Abstract

A CASE STUDY ON CHRONIC NON-HEALING VENOUS ULCER

Dr. Mahantesh V. W.*, Dr. Varsha Kulkarni and Dr. Caroline Theresa Cuthina

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Abstract

An ulcer is a break in the continuity of the covering epithelium – skin or mucus membrane. Based on the pathology ulcers are classified into Specific, non – specific and Malignant ulcers. Venous ulcer is a type of Non – specific ulcer and is the commonest ulcer of the leg, caused by the abnormal venous hypertension in the lower third of the leg, ankle and dorsum of foot which is commonly observed in Varicose veins. Pooling of the blood in varicose veins makes these ulcers difficult to heal and aids in spreading up of the ulcers. Such non healing ulcers can be correlated to Dusta vrana and management with Basti, Virechana, Jalokavacharana and Bahya vranopachara helps in the effective management of Dusta vrana. A 40 years old female patient with ulcers on both legs with pain and burning sensation was treated with Panchakarma, Shamana and Bahya vrana upakrama with Sphatika jala, Gomutra, Panchavalkala kwatha. Complete remission in pain (Assessed with VAS) and ulcer was seen. Pancha karma does srotoshodhana, Bahya upakrama and Shamana helps in vrana shodhana and Ropana.

Keywords: Dustavrana, Venous ulcer, Panchakarma, Vranopakrama.