Management of Dusta Vrana by Ayurveda – A Case Report

Vrana in Ayurveda is defined as a structural deformity in the skin and deeper structures associated with ruja, srava etc and caused either by the vitiation of the doshas or by trauma. Vrana is basically of 2 types- Dushta vrana and Shudha vrana. Shudha Vrana is easily treatable, whereas Dushta vrana is a chronic ulcer, mostly unresponsive to any treatment. Acharya Sushruta has described sixty methods for treating such vranas. In this case, symptoms like Deerghakala anubandhi (chronic), Teevra ruja (painful), puti srava (smelly discharge) etc. were suggestive of Pitta pradhana Sarakta Tridoshaja Dushta vrana on the right leg. Studies from India about the prevalence of venous leg ulcers (VLU) are limited. The chronic wound management strategies include compression therapy and antimicrobial therapy. A 56year-old non-diabetic, non-hypertensive female sought Ayurvedic treatment after a wound on her right dorsum of foot did not respond to the conventional medicines even after 7 months of treatment. The ulcer was painful and foul-smelling, to the extent of disturbing her sleep and restricting her daily activities. Her Ayurvedic treatment comprised of Dhoopana with Gugullu tikta ghrita, orally Triphala guguulu 1tid, daily dressing with Jatyadi taila.and Vrana prakshalana with triphala gugullu Ayurvedic treatment was effective in healing the Dushta vrana completely in this case. The efficacy of Ayurveda in the management of chronic ulcers. However, a detailed study of the same with larger sample sizes will help to formulate a treatment protocol for such cases.