# A Case Study of Furunculosis following an Ayurvedic Oil Massage, Sudation Therapy, and Lessons to Learn

## TL;DR

This case study reports a skin infection after an Ayurvedic oil massage and sudation therapy, highlighting the need for awareness of potential side effects.

## Contribution

The study identifies furunculosis as a previously unreported side effect of Nirgudi oil massage and sudation therapy.

## Key findings

- A 72-year-old man developed skin symptoms after Nirgudi oil massage and sudation therapy.
- Symptoms partially improved after stopping sudation therapy.
- The case suggests a link between the treatment and furunculosis.

## Abstract

India has a long history of using sudation therapy and oil massage as Ayurvedic treatments. However, nothing is known about its side effects, and just two studies have identified side effects as cutaneous adverse drug reactions brought on by Ayurvedic oil massage. We are presenting the example of a 72-year-old adult man who visited our hospital and had his right knee massaged with Nirgudi oil followed by sudation therapy. Erythema, papules, itchiness, and scorching pain were some of his symptoms. However, these sensations only partially abated once we quit sudation therapy. Our investigation demonstrates that a Nirgudi oil massage or sudation causes the skin reaction associated with furunculosis. This case report illustrates the necessity of being aware of Panchakarma-related consequences and suggests that medical practitioners, patients, and product makers take into account the likelihood of such a reaction following Nirgudi oil massage and sudation therapy as a precaution.