A Comprehensive Ayurvedic Management of Peripheral Vascular Disease – a Case Report (original) (raw)

Vatarakta is a unique clinical manifestation explained in the Ayurvedic classics having the involvement of both Vata Dosha and

2018

Background: Vatarakta is a unique clinical manifestation explained in the Ayurvedic classics having the involvement of both Vata Dosha and Rakta Dhatu. It is a disease predominantly affecting the extremities mainly the Pada and Hasta. Due to the similarity in the pathology of Vatarakta and Diabetic neuropathy, many symptoms like Daha and Shoola which are manifested in Vatarakta are also observed to be manifested in Diabetic Neuropathy. Pinda Taila is one such formulation mentioned in our classics for the relief of Daha and Shoola developed in Vatarakta. Aims and objectives: To evaluate the efficacy of Pinda Taila in the symptomatic management of Daha and Shoola of Diabetic Neuropathy. Materials and methods: 20 patients diagnosed with Diabetic Neuropathy suffering from Daha and Shoola were selected for the study. Results and Conclusion: Pinda Taila was observed to be statistically efficacious in the management of the symptom Shoola than Daha.

Systematic Review on Understanding and Management of Vatarakta (Gouty Arthritis)

https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.9\_Sep2020/IJHSR\_Abstract.026.html, 2020

Background-Vatarakta (gouty arthritis) is a chronic disease in which derangement of metabolism occurs due to indulgence in unwholesome dietary habits and lifestyle. Vatarakta is caused by vitiated Vata and Rakta. Initially vitiated Vata obstructs the path of vitiated Rakta and then gets obstructed by Rakta itself. It can be correlated with Gouty Arthritis due to their similarity in the clinical presentation. Various Ayurveda researches shows the evidence of efficacy of different treatment protocol mentioned for Vatarakta such as Raktamokshan (blood-letting therapy), Virechana (purgation) and Basti Karma(therapeutic enema) besides the Shamana(pacification), Rasyana Dravyas along with external applications like Lepa, Upanah (poultice), Parishek, Abhyanga(oleation). AIM-The aim of the present study was to explore the understanding of Vatrakta with its treatment protocol and to compile the outcome of various researches related to Vatarakta. Methods-Various Ayurvedic Samithas, database such as PubMed, Scopus, DHARA, Google Scholar and related research works were searched and reviewed for establishing the understanding to Vatarakta with its treatment protocol. Results & Conclusion-After going through various research works on the management of Vatarakta it has been observed that Guduchi Siddha Yoga Basti, Siravyadha and Punarnava-Amrita-Guggulu showed highly significant improvement in the sign and symptoms of Vatarakta when adopted as a treatment protocol .The detailed observations of these studies are mentioned here.

Case Series to Evaluate the Efficacy of Selected Treatment Modality in the Management of Vātarakta (Gouty Arthritis

International Journal Of Research And Scientific Innovation (IJRSI), 2023

Vātarakta is a more common and distressing metabolic condition that exists nowadays. Rakta (blood) is the major Dūshya (vitiated) in Vātapradhāna (predominance of Vāta), Tridōshaja (three body humors), and Vātavyādhi (disease of Vāta). Vātarakta is a condition in which Vāta, a prominent Dōsha, is unduly worsened by vitiated Rakta. Gout and Vātarakta are associated in modern science. Gout is a purine metabolic disorder that results in hyperuricemia and the development of monosodium urate crystals in joints. Gout's primary symptom is pain, which interferes with sufferers' daily lives. The purpose of this study is to determine the efficacy of a selected treatment modality in the management of Vātarakta. Three case presentations with a follow-up period of one month were studied. Treatment modality including Sinhasya Panchamūli Phānta, Chadraprabhā Vati, Nawarathna Kalka, Thriphalā Chūrna, Pinda Thaila, and Nadi Swēda was advised for four months along with Pathya Apathya (wholesome and unwholesome). Pre-and post-treatment assessments of subjective criteria were made. According to the results, the symptoms were reduced by 25%, 33.33%, 50%, 66.66%, and 100%. It may be concluded that Pathya Apathya, combined with a selected treatment modality, is a secure and reliable treatment for Vātarakta.

Deducing the conventional biomedical therapy to Ayurvedic fundamentals: Illustrations from a case report

TANG [HUMANITAS MEDICINE], 2015

Ayurveda is often criticized for having empirical and non-evidence based approach to treat the patients. At the same time, modern medicine is also being criticized for having a non-holistic, reductionist and mechanistic approach of treating the patients which do not help in many real clinical situations. An open minded deduction of treatment approaches in both of these systems for a common patient however makes us to rethink that ideally both systems are similar with a common objective of offering a cure although in a manner which is better understood through their own methods of learning. The differences therefore, are more superficial rather than being deeply rooted in the understanding. A more tolerant viewpoint towards the competitive medical systems may therefore be a better approach to offer optimal health care to our people through a genuine amalgamation of these two health care sciences through an integrated approach. Once this tolerance is developed , it will give us an opportunity to think for a focused selection of type of health care depending upon the type of the disease and strength of the particular system in that area.

Role of Punarnava Amrita Guggulu in the Management of Vatarakta – a Clinical Trial

2015

In the present revolutionary era the life of a person is hectic and materialistic and is quite difficult due to the various obstacles which are experienced during the routine life. The disease Vatarakta is one of them. Vatarakta is an ailment where both Vata and Rakta are responsible to lead a complex effect on the joints. Its clinical onset is from great toe which later spreads over other joints of the body. In Chakradutta, Vatavyadhi Rogaadhikaar, Chapter 23, Amrita Guggulu Dwitiya, i.e, Punarnava Amrita Guggulu is described which is taken here for the treatment of Vatarakta. This is a single blind clinical study with a pre and post-test design, wherein 30 patients of both sex, suffering from Vatarakta, in an age limit of 20 to 60 years, were selected randomly and given Punarnava amrita guggulu with an anupana of Amritaadi Kashaya 72 ml with each dose. The therapeutic effect of the treatment was assessed based on specific subjective and objective parameters. The results obtained w...

The Comparative Study of “Jalaukavcharana and Jalaukavcharana Along with Ushiradilepa in the Management of Vidradhi” (Amavastha and Pachyamanavastha)

2015

When the patient visit to his doctor and get diagnosed as Vidradhi of any Stage, he face a choice of taking either allopathic drugs (which have many complications like formation of antibioma or sinus, etc.) or surgery (again with a high risk for complications). Severe pain is the main clinical feature which hampers the daily routine of patient, so the treatment becomes essential. To treat the cases of Vidradhi, there are many treatment modalities in medical sciences, but the question is of recurrence and complications. In Vidradhi line of treatment is to get relief from pain and inflammation. Fortunately, in Ayurveda, there are measures that one can take to avoid scenario. Along with Mridusamaka and Pachanatreatment quickly effective Raktamokshana (Jalaukavacharana) is said to be the treatment of choice of ApakwaVidradhi. It is minimal invasive operative technique and requires no instrumentation. The procedure may be performed even without anesthesia with minimal stay. In this study...

Ayurvedic management for a rare disorder Takayasu arteritis – A case report

Ayu, 2020

Takayasu arteritis (TA) is a rare disorder and it is a devastating condition of aorta. The presently available treatments for the condition in the modern medicine have limited benefits. This is case of TA which was better managed with Ayurvedic intervention. An Ayurvedic diagnosis for this case was Siragata Vata (vitiated Vata Dosha affecting the blood vessels). A 42-year-old woman was diagnosed with TA and treated on the line of management of Siragata Vata with Shastikashali Pinda Swedana (sudation with bolus of medicated cooked rice) for 16 days, Erandamuladi Niruha Basti (enema mainly with decoction) along with Ashwagandha Taila Anuvasana (enema with medicated oil) for 16 days in Kala Basti Krama (16 days in alternate order of decoction and oleation enema) followed by one day gap and then 7 days of Nasya Karma (nasal therapy) with Triphaladi Taila (oil) on alternate days along with a combination of Ayurvedic oral drugs [Brihadvatachintamani Rasa-125 mg, Dashamula Kwatha-40 ml, Narsinha Churna (powder)-3 g, Yogaraja Guggulu-1g (500mgx2tab) and Shiva Gutika-500 mg, twice a day for 1 month. Same Panchakarma procedures were repeated after 6 months. A similar combination of oral medications were continued in between and during this period. Chyavanaprasha Aveleha in the dose of 10g twice a day with milk were also added after completion of this treatment regime. Patient condition was assessed on Indian Takayasu Clinical Activity Score (ITAS-2010) for disease activity of TA. Satisfactory results were observed in the patient with improvement in ITAS-2010 scoring. TA may be managed with Ayurvedic drugs and Panchakarma procedures.

Ayurveda for a type 1 diabetes patient with peripheral arterial occlusive disease (PAOD)

Complementary Medicine Research, 2023

Introduction: The effect of Ayurvedic therapy in type 2 diabetes (t2d) is well documented. For people with type 1 diabetes (t1d), there is little evidence on the applicability of Ayurvedic therapy. This case illustrates the course of Ayurvedic treatment in a person with t1d accompanied by peripheral arterial occlusive disease (PAOD). Case presentation: The patient had insulin-dependent t1d since the age of 6 years. At 39 years of age, he developed progressive bilateral peripheral arterial occlusive disease (PAOD) of the femoral arteries. He presented claudication symptoms at a walking distance of 150m. 10 surgical interventions for recanalization have been performed. The PAOD put heavy psychological strains on the patient. He developed moderate depression with anxiety and complains of tinnitus and sleep disturbances. Through an initial outpatient Ayurvedic treatment focused on dietary and lifestyle changes, phytotherapeutics and a subsequent 6-week inpatient Ayurvedic treatment in I...

Diagnostic and Therapeutic Application of Ayurvedic Therapies in Raktapradar after Rajonivritti: A Case Study

International Journal of Ayurveda and Pharma Research, 2021

Post-menopausal bleeding is reported in about 4 to 11percent of women. Its causes incudes several factors which may be benign or malignant. Benign factors can be managed at out-patient level and Ayurvedic procedures of Prakshalana and Pichu can be its alternative for management. Present case study is of post-menopausal bleeding where by the use of these Ayurvedic procedures, first the cause of bleeding was revealed and then, after removal of factor, it provided compete relief from bleeding. Thus, Ayurvedic procedures of Prakshalana and Pichu had two benefits in this case- diagnostic as well as therapeutic.

Clinical Diagnosis in Ayurveda: Concepts, Current Practice and Prospects

Introduction A physician's job is to know the human body and its functions in terms of Prakritisthata (homeostasis). The four cornerstones of diagnostic medicine, each essential for understanding homeostasis, are: anatomy (the structure of the human body), physiology (functions of Dosha, Dhatu and Mala), pathology (what can go wrong with the anatomy and physiology) and psychology (thought and behavior). Once the doctor knows what is normal and can measure the patient's current condition against those norms; she or he can then determine the patient's particular deviation from homeostasis and the degree of deviation. This is called diagnosis. Once a diagnosis has been reached, the doctor is able to propose a management plan, which will include treatment as well as plans for follow-up. From this point on, in addition to treating the patient's condition, the doctor educates the patient about the causes, progression, outcomes, and possible treatments of his ailments, as w...