31-Dec-2023 12:00 AM
100197
Anjana S1*
Autoimmune hemolytic anemia is a decompensated acquired hemolysis that occurs due to host’s immune system acting against its own red cell antigens. Consequent complement activation can impact the clinical picture and is an emerging target for therapeutic approach. The Study is aimed at to find out the effect of Ayurvedic management in Hemolytic Anemia. This is a case of 20-year-old female with pain on all over the joints for one year. The pain is of piercing and continuous in nature severe at bilateral metacarpal phalangeal, proximal interphalangeal joints. She also complaints of tiredness, loss of appetite, hair fall and loss of weight thereafter. In Ayurveda classics most of these symptoms are similar to symptoms of disease Pandu. Physical examination showed non-scarring alopecia observed over the temporal scalp and mild tenderness and limitation in ROM. Lab investigation showed increased ESR, low Hb, positive direct coombs test, Anti dsDNA and ANA. Patient was given Amruthotharam Kashayam 50ml BD with Vaiswanarachoornam 1tsp BD before food and Simhanada guggulu 1 BD after food internally for first 7days. Then patient was admitted in IP for next 7 days and was given snehapana with Dadimadi ghrutham, virechana with gandharva erandam. Discharge medicine included Manjishtadi kashayam 50ml BD with mandooravatakam 1tsp BD before food and Yogaraja churnam 1tsp with honey at night after food for one month. After the intervention there was reduction of pain in all over the joints within first 5 days and significant improvement in Hb count after intervention. Future studies are needed to evaluate the effect of medicines in large group of subjects.
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