European Journal of Biomedical and Pharmaceutical Sciences

A CASE STUDY ON FOURNIER’S GANGRENE TREATED WITH I AND D FOLLOWED BY SANDHANA KARMA (RECONSTRUCTION)

*Dr. Satish Kumar Chandravanshi, Dr. Junita K. Swer and Dr. S. V. Shailaja

ABSTRACT

Fournier‟s Gangrene is a one of the rare, but life threatening disease. It is a fulminant form of infective necrotizing fasciitis of the perineal, genital, or perianal regions. In the present paper the effect of Chedana Karma & Sandhana Karma in a case of Fournier‟s gangrene with oral Ayurvedic formulations is documented. The study was conducted on a 45 years old male patient who was admitted in SKAMC&HRC Shalya Tantra IPD, with the complaints of pain & swelling around scrotum, pain in lower abdomen, fever and pus discharge from scrotum since 10 days. The condition was diagnosed as Kotha (Fournier‟s gangrene). Chedana Karma (Early and exhaustive debridement) of the scrotal gangrenous tissues was done followed by Shodhanakarma (Daily cleaning and dressing) with Panchvalkala kwatha. Scrotoplasty was done after 3weeks of Shodhana karma when Shudha vrana features were found. Oral medications Triphala guggulu, Gandhaka rasayana were given. Significant improvement was observed in the patient in subjective parameters. Patient resumed his routine work and there was no discomfort, side effect or complication or recurrence after treatment and in follow up period.

Keywords: Fournier’s gangrene, Kotha, Chhedana, Shodhana, panchavalkala kwatha,