Abstract

EFFICACY OF AYURVEDIC MEDICINES AND RAKTAMOKSHAN IN BUERGER’S DISEASE WITH SPECIAL REFERENCE TO UTTANA VATARAKTA

*Sawant Tejaswini Baban and Deshpande Bhalchandra Neelkanth

Abstract

Buerger’s Disease is non-atherosclerotic inflammatory disorder and obliteration of arteries with involvement of neighboring vein and nerve, terminating in thrombosis of artery which leads to ischemia to that part causing severe pain, ulceration and gangrene. It’s mostly seen in middle aged young males than females, smokers and tobacco users. In Ayurveda, it can be correlated with Vatarakta, where Vata Dosha and Rakta Dhatu is vitiated individually and then combined causing the symptoms of disease. Methodology: A 50yrs male patient, admitted in IPD having smoking history of 35yrs, known case of Diabetes Mellitus, Hypertension and Hyperlipidemia, having complaints of severe rest pain, burning sensation, swelling over left leg, foot and toes since 2 months which got worsen gradually. Patient underwent Lumbar Sympathetic Block and was undergoing allopathic management where ulcer formation with discharge and further blackish discoloration over left great toe and 5th toe noticed which spread gradually. Considering this without interfering with previous allopathic treatment, patient was selected for Ayurvedic management. In this 6 times Raktamokshana, daily Vrana Shodhana, Ropana and Shamana Aoushadhi was given for first 25days followed by only Shamana Aoushadhi for next 45days. Results: Marked reduction in pain and use of Opiod Analgesics was seen. Improved Blood and oxygen supply prevented the chances of amputation. Spread of gangrene was controlled with complete healing. Conclusion: Buerger’s Disease can be managed better with Ayurvedic approach providing good quality of life by reducing pain and harmful effects of excessive analgesics usage.

Keywords: Buerger’s disease, Vatarakta, Raktamokshana, Vrana Shodhana, Vrana Ropana.