Management of Varicose Ulcer with combine Ayurvedic approach - A Case Report

Background: Venous ulcers are develop as a result of improper venous valve function, primarily in the legs. Overall incidence rates for men and women are 0.76% and 1.42%, respectively. The malleolar zone on the medial and lateral portions of the ankle is where venous ulcers typically develop. In Ayurveda, this condition is considered as Duṣṭa Vraṇa. It can be managed with the specific Shodhana therapy followed by ropan therapy. So, the same treatment protocol was used to treat the case discussed here, like Manjishtadi Kshar Basti, Triphala Kwath Dhavan, Jatyadi Tail dressing, and internal oral medication. Material & Methods: This is a case study of an 41-year-man with an exposed chronic infectious wound on the front of his left leg and the front of his left foot, which was followed by pain, discharge (slough), foul odor, edema, and blackish skin discoloration, along with tortuous and dilated veins, swelling at left lower limb below knee joint since 2 years. This case was successfully managed with Ayurved Approach. Results: The significant changes were observed in the form of complete wound healing, and associated symptoms also got resolved entirely. Discussion: Encouraging results were obtained due to both local & systemic effects, i.e., anti-microbial, antiseptic, scrapping actions & wound healing properties of Triphala kwath, Jatyadi tail & Manjishtadi Kshar Basti and oral medications. Conclusion: Formulations offers promising results without causing any undue effects. In this case which showed that both Jatyadi Tail and Triphala kwath Dhavan along with Manjishtadi Kshar Basti are effective & safe in the management of Chronic Varicose Ulcer. Keywords : Ayurveda, Dushta Vran, Varicose Ulcer, Jatyadi Tail Dressing, Triphala Kwath Dhavan, Manjishtadi Kshar basti.