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Rathod and Joshi, 1:12http://dx.doi.org/10.4172/scientificreports.578

Case Report Open Access

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Open Access

Volume 1 • Issue 12 • 2012

A 28 year old female presented with tightness, roughness, hardness, hyper pigmentation of skin, fingers, toes that turns into blue, hair loss, skin abnormally light, stiffness and tightness of fingers, hands and fore arm, sores (ulcers) on finger tips, tight and mask like skin of the face. Multiple joint pain and stiffness of the joints, breathlessness, occasional cough and wheezing, constipation, difficulty in swallowing, esophageal reflux, degenerative changes in fingers, all these symptoms are started at 15 years of age. All above said symptoms are progressive in nature and in this period patient consulted many physicians, dermatologist and many other specialty clinics but did not found relief in the disease. On the basis of signs and symptoms patient were diagnosed as Scleroderma and Vatarakta according to Ayurvedic view. Since last few months she had been taking continuous Ayurvedic medicine and found good relief in above said symptoms.

General Examination Pallor-present, icterus-absent, cynosis-localized cynosis present

in distal part of the fingers, Clubbing–present, Lymhphadenopathy–non palpable, Edema-absent. BP-during the course of hospitalization fluctuation of blood pressure was observed; most of the time normal blood pressure observed. Pulse-regular and thready in nature.

Systemic ExaminationCVS-no abnormality detected in cardiovascular system, RS-

tightness of the skin was observed over chest, basal crepitation, ronchi were heard. P/A- soft, non-tender, mild hepato-spleenomagally were palpated. CNS- higher mental functions were intact and no abnormality was detected.

Local examination of the skin reveals that rough, hard and tightness of the skin and patient is unable to open the mouth fully; only two fingers could be inserted in the mouth (fish type of mouth). Bluish and blackish discolouration of the skin was observed and degenerative changes in the skin were observed. Raynaud’s phenomenon is positive and intermittent cloudication was also present.

USG reveals that Mild hepatospleenomegaly, chest X-ray shows-mild increase vassicular markings, mild non homogenous opacity in both lower lobes. Cardiac borders were intact. ECG-WNL, Hematological reports reveal that Hb% around 9 gm%, ESR 20 mm/1 hour. TC, DC and other hematological parameters were normal, renal parameters and blood sugar also within normal limits (Figure 1).

On the basis of signs and symptoms of the condition this disease

*Corresponding author: Dr. Rathod MR, PhD Scholar, P.G. Department of Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, India; E-mail: mannsrathod@gmail.com

Received November 07, 2012; Published December 31, 2012

Citation: Rathod MR, Joshi RK (2012) Scleroderma (Vata Rakta) with Ayurvedic Treatment Approach. 1:578 doi:10.4172/scientificreports.578

Copyright: © 2012 Rathod MR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Scleroderma (Vata Rakta) with Ayurvedic Treatment ApproachRathod MR1* and Joshi RK2

1PhD Scholar, P.G. Department of Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, India2Associate Professor, P.G. Department of Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, India

was diagnosed as Scleroderma and in Ayurvedic point of view it is considered as Vatarakta and treated accordingly.

Treatment was given after long term failure of treatment, patient wass fed up with financial burden and progression of the disease and finally approached to Ayurvedic medicine (Table 1).

Shodhana Therapy This whole course of the treatment is done in last 4 months with

small changes in medicine. There is permutation and combination of the drugs has been changed according to response of the disease and response to the drugs (Figure 2).

Picture shows that- Mask like facies, absence of skin wrinkling

Figure 1: Before Treatment Pictures.

Figure 2: Course of Vamana Krama fallowed by Virechana Karma.

1

Talakeshwara Rasa 250 mgAstamurty Rasayana 250 mgShudha gandhaka 500 mgPittantaka yoga 250 mg Triphala vati 2/2

1X2 matra

2

Manjistadi Kwatha 20 ml BDKahdirarista 20 ml BDKaishora Guggulu 2/2/2Arjuna Twaka 2/2Pushkaara Mula 250 mgGodanti 500 mg

1X2 matra 3 Pancha Tikta Ghrita – 20 ml BD4 Neem Taila + Tuvaraka Taila for Local application 5 Gojiwhadi Kwatha 20 ml BD6 Gudichyadi Kwatha 20 ml BD

Table 1: SHAMANA Therapy.

Citation: Rathod MR, Joshi RK (2012) Scleroderma (Vata Rakta) with Ayurvedic Treatment Approach. 1:578 doi:10.4172/scientificreports.578

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Volume 1 • Issue 12 • 2012

Sarvakustahara, shows good effect on gram negative and gram positive bacteria. Purified Sulphur (Shudha Gandhaka) is an excellent rejuvenator. It is effective in treating liver disorders and various skin diseases. By nature, it is digestive and carminative. It is an excellent remedy to flush out the toxins from the body. It is also helpful in curing intestinal worms and enlargement of spleen. Triphala is a well known medicine for GIT as well as skin disorder. Keeping in mind that all the Shamana oushadhi which are helpful for GIT, Respiratory System, CVS, Skin and Musculoskeltal system. Course of Vamana and Veerechana also showed a very good effect on the disease. Pigmentation of the skin, GIT symptoms like constipation, loss appetite, flatulence etc. were improved. In breathing difficulty also patient found relief, even connective tissue symptoms like joint pain, stiffness of joints and discoloration of joints were found to be relieved. No progression of the symptoms were seen during the course of the treatment now also she is on oral medication and patient on regular follow up and satisfied with the treatment since 2 years.

Improvement There is softness and glow of the skin changed, found improvement

in breathing difficulty, swallowing, found good improvement in black colored patches over hand and chest. Improved in digestion of food, evacuation of Bowel and Quality of health.

Discussion Progressive systemic sclerosis is a multisystem disorder of unknown

etiology affecting skin, CVS, GI tract, kidneys, musculo-skeletal system and lung. As such patient is poor, not affordable to do anti nuclear antibody test as it is a diagnostic criteria for scleroderma but on the basis of signs and symptoms this is diagnosed was scleroderma and Vatarakata.

The disease Scleroderma is not curable as we know all but we can improve the life span of the patient and quality of life. Here some of the preparation selected on the basis of involvement of dosha, dhatu of the disease. Talakeshwara Rasa is having anti microbial activity,