An Ayurvedic Management by Shaman Therapy along with Jalaukavacharana in Gangrenous Finger

Gangrene is a condition characterized by necrosis of a body part due to a lack of circulation, injury, or infection. The tissue becomes depleted of oxygen and eventually dies. Gangrene and its associated amputations are clinically challenging, but Ayurveda has many options to treat this disease. In this case, the Ayurvedic treatment prevented amputation and enhanced the body’s ability to heal the wound. By focusing on the local phenomenon of gangrene pathology and establishing the circulation. In Ayurveda, there is no detailed explanation of gangrene. According to Charaka , Kotha means putrefied and dead part; it is considered a complication of Vrana (wound). Fourth, Ayurvedic treatment modalities are utilized to treat the aforementioned disease. A 28-year-old female patient presented to National Institute of Ayurveda, Jaipur Hospital with complaints of finger discoloration, pain, discharge, and demarcation persisting for 8 months. Based on clinical assessment, the condition was considered as Kotha (gangrene). Management was planned with Panchavalkala Kwatha Prakshalana , Jalaukavacharana (leech therapy), along with suitable Shamana therapy. After 8 weeks of treatment, appreciable results were found.