A case study on Ayurvedic management of Immune Thrombocytopenic Purpura w.s.r to Tiryaka Raktapitta

Abstract

Immune Thrombocytopenic Purpura is an autoimmune disorder which is characterized by destruction and decrease in the number of platelets count due to the presence of autoantibodies directed against platelet.  There are two types of Idiopathic thrombocytopenic purpura i.e. acute and chronic forms which are characterized by mucocutaneous bleeding such as oral mucosa, heavy menstrual bleeding or gastrointestinal bleeding and low platelet count with normal peripheral blood cells and smear. Clinical features of ITP are ecchymosis and petechiae or thrombocytopenia incidentally found on a routine CBC. Bleeding disorders are explained in classics under the heading of Raktapitta.  ITP can be correlated with Tiryaka Raktapitta as in this disorder. It is tridoshaja vayadhi and its manifestation will be subcutaneous bleeding. In this study, a 45 years old female patient had complaints of bleeding from gums and heavy menstrual bleeding for 4 years was treated with Guduchi Kwatha and Aamlaki churna, Shatavari churna, Vata churna, Nimba Arka, fresh Papaya patra swarasa for 6 months. Significant improvement was observed in patient condition and blood reports and platelet count is stable without any allopathic medications.