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Kaphaja Krumi (Fuffusa gata Krumi)
A 63-year-old male patient was suffering from severe breathlessness even when engaged in a simple activity like walking, standing up, or climbing stairs; severe weakness, cough (Dry and Wet) sometimes with fresh blood and weight loss in August 2021. He had a history of Covid 19 Pneumonitis on 10.6.21. Post covid he took 1 week of Inpatient treatment at Orange Hospital for generalized weakness and decreased oral intake (21.6.21- 28.6.21). HRCT Lungs revealed a left lower lobe lesion with consolidation and Bronchoscopy + BAL was planned. The sample was sent for further investigation in which Bacterial C/5 showed Pseudomonas aeruginosa isolated and started antibiotics. Biopsy revealed Fungal Hyphae and Inj Amphotericin B (5 doses given). Follow-up HRCT lungs revealed the same left lobe consolidation lesion and advised surgery and meanwhile continue Injection Amphotericin- B. The risk of surgery and its grave prognosis taking into consideration the age, history of CABG, LV Dysfunction and DM, and HTN were explained to the family. So, the family requested discharge and then approached Dr Rajnikanth. The ayurvedic diagnosis was Kaphaja krimi (Fuffusa gata) and treated along the principles of Krimiroga cikitsa. The treatment principles mentioned for kaphaja krimi, kushta, asthimajjagata kushtha, krimijanya shiroroga, dushivisa, shvasa and raktaja krimi were followed. Within 1 week of starting Ayurvedic medicines, there was an improvement in symptoms. The assessment pre and post-treatment were done based on a 128 Slice Dual Energy CT scan of the chest. The scan done on 16.5.22, showed significant regression in the lung lesions. He is continuing the ayurvedic medicine and is in remission.
