The Role of Langhana and amapachana in rare autoimmune disease takayashu arteritis -a case study

Abstract

Introduction -Takayasu’s arteritis is a chronic vasculitis of medium and large vessels. The most involved vessel are the Carotid Artery, Aorta and other major branches. 

Background -A 31-year-old woman who presented with history of syncope and dizziness with thickened walls of carotid artery in Magnetic Resonance Imaging angiogram finding. 2 years back she had 3 episodes of sudden syncope and unconsciousness and visited KEM hospital Parel, Mumbai. Takayashu arteritis was diagnosed at KEM hospital and they started her Prednisolone 40 mg/day orally, Methotrexate 15 mg/week, Aspirin 75 mg/day, and folic acid 5 mg/week. After discharge a maintenance dose of Methotrexate 10 mg/week and 8 mg/day of Methylprednisolone along with Aspirin 75 mg/day, and folic acid 5 mg/week orally was continued .

Case Report : Patient visited D.Y. Patil Ayurvedic hospital one year before with complains of giddiness and myalgia. Her inflammatory markers ESR was 90 mm/hr and CRP was 30mg/L. At D.Y.Patil Ayurvedic Hospital after Rogi Roga pariksha I started add on Ayurvedic medicines Panchatiktakwathchurna 3 gms BD morning and evening , Maha Manjishthadighanavati 2 tds ,Triphalachurna 5 gm hs ,Rasapachakvati 2 tds. Every day 15 hours fasting was advised as pathya daily 45 min walking was advised.

Results- After 11 months she started showing symptomatic relief and also 50% reduction in her inflammatory marker  ESR and CRP levels turn normal with Ayurvedic medicines.

Conclusion :The case study shows that Takayasu arteritis (TA) was managed with Langhanaand AamapachakaAyurvedic medication with satisfactory outcome.