Ayurvedic Management of Systemic Lupus Erythematosus overlap Vasculitis

ABSTRACT

Systemic Lupus erythematosus is the classic prototype of multisystem disease of autoimmune origin. SLEmay be associated Vasculitis as an overlap syndrome. In this paper, a patient diagnosed as SLE withVasculitis, which was managed successfully by Ayurveda treatment was discussed. A 39-year-old femalepatient came to hospital with complaint of severe pain and burning sensation in both the legs for twomonths, associated with ulceration and gangrene of toes of both the legs for the last 15 days. She wasdiagnosed as SLE overlap vasculitis from a higher medical centre with relevant investigations andadvised to go for amputation. As patient was not willing for surgery, alternatively opted for Ayurvedatreatment. The condition was diagnosed as disease Vatarakta according to Ayurveda and treatment wasplanned accordingly. Treatment was planned by selecting suitable oral medicines, suitable panchakarmaprocedures along with the ulcer management. Tinospora cordifolia was the main drug of choice. Treatment was successful and able to save the limb. Patient was followed up for more than a year without anycomplications and relapses.© 2019 The Authors. Published by Elsevier B.V. on behalf of Institute of Transdisciplinary Health Sciencesand Technology and World Ayurveda Foundation. This is an open access article under the CC BY-NC-NDlicense (http//creativecommons.org/licenses/by-nc-nd/4.0/).