Pandit Ranjani Karthik
S. N. Pandit Ayurvedic Company Pvt Ltd, 183, S. N. Pandit Street, old Agrahara, Mysore, 570004, India.
J Ayurveda Integr Med. 2025 Jul-Aug;16(4):100883. doi: 10.1016/j.jaim.2023.100883. Epub 2024 May 17.
Diffuse systemic sclerosis or scleroderma is a chronic connective tissue disorder involving many systems and visceral organs. The association of interstitial lung disease carries high mortality risk. This is a case report of a patient aged 25-years, who was diagnosed as diffuse systemic sclerosis, a disease complex along with Interstitial Lung Disease (ILD), sclerodactyly. She also presented with digital ulcers and calcium deposits in the ulcers. The symptomatology was understood by analysing the dosha predominance and the composition of the different qualities of each dosha in the patient. This complicated case with a bad prognosis was managed with Ayurvedic treatment procedures and medicines. Matrabasti (medicated enema) with mahamasha taila and dhanvantara taila was given. yogabasti with dashamoola ksheera paka, dhanvantara taila and madhu (decoctive enema), along with other palliative medicines like rasna yoga raja, Yogendra rasa, vasakasava, drakshadi paka, kaishora guggulu, raktapachakaghana vati and Mahatiktaka ghrita were given to the patient. After 1-1.2 years of continuous treatments, patient started showing gradual changes in her health condition. Relief from joint pains, intake of normal food, weight gain, re-establishment of menstruation, healing of ulcers was some of the changes seen in the patient. This case report summaries the effective management of diffuse systemic sclerosis after deducing the complex disease structure to dosa and guna involved and treated by adopting ayurvedic medicine and treatment procedures.
弥漫性系统性硬化症或硬皮病是一种累及多个系统和内脏器官的慢性结缔组织疾病。间质性肺病与之相关会带来较高的死亡风险。这是一例25岁患者的病例报告，该患者被诊断为弥漫性系统性硬化症，这是一种伴有间质性肺病（ILD）、硬皮病的复杂疾病。她还出现了指端溃疡以及溃疡处的钙质沉积。通过分析患者体内的主导体液以及各体液不同性质的构成来理解其症状表现。这例预后不良的复杂病例采用阿育吠陀治疗方法和药物进行处理。给予患者用摩诃摩沙油和檀凡陀罗油进行的药浴灌肠（matrabasti）。给予患者用十味草药煎剂、檀凡陀罗油和蜂蜜进行的联合药浴灌肠（yogabasti），以及其他缓解药物，如拉斯纳瑜伽王、约根陀罗配方药、瓦萨卡药酒、葡萄煎剂、凯索拉古古勒、清肝凉血丸和大蒂卡酥油。经过1至1.2年的持续治疗，患者的健康状况开始逐渐出现变化。关节疼痛缓解、能正常进食、体重增加、月经恢复、溃疡愈合等都是在该患者身上看到的一些变化。本病例报告总结了在将复杂的疾病结构推导为所涉及的体液和性质后，采用阿育吠陀药物和治疗方法对弥漫性系统性硬化症进行的有效管理。
