Abstract
An inflammatory or non-inflammatory enlargement of the lymph nodes is known as lymphadenopathy. The prevalence of lymphadenopathy illnesses increases with age. In Ayurveda, lymphadenopathy is generally described as five diseases, namely Arbuda (Tumor), Granthi (Cyst), Apachi (Cervical lymphadenitis), Gandamala (scrofula), and Pashangardabh (Temporomandibular inflammation). The case described here is Apachi. Acharyas focused on the disease’s site of occurrence while characterizing Apachi. The book described the following locations as the site of occurrence: Hanuasthi (mandible bone), Kaksha (axillary), Akshak (clavicle), Manya (neck), and Vangshan (medial aspect of thigh). These were the lymph nodes mostly superficial lymphatic outflow regions. The method followed here was pre-operative medications followed by surgical management, i.e., Bhedana (Incision) leading to immediate drainage of tubercular cervical abscesses along with post-operative management and successive dressing of the wound until complete healing of the cavity through Ayurvedic Panchavalkal ointment. The problem was completely cured as a result of the prescribed Wound care ointment treatment followed by Incision and Drainage. This case study described how to successfully combine surgical and Ayurvedic treatment to treat Manyagata Apachi, or tubercular cervical lymphadenitis, which developed into an abscess. Suppurative cervical lymphadenitis is a frequently encountered condition with various aetiologies. Early recognition, Accurate diagnosis, and appropriate management are essential to prevent complication and promote optimal patients’ outcomes.
Keywords: Adenitis, Apachi, Cervical Lymphadenitis, Panchavalkal, Tubercular Lymphadenitis.