Article: AN AYURVEDIC MANAGEMENT OF VARICOSE ULCER: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.165165

Pages: 34-39

Author: Prashant Ramachandra Madane *, Dipsinh B. Chavda, Twinkle V. Sharma

Abstract: The Vrana (ulcer) is defined as a structural deformity in the skin and the deeper structure (Gaatra Avachurnana), which is associated with Ruja (pain) and Srava (discharge), etc., caused by vitiation of Doshas or the Abhighata (injury). Aacharya Sushruta has mentioned two types of Vrana, i.e., Shuddha Vrana (acute ulcer) and Dushta Vrana (chronic ulcer). Dushta Vrana are Dirghakalanubandhi and non-responsive to treatment, mostly. A 58-year-old diabetic, non-hypertensive male came for Ayurvedic treatment after a wound on his right leg (Above the right medial malleolus) had not responded to the conventional treatment for 3 years. After a complete examination, the patient was diagnosed with a varicose ulcer. The ulcer was painful, with pus discharge, foul smell, and itching. The patient undergoes daily dressing on an OPD basis, and Ayurvedic management comprises Triphala Guggulu, Punarnava Mandura, Chandraprabha Vati, Varunadi Kwatha, orally, and Vrana Lepa (application of medicinal paste) prepared from Haridra, Yashtimadhu Churna, Panchatikta Ghrita, Madhu, and Jatyadi Taila. The prescribed medicine has Vrana Ropana, Vrana Sodhana, Tridosha Shamaka, Shothahara, and Vedana Shamaka properties. In this case, Ayurvedic treatment is proven effective, safe, and superior for the healing of varicose ulcer, which not only facilitated the faster recovery but also minimized the complications.

Keyword: Dushtavrana, Ulcer, Varicose Ulcer, Vranalepa, Vranasodhana.