Abstract

A CLINICAL CASE STUDY OF PANCHAVALKAL KASHAYA AND JATYADI OIL IN THE MANAGEMENT OF DUSTA VRANA W.S.R TO VENOUS ULCER

Sumit Kumar*, Ravi Anand, Shobha Kumari and Deepali Sundari Verma

Abstract

Varicose vein is a condition in which the superficial veins of the limb are dilated, tortuous and elongated. Varicose veins are a common condition where the veins usually in the legs, become enlarged, twisted and often visible beneath the skin. This is because when the valves inside the veins become weak or damaged, leading to improper blood flow and pooling in the veins, causing discomfort and sometimes even leading to complications like pain, swelling, and ulcers. This type of ulcer is called Venous ulcer. Venous ulcers are a type of chronic wound that typically occur on the lower legs, often as a complication of underlying venous insufficiency. When the veins in the legs are unable to effectively return blood to the heart, blood can pool in the veins, leading to increased pressure and poor circulation in the affected areas. This can damage the skin and tissues, eventually causing an ulcer to form. In Ayurveda Acharya Sushruta, inserted Venous ulcer into the Dusta Vrana. Vrana is defined as a structural deformity in the skin and deeper structures (Gaatra avachurnana), associated with ruja (Pain), srava (Discharge) etc. and caused either by the vitiation of the doshas (Humuors of the body) or by trauma. In Dusta Vrana, symptoms like Deerghakalaanubandhi (Chronic), Teevra ruja (Painful), Teevra puti srava (Smelly discharge) etc. Studies from India about the prevalence of venous leg ulcers are limited. The chronic wound management strategies include compression therapy and antimicrobial therapy (If infected). However, in unresponsive cases, surgery (Skin grafting) is done. A 30 year old non-diabetic, non-hypertensive male taken Modern treatment after a wound on his Right leg did not respond to the conventional medicines even after 1 years of treatment. The ulcer was painful and foul-smelling, to the extent of disturbing her sleep and restricting his daily activities. His Ayurvedic treatment given as follows: Panchavalkal kashaya for Vrana shodhan and Jatyadi Oil For Pichu Dharan and packing as vrana ropak. Ayurvedic treatment was effective in healing the Dushta vrana completely in this case.

Keywords: Varicose vein, Venous ulcer, Dusta vrana, Panchavalkal kashaya, Jatyadi oil.