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Thrombocytopenia

Our Ayurveda case studies are the first-line evidence in Ayurveda medical literature as they present the original observations from our Ayurveda practitioners.

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Brief Medical History

Patient Information

A 16 years old female, apparently normal; noticed following complaints abruptly in the morning:

1. Bright purple rashes over skin in the lower limbs and back
2. Bleeding from oral cavity and umbilicus

Integrated Summary

Allopathy	Ayurveda
Condition at the time of admission GC: Stable, Afebrile; Weight: 40 kg; Blood Pressure: 120/74 mm of Hg. Pulse: 76 beats /min Clinical Examination: PA:Soft, non-tender, No Organomegaly CVS: S1, S2 heard RS: NVBS Diagnosis: Thrombocytopenia	Condition at the time of admission DashvidhaPariksha Prakriti- Pitta Kapha Sara- Mamsa Sara Samhanana- Madhyam Pramana- Madhyam Satva- Avara Satmya- RookshaSatmya Ahara Shakti- Madhyama Vyayam Shakti- Avara Vaya- Youvana Diagnosis: TiryakRaktapitta
	Duration of Treatment- 7 days, in-patient Preliminary Treatments: 1. Kavalam as Sthanik Chikitsa with YastimadhuKwatha for oral bleeding – 5 days. Main Treatment: 1 Sadyo Virechana with AvipattikaraChoorna – 30 gm on the same day of 1st visit, 2. Takradhara- 4 days Post Main Treatment: 1. Pathyaahaara, Vihara, Aushadha Internal medication: 1. DrakshadiKashayam 3 tsf + 9 tsf boiled and cooled water twice daily on empty stomach. 2. Styplon 1 cap TID after food 3. MahathiktakamGhritam 1 tsf at bed time with Luke warm water.

Outcome

Outcomes	Before Treatment	After Treatment
Clinical Signs and symptoms: • Petechial • Mucosal Bleeding – Oral Cavity and Umbilicus	1. Rashes over skin in the lower limbs and back 2. Bleeding in oral cavity and umbilicus 3. Generalised weakness 4. Excess of Trishna (thirst) 5. Loss of appetite	1. Rashes absent 2. Bleeding stopped completely 3. Strength restored 4. Trishna normalised 5. Appetite improved
Vital Parameters	BP-90/70 mm of Hg Pulse-72/mins	BP-90/70 mm of Hg Pulse-76/mins
Lab investigations- CBC, Platelet Counts	CBC – Normal Platelet count – 0.05 lakhs/cu.mm	CBC – Normal Platelet count– 0.93 lakhs/cu mm on 3rd day of treatment. 1.5 lakhs/cu.mm on 5th day 1.83 lakhs/cu.mm- on discharge (7th) day:

Conclusion

Present case clearly indicates the effectiveness of classical Ayurveda management of an acute condition like thrombocytopenia in a short period of 3 -7 days.

* Outcomes may vary from person to person