Role of Dashang Lepa in the management of Parotid Abscess - A Case Report

Parotid abscess is a suppurative condition of the parotid gland and adjacent space, commonly managed with intravenous antibiotics and surgical drainage. However, incision and drainage may result in complications such as facial nerve injury, salivary fistula, secondary infection, and delayed healing. Ayurveda does not mention parotid abscess directly but correlates it with Pittaja Vidradhi, which is characterized by rapid onset, suppuration, swelling, blackish discoloration, fever, and burning sensation. Present case is a 46-year-old female patient presented with swelling, throbbing pain, pus discharge, and difficulty in mastication. She was treated in the Shalakya Tantra dental OPD with internal medicines including Avipattikara Churna, Guduchyadi Kwatha, and Aushadha Siddha Jala, along with external application of Dashanga Lepa. Pathya Apathya (dietary and lifestyle regulations) were strictly advised. Within one week, the patient experienced almost complete relief. Dashanga Lepa, supported by internal medicines and Dosha-based management, provided safe and effective treatment for parotid abscess, highlighting Ayurveda’s holistic approach.