Non Healing Ulcer- Squamous Cell Carcinoma


Non Healing Ulcer- Squamous Cell Carcinoma

Patient aged 63years, normal-built adult female came to AyurVAID hospital with following complaints:

1. Non healing mouth painful mouth ulcer since 2months

2. Radiating pain b/h the ears to neck region since 2 months

3. Inability to open the mouth completely since 10 years

4. Inability to chew solid foods since 10 years

5. Low appetite

6. Low energy levels


Brief Medical History:


An adult female patient moderately built & nourished to her age & sex with good orientation to time & place came to AyurVAID hospitals for the above complaints. She was diagnosed as invasive squamous cell carcinoma palate in 2003 and had undergone a surgery for that. Her palate was excised and due to the change in anatomy of mouth she was unable to speak and hear properly. She is unable to open her mouth completely and chew solid foods. She uses a hearing aid. Also has the h/o myringotomy. Since 2 months she had developed an ulcer on the roof of the palate. The mouth ulcer was whitish yellow in colour and painful. She had visited ENT for the same. He had suggested a biopsy to rule out the recurrence. Patient was not willing to undergo the biopsy intervention and wanted something which was gentle and less painful. Hence she decided for Ayurveda management.

Allopathy Ayurveda
GENERAL FINDINGS:

• GC: Stable, Afebrile
• Blood pressure: 120/80mm/hg
• Pulse: 80 beats /min

Clinical Examination:

• PA - Soft, No Organo megaly
CVS – NAD
RS – NAD

O/E:

• Mouth Ulcer: formation of off white to yellow ulcers on the roof of the palate. Pseudomembranous – Present, Severe erythema.
DasaVidhaPariksha

Prakriti- Kapha Vata
Sara- Madhyam
Samhanana- Madhyam
Pramana- Madhyam
Satva- Pravara
Satmya- Madhyam
Ahara Shakti- Madhyam
Vyayam Shakti- Madhyam
Vaya- Jeerna

Kostha- Madhyam
Roga Bala- Pravara
Rogi Bala- Pravara
report

DIAGNOSIS: Invasive squamous cell carcinoma Palate /Recurrence?
Samprapti
Pitta + Kapha Vardhak Ahara Vihara

Rasa +Rakta +Mamsa dhatu dushti

Sthanasanshrya at Talu

Continuation of Nidana- TridoshaPrakopa

Vranottotpatti
MEDICAL MANAGEMENT STRATEGY:

INTERNAL MEDICATIONS:
•Manjisthadi Kashayam 15ml+ 30 ml water boiled and cooled + 1 tab kanchnar Guggulu mixed twice daily before food (9.00 am – 5.00 pm)
•Indukantham Kashyam 15ml+30 ml water twice daily 11.00 am and 6.00 pm
•Guduchi churnam 10 gms daily in the morning with water
•Panchagavya ghritam 1tbsp daily twice.

EXTERNAL APPLICATION: •Yashtimadhu + Turmeric+ Honey application on the ulcer

TREATMENTS DONE:
PROCEDURE TREATMENT MEDICINES
Kavalam Saptachaddadikashayam
Gandoosha IrimedadiTailam
Pratisaran Yashtimadhu+Haridra+Honey
SadhyaVirechanam Avipatthychurnam (40gms)
SarvangamPatraPindaSwedana Supthitailam+ PrabhanjamTailam
Shirobasti Ksheerbalatailam
Paadabhyangam SupthiTailam

CONDITION AT THE TIME OF DISCHARGE

GENERAL FINDINGS:
Blood pressure: 120/80 mm of Hg.
Pulse: 72

GENERAL EXAMINATION:
PA: Soft, distended, No Organo megaly
CVS – NAD
RS – NAD

Examination of Mouth Ulcer:
Light erythema at the site of ulcer, healing in process
report


Condition at the first review 28/9/13

report

Clinical Improvement

  1. Improvement in energy levels
  2. Ability to chew solid foods increased
  3. Improved appetite
  4. Improved sleep pattern
  5. Reduced numbness

Cancer is a dreaded disease and the patient loses hope. Ayurveda offers very good support to cancer patients with its gentle yet powerful approach.


* Outcomes may vary from person to person

Disclaimer: * Outcomes may vary from person to person