जागरण आयुर्वेद जीवन की गुणवत्ता, स्थिरीकरण और संभावित धीरे-धीरे सुधार पर ध्यान केंद्रित करता है, जो निर्भर करता है - मस्तिष्क क्षति की सीमा - हेमरेज का स्थान - मरीज की समग्र ताकत - आधुनिक चिकित्सा हस्तक्षेप की गति धन्यवाद डॉ. मैत्री आचार्य
Supportive Systems (Adjunctive, not replacement)— Ayurveda / Integrative care: - Medhya Rasayanas (like Brahmi, Shankhpushpi, Mandukaparni) are traditionally used for brain health, but in coma they are supportive only after stabilization. - Abhyanga (oil massage) and Mridu Swedana (gentle fomentation) may help circulation and prevent stiffness once the patient is stable. -Go for Panchkarma procedures Physiotherapy: Passive limb movements to prevent contractures, chest physiotherapy to avoid pneumonia. Nutrition: Adequate protein, vitamins (especially B‑complex, vitamin D), and hydration. WARM REGARDS DR.ANJALI SEHRAWAT
✓Immediate medical priorities Neuro-ICU / Stroke team monitoring – control ICP (if raised), blood pressure, seizures, pneumonia prevention Tracheostomy + PEG feeding – if not already done (to prevent aspiration & maintain nutrition) Physiotherapy – passive limb movements, chest physio, positioning 2-hourly (prevents contractures, bedsores, pneumonia) Zolpidem trial (if minimally conscious signs) – 5–10 mg single dose under neurologist (paradoxical awakening in some coma cases) Amantadine – 100 mg twice daily (if some response) – increases dopamine, small chance of arousal ✓Ayurvedic supportive care (only complementary – after neurologist approval) Brahmi Ghrita – 5–10 gm morning with warm water (best brain nourisher) Shankhpushpi Syrup – 10 ml twice daily (calms mind & supports nerve repair) Maha Narayana Taila – gentle full-body massage daily 10–15 min (improves circulation, reduces stiffness) Nasya – 2 drops warm Anu Taila each nostril morning (stimulates brain & senses) ✓Family & Caregiver focus Realistic expectation setting – prepare for long-term care or palliative path Comfort first – pain relief, mouth care, turning, emotional support Daily gentle stimulation – talk, play favourite music, touch, family presence (helps if minimal consciousness present) Nutrition – high-protein feeds via PEG (consult dietitian) ✓Most important message At 82 with brain haemorrhage causing eye-open coma , recovery to normal life is extremely unlikely. Focus on preventing complications (infection, bedsores, contractures) and quality of remaining life. Dr Gursimran Jeet Singh MD Panchakarma
I understand how distressing this situation is for the family An eye open coma after brain haemorrhage especially at the age of 82 is a very serious condition and recovery depends on the extent of bleeding the area of brain involved and overall strength of the patient At this stage the first priority is always proper hospital care blood pressure control nutrition through tube and prevention of further complications Ayurveda can only play a supportive role and should be used along with ongoing medical management not as a replacement From an ayurvedic point of view the brain bleed causes severe imbalance of circulation inflammation and nerve tissue weakness The aim is to support brain healing reduce internal inflammation and maintain circulation without increasing pressure For this Brahmi vati 125 mg once daily with honey can be given only if the patient is on tube feed and the treating doctor allows it This is used in very small dose to support brain function and nerve recovery To support overall circulation and reduce clot related stress Arjuna powder 500 mg once daily mixed with warm water can be considered through feeding tube after medical clearance This helps in maintaining circulation and supporting the heart which is very important in elderly brain haemorrhage patients Dose should not be increased and should be stopped if blood pressure fluctuates For general strength and tissue support Ashwagandha powder 500 mg once daily with warm milk or water through tube feed may be used only if digestion is stable This helps in supporting muscle strength immunity and recovery in prolonged bed bound conditions Do not use if there is fever infection or digestive intolerance It is important to understand honestly that at this age and condition Ayurveda cannot guarantee reversal of coma But it can help in stabilizing the body improving chances of neurological response and preventing further weakness Gentle oil application on hands and feet daily passive limb movements proper nursing care and emotional support from family play a very big role Any change in breathing fever blood pressure or consciousness should always be managed by the hospital team first
