The term “Vrana” is derived from the phrase “Vrana gata avachurnane,” which signifies the process of disrupting or lacerating the body’s tissues. This denotes a pathological state characterized by tissue damage and potential disruption of normal physiological function. It is associated with ruja (pain), srava (discharge), etc. The etiology of vranas can be attributed to dosha imbalances or external trauma. Vranas are fundamentally categorized into two distinct types: Shuddhavrana and dushtavrana. Shuddhavranas refer to those wounds that can be treated with relative ease, while dushtavranas are chronic ulcers that are hard to heal. Acharya Sushruta has outlined various treatments for managing these vranas. A venous ulcer is a chronic wound resulting from venous insufficiency, characterized by the impaired function of venous valves. This dysfunction leads to increased venous pressure and subsequent tissue ischemia, resulting in ulceration. If not adequately addressed, venous ulcers can result in serious complications such as cellulitis, necrosis, and potentially necessitate amputation due to the extent of tissue damage. Therefore, it is crucial to ensure that they receive appropriate treatment. The present case involves a 40-year-old male patient who is neither diabetic nor hypertensive, presenting with an ulcer in the ankle region that has persisted for three months. The patient experiences severe pain (teevraruja) and foul-smelling discharge (srava). Treatment following the principle of dosha pratyaneeka chikitsa involved the internal administration of Kaishora Guggulu, Gandhaka Rasayana, and Mahamanjistadi Kada, along with Triphala Kashaya Parisheka and Jatyadi Grita Lepa externally This multifaceted approach demonstrated significant efficacy in the complete healing of the wound. Consequently, this case highlights the effectiveness of Ayurveda principles in the treatment and management of chronic ulcers.
Acharya et al. (Wed,) studied this question.