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CASE REPORT
Year : 2020  |  Volume : 8  |  Issue : 2  |  Page : 130-136

Management of chronic case of Buerger’s disease through Ayurveda: A case report


Department of Panchakarma, All India Institute of Ayurveda, New Delhi, India

Correspondence Address:
Dr. Ram Lakhan Meena
Department of Panchakarma, All India Institute of Ayurveda, Sarita Vihar, New Delhi.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JISM.JISM_29_20

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Thromboangiitis obliterans (Buerger’s disease) is a non-atherosclerotic inflammatory disease of unknown etiology characterized by thrombosis and recanalization of the affected vessels, which has a strong association with tobacco. It usually affects small and medium-sized arteries and veins in distal upper and lower extremities. The onset of disease occurs between 40 and 45 years of age, and men are most commonly affected. The prevalence of the disease among all the patients with peripheral arterial disease varies from as low as 0.5%-5.6% in Western Europe to as high as 45%-63% in India. The present case study was on a patient who approached the OPD of All India Institute of Ayurveda, New Delhi, with chief complaints of pain and swelling in digits of the left foot for 1 year along with associated complaints of decreased sensation over left toe with bluish and blackish skin discoloration. The essential investigation such as ultrasound Doppler was done and diagnosed as a case of peripheral vascular disease (Buergers disease). Based on clinical presentation, sign, and symptoms, it was diagnosed as a case of Vatarakta (~occlusive peripheral vascular disease) according to Ayurveda. The treatment principle of Vatarakta mainly includes Virechana (~therapeutic purgation), Basti (~therapeutic enema), and Raktamokshana (~bloodletting by mean of leech application along with oral medications were advised. Patient showed significant improvement in the pain according to visual analog scale, skin discoloration, and other associated symptoms along with the positive changes in color Doppler of lower limbs. It shows that the therapeutic purgation with bloodletting therapy is an effective method for the management of thromboangiitis obliterans disease.


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