Journal of Ayurveda and Integrated Medical Sciences

Venous ulcers are caused by venous valves that do not properly prevent the backflow of blood, or venous reflux, where perforating veins traverse the muscular fascia to connect superficial and deep veins. Any condition that causes blood to pool in the veins of the leg s a potential cause of venous ulcers, Including varicose veins, deep vein thrombosis or heart failure. A venous ulcer is defined as: full-thickness defect of the skin, most frequently in the ankle region, that fails to heal spontaneously and is sustained by chronic venous disease. Venous ulcers usually occur at the malleolar region both on the medial and lateral aspects of the ankle. However, they are also known to occur on the supra-malleolar and infra-malleolar regions of the leg and foot, respectively. Varicose ulcer is a complication of varicose veins or deep vein thrombosis. Varicose veins or DVT which eventually causes chronic Venous hypertension. Causes hemosiderin deposition in the subcutaneous plane from lysed RBC’s results in Eczema, Dermatitis, Lipodermatosclerosis^[2], Fibrosis, Anoxia and finally results in Ulceration.

In Ayurveda Prakupita Vata Dosha compresses, raises and squeezes the network of veins and is considered as Krichhra Sadhya Vyadhi (curable with difficulty) in early stage and Asadhya in late stages affecting the vital parts of the body. Sushruta’s school of thought considers the Rakta (blood) as Dosha because the blood plays main role in the pathogenesis of many disorders. Because blood vessels are involved, there is definitive involvement of Pitta Dosha. Along with Pitta, Vata alone or Vata and Kapha are vitiated in their site of affliction, i.e., in weight bearing area like calf and ankle. Ultimately the imbalanced Doshas disturb the vessels and the blood of that particular area (venous blood). Thus the blood is stagnated due to obstruction of the pathway of the blood vessels leading to the cause of Dushta Vrana.^[1] This can be treated successfully with Shodhana (purification) and Shamana (pacification) therapy. So, the fore mentioned benefits of Virechana and Vrana Basti were assessed in alleviating the symptoms and in the healing process of varicose ulcer in the patient.

A male patient of 34 years

• Complete healing of varicose ulcer on 28^th
• All previous signs and symptoms are relieved.
• No post treatment complications.
• No any complications associated with Varicose ulcer.

• The management of Varicose ulcer is very effective through Vrana Basti with Jatyadi Taila.
• The main aim of treatment must be the control of venous hypertension and avoid stasis of blood in the veins.
• Venous hypertension and draining of blood was achieved by giving foot end elevation.
• Daily Vrana Prakshalana with Panchavalkala Kwatha, Vrana Basti with Jatyadi Taila efficiently improves the granulation and fastens the wound healing.
• It is a powerful anti-septic which also has anti-inflammatory properties. It is also an efficient anti-microbial, anti-bacterial and anti-fungal. Panchavalkala Kwatha Churna is the dried powder form of 5 different herbs Vata, Udumbara, Ashwatha, Parisha and Plaksha. It is effective in reducing Kapha. This formulation has specific actions on the Meda Dhatu and thus effectively treats the adipose tissue.
• Jatyadi Taila dissolves hard fibrous tissue and generates healthy base for healing and also promotes healing of ulcer.
• Jatyadi Taila contains Jati patra, Nimba Patra, Patola, Karanja patra, Kusta, Manjista, Lodhta, Yastimadhu, Daruharidra, Katuki, Sariva, Padmaka, Tuttha and Tila Taila.
• These ingredients are found to have antioxidant property along with Vitamin K, Vitamin B6, Magnesium, Copper, Calcium, Iron and Zinc.

Varicose ulcer is one of the serious complications of Varicose veins which can lead to various manifestations like Septicemia, Cellulitis, Venous Eczema, Osteomyelitis, Periostitis ankylosis of ankle joint, rarely Malignancy and will affect day to day routine work.