April 2020
Dr. Kailas Sonmankar
 

Abstract

SLE an autoimmune disorder where multisystem is involved. Its management is done by analgesics and cortiocosteriods. Drug resistance, increasing doses of haepatotoxic drugs and immunosuppressants steroids are hazards of the management. Here the patient suffering from SLE  was unable to do her day today work. Panchakarma treatment is found very effective in this case to improve her quality of life and to live with her own.

Key Words: SLE, Panchakarma, cortiocosteriods, imunosupressants

 

Introduction: Kyachikitsa is mainly based on agnichikitsa. We state that the mandagni which further produces    ama, is the main cause of all diseases. The manifestation of the disease depends on doshaprakopawastha and khavaigunya.

Amavata is one among such diseases. The case discussed here is mainly treated on the basic chikitsa   sutra   and   effective response is seen.

A Case Report: A  32  year  female  married  came  to  our outpatient department with   C/O   pain   in multiple joints since 9 years Associated C/O low back pain, discoloration of skin over face, reduced menstrual flow during periods, loss of energy, loss of apetite. Past history K/C/O systemic lupus erythmatoesus since 9 years H/O 

Present illness: pt was absolutely normal till 1997. One day morning she had sudden body stiffness with fever, pain all over body.  She took treatment for it got some relief.  The disease aggravated in June 2004 when pathological investigations revealed RA+ve   with   elevated   serum   creatinine 5.8mg/dl. Later in October 2004 she had multiple joint pain with tenderness all over the body. Erythmatous scaly patches developed on both sides of cheeks. Her HB levels 6.4 mg, Pletlet values were normal. Further   in   March   2005   she   had   c/o giddiness,  unconsciousness  with  high  esr 65mm/hr.  She was unable to speak due to throat   problem.   She   took   treatment   for relief. But the disease flared up after again after   2   months   with   urinary   infection. Urine Pus cells +++, RBC++ ALnumin+ Sugar+Incresed turbidity and with serum creatinine   level.

ANA +ve   with   1:40 found. The symptoms were on and off with elevated ESR. The Anti DS DNA +ve 1:80. Urine remains infected and nutrophiliais formed. April 2004, she had some subsided symptoms with normal levels of creatinine, urine infection. Her HB 10.4.ESR 50mm/hr. up to December 2004 she had silent period with bacterial urine infection. Shifting pain in both hands, rash over feet, pain in both knee, tingling sensation in hands, feeling   of   deviation   of mouth, gingivitis with ulcers inside mouth were developed in February 2014.