Comprehensive Ayurvedic Management of a Post-Scorpion Envenomation Ulcer: A Case Report

Scorpion envenomation is a common medical emergency in rural regions and may present with manifestations ranging from localized pain to systemic complications. Delayed presentation, inadequate wound care, or poor adherence to treatment may contribute to secondary infection, delayed healing, and post-envenomation ulcer formation. This case report describes the successful management of a post-scorpion envenomation ulcer in a 62-year-old male who presented with pain, swelling, and purulent discharge over the right great toe one week after a scorpion sting. The patient initially relied on home remedies and sought medical attention two days after the sting. Inconsistent adherence to prescribed treatment, dietary recommendations (Pathya-Apathya), and follow-up was associated with progression of the local lesion. Based on Ayurvedic clinical assessment, the condition was interpreted as Vishaja Vrana. The patient was subsequently managed with an individualized Ayurvedic treatment regimen comprising internal medications, local wound care, and dietary and lifestyle modifications in accordance with the principles of Visha Chikitsa and Vrana Chikitsa. Progressive reduction in pain, local inflammation, and purulent discharge, along with satisfactory wound healing, was observed during follow-up, culminating in complete ulcer healing. According to Ayurvedic principles, the prescribed interventions are traditionally indicated for the management of Visha-related disorders and wound healing. However, as this is a single case report, a direct therapeutic effect or venom-neutralizing activity cannot be established. Further well-designed clinical studies are warranted to evaluate the safety and efficacy of these Ayurvedic interventions in the management of post-scorpion envenomation ulcers.