Kaidaryayuktatakra Lepa as Sadyochikitsa in Vrischika Damsha: A Case Study.
Scorpion stings are a major cause of global public health issues associated with substantial morbidity and mortality next to snake bites. The estimated annual number of scorpion stings is 1.2 million leading to 3250 deaths. The common clinical feature of the scorpion sting is the sharp localised burning pain which gradually spreads to the whole limb followed by the variable nature of paraesthesia and swelling. Involvement of the central nervous system and autonomic nervous system along with respiratory and heart failure and even death is immediately seen in untreated cases of scorpion stings. Among Jangama Visha Adhisthanas (animal poisons) mentioned in Agadatantra, the clinical manifestations seen in Vrischika resemble scorpion envenomation. Immediate acute pain at the site of the sting is an essential factor for the emergency search of medical care. Since VrischikaVisha (~Scorpion poison) is vata predominant in nature, Dhara, Lepana and Dhoopa procedures have prime importance in its management. In spite of the probable faster action of these treatments in acute symptoms of Vrischika, they are not being widely used in clinical practice. This is a case study of a scorpion sting with acute symptoms. Based on the study it can be concluded that Kaidaryayuktatakra lepa in “Kriyakoumadhi'' has shown promising results in the management of acute scorpion envenomation.
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