Ayurvedic management of Sublingual Varices - A case report

Abstract

Introduction: Sublingual varices (SLVs) are among the most prevalent oral lesions. They are most commonly visible on the tongue's ventral side believed to be benign evolutionary anomalies with sign and symptoms that are comparable with the Adhijivha Roga which is kapha and raktagata dushti vikara.  Moreover, SLVs are more common among the senior individuals and the prevalence of SLVs among seniors is 56.7%. Under treatment modalities sclerotherapy and Laser treatment are mentioned but these have certain demerits. Hence an Ayurvedic approach for the treatment of this disease can be adopted to avoid these underline demerits and complete relief from the symptoms. Clinical Findings: In the present case report a 57-year-old female patient presented with a chief complaint of burning sensation in the mouth while having hot and spicy food since for one month along with foreign body like sensation on the bilateral side of the tongue.

Diagnosis: Condition was diagnosed as Sublingual varices and it’s Ayurvedic Diagnosis as Adhijivha. Intervention: Considering the pathology and symptomatology Sthanika Chikitsa was done which include Nasya karma, Kavala dharana and Gandusha followed by Shaman aushadhis. After seven days of treatment plan the associated symptoms subsided completely. Outcome: The patient got relief from all the symptoms and complete remission of the disease was observed after 1 month of treatment. Conclusion: No adverse events were noted during the treatment. This case report sets an example that Ayurveda has an effective and safe management for the condition of Adhijivha Roga (Sublingual varices). This case also becomes evidence and base for further research works.