A CLINICAL SUCCESS IN THE MANAGEMENT OF KOTHA (DIGITAL GANGRENE) BY LEECH THERAPYANDPANCHTIKTAGHRITAGUGGULU - A SINGLE CASE STUDY

Gangrene is a type of tissue death caused by lack of blood supply. Symptoms may include a change in skin colour red or black, numbness, swelling, pain, ulceration and detachment of local skin. The feet and hands are most commonly affected. This condition may arise because of an injury, infection or other health conditions, majorly diabetes. Gangrene and its associated amputations are clinically challenging, but Ayurveda offers therapy options. In Ayurveda, gangrene can be considered as Kotha under DushtaVrana due to Margavarana and Dhatu Kshaya. This case study aims to investigate whether Ayurvedic intervention can manage Kotha (gangrene) without amputation of the gangrenous part. Here a case report disscused diagnosed with kotha(Dry Gangrene) treated with Ayurvedmanagenment,Panchtiktaghritagugguluoral and Jalaukavacharana (leech therapy), whichwere found very effective and safe in a patient of dry gangrene.