CASE STUDY: MULTIDIMENSIONAL AYURVEDIC MANAGEMENT OF SIRAGRANTHI W.S.R. VARICOSE VEINS

Varicose veins, clinically termed Chronic Venous Insufficiency (CVI), result from loss of valvular competence in the superficial and perforator veins of the lower limbs, leading to venous stasis, edema, pain, and skin changes. In Ayurveda, this condition is correlated with Siragranthi, described as abnormal dilatation and tortuosity of veins due to vitiation of Vata associated with Rakta and Pitta. Post-partum physiological changes, repeated pregnancies, prolonged standing, and nutritional deficiencies further aggravate venous pathology by weakening vascular tone and tissue integrity. Objective: To evaluate the clinical recovery of a 42-year-old female patient suffering from chronic varicosity of both lower limbs associated with joint pain, burning sensation, itching, gastric discomfort, and metabolic imbalance for the last eight years. Materials and Methods: The patient was treated with a structured Ayurvedic protocol aimed at Vata-Pitta Shamana and Rakta Prasadana. Internal medications included herbal formulations possessing Shothahara, Vedanasthapana, and Rasayana properties. Local therapy consisted of gentle Abhyanga over the affected limbs using medicated oil followed by limb elevation. Lifestyle modifications such as avoidance of prolonged standing, use of leg elevation, regulated diet, adequate hydration, and inclusion of iron-, calcium-, and protein-rich foods were advised. Laboratory investigations including Vitamin D3, Vitamin B12, and HbA1c were monitored to assess nutritional and metabolic status. Results: After regular treatment and follow-up, the patient showed marked improvement. Pain (Shoola), itching (Kandu), heaviness, and burning sensation were significantly reduced. Skin discoloration showed gradual improvement. Gastric symptoms and general fatigue also subsided. Laboratory parameters demonstrated improvement in Vitamin D3 and B12 levels, along with better glycemic control. No adverse effects were reported during the treatment period. Conclusion: This case demonstrates that Ayurveda offers a holistic, non-invasive, and sustainable approach in the management of Siragranthi (varicose veins). By addressing both local vascular pathology and systemic nutritional imbalance, Ayurvedic management provides long-term symptomatic relief and improves quality of life, presenting a promising alternative to endovenous and surgical interventions in chronic venous insufficiency.