Ayurvedic literature highlights the symptoms of Pakshagata as Chesta Nivritti either in Vama or Dakshina Parshwa along with Ruja and Vakstambha. Pakshaghata being one among the Vataja Nanatmaja Vyadhi is considered as Mahavata Vyadhi, it can occur either due to Dhatukshaya or Margavarana. Pakshaghata can be correlated with Hemiplegia, which results from cerebrovascular accident - stroke. Stroke is defined as sudden onset of neurologic deficit from vascular mechanism 85% is ischemic and 15% are primary hemorrhages. According to the World Health Organization, 15 million people suffer from stroke world wide each year, of these, 5 million die and another 5 million are permanently disabled. Modern science believes that the brain tissues once damaged completely cannot be repaired by the therapies leading to permanent neurological deficit. Hence, the disease has a poor prognosis, making the person disabled dependent. In present article deals with aetiopathogenesis, clinical features and the role of Avarana and management of disease the Pakshagata from Ayurvedic classics
