AYURVEDIC MANAGEMENT OF POLYMAYALGIA RHEUMATICA -- A CASE REPORT

Abstract

A 45 years old female patient of Polymyalgia Rheumatica visited O.P.D of D. Y. Patil Ayurveda Hospital, Nerul, Navi Mumbai, having Pain and stiffness of pectoral and pelvic musculature,These symptoms developed in the last 12 weeks and was worse in the morning. Morning stiffness >2 hours and normal motor strength. She was also having Agnimandya, Aruchi, constipation and feverish feeling. Her ESR was 60 mm and CRP 3.1mg/dl at the time of admission. Physical examination shows there was limitation of movement of both shoulders with muscle tenderness in pectoral and pelvic musculature; Neurological examination and Joint X-Ray findings were normal. Simhanad Guggul 250mg 2tabs TDS and Gandharva Haritaki 5gm HS and Shunthi Phant 20ml with Erand oil 5ml in Apana Kala was given for 2 months along with sarwanga Snehan with Vishagarbha oil and Sarvang Kuti swedan and Vaitarana Basti for 15 days. Oral medicines continued for two months. Improvement continued gradually over 2 months with reduction of symptoms. Patient was markedly improved and her muscle stiffness lessened. Her CRP level reduced to 1.5 mg/dl just after 15 days of treatment. This treatment combination relives signs and symptoms of Patient on Subjective and Objective parameters after 2 months of treatment.