Ayurvedic approach to the management of Dry Gangrene (Vrana Kotha) In Peripheral Vascular Disease: A case report
DOI:
https://doi.org/10.70066/jahm.v13i5.1805Keywords:
Dry gangrene, Peripheral Vascular Disease, Kotha, Manjisthadi kshara basti, Vrana Ropana, Case reportAbstract
Peripheral vascular disease (PVD) presents a significant challenge for surgeons, often culminating in the development of dry gangrene. The prevalence of dry gangrene resulting from peripheral vascular disease is notably higher in populations under the age of 45 with a history of tobacco or smoking use. A study indicates that gangrene affects 0-5% of the Indian population, with the majority of cases occurring in individuals aged 20-40.[1] Ayurveda, addresses peripheral vascular disease and dry gangrene, drawing correlations with the concept of Vrana Kotha. Management of dry gangrene encompasses local and systemic approaches, including Vrana Shodhana, Vrana Ropana, and oral medications. [2]
A 38-year-old male, non-diabetic and non-hypertensive, sought treatment at Shalya Tantra IPD for wounds on his toes accompanied by pain, burning sensation, discolouration, and discharge. A chronic smoker for 23 years, he had no known metabolic or systemic disorders. We developed a comprehensive Ayurvedic management plan incorporating local and systemic interventions. Throughout the treatment course, the patient exhibited notable improvement, with reduced pain and visible healing of the gangrenous tissue. Subsequent assessments revealed restored circulation and stabilization of the affected area.
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