Managing Venous Ulcer in the Light of Ayurveda – A Case Study

Venous ulcers are non-healing stasis ulcers which occurs due to chronic venous insufficiency. They are commonly seen in lower limbs. It is one among the serious chronic non-healing ulcers which is seen in 0.76 % of men and 1.42 % of women. The back ward flow of blood through the veins of lower limb is hampered and,which causes an increase in pressure in the veins,the venous hypertension thus results in breakdown of the RBC's and causes release of hemocidrin in the long run,causing complications like Lipodermato sclerosis which culminates in the formation of a non-healing ulcer. Venous ulcers or Varicose ulcers is a very difficult condition to treat for a physician. In Ayurveda the non-healing ulcers are called as Dushta Vrana, and a number of treatment modalities are explained by Acharya Sushrutha in treating Dushta Vrana. In this scenario an integrated approach has been adopted to treat the condition. A thirty-eight-year-old male, with no H/O diabetes or hypertension approached our OPD after the ulcers on bilateral lower limbs did not respond to conventional medical treatment. The patient was suffering from varicose veins for ten years and developed non healing ulcers before three months, which impaired the day-to-day activities of the patient. The patient was subjected to Jalouka Avacharana (Hirudin Therapy) followed by Anti Septic dressing of the wound daily along with Internal medicines in different phases like Manjishtadi Kashaya, Kaisora Guggulu, Triphala guggulu, Vranapahari Rasa etc.