A SINGLE CASE STUDY ON AYURVEDIC MANAGEMENT OF POEMS SYNDROME

*Dr. Jeena Rajeevan T. and Dr. Shaila Borannavar

ABSTRACT

POEMS Syndrome is a rare chronic and disabling condition. POEMS stands for Polyneuropathy, organopathy, endocrinopathy, monoclonal gammopathy, skin changes. The causes of condition remain unknown. however chronic over production of proinflammatory cytokines appears to be a major contributor. Peripheral neuropathy is the most prominent symptom, causing weakness in the upper and lower limb. Early diagnosis is essential to start treatment before the clinical state of patient become compromised. The present paper discusses a case study of patient suffering from POEMS syndrome managed by Ayurvedic treatment through panchakarma(5types of treatment modalities used in Ayurveda) and shamana oushadhis (palliative measures) A male patient aged 52 years C/O Reduced strength and wasting of muscle in bilateral lower limb associated with Tingling sensation and numbness below knee joint since 10month approached OPD of SJIIM Hospital, Bangalore. The patient was treated with panchakarma treatment followed by Shamana Oushadi. POEMS syndrome is a chronic and disabling condition, which doesn’t have a permanent solution. In this case the treatment protocol has given significant relief in signs & symptoms. There was reduction of clinical symptoms and further progression of the disease. The patient followed up for 1 year and during which the quality of life and expectancy was improved.

Keywords: POEMS syndrome, Panchakarma, Mustadi raja yapana basti, Vatarakta.