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Dr. Sourmi*, Dr. Vishal Verma, Dr. Mahesh Chandra and Dr. Anjali Tamori


Buerger’s disease or smoker’s disease is an arterial disease. It is nonatherosclerotic inflammatory disorder involving occlusion of medium sized and small distal arteries. This eventually damages or destroys skin tissues and may lead to infection and gangrene. Other sign and symptoms include intermittent claudication, discolouration of the involved limb, decreased local temperature, rest pain, ulceration, absence or feeble distal pulses and recurrent superficial thrombophlebitis. In Buerger’s disease conservative treatment in modern medicine is questionable. Modern management includes conservative with use of vasodilators, and low dose aspirin. Surgical management includes lumbar sympathectomy, omentoplasty, and if gangrenous stage is there then amputation is the choice. These treatment are costly, not satisfying and associated with complications. But, with these features- a case of Buerger’s disease was treated successfully by ayurvedic medicines and the dry gangrenous toes were dressed with til kalka lepa. After treatment the pain and discolouration of toes was resolved in one and half month.

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