Abstract

A CASE REPORT TO STUDY THE CLINICAL UTILITY OF TRADITIONAL HEALER-LEECH THERAPY IN THE MANAGEMENT OF AXILLARY SUPPURATIVA HIDRADENITIS W.S.R NADI VRANA

*Vd. C. D. Jagdhane and Vd. Monika Sharma

Abstract

Suppurativa Hidradenitis (HS) is a painful, relapsing and chronic inflammatory disease affecting the terminal follicular epithelium in the apocrine group of sweat glands preferentially including the sites like armpits (most common), genitals, groin, inframammary region, perianal region and buttocks. HS causes painful abscess and nodules with malodorous discharge that can eventually progress to interconnected sinus tracts, scarring & contractures of the skin. Management involves the surgical excision of this axillary lesion. Since Kaksha Pradesh(axilla) is one of the important Marma, hence one must avoid surgical trauma to this vital area. The movement of Puya in this sinus tract can be co-related with the condition of Nadi -Vrana. Acharya Sushruta speaks Shodhana and Ropana as the prime treatment in Nadi Vrana. Here presenting a Case Report of a female patient suffering with Axillary Suppurativa Hidradenitis since 10 months. She was managed successfully with Para-Surgical Ayurvedic treatment. Patient was given a total of 6 sittings of Leech Therapy with the interval of six days between subsequent sittings, for total duration of 42 days. This blood letting therapy caused the expulsion of vitiated Rakta, eliminated the collected pus and toxins, pacified the involved tri-doshas and improved the blood circulation. This SHODHANA of blocked strotasa facilitated oxygen and nutrition supply at the site and led to ROPANA promoting a better Wound Healing at the affected site. The Quality of life physically, socially and cosmetically considerably improved.

Keywords: Rakta visravana, Leech therapy, Nadi Vrana, Axillary Suppurativa Hidradenitis.