Abstract

MANAGEMENT OF VARICOSE VEIN WITH ULCER: A CASE REPORT

Dr. Nimisha P. S., Dr. Hari R. and Dr. Manjunatha Bhat*

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Abstract

A varicose ulcer is a complication of varicose veins and deep vein thrombosis. Area where varicose ulcer commonly develops is around and above the medial malleoli because of presence of large number of perforators which transmit pressure changes directly into superficial system. Varicose ulcer has a resemblance with Dushta Vrana mentioned in Ayurvedic classics. Vrana in Ayurveda is defined as Gaatra avachurnana, a structural deformity of the skin tissues associated with Ruja (pain), Srava (discharge) etc and caused either by the vitiation of the Doshas or by trauma. The chronic wound management principle includes compression therapy and antimicrobial therapy (if infected). However, in unresponsive cases, surgery (skin grafting) is preferred. A 39 years-old non-diabetic, non-hypertensive male was brought to Alva’s Ayurveda Medical College for the Ayurvedic treatment of a wound over medial malleolus of his right leg since 3 months. The ulcer was painful to the extent of disturbing his sleep and restricting his daily activities. His Ayurvedic treatment comprised of Stanika Agnilepa on both legs including sapheno-femoral opening, Manjishtadi Kshara basti and oral medicines are also prescribed, shows improvement in healing of ulcer. This suggests the efficacy of Ayurveda in the management of chronic ulcers. However, a detailed study of the same with larger sample sizes will help to formulate a treatment protocol for such cases.

Keywords: Varicose ulcer, Agnilepa, Manjishtadi Basti, Ayurveda.