An ayurvedic management of chronic nonhealing ulcer in buerger's disease w.s.r. to gambhīra vātarakta: A case study

Santosh Mudakappagol, A. Wali, H. Salma, Ramesh S. Killedar
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Abstract

Buerger's disease is associated with ulcers in the extremities with the possibility of amputation. The prevalence of the disease among all patients with peripheral arterial disease ranged 5%–10%. Heavy cigarette smoking has been implicated the main etiology and only treatment that has been shown to be effective is complete abstention from smoking. In spite of this, the disease progresses in up to 30% of cases and finally results in limb amputation. Here, it is a case report of a 45-year-old male patient who came with complaints of severe pain and nonhealing arterial ulcer over the right great toe for 3 months with a diagnosis of Buerger's disease. The present case scenario is clinically correlated to gambhīra vātarakta, owing to the mārgāvaraṇa (obstruction) pathology and managed effectively with mañjiṣṭhādi kṣārabasti (Medicated enema), raktamokṣaṇa (bloodletting), and śamana auṣadhi (oral medications) which hoarded him from amputation.
阿育吠陀治疗buerger病的慢性不愈合溃疡w.s.r.to gambhīra vātarakta:一个案例研究
伯格氏病与可能截肢的四肢溃疡有关。该疾病在所有外周动脉疾病患者中的患病率在5%-10%之间。重度吸烟被认为是主要病因,唯一被证明有效的治疗方法是完全戒烟。尽管如此,这种疾病在高达30%的病例中发展,最终导致截肢。这是一例45岁男性患者的病例报告,他主诉右大脚趾剧烈疼痛和动脉溃疡持续3个月,诊断为Buerger病。由于mārgāvaraṇa(梗阻)病理学,目前的病例场景在临床上与gambhīra vātarakta相关,并通过mañjiṣṣārabasti(药物灌肠),raktamokṣ一ṇa(放血)和śamana aus adhi(口服药物)使他免于截肢。
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