A Case Study on Dushta Vrana w.s.r to Venous Ulcer

Vrana in Ayurveda is defined as a structural deformity in the skin and deeper structures, it’s of 2 types - Dushtavrana and Shudhavrana. Dushta Vrana with foul smell has abnormal color with profuse discharge from wound, intense pain and takes long period to heal is said to be Dushta Vrana. The features will vary according to the predominant Dosha. It can be correlated to Chronic wound based on underlying pathology. Chronic wounds are termed ulcers and can be defined as wounds with full thickness in depth and slow healing tendency. In this single case study Dusta Vrana is considered as venous ulcer is one among 4 types of Chronic wound. Venous Ulcer occurs due to abnormal hypertension in the lower third of the leg, ankle and dorsum of foot. Acharya Sushruta has mentioned Shashti Upakrama for the management of Vrana. Here to evaluate the combined effect of Shodhana and Shamana Chikitsa, Classical Virechana, Jalaukaavacharana as a Shodhananga, Shamanaushadi by Kaishora Guggulu, Triphala Guggulu, Gandhaka Rasayana, and Manjishtadi Kashaya, Sthanika Chikitsa by Panchavalkala Kashaya Pariseka and Jathyadi Ghrita. The medicines having Tridosha Shamaka, Vrana Shodhana, Ropana, Vedana Shamaka, Shothahara, Rasayana property showed successful result in treating Dushtavrana.