An Ayurvedic approach in the management of Paad Shoth w.s.r. to Foot Edema - A Case Study

Abstract

Introduction: Paad Shoth (foot swelling) accompanied by elevated SGPT and SGOT levels is often indicative of liver dysfunction (Yakrit Vikara) and Kapha-Pitta doshic imbalance. Impaired Agni and accumulation of Ama (toxins) obstruct Srotas, leading to fluid retention and peripheral edema.  Materials & Methods: A 26-year-old male patient with elevated liver enzymes came to OPD of kayachikitsa dept. The patient complaint both lower leg swelling with pitting edema since 4-year, constipation and low appetite, fatigue, and general discomfort. Based on Ayurvedic principles, the condition was diagnosed as an imbalance in Pitta and Kapha doshas, where Pitta aggravation was linked to liver dysfunction, while Kapha contributed to fluid retention and edema. The treatment plan focused on balancing Pitta and Kapha through dietary changes, lifestyle adjustments, herbal remedies, and detoxification therapies. Punarnava, Aarogyavardhni Vati and Kutki were prescribed to reduce swelling and support liver function. Result: After 4 weeks of treatment, the patient's swelling significantly reduced, SGPT and SGOT levels normalized, and overall vitality improved. Conclusion: This case highlights the role of Ayurvedic principles Agni Deepana, Ama Pachana, Srotoshodhana, and Doshic balance in effectively treating Paad Shoth secondary to liver dysfunction through holistic and individualized therapy.