Normal Pressure Hydrocephalus (NPH)


abnormality,normal-pressure hydrocephalus

NPH or Normal pressure hydrocephalus is an abnormal buildup of CSF or cerebrospinal fluid in the brain’s ventricles or cavities. This leads to enlargement of ventricles that eventually disrupts and damages the brain tissues. Hydrocephalus occurs when the natural system for draining and absorbing extra CSF does not work properly. There could be little or no increase in Intracranial Pressure (ICP). It is called Normal Pressure because, despite the excess fluid, cerebrospinal fluid pressure stays normal.

Ayurvedic Approach

Ayurveda defines a healthy person as the individual with a balanced body with a stage of Agni (digestive fire or metabolism), Doshas (physical energies), Dhatus (body tissues), and Malas (unwanted wastes). Individual’s health depends upon the happy soul, senses, and mind, what Ayurveda says!

‘‘Samdosha sam dhatu sam agni shmalakriyah
Prasann atma indriya smanah swasthabhi diyate’’!!
(Reference: Sutrasthanam, Sushrut Samhita, 25-51)

The aggravation of Vata and Kapha doshas or body energies is the cause of NPH. These doshas lead to impaired brain functioning due to the accumulation of toxins in the body. Herbal remedies for NPH play a very good role in the management of this condition and yes herbs serve a very good and supportive treatment to control the further aggravation.


NPH is a progressive condition. It is mostly seen in older people, mostly in 60s and 70s. Some people are also born with this condition. NPH may also occur after a head injury, bleeding around the brain, due to stroke, meningitis or due to a brain tumor. It may happen after brain surgery also.


Difficulty in walking

The patient has a tendency to bend forward and walk with legs wide apart.
There is leg weakness and unsteadiness while walking. The patient tends to fall suddenly, take shuffling steps and may experience difficulty in taking the first step as if the feet are stuck to the floor.

Decline in Mental Processes

As the thought process slows down, the patient shows reduced concentration, forgetfulness, slow decision making, withdrawal and being indifferent, change in mood and behavior.
This may interfere in day to day activities and is named as dementia.

Loss of bladder control

Loss of bladder control that means the patient is unable to hold urine. This appears in the later stage of the disease. The patient may experience frequent urination or urgency to urinate.

Other Symptoms may Include

Headache, nausea, and difficulty focusing eyes.
Some patients experience unintentional weight loss as there is a lack of appetite and more sleep duration.

Vomiting, irritability, fever, drowsiness, muscle spasms are some other less common symptoms of NPH.


  • The diagnoses of NPH is done by taking a physical exam of the patient along with his medical history.
  • The tests may also include tests of the mental status of the patient like answering the questions and following simple directions.
  • Brain CT scans and MRI are performed to look for swollen ventricles in the brain along with other tests like spinal tap or lumbar catheter, intracranial pressure monitoring, and neuropsychological tests.
  • Cisternography is another test that is conducted to check the absorption of CSF.

Herbal Treatment For NPH

Planet Ayurveda offers a complete, effective and safe treatment to manage the symptoms of NPH. The products from Planet Ayurveda are 100% pure, free from any chemicals, starch, preservatives, color, yeast, binders, fillers, etc.

1) Kanchnaar Guggul

This herbal product is prepared from herbs like kanchnaar (Bauhinia variegata), Amalaki (Bauhinia variegata), haritaki (Terminalia chebula), bibhitaki (Terminalia bellerica), shunthi (Zingiber officinale), etc. The combined formulation has anti-inflammatory and anti-cancerous properties. This formula helps in managing all kinds of blockages. The herbs present in it are known to detoxify the body, remove toxins, open the channels and maintain proper body functions.
The recommended dosage for Kanchnaar Guggul is 2 tablets two or three times a day with plain water after meals.

2) Brahmi Capsules

This amazing product is made from the pure extract of herb Brahmi (Bacopa monnieri) which is known to increase circulation in the brain and has shown excellent results in improving short and long term memory. The formulation is known to deal with all problems related to brain damage, injury and also helps in rejuvenating the brain cells effectively.

The recommended dosage for Brahmi capsules is 1-2 capsules twice a day with plain water, after meals.

3) Punarnava Capsules

Another wonderful product, from the house of Planet Ayurveda that is made from the standardized extract of herb Punarnava (Boerhavia diffusa). It is well known for treating the urinary tract infections, water retention or fluid accumulation in the body and many such other related problems. Punarnava here in this condition which helps to drain extra CSF (cerebrospinal fluid) from brain cavities.

The recommended dosage for Punarnava Capsules is 1-2 capsules, twice a day with plain water, after meals.

4) Mahashankh Vati

It aids digestion and helps in improving metabolism. This formulation is prepared using herbs like pippali (Piper longum), chitraka (Plumbago zeylanica), danti (Baliospermum montanum) and other ingredients such as shudh parad, shud tankan, sarjakshar, and yavkshar. A very useful formula to improve digestive health. It also helps in drainage of extra cerebrospinal fluid due to detoxifying properties of ingredients such as shud tankan, sarjakshar, and yavkshar.

The recommended dosage for Mahashankh Vati tablets is 2 tablets twice a day after meals.

Some of the Other Effective Herbal Products for NPH are

  • Ashwagandha capsules
  • Memory support capsules
  • Gotu kola capsules
  • Energo plan syp
  • Immunoplan syp
  • Punarnava mandoor
  • Trinpanchmoolghana vati etc.

Follow the other recommended instructions too and Stay in touch with your Ayurveda expert for proper treatment and further guidance!


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