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A case of vrana shotha- Pittaja (cellulitis) pachyaman avastha.
30 year old male with occupation-plumber, shiroda Goa, came to the OPD clinic with swelling of the left foot with severe pain and watery discharge since 5 days. He experienced throbbing pain with severe burning sensation.In addition, he complained of inability to move the toes of the same leg.
O/E- vitals were normal, Afebrile
Local examination- all signs of inflammation( redness, calor,dolor,inability to move toes.
All clinical features of pittaja vrana shotha were present
The swelling in the Pittaja vrana shotha is slight yellowish and reddish discoloration of the skin, it is soft and spreads rapidly.
Nature of pain: Burning/sucking/ heat/burning type, severe burning sensation like hot fumes coming out from the body part.
Treatment- jalaukavacharana (leech application) followed by vishaghna lepa- dashanga lepa.
Internally- panchatikta kashayam 40ml before meals
Sukshma triphala 2-2-2
Gandhak rasayan 2-2-2 vyanodan(after meals)
Combination of sariva+manjistha+nimba churna 200 mg each + rasamanikya 125mg in 3 divided doses with panchatikta kwatha.
Result- immediately after jalaukavacharan, his pain was reduced
on second day swelling subsided.
At present he is on vrana chikitsa (dressing), wound cleaning with Panchavalkala kashaya and then application with jatyadi taila.
I prescribed him internal medicines for 2 weeks.
Diet- avoid food which is too pungent(chilli), sour and salty, avoid curd and mustard oil, fish and meat till wound heals completely.
Results: Blood and urine investigation were normal, non diabetic.
Cause of the swelling may be pulling of the hair follicle over the dorsum of the leg accidentally after friction with slippers.