Find popular case studies that will give you insights into Ayurveda

CASE PROFORMA-1

A female patient aged 40yrs, a resident of Bangalore, presented with a report of Grade 1 spondylolisthesis. She complained of low back ache, radiating to the right leg and foot. heaviness and numbness in the right thigh and foot for 6 months. she had refrained from her routine work due to the same complaints. She had chronic complaints of ear ache, common cold, and dysmenorrhea or painful periods during her every menstrual cycle.

She had two ectopic pregnancies and one salpingectomy done. IUI and IVF failures. Her routine included travelling a long distance of nearly 30km per day for two hours to and fro, for work. Financial management both at home and workplace was stressful. The constant worry about her husband’s health (AVN of the hip joint) was another factor contributing to her stress.

O/E, she was limping with a forward bend and walking with severe difficulty. Sleeping in any position was painful and she was unable to turn to lateral sides. Vitals were normal. Prakriti (constitution) was pitta kapha.

Diagnosis by an orthopaedist – Grade 1 spondylolisthesis with pars defect, mechanical lower back, severe radiculopathy of Rt lower limb (RLL).

She was advised surgery by the doctors – posterior stabilization with decompression.

Ayurveda categorises such conditions under vata vyadhis. In our center, she was treated with yoga Basti (enema, panchakarma procedure) and other Ayurvedic oral medications.

After the first course of Basti chikitsa almost 60%-70% of relief was seen. Heaviness and pain reduced remarkably. She could walk normally without limping. After starting a course of oral medications, complete recovery from pain was seen, the patient could get on with her normal routine and re-joined her office. Surgery was avoided.

CASE PROFORMA-2 (PLEURAL EFFUSION)

A female patient aged 48 yrs, a resident of Mysore, approached with a chest x-ray suggestive of pleural effusion. Fluid collection of 150-200ml approximately. She was suffering from chest pain cough, pain in the upper back, rib cage, heaviness in the chest and a burning sensation in the retrosternal. She had a previous h/o tuberculosis, herpes, and acoustic schwannoma for which she had taken treatment in Bangalore.

In our centre, she was treated with oral medicines containing herbal and herbomineral preparations, based on Ayurvedic principles. Oral medicines were given for a period of 2 months with pathya (diet). Post-treatment chest x-ray was taken which showed normal lung fields and clear CP angles and no pleural effusion.

CASE PROFORMA-3 (SPINAL CANAL STENOSIS)

A male patient aged 60 yrs, approached with persistent low back ache radiating to the right leg and foot. Unable to stand straight nor bend backwards. Complained frequent catch in the gluteal region (hips) and calf region. Walking was very difficult with a forward bending posture. He was unable to walk without support.

MRI report- diffuse posterior bulge with bilateral neural foraminal compromise and lateral recess stenosis at L4-L5

Compression of right L5 and possibly L4 root

Linear hypointense line in the centre of L4 vertebra with surrounding fatty infiltration – may represent old AVN/ end plate changes

Canal stenosis at L4 level (anteroposterior diameter at L4-L5 level -10.7mms)

This was treated with medicated enema that is, one course of Matra Basti for 9 days and one course of Ksheera Basti in yoga Basti pattern. Other oral medications were advised after the Basti treatment.

The pain subsided completely. Walking became normal. Posture improved, gait improved, and the patient was able to drive both 2-wheeler and 4-wheeler.

CASE PROFORMA-4 (DRUG RESISTENT TUBERCULOSIS)

A male patient aged 49 yrs, with a history of drug-resistant Pulmonary Tuberculosis approached our center. PTB was confirmed in 2009 and was under medication from a TB sanatorium for a period of 7 years. Repeated sputum tests for AFB showed positive for PTB and chest x-ray also showed bilateral pulmonary tuberculosis and cavities in the left lung and left pleural effusion. patient came to our center in 2014 December. He came forward with difficulty in breathing, productive cough, breath sounds, and wheezing. Complained of repeated fever, weight loss, constipation, and loss of appetite.
On examination patient was cachexic, dyspneic, had accessory muscle breathing, inward drawing of chest muscles during breathing, wheezing,

Treatment was started with the medications containing vasa, maricha, kanaka, ashwagandha, and Laksha along with herbo mineral medicines like swasa kuthara rasa, sringarabra rasa, maha Lakshmi vilasa rasa, Swarna malini vasanta, and hridayarnava rasa were used judiciously. Our ashwagandhadi rasayana, chyavanaprasha, and ashwagandhadi choorna were used for the rasayana chikitsa (rejuvenating treatment).

Symptoms gradually started subsiding. The recurring fever stopped, chest pain reduced, breathlessness subsided, bowel movements became normal, and weight gain was noticed. Chest x-ray right lung fields clear both CP angles free, left shrunken Hemi thorax – tubercular etiology. SPAFB – negative. These changes were noticed after continuous treatment for a period of 7 months.

CASE PROFORMA-5 (DEGENERATIVE DISC DISEASE)

A female patient aged 50 years, presented with continuous, non-radiating low back ache. The pain was severe enough to hamper her daily routine work. c/o shooting pain in the low back on coughing. Stiffness, heaviness, difficulty turning to lateral sides while lying.

Xray- lumbar spondylosis with degenerative disc disease at L5-S1

The patient was administered 1 course of matra basti for 9 days with S N Pandit’s Guggulutiktaka ghrita, and one course of ksheera basti. After the treatment, the pain completely subsided and the patient was able to do her daily chores.

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