Abstract

EFFICACY OF AYURVEDIC DRUGS IN THE MANAGEMENT OF CHRONIC NONHEALING VENOUS ULCER -A CASE STUDY

Dr. Hemanta Kumar Panigrahi* and Dr. Bharati

Abstract

Venous ulcer is the most common type of leg ulcer described since the times of Hippocrates. Sushruta in his 1st compendium elaborately described about the Vrana and its management. In Ayurveda this disease clinically simulate with Dustavrana. A case of 51 year old married male, with complain of a non-healing ulcer of size 23sq.cm, swelling, severe bursting type of pain in the leg and around the ulcer, bleeding, and stasis dermatitis in the lower limb since 60 days, was attended at my OPD in CARICD. The disease was diagnosed as venous ulcer (Dusta vrana). This case study was done in the Central Ayurveda Research Institute for cardiovascular disease Delhi. Investigations like CBC, ESR, and fasting and post prandial blood glucose, LFT was done to rule out any co-morbidities. The patient had already done colour venous Doppler which suggested venous insufficiency. The ulcer was irrigated with Panchbalkal Kashaya and dressing was done with Jatyadi Tail followed by oral intake of Kaisoreguggulu and Amalaki churna, in the prescribed dose. The venous incompetency was assessed by CAEP classification and healing was assessed by the Bates Jensen wound assessment tool. The dressing was done every alternate day and the ulcer healing was assessed periodically on 7th, 21st and 42nd day. On the 42nd day it was found that the wound was healed and the Jensen wound Assessment score had reduced from 34 to 14. This regimen was found to be effective in faster epithelialization, and reducing exudates in chronic venous ulcer (Dustha vrana).

Keywords: Wound, Healing, Re epithelialisation, Irrigation, Dustha vrana, CEAP.