Article: MECHANISTIC PERSPECTIVE ON AYURVEDIC INTERVENTION IN PAIN MODULATION AND QUALITY OF LIFE ENHANCEMENT IN CHRONIC VENOUS INSUFFICIENCY: A CASE REPORT WITH SPECIAL REFERENCE TO VATARAKTA

Article Category: Case Reports

DOI: 10.7897/2277-4343.17246

Pages: 29-34

Author: Anushree K *, Abdul Khader

Abstract: Chronic venous insufficiency (CVI) develops secondary to venous hypertension. Varicose veins are the significant contributor. Lower limb pain, associated with leg swelling, limb heaviness, cramps, edema, numbness or tingling sensation in lower limbs, impact quality of life. If left untreated, can lead to complications like venous ulcers, Deep Venous Thrombosis (DVT). This is a case report on a 52-year-old female, obese, housekeeping staff, with a history of varicose vein for 8 years with bilateral lower limb pain, swelling over feet. Peripheral vascular system and varicose vein examinations were carried out. Measurement of edema, Venous Clinical Severity Score (VCSS) to assess severity, quality of life assessment through Chronic Venous Insufficiency Questionnaire (CIVIQ) was done before and after treatment. CEAP (Clinical severity, Etiology, Anatomic Distribution, Pathophysiology) classification is included. The present case study on CVI-Varicose vein is corelated to Vatarakta and was treated using Vatarakta treatment modalities like Abhyanga, Swedana and Virechana Karma, along with Shamana Aushadhi-Kaishora Guggulu, Nithyananda Rasa, Viscovas, Osteoflex, Guduchyadi Kashaya, Sahacharadi Kashaya. This case report discusses the management of CVI- Varicose vein through Ayurveda treatment. Comparative discussion on pathophysiology, clinical interpretation through lens of Ayurveda and Samprapti Vighatana is done. Ayurveda treatment was effective in managing CVI, preventing disease progression, relieving chronic pain, improving quality of life, as evidenced by reductions in VCSS and CIVIQ scores post treatment.

Keyword: Chronic venous insufficiency, CIVIQ, Varicose veins, Vatarakta, VCSS, Virechana Karma.