Management of Pseudogout (Kroshtuksheersha) through herbal medicine: A case report

Abstract

Pseudogout (PG) is an acute arthritic attack that affects daily activities owing to a deviation from a natural diet and lifestyle. It produces extreme pain and swelling in joints, particularly in the knees. PG is a breakdown of calcium pyrophosphate crystals, an insoluble calcium salt, from bone that has been accumulated in ligaments and joint spaces, particularly in knee joints. Traditional medicine has a tough time managing PG; thus people all around the world are looking for a modality that is safe, affordable, and simple to use. The aim of the study is to analyze the effectiveness of herbal ayurvedic treatments for PG, including Kaishore Guggulu, Punarnavasavm, and Punarnavadi Guggulu. A 26-year-old male patient crwe3 presented with severe pain and swelling in around the right knee joint, tenderness, and redness without fever on September 8, 2021. The incidence of PG is about 1.3 per 1000 adults. According to the presentation, the case was diagnosed as a Kroshtuksheersha (PG) mentioned in the Ayurveda text. Palliative herbal medicines (Kaishore Guggulu, Punarnavasavm, and Punarnavadi Guggulu) were given for 15 days and assessment was done on the 8th, 16th, 41st, 58th, and 73rd day. Before the intervention, the composite visual analogous scale score was 9; after the intervention, it was lowered to 0, and the right circumference of midpatella measurement measurement was 50 cm; it was then decreased to 44 cm. According to a case study, PG (Kroshtuksheersha) can be managed safely and very well with herbal medicines from Ayurveda.