Effect of a Selected Ayurveda Treatment Protocol in Secondary Lymphedema

Abstract

Lymphedema is a clinical condition characterised by swelling due to the accumulation of protein rich fluid within the tissues. One of the major causes of lymphedema is a defective lymphatic system which can be primary or secondary. Hereditary or genetic factors contribute to primary lymphedema whereas infections or injury to lymphatic system is the main cause of secondary lymphedema. Breast cancer treatments like mastectomy and radiation can damage the lymph nodes nearby leading to lymphedemas breast cancer related lymphedema is detected in 7-77% of patients who undergo axillary lymph node dissection (ALND). Considering the clinical presentation, it is commonly correlated to Sopha roga. The present case report is about successful management of secondary lymphedema in a 33-year-old female followed by mastectomy. In this case Samprapthi and Chikitsa of Sopha roga was adopted. Dashamoola and Punarnava were the chief drugs used internally and externally to manage the condition. The anti-inflammatory, antifibrotic and diuretic action of these drugs contributing to correct the pathology has been discussed in detail. Even though lymphatic obstruction persists, overall reduction of tissue fluid by these medicines can reduce the symptoms to a great extent. This work is an effort to understand the action of selected medicines and discuss how they can be effectively used in similar conditions.