Non Healing Ulcer- Squamous Cell Carcinoma

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Table of Contents
Casestudies of Contents

Brief Medical History

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

1. Non-healing mouth painful mouth ulcer since 2 months

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.

Integrated Summary

Allopathy Ayurveda
GENERAL FINDINGS:

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

Clinical Examination:
• PA – Soft, No Organomegaly
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
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

Outcome

CONDITION AT THE TIME OF DISCHARGE
GENERAL FINDINGS: Blood pressure: 120/80 mm of Hg. Pulse: 72 GENERAL EXAMINATION: PA: Soft, distended, No Organomegaly CVS – NAD RS – NAD
Examination of Mouth Ulcer:
Light erythema at the site of ulcer, healing in process

Condition at the first review 28/9/13

Clinical Improvement

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

Conclusion

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

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