Abstract

AN AYURVEDIC MANAGEMENT OF IMMUNE THROMBOCYTOPENIC PURPURA- A CASE STUDY

Dr. Sachin Govindarao Tike*, Dr. Monalee Dnyaneshwar Dhage, Dr. Shatrughn Hanumant Netke and Dr. Aarati Sharma

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Abstract

Immune thrombocytopenia (ITP) is an autoimmune hemorrhagic disease characterized by low platelet count and bleeding manifestations. However, some patients also suffered from atherosclerosis or even infarction. Clinical manifestations include purpura, petechiae. Majority of ITP patients are not getting reliable and durable remissions with modern medicine. The present case report deals with an elderly patient having chronic ITP approached for Ayurvedic treatment. Patient came with extremely low platelet count (85000/uL) was diagnosed as Tiryakgata Raktapitta and Ayurvedic treatment has been provided. Ayurvedic formulations Raktastambhaka Vati, Punarnava mandura, Samshamani Vati, Madhumalini rasa, etc) have improved the platelet count (from the lowest count of 85000/uL to highest count of 10000/uL) hematological indices and quality of life in present case. Petechiae were completely disappeared without any furtherrecurrences. Ayurvedic treatment seems to be promising in the management of chronic ITP and generates hope for those patients who are having extreme thrombocytopenia, reluctant for corticosteroids and invasive diagnostic procedures like bone marrow biopsy, and not satisfied with the available therapy from other systems of medicine. ITP has manifested due to the consequences of malarial fever (Visham Jwara). Further clinical trials with large sample size are required to substantiate the present case study findings.

Keywords: Thrombocytopenia, Vishama jwara, ITP, purpura, Raktapitta.