Conservative Ayurvedic Management of Raktaj Granthi (Oral Pyogenic Granuloma)

Abstract

In Ayurveda, Granthi is defined as the Grathita (rounded), Vrutta (firm), and elevated Sopha, which occurs due to vitiation of Doshas affecting Mamsa and Rakta associated with Meda dhatu. The literal meaning of Granthi is “knot” or “lump”. Various types of Granthi are explained by many Acharyas, but only Acharya Vagbhata and Sharanghdhara have mentioned about Raktaj granthi. Raktaj granthi occurs when Vatadi doshas vitiate the Rakta. Later, when this is invaded by Janthus, they take Ashraya in Mamsa and Sira. Raktaj granthi is characterized by Suptata along with Pittaj granthi lakshanas, which resemble oral pyogenic granuloma. In contemporary science, Oral pyogenic granuloma is treated with invasive treatment. Usually, invasive treatment requires long time to recover, painful and very expensive. Hence management of a case of Raktaj granthi was done following the Ayurvedic line of treatment. The patient was successfully cured within 15 days of treatment, without any reoccurrence noted after follow-up on 60^th day. This case demonstrates the efficacy of non-surgical Ayurvedic management in Raktaj granthi (oral pyogenic granuloma).