• It is also called as Thromboangitisobliterance [TAO] or Smoker’s disease
  • It is commonly seen in smokers,
  • Legs are commonly affected.

Symptoms

  • Coldness
  • Numbness
  • Burning sensation
  • Tingling and pain.
  • There may be ischemic gangrene.
  • Raynaud’s phenomenon may be seen.
  • Intermittent claudication is seen.
  • Cramps in the calf muscles are seen.
  • There can be ulcerations too.
  • Diagnosis
  • Arterial Doppler study
  • Examination – peripheral pulsation

Treatment

Line of Treatment2

  • Kaphaharachikitsa
  • Raktaprasadanam
  • Srotosodhanam

 

Kasayam

  • Sahacaradikasayam – 60 ml morning and night before food
  • Guggulutiktakakasayamkasayam – 60 ml morning and night before food
  • Aragvadadikasayam – 60 ml morning and night before food
  • Mahamanjistadikasayam – 60 ml morning and night before food
  • Nmbadikasayam – 60 ml morning and night before food
  • Tiktakakasayam – 60 ml morning and night before food
  • Vajrakakasayam – 60 ml morning and night before food
  • Sonitamrtamkasayam – 60 ml morning and night before food

Curnam

  • Saddharanacurnam – 5 gm with hot water morning and night after food.
  • Yogarajacurnam – 5 gm with hot water morning and night after food.

Gulika

  • Guggulupancapalam – 2-0- after food
  • Kaisoraguggulu -2-0-2 after food
  • Amrtaguggulu -2-0-2 after food
  • Resonadivati -2-0-2 after food
  • Saddaranamvati -2-0-2 after food

Ghrtam

  • Guggulutiktakaghrtam – 1 teaspoon morning and night after food.
  • Tiktakaghrtam – 1 teaspoon morning and night after food.
  • Mahatiktakaghrtam – 1 teaspoon morning and night after food.
  • Vajrakaghrtam – 1 teaspoon morning and night after food.

Lehyam

  • Madhusnuhirasayanam – 20 gms with warm water at night after food.
  • Gandhakarasayanam – 1 teaspoon morning and night after food.

Aristam/ asavam

  • Arjunaristam- 25 ml morning and night after food
  • Aragvadaristam- 25 ml morning and night after food
  • Nimbamrrdasavam -25 ml morning and night after food
  • Usirasavam – 25 ml morning and night after food
  • Stop smoking completely
  • The ayurvedic concept of TAO can be explained on the basis ofavarna, explained acaryas at the end of vatarakta Dhamaniprathicayam and dhamaniupalepam are the other conditions explained  underkaphajananatmajarogas, which involve thethickening / sclerosis of blood vessels. Hence, TAO can be considered as avaranaofraktavahasrotas by kapha.
  • The treatment principle, therefore consists of these of kaphavrtarakta including kaphahara,raktaprasadana drugs.
  • On rasa based approach,  this will have to comprise tikta rasa ousadas along with katu rasa ousadas.
  • g. Saddaranam is a tiktakatu rasa ousada is very effective in this condition when prescribed along with sahacaadikasayam.

Ulcer

Kasayam

  • Mahatiktakamkasayam – 60 ml morning and night before food.
  • Sonitamrtamkasayam – 60 ml morning and night before food.
  • Mahamanjistadikasayam – 60 ml morning and night before food.
  • Tiktakamkasayam – 60 ml morning and night before food.

Curnam

  • Yasticurnam – 5 gms with hot water.
  • Trphalacurnam – 5 gms with hot water.

Ghrtam

  • Jadhyadighrtam – 1 teaspoon with hot water
  • Durvadighrtam – 1 teaspoon with hot water

Tailam

  • Japapatriyaditailam
  • Nalpamaratailam

External application

  • Sarjarasammalaharam
  • Tankanabhasmam with honey
  • Masikkaicurnam (Ambasta)
  • Masikkaitailam (SKM)
  • Murivenna
  • Yastimadhucurnam – + Tilacurnam with coconut oil
  • Yastinadhucurnam + tilacurnam + Lajjalucurnam with coconut oil

Management- 1.  Leech therapy   3 sets were made of 4 leeches.

 

Under all aseptic precautions each set was applied alternately after 3 days Leech once used was then made into use after 7 days. This regime was continued for 1 month The Hb of the patient was monitored After one month the frequency of leech application was reduced to once per week for 1 month.

 

  1. Guduchiswaras Daily freshly prepared guduchiswaras was given Dose- 30 ml twice daily

 

  1. TiltailadharaThe days when leech therapy was not done that time lukewarm tiltaila was used for dharasweda to bilateral whole lower limb for 15 minutes This was done for one month
  2. Exercise- Buergers exercise was explained and it was strictly performed by the patient 4 to 5 times a day and 10 minutes each.

 

  1. Daily dressing The chronic ulcer was daily dressed with vranshodhantaila in initial stages Once the healing process started the dressing was don

 

 

 

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