Abstract

ABSTRACT:
Background: Beurger’s ulcer is a non healing arterial ulcer and developed due to Burger’s disease in which there is occlusion of small and medium sized arteries. The Burger’s disease is also termed as TAO (Thrombo-Angiitis Obliterans) which indicates the pathogenesis of the disease i.e. thrombosis in arterial wall, inflammation at the wall and obstruction in the arterial lumen. Due to lack of arterial blood supply the affected part became ischemic which leads to non healing ulcer.
Objectives: To evaluate effect of Humri (Securinega leucopyrus) and supportive Ayurved Therapy in Beurger’s Ulcer
Materials & Methods: A 45 years old male patient of Burger’s ulcer at lateral malleolus of left foot visited OPD for Ayurveda treatment. The patient had history of smoking 15-20 bidi per day since last 25 years. Arterial color Doppler report showed complete blockage of dorsalis pedis and posterior tibial arteries of both foot. Avagaha Swedan (foot bath) with Panchavalkal decoction, Parisheka (pouring oil on the foot) with Bala Taila (Sida cordifolia Linn.), Nadisweda (hot fomentation was done regularly for 5 minutes of both lower legs. Cleaning of wound was done by Panchavalkala decoction and wound dressing was done with S. leucopyrus powder mixed with Tila Taila (Sesame oil).
Results: Throbbing pain at lateral malleolus of left foot with grade-3 was reduced to grade-1 after one month and no pain after treatment. Relief in symptoms like decreased swelling, no discharge, reduced wound size day by day as shown in the photographs. The blackish discoloration of left lower leg changes to normal skin and a big non healing arterial ulcer at lateral malleolus of left foot healed completely within four months.
Conclusion: This case demonstrates that arterial (Beurger’s) ulcer can be treated with local application of S. leucopyrus powder mixed with Tila Taila (Sesame oil).

Key words: Ayurveda, Arterial ulcer, Burger’s disease, Securinega leucopyrus, Thrombo Angitis Obliterance (TAO)