Abstract

Dr. Rajeshwari*, Dr. Shivalingappa J. Arakeri, Dr. Shridhara B S

ABSTRACT

Chronic secondary lymphedema is a progressive and often debilitating condition that may follow surgical disruption of lymphatic channels. Ayurvedic medicine offers both internal and external interventions to address chronic swelling through mechanisms such as shothahara, srotoshodhana, and rasayana therapy. A 37-year-old male presented with persistent, non pitting swelling of the left lower limb for 7-years following fasciotomy for necrotizing fascitis was managed through an integrative Ayurvedic protocol. The treatment involved internal medications including Punarnavadi Guggulu, Gokshuradi guggulu, Kamadugha Rasa, and Nityananda Rasa, along with daily application of Agnilepa to affected limb. After 15 days, a significant reduction of up to 8 cm in limb circumference was observed at the shin, with improvements in ambulation and limb comfort. This case suggests that Ayurvedic therapies, when used integratively, can offer substantial symptomatic and objective benefits in chronic, structurally compromised cases of lymphedema.