Buerger’s Disease- Ayurved Chikista -Case Study

Buerger’s disease is a segmental, progressive, occlusive, inflammatory disease of small and medium sized vessels with superficial thrombophlebitis often may present as Raynaud’s phenomenon with micro abscesses, along with neutrophil and giant cell infiltration, with skip lesions. Buerger's disease[Thromboangiitis Obliterans ] is a non-atherosclerotic inflammatory disease of unknown etiology, which has a strong association with tobacco. More common in lower limbs than upper limbs Incidence is Very commonly seen in young and middle aged males (20 – 40 yrs.) Seen only in smokers and tobacco users . Hormonal influence, familial factors Hypersensitivity to cigarette, Altered autonomic functions, Lower socioeconomic group, Recurrent minor feet injuries, Poor hygiene. Pathogenesis Smoke- carbon monoxide and nicotinic acid Vasospasm &hyperplasia of intima Thrombosis of vessels Obliteration of vessels Panarteritis – segmental Artery ,vein and nerve are together involved ,Nerve involvement due to blockage of vasa nervosa causes rest pain . Artery involvement leads to features like claudication pain. With blockage – plenty of collaterals open up Collaterals maintain the blood supply to the ischemic area this is known as compensatory peripheral vascular disease. Disease progression due to smoking leads to blockage of collaterals also leading to severe ischemia known as decompensatory peripheral vascular disease or critical limb ischemia. we present here one case successfully treated with the help of classical ayurveda management.