A study on effect of Virechana Karma (Siyambala Petipuwakadi Kashaya), Iramusu Sevendaradi Kashaya and Lee Kola Pala Patra Pralepa on Hasta Pada Daha due to Vatarakta

Abstract

Clinical features of Vatarakta are Hasta Pada Daha (burning sensation), Hasta Pada Ruja (pain), Hasta Pada Raga (redness), Hasta Pada Guru (heaviness), Hasta Pada Supthi (numbness) and Hasta Pada Sphutana (cracking). Virechana Karma is described as one of the therapeutic measures in the treatment of Vatarakta. Traditional physicians conduct Virechana Karma using Siyambala Petipuwakadi Kashaya, Iramusu Sevendaradi Kashaya and Lee Kola Pala Patra Pralepa in treatment of Vatarakta with effective result. So far, no known scientific study has been conducted to evaluate the effects of these treatments. A 27 year old female with a one-year history of Hasta Pada Daha (burning sensation) along with other symptoms such as Hasta Pada Ruja (pain), Hasta Pada Raga (redness), Hasta Pada Guru (heaviness), and Hasta Pada Sputana (cracking) was treated with this treatment regimen for 17 days. Day 1, Virechana Karma was conducted using Siyambala Petipuwakadi Kashaya. Day 2 and 3, the patient was made to follow Samsarjana Krama. From Day 4 to Day 17, the patient was treated with Iramusu Sevendaradi Kashaya orally and external application of Lee Kola Pala Patra Pralepa (Premna procumbens Moon). After Virechana Karma, Daha, Raga, Sphutana and Ruja of Hasta Pada were relieved by 25% and none of the other symptoms were reduced. On day 17, after the completion of the entire treatment, Daha, Raga, Ruja, and Guru of Hasta Pada were completely relived and Hasta Pada Sphutana were partially relived (75%). It was decided that this treatment regimen is beneficial in the treatment of Hasta Pada Daha due to Vatarakta.