PANCHAKARMA THERAPY WITH SPECIAL REFERENCE TO MANJISTADHI KSHARA BASTI IN “1A-3N KALA-BASTI PATTERN” IN THE MANAGEMENT OF DEEP VEIN THROMBOSIS (DVT): A CASE STUDY

Abstract

Deep vein thrombosis (DVT) is the third most common vascular disease, after ischemic heart disease (IHD) and Stroke and it is a silent killer. It affects approximately 0.1% of total population per year. Various treatment mo-dalities and drugs of Western medicine such as Surgical interventions, Urokinase, Streptokinase or Tissue plas-minogen activators to dissolve the blood clots have their own limitations and side effects apart from being ex-pensive. The present case study deals with a 39-year-old male, cab driver by profession, who is used to long distance travel in car on daily basis and is obese in built, habituated to smoking 4-5 cigarettes a day, since 10-12 yrs., gradually developed pain and swelling of Right lower limb since 2months. On evaluation, Doppler Ultra-sonography of Right lower limb revealed Deep vein thrombosis of Right femoral vein (Upper and mid 1/3rd) & long Sephanous vein (proximal 1/3rd). In Ayurveda, based on the Clinical picture and signs and symptoms, the condition can be correlated to “Kapha-Medavrutha Vataraktha”. This case study is about management of DVT with multi-modality treatment in the form of Panchakarma procedures such as Jaloukavacharana, Kashaya dhara, Alepana, Udwartana, Manjistadhi Kshara vasti along with oral medications. Treatment has shown re-markable result especially in reduction of symptoms such as swelling, pain and heaviness. Assessment was done on the basis of clinical examination, signs and symptoms before and after the treatment.