Management of perineal and perianal warts through ayurveda: a case report
Journal name: Ayushdhara
Original article title: Management of perineal and perianal warts through ayurveda: a case report
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Pragna Baria
PG Scholar, Department of Shalya Tantra, IPGT&RA, Gujarat Ayurveda University, Jamnagar, Gujarat, India.
T S Dudhamal
Associate Professor, Department of Shalya Tantra, IPGT&RA, Gujarat Ayurveda University, Jamnagar, Gujarat, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of perineal and perianal warts through ayurveda: a case report
Year: 2020 | Doi: 10.47070/ayushdhara.v7iSupply1.618
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
1) Introduction
External genital warts, known as Condyloma Acuminatum, are prevalent benign viral infections primarily affecting young women. Transmission typically occurs through direct contact, with autoinoculation also being possible. Each year, significant numbers of new cases are reported, particularly among sexually active individuals. In Ayurveda, warts are correlated with a condition called Charmakeela, whose development is attributed to the vitiation of the doshas, primarily Vata and Kapha. The traditional Ayurvedic perspective emphasizes treating the root cause rather than merely removing the warts. This case report discusses the management of a 33-year-old female patient suffering from perineal and perianal warts through Ayurvedic methods, highlighting the effective treatment protocol adopted.
2) Treatment Approach: Agnikarma and Drug Therapy***
The case outlined employs an advanced Ayurvedic technique known as Agnikarma, which is a para-surgical procedure providing effective treatment with minimal recurrence rates. In this case, the patient was treated with electro-cautery to remove the warts, coupled with the internal administration of Triphala Guggulu, a formulation renowned for its wound healing properties due to its anti-inflammatory effects. Following the surgery, standard post-operative care was maintained, including daily cleaning with Panchvalkala Kwath and dressing with Thumari Taila, a herbal oil known for its healing qualities. This multimodal approach ensures the thorough clearing of the warts while also promoting rapid healing of the operative site.
3) Post-Operative Management and Follow-Up
Post-operative care was essential in the treatment protocol, which emphasized hygiene and routine dressings. The patient experienced healthy wound healing with no signs of infection. By the 21st day after surgery, complete healing was achieved with minimal scarring, and the patient reported relief from associated symptoms such as itching and discomfort. Comprehensive follow-ups over ten months showed no recurrence of the warts, highlighting the effectiveness of the Ayurvedic approach used. This evidence supports the assertion that with proper Ayurvedic treatment, benign growths like warts can be successfully managed and resolved, giving significant quality of life improvements to patients.
4) Conclusion
Perineal and peri-anal warts represent a common health issue for women, which lacks definitive treatment strategies in modern medicine. This case demonstrates that Ayurvedic care can provide a cost-effective, minimally invasive alternative that not only alleviates symptoms but also minimizes complications and recurrence. The outcome of this case suggests a promising avenue for further exploration and validation of Ayurvedic practices in treating warts and similar conditions. Future studies involving larger patient populations would be beneficial to reinforce these findings and enhance the understanding of Ayurvedic interventions for viral infections.
FAQ section (important questions/answers):
What are the characteristics and common problems associated with perineal warts?
Perineal warts, known as external genital warts, are benign viral infections. They typically present as numerous small growths causing itching and discomfort, primarily affecting young women. If untreated, they can lead to complications and potential malignant transformation.
How was the 33-year-old female patient treated for perianal warts?
The patient underwent an Ayurvedic treatment protocol that included excision using electrocautery, oral administration of Triphala Guggulu, and regular cleansing with Panchvalkala Kwath. Post-surgical care involved dressing with Thumari Taila, resulting in complete healing within three weeks with no recurrence.
What are the advantages of using Ayurvedic methods for wart treatment?
Ayurvedic treatments for warts offer a cost-effective and minimally invasive approach focused on root cause elimination and preventing recurrence. Methods used, such as Agnikarma and herbal applications, promote quick wound healing and minimize complications, as demonstrated in the case study.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淢anagement of perineal and perianal warts through ayurveda: a case report鈥�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India which focuses on the balance of bodily elements and uses natural remedies. It forms the basis for treatments like Agnikarma and the use of medicinal oils or Taila.
2) Agnikarma (Agni-karma):
Agnikarma, mentioned by Acharya Sushruta, is a parasurgical procedure in Ayurveda that involves using thermal cautery to treat conditions like Charmakeela (warts). This method helps in reducing recurrence and managing skin conditions effectively.
3) Taila (Thaila):
Taila refers to medicinal oils used in Ayurveda for treatments. In this case, Thumari Taila and Kshara Taila were used for dressing wounds and promoting healing after the surgical removal of perineal and perianal warts.
4) Pain:
Pain is a symptom experienced by the patient due to perineal and perianal warts. Post-surgically, pain management included the application of herbs like Triphala Guggulu, known for its anti-inflammatory effects, reducing discomfort and aiding recovery.
5) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda that deals with surgical procedures and parasurgical methods like Agnikarma and Chedana. It's crucial for the management of conditions like external genital warts, ensuring effective surgical and post-surgical care.
6) Triphala (Tri-phala):
Triphala is a classical Ayurvedic formulation comprising three fruits known for their healing and anti-inflammatory properties. It aids in wound healing and was prescribed to the patient in the form of Triphala Guggulu to enhance post-surgical recovery.
7) Guggulu:
Guggulu is a gum resin used in Ayurveda with potent anti-inflammatory and healing properties. In this case, it was combined with Triphala (Triphala Guggulu) and given orally to manage inflammation and promote the healing of post-surgical wounds.
8) Tantra (Tamtra, Tantrism):
Tantra, in the Ayurvedic context like Shalya-tantra, refers to the framework or techniques used in medical procedures. It includes surgical and parasurgical practices such as Agnikarma for treating conditions like perineal and perianal warts.
9) Shalya (Salya):
Shalya refers to surgical tools and procedures in Ayurveda. Shalya-tantra specifically incorporates surgical interventions like Chedana (excision) and Agnikarma, which were utilized in the treatment of perineal and perianal warts in this case report.
10) Triphalaguggulu (Triphala-guggulu):
Triphala-Guggulu is an Ayurvedic formulation that combines Triphala with Guggulu. This formulation was prescribed to the patient thrice daily to assist in wound healing, reduce inflammation, and prevent infection after the surgical removal of warts.
11) Gujarat:
Gujarat is a state in India where the Gujarat Ayurveda University is located. This institution, specifically its IPGT&RA department, handled the case study involving the Ayurvedic management of perineal and perianal warts.
12) Disease:
The disease in question is perineal and perianal warts, a viral skin condition referred to as Charmakeela in Ayurveda. Effective management of this disease was achieved through a combination of surgical and Ayurvedic treatments, minimizing recurrence and complications.
13) Arshas (Arsa, Arsha, Arsas):
Arsha, in Ayurveda, refers to hemorrhoids but is also used to describe growths like warts (Charmakeela). Treatments for Arsha include Aushadha (medicines), Kshara (alkali), Agni (cautery), and Shastrakarma (surgery), all of which were referenced in the case report.
14) Aushadha (Ausadha):
Aushadha refers to medicines used in Ayurveda. In this case, internal administration of Triphala Guggulu was a key part to manage post-surgical care and ensure the healing of wounds associated with perineal and perianal warts.
15) Discussion:
The discussion in the case report focuses on the rationale behind using Ayurvedic treatments like Agnikarma and internal medications to manage warts. It highlights the effectiveness and minimal recurrence of such integrated treatments.
16) Vitiation (Vitiated):
Vitiation, in Ayurveda, refers to the imbalance of Doshas (bodily elements). In the case of Charmakeela (warts), the vitiation of Vata and Kapha Doshas causes the development of these warts, necessitating targeted treatments to restore balance.
17) Haridra:
Haridra, also known as turmeric (Curcuma longa), is used in Ayurveda for its anti-inflammatory, antiseptic, and wound healing properties. It was applied post-surgery to prevent infection and promote healing of the surgical site where the warts were removed.
18) Kshara (Ksara):
Kshara involves the application of alkaline substances in treatments and is one of the modalities for dealing with Arsha (hemorrhoids or warts) in Ayurveda. Although not used directly in the referenced case, it's mentioned as an option alongside Agnikarma.
19) Kapha:
Kapha is one of the three Doshas in Ayurveda, associated with growth and structure. In the case of perineal and perianal warts (Charmakeela), the vitiation of Kapha along with Vata leads to the formation of these growths, requiring treatment to balance the Doshas.
20) India:
India is the country where this case study took place, specifically at Gujarat Ayurveda University. Ayurveda, the traditional system of medicine applied in the treatment, has its origins and practices deeply rooted in India.
21) Vata:
Vata is one of the three primary Doshas in Ayurveda, governing movement and bodily functions. In the pathogenesis of Charmakeela (warts), the vitiation of Vata along with Kapha leads to the development of these growths, necessitating therapeutic interventions.
22) Curcuma longa:
Curcuma longa, commonly known as turmeric, is the plant from which Haridra is derived. Known for its medicinal properties, it was used post-surgery in this case to prevent infection and aid in the healing process of the surgical wounds.
23) Young women (Young woman):
Young women are the demographic most commonly affected by perineal and perianal warts. This case involved a 33-year-old female, highlighting the need for effective management strategies for warts, particularly in this population group.
24) Transformation (Transform, Transforming):
Transformation refers to the potential malignant change in untreated warts. Prompt and effective treatment is crucial to prevent such risks, as highlighted by the successful management of warts through Ayurvedic methods in this case study.
25) Ksharataila (Ksarataila, Kshara-taila):
Kshara Taila, although not directly mentioned in the text, is indicative of medicinal oils used in conjunction with Kshara (alkaline substances) in treatments. Taila like Thumari Taila was applied post-surgery for dressing and healing.
26) Transmission:
Transmission in the context of external genital warts is primarily through direct contact, emphasizing the importance of treatments that not only address the symptoms but also reduce the risk of spreading the viral infection.
27) Inflammation:
Inflammation is a common symptom in many skin conditions including warts. The use of anti-inflammatory agents such as Triphala Guggulu and Haridra in Ayurveda helps in reducing inflammation and promoting healing in post-surgical wounds.
28) Painting:
Painting, in the surgical context, refers to the application of a disinfectant solution like povidone-iodine to the surgical area. This step helps in maintaining aseptic conditions before the surgical removal of warts in the presented case.
29) Turmeric:
Turmeric, derived from the plant Curcuma longa, is referred to as Haridra in Ayurveda. It was used post-surgery for its anti-inflammatory, antiseptic, and wound healing properties to promote recovery of the surgical wounds in the treatment of warts.
30) Swelling:
Swelling is one of the symptoms experienced by the patient due to the growth of perineal and perianal warts. The Ayurvedic treatment, including the use of anti-inflammatory agents like Triphala Guggulu, aimed to reduce the swelling and aid in healing.
31) Chedana:
Chedana refers to the surgical excision of growths like warts. It was performed on the patient under spinal anesthesia, followed by other Ayurvedic treatments, to effectively manage the perineal and perianal warts with minimal recurrence.
32) Salaka (Shalaka):
Shalaka refers to the instruments used in Agnikarma, an Ayurvedic procedure involving thermal cautery. Electro-cautery, used in the case study, is considered a modern equivalent of Shalaka, helping remove warts effectively.
33) Hygiene (Hygienic):
Hygiene is crucial in post-surgical care to prevent infections. The patient was advised to maintain local hygiene, take sitz baths with Panchvalkal Kwath and avoid coitus until healing was complete to ensure a successful recovery.
34) Powder:
Haridra (turmeric) powder was applied to the surgical site post-wart removal to prevent infection and inflammation. The powdered form of medicinal herbs is commonly used in Ayurvedic treatments for its ease of application and effective properties.
35) Dosha (Dosa):
Doshas refer to the three fundamental bodily humors in Ayurveda: Vata, Pitta, and Kapha. The imbalance or vitiation of these Doshas leads to various health conditions, including Charmakeela (warts), necessitating specific treatments to restore balance.
36) Pitta:
Pitta is one of the three Doshas in Ayurveda, associated with metabolism and transformation. While mainly Vata and Kapha vitiation cause warts (Charmakeela), a dominant Pitta can also affect the skin, necessitating treatments that balance all three Doshas.
37) Rakta:
Rakta denotes blood in Ayurveda. Vitiation of Rakta, often associated with Pitta, leads to skin conditions like blackish discoloration in warts. The management of such conditions involves treatments to cleanse and balance Rakta.
38) Ayus (Ayush):
[see source text or glossary: Ayush] Ayurveda is a crucial aspect of AYUSH, a governmental body in India overseeing traditional medicine systems. This journal, 'AYUSHDHARA,' publishes research in these fields, supporting Ayurvedic approaches in healthcare.
39) Agni:
Agni in Ayurveda refers both to the digestive fire essential for health and to thermal procedures like Agnikarma. These procedures are applied in surgery to cauterize growths like warts, ensuring minimal recurrence and effective healing.
40) Drug:
Drug here refers to Ayurvedic formulations like Triphala Guggulu prescribed for treating conditions internally. These drugs help in reducing inflammation, promoting healing, and preventing the recurrence of warts post-surgery.
Other Science Concepts:
Discover the significance of concepts within the article: 鈥�Management of perineal and perianal warts through ayurveda: a case report鈥�. Further sources in the context of Science might help you critically compare this page with similair documents:
Chedana, Triphalaguggulu, Agnikarma, Sitz-bath, Case study, Charmakeela, Spinal anesthesia, Post operative wound care.