Thromboangitis Obliterans (TAO) is a non-atherosclerotic inflammatory disorder of unknown etiology that affects small and medium-sized vessels of the extremities and has a strong association with smoking.
The clinical criteria include: age under 45 years; current or recent history of tobacco use; presence of distal-extremity ischemia indicated by claudication, pain at rest, ischemic ulcers or gangrenes and documented by non-invasive vascular testing.
A diagnosed case of TAO with gangrene on right great toe with post lumbar sympathectomy status was admitted for severe pain on right lower limb.
Ayurvedic Enema therapy (Manjisthadi Kshara Basti) for 30 days (Karma Basti) was given for the patient who resulted in significant clinical improvement on the pain and subsequent healing of ulcer.
Oil based enema made up Rubia cordifolia and other ingredients (Manjisthadi Taila) and Alkali Based Enema therapy (Kshara Basti) mixed with Manjishthadi Kwatha (decoction of Rubia cordifolia and other ingredients) was executed here on alternate days and has shown significant results on the pain, claudication distance etc.
Madan Bhandari, Prasanna N Rao, Suhas Kumar Shetty and Gopikrishna BJ