Bell’s palsy is paralysis or weakness of the muscles on one side of the face, usually due to damage to the facial nerve. It can also affect the sense of taste, salivation, and tear formation. Most patients improve spontaneously within a few weeks to a few months, however some may have permanent residual facial weakness.

Bell’s palsy is known as “Ardit” in Ayurveda. However, Ardit’s symptoms can be part of a stroke, i.e. complete paralysis of one half of the body, whereas Bell’s palsy is generally considered self-limiting. Ayurvedic treatment of this facial paralysis consists of local application, oral intake of medicated oils, local fomentation, medicated nasal drop therapy, and oral medication in the form of tablets.

Medicinal oils used for local application, oral intake and nasal therapy are: Bala (Sida cordifolia) oil, Narayan (Asparagus racemosus) oil and Chandan-Bala-Laxadi oil.

Mouth rinsing and gargling with lukewarm water are considered very effective in relieving symptoms.

Local medicated steam enhancement is given with decoctions of Erand mool (Ricinus communis root), Rasna (Pluchea lanceolata), Dashmool (Ten root herbs) and Nirgundi (Vitex negundo). Dry fomentation is given by preparing a poultice (medicated pack) of wheat flour and oil.

Oral medicines useful in facial paralysis are: Yograj Guggulu, Trayodashang Guggulu, Vata Vidhvansa Rasa, Sameerpannag Rasa, Brihat Vata Chintamani, Tapyadi Loha, Dashmoolarishta and Bhallatakasava. The unique herbal medicines used are: Guggulu (Commiphora mukul), Nirgundi, Dashmool, Ashwagandha (Withania somnifera), Shatavari (Asparagus racemosus) and Kuchila (Purified Strychnos nuxvomica).

For refractory patients, some physicians recommend blood collection from a nearby vein or through leech therapy. Courses of medicated enemas are also recommended in some patients.

Milk, ghee, butter, mutton soup and black gram are recommended in the diet in large amounts. It is best to avoid prolonged exposure to cold.