Ayurvedic Management of Marmabhighataja Shotha- A Case Report.

Shotha (~Swelling), a very common manifestation perhaps every individual comes across once or more in their lifetime, can be chronic and distressing sometimes. Present case study describes the Ayurvedic management of traumatic injury induced swelling in the ankle joints for twelve years. Patient did not have sustainable relief in swelling or pain with contemporary medicines. Considering the causative factors and Marma Sthana (vital body part) of swelling, patient was treated with Parisheka (therapeutic streaming) with Dashmoola Kwatha (~Decoction) over bilateral ankle joints for seven days, followed by Erandamooladi Niruha Basti (~therapeutic enema) and Dashmoola Taila Anuvasana Basti (~therapeutic enema with medicated oil) in Kala Krama (~a pattern of Basti administration) and Shamana (~Palliative)  treatment. After completion of treatment the patient had complete remission of swelling and improvement in range of motion of affected joints.  The challenging chronic case of local swelling due to traumatic injury, not responding to the allopathic treatment, treated effectively with Ayurvedic interventions considering the causative factors and site of swelling (Marmasthangata Shotha) is the uniqueness of this case report. In cases of Abhighataja (~Traumatic) pathology, Marma Shareera should always be kept in mind while planning the treatment.