EFFICACY OF MUNZIJ WA MUSHIL-E-BALGHAM (POLY HERBAL FORMULATIONS) AND MASSAGE WITH ROGHAN-E-MALKANGANI IN FALIJ NISFI (HEMIPLEGIA): A RANDOMISED CONTROLLED CLINICAL TRIAL

This study was conducted as a single blind, randomized and standard controlled clinical trial in cases of Falij Nisfi (Hemiplegia) due to ischaemic stroke. Forty eligible patients of Hemiplegia were randomized into test and control groups, comprising 20 patients in each.  Test group was given Nuskha munzije balghamfor12 days, followed byNuskha Mushile Balgham, mixed with Munzije Balgham for next two consecutive days in decoction form, orally. Massage was started from 15^th day with Roghan Malkangani on spinal column and paralyzed limbs for 15 minutes daily till 28^th day. Control group was given tablet Piracetam Hydrochloride, 800 mg twice a day. Hypertensive patients in both groups, A and B, also received tablet Aspirin, 75 mg and tablet lisinopril, 2.5 mg, once daily for 28 days. The assessment of efficacy was based on “Stroke Rehabilitation Assessment of Movement (STREAM)”. Pre and post treatment values of STREAM were subjected to statistical analysis within and between the groups using Paired‘t’ test, Wilcoxon matched pairs signed rank test, and  Kruskal-Wallis test with Dunn’s multiple comparison test. There was significant improvement in STREAM scores for voluntary movements of upper limb (P<0.01), lower limb (P<0.01), Basic mobility (P<0.01), and total score (P<0.01), in test Group as compared to control Group. The study revealed that test drug has statistically significant response in improving voluntary movements as compared to control drug.