Ayurvedic Management of Dushta Vrana Associated With Bilateral Lower Limb Edema in a Geriatric Patient: A Case Report

Introduction: Dushta Vrana (chronic non-healing wound) is a commonly encountered clinical condition that significantly affects the quality of life, particularly in geriatric patients. Advanced age, oedema, anaemia, malnutrition, and impaired tissue repair mechanisms are important factors responsible for delayed wound healing. Acharya Sushruta has described various principles of Vrana Chikitsa, including Vrana Shodhana (wound purification) and Vrana Ropana (wound healing), for effective wound management. Case Presentation: The present case report describes a 74-year-old female patient who presented with bilateral lower limb edema and a chronic non-healing ulcer over the right calf region of 2–3 months duration. On admission, the ulcer measured about 12 cm × 4 cm with a depth of 4 mm, presenting unhealthy granulation tissue, slough, and eschar. Laboratory investigations revealed severe anemia (Hb: 7.2 g/dL) and hypoproteinemia. The patient was treated with Nisha Amalaki, Gandhak Rasayana, Punarnava Guggulu, and Raktapachaka Vati internally, combined with a daily dressing of Vrana Shodhaka Taila, Pichu application of Vrana Ropaka Taila, and limb elevation.