Abstract

Dr. Garima Tiwari*, Dr. Supreeth M. J.

ABSTRACT

Raynaud’s phenomenon is a peripheral vascular disorder marked by episodic vasospasm and impaired microcirculation. This single-case study evaluates the therapeutic efficacy of an integrated Ayurvedic management approach in a 32-year-old male diagnosed with Raynaud’s phenomenon secondary to mixed connective tissue disease. The patient presented with a 5-year history of bilateral coldness, purplish discoloration of extremities, and small nodular lesions. The 19-day treatment protocol was executed in two strategic phases: Phase 1 comprised Jaloukavacharana (leech therapy) for 3 days to relieve localized vascular congestion, followed by Phase 2, a 16-day Panchakarma-based intervention (Sarvanga Abhyanga, Udvartana, Parisheka, and Kala Basti) paired with internal medications to pacify aggravated Vata-Rakta. Symptomatic progress was monitored using a modified Visual Analogue Scale (VAS). Results demonstrated progressive clinical recovery. Phase 1 significantly reduced extremity discoloration and coldness, while Phase 2 yielded approximately 50% overall improvement in peripheral circulation, stiffness, and systemic symptoms, supported by a consistent upward trend in VAS scores. This study suggests that structured Ayurvedic interventions offer a viable, systemic approach to managing secondary Raynaud’s phenomenon.