AYURVEDIC MANAGEMENT OF BUERGER’S DISEASE

Buerger’s disease is a condition characterized by occlusive disease of small and medium sized arteries (planter, etc.). The first reported case of BUERGER’S DISEASE was described in Germany by Von Winiwarter in 1879. This disease involves small to medium sized arteries and veins of the upper and lower extremities. This disease is found more frequently in men between 20 – 40 years of age. It is very uncommon in women (male: female 3:1) who constitute only 5% -10% of all patients with buerger’s disease. This condition is strongly associated with smoking. In Ayurveda there is no clear cut evidence of buerger’s disease, but on the basis of its clinical presentation and pathogenesis, it can be correlated with vatarakta. Vatarakta is such a disease where simultaneously vata and rakta both are vitiated and vitiated vata obstructed the rakta vaha srota. Once localized ,it get associated with pitta causes respective affliction. Hence it produce pain mostly in respective joint and which is very difficult to tolerate. Symptoms which are found having predominance of vata , rakta , pitta, and kapha or in combination of two or three dosha. There is no such description available in ayurvedic text as BUERGER’S DISEASE but on the basis of pathogenesis, sign and symptoms this disease can be correlated with vata rakta vyadhi. Here vata and rakta plays a vital role for the production of the disease, keeping this view in mind we have started the following therapy and had got response. This is hypothesis that co relation buerger’s disease with gambhir vata rakta and treat accordingly which was describe in our classics.