| Hemorrhagic stroke, also known as intra-cerebral | | | | officinalis), Patol (Tricosanthe dioica), Patha |
| hemorrhage (ICH), is regarded as a separate | | | | (Cissampelos pareira), Musta (Cyperus rotundus) |
| entity from stroke due to ischemia. Both present | | | | and Gokshur (Tribulus terrestris) are used to |
| with similar focal neurological deficits, but patients | | | | prevent further bleeding and complications. |
| with ICH are more likely to have headache, | | | | Once the patient's condition has been stabilized, |
| altered mental status, seizures, nausea, vomiting | | | | treatment is given to rehabilitate the patient, |
| and marked hypertension. ICH is also associated | | | | reduce disability and improve function of the limbs |
| with higher mortality rates. | | | | to the maximum extent possible with medicines. |
| ICH is a medical emergency and the first few | | | | The entire body is massaged with medicated oils |
| hours can be quite significant in terms of | | | | like Mahanarayan oil, Chandan-Bala-Laxadi oil and |
| morbidity and mortality. All such patients require | | | | Maha-Mash oil. Medicated steam fomentations are |
| urgent hospitalization and emergency treatment. | | | | usually done after massage in order to help speed |
| Ayurvedic treatment can be initiated after the | | | | the process of muscular-function recovery. |
| initial acute stage has subsided. Treatment is | | | | However, since most patients with hemorrhagic |
| aimed at controlling stress and hypertension; and | | | | stroke have a history of high blood pressure, |
| preventing further bleeding and increase in | | | | fomentation is usually not done in such patients, |
| complications. Medicines like Sutshekhar-Ras, | | | | since this procedure can cause a rise in blood |
| Jatamansi (Nardostachys jatamansi), Sarpagandha | | | | pressure. Medicines like Kaishor-Guggulu, |
| (Rauwolfia serpentina) and Dhamasa (Fagonia | | | | Trayodashang-Guggulu, Vat-Gajankush-Ras and |
| cretica) are used to control high blood pressure. | | | | Bruhat-Vat-Chintamani are given to improve |
| Brahmi (Bacopa monnieri), Shankhpushpi | | | | motor and sensory functions. |
| (Convolvulus pluricaulis) and Mandukparni (Centella | | | | The consequences of hemorrhagic stroke can be |
| asiatica) are used to reduce stress. Medicines like | | | | quite devastating both in terms of morbidity and |
| Tapyadi-Loh, Ekang-Veer-Ras, | | | | mortality. All patients having high blood pressure |
| Maha-Yograj-Guggulu, Chandrakala-Ras, | | | | are at risk of hemorrhagic stroke, and prevention |
| Kamdudha-Ras, Praval-Bhasma, Yashtimadhuk | | | | of this condition should be given prime importance |
| (Glycerrhiza glabra), Chandan (Santalum album), | | | | in such patients. Ayurvedic treatment can be |
| Manjishtha (Rubia cordifolia), Saariva (Hemidesmus | | | | given as additional therapy to prevent stroke and |
| indicus), Haridra (Curcuma longa), Amalaki (Emblica | | | | its resulting complications. |