Baladi yapana vasti in diabetic peripheral neuropathy- a case study

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This paper discusses a patient seen in the outpatient of PG Dept of Panchakarma at Dr.B.R.K.R Govt Ayurvedic Medical College and hospital, Hyderabad. His chief complaint was increasing weakness, burning sensation, pain, numbness and cramps in his lower extremities over the past 8 years. Past medical history includes a 13 year history of diabetes mellitus, and a history of alcohol abuse. Based on the full health history and physical examination, a diagnosis of Diabetic peripheral neuropathy was made. This paper discusses the probable correlation of this condition according to Ayurveda based on the dosha and dushyas involved (i.e., Samprapthi ). So the treatment plan was based on the axonal degeneration secondary to diabetic neuropathy (viz.. Vata vyadhi). Hence Baladi yapana vasti ( Brimhana type of vasti) in the form of 2 cycles of yoga vasti is selected for the management in this case Keywords: Diabetes mellitus, Peripheral neuropathy, Vatavyadhi, Brimhana vasti, Baladi Yapana Vasti. 180 BALADI YAPANA VASTI IN DIABETIC PERIPHERAL NEUROPATHY- A CASE STUDY Jyothi Ramani T.V P.G Dep’tPanchakarma, Dr B R K R Govt Ayurvedic College, Hyderabad, Andhra Pradesh INTRODUCTION: A 58 Year old male patient having weight of 90 kgs came with complaints of increasing weakness, burning sensation, pain, numbness, altered sensation and cramps in his lower extremities. Detailed history of present illness revealed that Progressive weakness and pain along with burning sensation started approximately 8 years ago with right leg first and then left. Pain is worse when first arising from chair or bed and whenever engaged in prolonged activity. Patient denies any range of motion (ROM) limitations, but does take longer to do activities of dailyliving (ADL’s). No weakness and pain inupper extremities (UE). Reports frequent episodes of numbness below calves, crampsin both calf muscles and altered sensation in both feet. No H/O tremors, twitching, swelling, redness, or tenderness in muscles or joints. No H/O arthritis, or musculoskeletal trauma and no history of Allergies to any known drugs. Medications: Captopril 50 mg 1 BD BF and Insulin 15 units in morning and 10 units in night. Past Medical History: Diabetes mellitus (DM) for 13 years and Hypertension (HTN) since 3 years. No H/O coronary artery disease (CAD) or known peripheral vascular disease. NO H/O any previous surgeries. Family Medical History: Mother (78 y.o.) with HTN; father died at age 56 from car accident; 3 brothers (55 - 48 y.o.), one with A Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT This paper discusses a patient seen in the outpatient of PG Dept of Panchakarma at Dr.B.R.K.R Govt Ayurvedic Medical College and hospital, Hyderabad. His chief complaint was increasing weakness, burning sensation, pain, numbness and cramps in his lower extremities over the past 8 years. Past medical history includes a 13 year history of diabetes mellitus, and a history of alcohol abuse. Based on the full health history and physical examination, a diagnosis of Diabetic peripheral neuropathy was made. This paper discusses the probable correlation of this condition according to Ayurveda based on the dosha and dushyas involved (i.e., Samprapthi ). So the treatment plan was based on the axonal degeneration secondary to diabetic neuropathy (viz.. Vata vyadhi). Hence Baladi yapana vasti ( Brimhana type of vasti) in the form of 2 cycles of yoga vasti is selected for the management in this case Keywords: Diabetes mellitus, Peripheral neuropathy, Vatavyadhi, Brimhana vasti, Baladi Yapana Vasti. 180 BALADI YAPANA VASTI IN DIABETIC PERIPHERAL NEUROPATHY- A CASE STUDY Jyothi Ramani T.V P.G Dep’tPanchakarma, Dr B R K R Govt Ayurvedic College, Hyderabad, Andhra Pradesh INTRODUCTION: A 58 Year old male patient having weight of 90 kgs came with complaints of increasing weakness, burning sensation, pain, numbness, altered sensation and cramps in his lower extremities. Detailed history of present illness revealed that Progressive weakness and pain along with burning sensation started approximately 8 years ago with right leg first and then left. Pain is worse when first arising from chair or bed and whenever engaged in prolonged activity. Patient denies any range of motion (ROM) limitations, but does take longer to do activities of dailyliving (ADL’s). No weakness and pain inupper extremities (UE). Reports frequent episodes of numbness below calves, crampsin both calf muscles and altered sensation in both feet. No H/O tremors, twitching, swelling, redness, or tenderness in muscles or joints. No H/O arthritis, or musculoskeletal trauma and no history of Allergies to any known drugs. Medications: Captopril 50 mg 1 BD BF and Insulin 15 units in morning and 10 units in night. Past Medical History: Diabetes mellitus (DM) for 13 years and Hypertension (HTN) since 3 years. No H/O coronary artery disease (CAD) or known peripheral vascular disease. NO H/O any previous surgeries. Family Medical History: Mother (78 y.o.) with HTN; father died at age 56 from car accident; 3 brothers (55 - 48 y.o.), one with A Case Report International Ayurvedic Medical Journal ISSN:2320 5091 ABSTRACT This paper discusses a patient seen in the outpatient of PG Dept of Panchakarma at Dr.B.R.K.R Govt Ayurvedic Medical College and hospital, Hyderabad. His chief complaint was increasing weakness, burning sensation, pain, numbness and cramps in his lower extremities over the past 8 years. Past medical history includes a 13 year history of diabetes mellitus, and a history of alcohol abuse. Based on the full health history and physical examination, a diagnosis of Diabetic peripheral neuropathy was made. This paper discusses the probable correlation of this condition according to Ayurveda based on the dosha and dushyas involved (i.e., Samprapthi ). So the treatment plan was based on the axonal degeneration secondary to diabetic neuropathy (viz.. Vata vyadhi). Hence Baladi yapana vasti ( Brimhana type of vasti) in the form of 2 cycles of yoga vasti is selected for the management in this case Keywords: Diabetes mellitus, Peripheral neuropathy, Vatavyadhi, Brimhana vasti, Baladi Yapana Vasti