Management of Hydradenitis Suppurativa by Apamarga Kshara Sutra - A Case Study

2017 ◽  
Vol 2 (05) ◽  
Author(s):  
Chiranth Kumar R. ◽  
Syeda Ather Fathima ◽  
Kulkarni Sharad
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Treatment Modalities ◽  
Acne Inversa ◽  
Apocrine Gland ◽  
Hypertrophic Scarring ◽  
Profound Impact ◽  
Axillary Region

Hydradenitis suppurativa (HS), also known as Acne Inversa, is a chronic disease characterized by recurrent, painful, deep-seated, rounded nodules and abscesses. Subsequent hypertrophic scarring and suppuration of apocrine gland bearing skin: axilla, groin, peri-anal and perineal regions are main features. Onset is usually after puberty. The disease tends to become chronic with subcutaneous extension leading to indurations, sinus and fistula having a profound impact on the quality of life. The exact aetiology remains unknown. The clinical features of HS can be compared with Naadivrana mentioned in classics. Treatment modalities of Naadivrana includes mainly Ksharataila Poorana and Ksharasutra application are adopted in the present case. A case report of patient suffering from HS since 4.5 years (c/o multiple pus discharging abscesses and hardened area in both axillary region) was treated by number of allopathic surgeons and physicians but there was minimal relief and recurrence (6-7 times) even after Incision and Drianage (IandD) and wide excision. The patient was under Ayurveda treatment for approximately 5 months and pus discharge, hardness reduced completely and is on followup since 8 months there is no recurrence, patient was treated internally with Gandakarasayana, Triphala Guggulu and Varunadi Kashaya. Apamarga Kshara Taila infiltration followed by Apamarga Kshara Sutra application to the intercommunicating sinuses, adviced to maintain local hygiene.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ganapathi Rao ◽  
Vijay Kumar ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Success Rate ◽  
Spinal Anesthesia ◽  
Curcuma Longa ◽  
Weekly Interval ◽  
Butea Monosperma ◽  
Fistula In Ano

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

scholarly journals Ayurvedic Management of Kitibha Kushta w.r.t. Guttate Psoriasis - A Single Case Study

2020 ◽  
Vol 11 (1) ◽  
pp. 136-142
Author(s):  
Vishakha Shashikant Bindalkar ◽  
Vinod Ade ◽  
Saurabh Deshmukh
Keyword(s):  
Quality Of Life ◽  
Single Case ◽  
Life Time ◽  
Treatment Modalities ◽  
Single Case Study ◽  
Upper Limbs ◽  
Medical Sciences ◽  
Guttate Psoriasis

Guttate psoriasis is a type of psoriasis that presents over the upper trunk and proximal extremities, it is small (0.5 to 1.5 cm in diameter) lesions; it is found frequently in young adults. As per its clinical features we will compare with Kitibha Kushta. The life time prevalence is approximately 2% of individuals with psoriasis. Many treatment modalities have been adopted in medical sciences, but it is having various side effects. So here in this case by using Shodhan, Shaman and Bahirparimarjan chikitsa we successfully treated the case of Kitibha kushtha. It is a single case study, A 22 year male patient approached to Kayachikitsa OPD having complaint of multiple small red lesions over the chest, abdomen, and back region also on both upper limbs and Itching over them since 2 years.The patient was treated with Shodhan and Shaman Chikitsa. Patient got 90% result in chief and associated complaints and during and after the completion of therapy there is improvement in the quality of life of the patient. After Shodhana and Shaman Chikitsa patient got satisfactory relief in symptoms.

scholarly journals Management of Chronic Pain Using Acupuncture as a Standalone Treatment – A Case Study

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hamad AlKahtani ◽  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Case Report ◽  
Short Form ◽  
Single Case ◽  
Current Case ◽  
Positive Effects ◽  
Pain Medications

Chronic pain is a suffering which patients endure due to various injuries or condition and has a significant impact on the overall quality of life. Where traditional medicine fails to bring the desired results for the patient, use of acupuncture to manage chronic pain has been reported to have beneficial results. The current case report aims to report the positive effects of acupuncture in managing chronic pain through presentation of a single case. The patient had a four-week PT Program, seen twice a week for acupuncture (Bilateral BL 23BL25, GV4, GV 3, and bilateral LI4). The main outcome measures used were visual analogue scale, Short Form 36 Health Survey (SF-36) and Oswesrty Low Back Disability Questionnaire. At the end of treatment, the patient had significant reduction in pain and improved outcomes thus supporting the use of acupuncture for pain management in chronic pain patients. The current case report affirms that acupuncture is both safe and effective in managing chronic pain and quality of life. Bilateral BL23, BL25, GV4, GV 3, and LI4 points used in the current case study has proven to be helpful in helping patient come off long-term pain medications.

scholarly journals Insight into Natural History of Congenital Vitiligo: A Case Report of a 23-Year-Old with Stable Congenital Vitiligo

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Chelsea Casey ◽  
Stephen E. Weis
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Autoimmune Disease ◽  
Clinical Course ◽  
Skin Pigmentation ◽  
Psychosocial Burden ◽  
Profound Impact ◽  
History Of ◽  
Insight Into

Vitiligo is a disorder of skin pigmentation. It affects approximately 1% of the world’s population. Vitiligo occurs equally between the sexes with no racial predilections. The majority of cases are acquired and arise between the second and third decades of life. Acquired vitiligo has an unpredictable clinical course. Congenital vitiligo is rare with few reported cases. Due to the rarity of congenital vitiligo, little is known about the clinical course. For patients with acquired or congenital vitiligo, the psychosocial burden can have a profound impact on quality of life. The unknown course of congenital vitiligo can exacerbate the feelings of distress and embarrassment. We report of a case of congenital vitiligo that has been stable for 23 years. The patient had no associated autoimmune disease. The pathogenesis of congenital vitiligo is unknown. This case may be useful to assist clinicians caring for newborns with congenital vitiligo in reassuring parents.

scholarly journals A 72-year-old lady with urinary incontinence: A case study

1999 ◽  
Vol 55 (3) ◽  
pp. 21-23
Author(s):  
A. Van der Spuy ◽  
M. Papadopoulos
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Case Report ◽  
Older Persons ◽  
Complex Problem ◽  
Dramatic Improvement ◽  
Patient History ◽  
Continence Status

Urinary incontinence is a far-reaching and complex problem for older persons and has major psychosocial, economic and health consequences in affected women. The aim of this case report is to demonstrate that simple physiotherapeutic intervention can bring about dramatic improvement in the continence status of a patient and as a result improve the quality of life of such a patient. A literary review, the patient history, profile and the findings of the physical examination are presented. Physiotherapy and the outcomes are further discussed.

scholarly journals Management of Melasma through Panchakama- A case study

2020 ◽  
Vol 6 (3) ◽  
pp. 135-138
Author(s):  
Poonam Verma ◽  
◽  
Latika ◽  
D Prasanth ◽  
Santoshkumar Bhatted ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Cost Effective ◽  
Medical Treatments ◽  
Cost Effective Treatment ◽  
Negative Impacts ◽  
New Treatments

Introduction. Skin reflects our physiology and emotions too. In present era each and every one desire to have healthy and beautiful skin. Any changes or disease of skin creates apart from physical and psychological and social negative impacts. Hyperpigmentation or melasma is one of the such raised problem in our country as it has significant impact on beauty and appearance. It is more prevalent in women, in an estimated 9:1 ratio compared to men. In addition, there are high expenditures related to medical treatments and procedures whose results do not always meet the expectations of patients. hence it is need of an hour to provide safe and cost effective treatment for the skin disease like melasma. In addition to traditional treatments for melasma, there are also promising new treatments, including topical, oral, and procedural therapies Materials & Methods: It is a Case report on 28 year old female patient diagnosed as a case of Melasama (Vyanga) managed through Ayurveda treatment like Vaman Karma and Ayurveda medication Assessment was made on the basis of significant change in MASI score and quality of life (melas Qol) Observation & Results: Observation was done before treatment after treatment and during follow up The changes computed in Masi score in which degree of pigmentation decline to 10 to 6, quality of life improve 60 to 48. Conclusion: The computed data from the present study shows that Vamana Karma along with Ayurvedic oral Ayurveda medication is effective in the treatment of melasma (Vyanga).

scholarly journals Yangshimtang-gamibang Therapy for Sleep Disorder Caused by a Traffic Accident: A Case Report

2021 ◽  
Vol 42 (5) ◽  
pp. 1020-1026
Author(s):  
Jin-young Song ◽  
Geon-sik Kong ◽  
So-won Kim ◽  
Jin-hun Park ◽  
Yen-min Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Sleep Disorder ◽  
Traffic Accident ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Scale Scores ◽  
Numerical Rating

This report describes the efficacy of using Yangshimtang-gamibang for a sleep disorder caused by a traffic accident. We treated a patient with Yangshimtang-gamibang for 12 days for sleep disorder caused by a traffic accident. To evaluate the results, we used the Korean Modified Leeds Sleep Evaluation Questionnaire (KMLSEQ) to measure sleep disorder. The degree of sleep disorder was also evaluated using the Numerical Rating Scale (NRS). The generic health status was evaluated using the European Quality of Life-5 Dimensions (EQ-5D) scale. Improvements in the NRS and EQ-5D scale scores were observed after the treatments. The change in the KMLSEQ score indicates that the patient's sleep disorder was relieved. The results of this case study suggest that Yangshimtang-gamibang may be an effective treatment for sleep disorders caused by traffic accident.

scholarly journals EFFECT OF SHODHANA AND SHAMAN CHIKITSA IN THE MANAGEMENT OF PSORIASIS: A CASE STUDY

2020 ◽  
Vol 11 (5) ◽  
pp. 36-39
Author(s):  
Vishal Aggarwal ◽  
Tinkle Rani ◽  
Arun Gupta
Keyword(s):  
Quality Of Life ◽  
Palliative Treatment ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Skin Condition ◽  
The Body ◽  
Whole Body ◽  
Treatment Modalities

Psoriasis is a visible skin condition of chronic origin substantially affecting the physical as well as psychological life of the person thus affecting the quality of life. To combat the same, modern medicine comes with varieties of treatment options but none of them fully cure neither give very promising results to improve quality of life. In Ayurveda, Psoriasis shares the correlation with Ekakushtha. The aim of this study is to evaluate the role of Ayurveda treatment modalities in Ekakushtha. A male patient aged 27 years presented with the signs and symptoms as well-defined, slightly raised silvery scales all over the body, mainly presented on flexors surfaces of bilateral legs, hands and over the trunk region along with severe dryness of whole body, powdery discharge with severe itching, diagnosed as Ekakushtha (chronic psoriasis) and was treated with both external and internal medications, which included Vaman Therapy (purificatory emesis) and Shamana (palliative treatment). Shodhana was given as Samyak Snehan (proper oleation) followed by Vamana Karma (therapeutic emesis), in which vitiated Doshas are expelled out through Urdhvamarga (through mouth) and Shamana was given by classical Ayurvedic medications. At the end of Vamana, Pittantik Vamana was achieved. Patient felt notable reduction from erythema, Kandu (itching) and scaling during treatment. This case study showed Vaman karma followed by palliative treatment to be a better treatment option which gives significant improvement in Psoriasis.

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