Ayurvedic management

Background: Rotator cuff injuries are a leading cause of chronic shoulder pain and functional disability. In Ayurveda, these presentations are categorized under Avabahuka and Snayu Marma Abhighata. Methods: A 58-year-old male with an MRI-confirmed full-thickness rotator cuff tear and poorly controlled Type 2 Diabetes Mellitus was treated with a multimodal Ayurvedic protocol. Treatment included internal medications (Rasnerandadi Kashayam), external therapies (Jadamayadi Lepam), and Panchakarma (Nasya, Njavara Theppu), integrated with structured physiotherapy. Results: Following the inpatient protocol, the patient achieved an increase in flexion from 40° to 180° and abduction from 25° to 120°. Pain was completely resolved, and the patient regained the ability to perform activities of daily living (ADL) without surgical intervention. Conclusion: Ayurvedic management serves as an effective non-surgical alternative for chronic musculoskeletal injuries, even in patients with complex systemic comorbidities.

Introduction: Yoni Kandu (vaginal itching) and Pichila Srava (thick vaginal discharge) are frequently encountered gynecological complaints, often associated with Prameha in Ayurveda. Long standing Prameha often gives rise to several Upadravas (complications), among which Yoni Kandu is significant due to its impact on quality of life. The condition is aggravated by Kapha and Vata doshas and Dhatu Dushti, particularly of Rasa and Rakta. This case explores the Ayurvedic management of Yoni Kandu in Acharana Yonivyapath in a Type 1 diabetic female patient. Methods: A 28-year-old female, with Type 1 Diabetes Mellitus, presenting with 10-year history of vaginal itching and white discharge was treated with classical Ayurvedic regimen. The treatment focused on Deepana-Pachana (enhancing digestion and metabolism), Kapha-Vata Shamana (pacifying aggravated doshas), and Yoni Shodhana (cleansing of the vaginal tract). Internal medications included Chandraprabha Vati, Triphala Guggulu, Nimbashatka churna and Nishamalaki Churna. Local therapy included Yoni Prakshalana with Triphala Kashaya and application of Nimbamalahara Lepa. Dietary and lifestyle modifications were advised, along with monitoring of blood sugar levels. Results: The patient reported significant relief in symptoms within four weeks of treatment. Itching reduced substantially, discharge became minimal and non-offensive, and the patient experienced improved local comfort (in vulvar region). No adverse effects were reported. Blood glucose levels reduced drastically during the treatment period, indicating compatibility of Ayurvedic treatment with ongoing insulin therapy. Discussion: This case demonstrates the potential of Ayurvedic intervention in managing Yoni Kandu due to Acharana yonivyapath and Prameha Upadrava. By addressing Dosha imbalance and supporting metabolic health, the treatment led to symptomatic relief and improved patient well-being. Integrative management with regular monitoring can provide a holistic approach for such chronic complications in diabetic individuals. Conclusion: Ayurvedic management offers an effective and safe approach to Prameha-related Yoni Kandu. The case supports the role of dosha-specific, individualized therapy in chronic gynecological conditions associated with metabolic disorders like Type 1 Diabetes Mellitus. Further clinical studies are recommended to validate these findings.