Ayurvedic management of Achalasia cardia: Case report

Authors

  • P V Keerthi PG Scholar, Department of Roganidana, Government Ayurveda college, Pariyaram (PO), Kannur
  • Babita Radhakrishnan Assistant Professor, Department of Roganidana, Government Ayurveda college, Kannur
  • P M Madhu Assistant Professor, Department of Roganidana, Government Ayurveda college, Kannur

DOI:

https://doi.org/10.55718/kja.293

Keywords:

Achalasia cardia, Apana vata, Eckardt symptom score, srotovaigunya

Abstract

Achalasia cardia is an esophageal motility disorder characterised by hypertonic lower esophageal sphincter which fails to response to the swallowing wave. Current invasive diagnostic methods and therapeutic approaches have advantages and disadvantages of their own. As per Ayurvedic perspective, Srotovaigunya or Khavaigunya can be used to describe structural alterations in the esophagus. The apana vata dosha vaigunya followed by vitiation of other dosha can be considered as the main pathology involved in this case. Following this agnimandya and aamasanchaya may occur. So for the reversal of samprapti, proper vata anulomana ,pachana and deepana are needed. Followed by the brihmana and rasayana cikitsa helps for maintaining the integrity of esophagus and prevent the recurrence of the symptoms. The changes in the clinical features of the patient can be assessed through standard Eckardt symptom Score.

References

CASSELLA RR, ELLIS FH, BROWN AL. FINE-STRUCTURE CHANGES IN ACHALASIA OF ESOPHAGUS. II. ESOPHAGEAL SMOOTH MUSCLE. Am J Pathol. 1965 Mar;46(3):467-75. [PMC free article] [PubMed]

Francis DL, Katzka DA. Achalasia: update on the disease and its treatment . Gastroenterology. 2010 Aug;139(2):369-74. [PubMed]

Raymond L, Lach B, Shamji FM. Inflammatory aetiology of primary oesophageal achalasia: an immunohistochemical and ultrastructural study of Auerbach's plexus. Histopathology. 1999 Nov;35(5):445-53. [PubMed]

Mari A, Abu Baker F, Pellicano R, Khoury T. Diagnosis and Management of Achalasia: Updates of the Last Two Years. J Clin Med . 2021;10 [PMC free article] [PubMed] [Google Scholar]

Laurino-Neto RM, Herbella F, Schlottmann F, Patti M. EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION.Arq Bras Cir Dig. 2018;31(2):e1376. [PMC free article] [PubMed]

Torresan F, Ioannou A, Azzaroli F, Bazzoli F. Treatment of achalasia in the era of high-resolution manometry. Ann Gastroenterol. 2015 Jul-Sep;28(3):301-308. [PMC free article] [PubMed]

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya sootra sthanam.Chapter 12 doshabhediyam ,sloka 4 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.196

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya sootra sthanam.Chapter 12 doshabhediyam ,sloka 5 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.196

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya sootra sthanam.Chapter 12 doshabhediyam ,sloka 6 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.196

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya sootra sthanam.Chapter 12 doshabhediyam ,sloka 8 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.196

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya sootra sthanam.Chapter 12 doshabhediyam ,sloka 9 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.196

Susrutha A, Yadavji Trikamji Acharya.Susrutha samhitha. sootra sthanam.Chapter 25 doshabhediyam ,sloka 10 V. Reprint ed.Varanasi: Chaukhamba surbharati prakashan; 2014.p.117

Susrutha A, Yadavji Trikamji Acharya.Susrutha samhitha. sootra sthanam.Chapter 25 doshabhediyam ,sloka 5 V. Reprint ed.Varanasi: Chaukhamba surbharati prakashan; 2014.p.114

Prof. K. R. Srikantha Murthy .Madhavakara. Madhava nidana (roga vinischaya). Chapter 51 Amlapitta nidanam ,sloka 1; 5 ed ; Chaukhamba orientalia Varanasi , 2003,p.166

Feng J, Ali RW, Hao JY, Kong GX, Yang LH, Huang XJ. Peroral endoscopic myotomy for esophageal motility disorders. Esophagus . 2020;17:11–18. [PMC free article] [PubMed] [Google Scholar]

Eckardt VF, Aignherr C, Bernhard G. Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology. 1992;103:1732–8. [PubMed] [Google Scholar]

Kumar and Clark clinical medicine .The stomach and duodenum .5th edition. Elsivier science limited.2002.pg.266

Dr. G Prabhakara Rao .Sahasra yogam . chapter 3 .kashya yoga prakaranam .sloka No.88 . first edition .Chaukambha publications.2016.pg.49

Dr. G Prabhakara Rao .Sahasra yogam . chapter 17 .Gutika yoga prakaranam .sloka No.41 . first edition .Chaukambha publications.2016.pg.427

Dr. G Prabhakara Rao .Sahasra yogam . chapter 3 .kashya yoga prakaranam .sloka No.205 . first edition .Chaukambha publications.2016.pg.97

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya Cikitsa sthanam.Chapter 22. Vatasonita cikitsa ,sloka 46 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p.732

Vagbhata,Sadasiva shastri ParadkarVaidya P .Ashtanga hrudaya Cikitsa sthanam. Chapter 3. kasa cikitsa ,sloka 9 Reprint ed. Varanasi: Chaukhumba Surbharati prakashan ; 2013. p. 585

Downloads

Published

26-06-2024

How to Cite

P V Keerthi, Babita Radhakrishnan, & P M Madhu. (2024). Ayurvedic management of Achalasia cardia: Case report. Kerala Journal of Ayurveda, 3(2). https://doi.org/10.55718/kja.293

Issue

Section

Case Reports