Virechana Karma and Amruta Choorna in the management of Panduroga w.s.r. to Iron deficiency anemia -A case study

Abstract

A disease which produces Panduvarnata in the body is known as Panduroga. It occurs by vitiation of Pitta Dosha. Panduroga can be correlated with anemia. Iron-deficiency anemia is a common nutritional disorder caused by nutritional deficiency and reduced bioavailability of iron. A patient suffering from Panduroga was treated for 103 days. Panduta (pallor), Daurbalya (weakness), Ayasaja Shwasa (dyspnea), Pindikodveshtana (cramps in the calf region), Nidraluta (sleepiness), Shiroruk (headache), Sadana (fatigue), Gatra Shoola (body pain) and Agnimandya (impaired appetite) were present in the patient.  Virechana Karma is recommended in treatment of Panduroga.  Punarnawa Lashuna Kashaya is used in Virechana Karma by Sri-Lankan traditional physicians in treatment of Panduroga effectively.  Bhavaprakasha Samhita and Danvantari Nighandu recommend Amurta Choorna in treatment of Panduroga. No known scientific study has been carried out to evaluate the effect of these medicines. Therefore, present study was undertaken. After completion of entire treatment Hb level and Red Blood Cell count increased. Virechana Karma expels vitiated Pitta Dosha.  Punarnawa Lashuna Kashaya and Amurta Choorna consists macro and micronutrients essential for formation of hemoglobin in red blood cells. It can be concluded that these medicines can be administered in treatment of Panduroga (Iron deficiency anemia) with effective results.