Effect of an Ayurveda treatment for chronic palmoplantar eczema: An experience

Palmoplantar eczema is an ill-defined and poorly understood condition, yet rebellious to therapy. A 29-year-old nondiabetic female patient with hyperkeratotic palmoplantar eczema eczema complained of swelling and pus discharge from both feet for the past 3 days. She had a history of fever 3 days back, thick scaling from the palms and soles in the past 9 months, itching, and hyperpigmented lesion in both the palm and sole since 1 year associated with vidagdhajirna (~indigestion). Pus culture revealed Klebsiella pneumoniae isolated from pus-discharging fissures. The Ayurvedic diagnosis was made as “Padadari” (~cracked plantar sole/palm), and the patient was managed accordingly. There was no datum published yet that palmoplantar eczema is managed by the Ayurvedic line of management; thus, this treatment protocol is based on the status of the Prakriti (~body constitution) of the patient, Ajirna, Kala (~time/season), and Rasayan Chikitsa (~rejuvenation and revitalization therapy). Scaling, itching, and hyperpigmented lesion markedly decreased in both the palm and sole. Inflammation in the feet and pus discharge completely ceased after 15 days of consistent treatment, and a complete regression of disease occurs after 2 months. There were no relapses of lesions up to 2 years of follow-up. This single case report demonstrates that hyperkeratotic palmar plantar eczema can be successfully managed through rejuvenating Ayurveda treatment

Agnikarma with Adjuvant Drug in the Management of Frozen Shoulder (Avabahuka) – A Case Report

Agnikarma is superior to all parasurgical interventions narrated by father of surgery. Avabahuka can be correlated with frozen shoulder that affects routine activity by painful shoulder and restricted shoulder joint movements. This case report is an evidence to support alternative therapy in the management of frozen shoulder. A 50-year-old female presented with a 1 year history of gradual onset of painful restricted movements of the right shoulder, radiating pain from the right shoulder to elbow joint. The patient was diagnosed as a case of frozen shoulder and was treated with four sittings of Bindu Dagdha Agnikarma with Pachadhatu Shalaka along with orally Dashmooladi kwatha 50 ml at evening with empty stomach once daily and Haritaki Churna 3 g with lukewarm water at bed time for 28 days. After completion of the treatment, the patient got relieved from pain and restricted shoulder joint movement along with improvement in complete abduction, flexion, extension, adduction, and external rotation. Promising role of Agnikarma and adjuvant medicines is supposed to subside Vata Kapha dominant Sthanika Shotha (localized swelling) and as a result of this, it may have improved the shoulder joint movements

Raktamokshana (wet cupping therapy) in the management of calcified supraspinatus tendinitis presenting as frozen shoulder: A rare case report

Calcified tendinitis is one of the most common causes of shoulder pain and is characterized by the evidence of presence of calcific deposition in the rotator cuff. It is seen commonly affecting the supraspinatus tendon; however, it can be present in asymptomatic individuals also. The calcification requires surgical removal after that the tendon reconstitute again itself some times it disappear spontaneously also. In this case report, a 54-year-old male patient presented with painful restricted movements of the right shoulder joint. X-ray right shoulder demonstrated 1.5-cm sized calcific deposition in the supraspinatus tendon and was treated with two sittings of wet cupping therapy (WCT). The patient was assessed by Visual Analog Scale score and active range of movement. This case report shows that the cases of calcified supraspinatus tendinitis may be successfully managed with Raktamokshana (WCT)