Nija Shotha - A Clinical Case Report
Abstract
Shotha is defined as the one which is Shareera Ekadeshe Sthitha involving Tridoshas and having Ashraya is Twak, Mamsa.[1] Nija Shotha is one where the involvement of the Vatadi Doshas is first followed by development of Vedanadi Lakshanas.[2] It has different Nidanas, and a case of Shotha with Sneha Vibrama Nidana is included in the current study. Present case report is of a male patient aged 62 years who is a k/c/o HTN since 3 months, K/C/O Kushta since 18 years, and presented with symptoms of severe pain & swelling in bilateral lower limbs since 1 week. Upon close inspection, it was discovered to have been evolved after Kushta, with Sneha Vibhrama serving as the primary Nidana. He was treated with Bahya Chiktitsa & Shamana Aushadis, resulting in a considerable reduction of Shotha & Vedana and was followed with Virechana after which the symptoms were completely reduced. This case illustrates how Shotha develops due to Vyadhikarshana, wherein Sneha Vibrama functions as a Vyanjaka Hetu for the disease progression.
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References
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