EFFECTIVE AYURVEDIC MANAGEMENT OF SHLEEPADA (LYMPHATIC FILARIASIS) – A SINGLE CASE STUDY

Dr. Ashwini Hallad, Dr. Shivalingappa J. Arakeri, Dr. Rajeshwari*

ABSTRACT

Lymphatic filariasis is a parasitic disease caused by filarial worms, primarily Wuchereria bancrofti, and is transmitted through mosquito vectors. It is a leading cause of permanent disability worldwide, resulting in chronic lymphedema, hydrocele, and elephantiasis. The disease affects the lymphatic system, leading to swelling, pain, and progressive disfigurement, particularly of the lower limbs. In Ayurveda, this condition is correlated with Shleepada. As per ayurvedic literature shleepada is caused by the vitiation of three doshas. A 60-year-old woman presented with Grade III lymphedema of the right lower limb, The condition followed recurrent acute dermato-lymphangio-adenitis (ADLA) episodes despite prior allopathic, Ayurvedic, and homeopathic management. The patient underwent 10 sittings of Jaloukavacharana (leech therapy), daily Abhyanga (therapeutic massage) with Nalpamaradi Taila, topical Guduchi lepa, and oral administration of Nityananda Rasa and Arogyavardhini Vati for 10weeks. A reduction of 14-18cm in limb circumference at the shin region was recorded, with improved skin texture, decreased heaviness, and no recurrence of ADLA during the treatment period. This case highlights the potential of a structured Ayurvedic protocol for advanced secondary lymphedema, demonstrating measurable clinical improvement and quality-of-life benefits.

Keywords: Lymphatic filariasis, Wucheria brancrofti, Shleepada, Lymphedema, ADLA, Jaloukavacharana, Abhyanga, Guduchi lepa, Nityananda Rasa, Arogyavardhini Vati.