Abstract

COMPREHENSIVE AYURVEDIC MANAGEMENT OF VENOUS ULCER – A CASE STUDY

*Dr. Chandrakant S. Pawar, Dr. K. L. Mahajan, Dr. Shalaka M. More and Dr Sayali Kasar

Abstract

The venous ulcer is known as sirajanya dushta vrana in Ayurveda. Venous ulcer is a chronic disease, which is characterized by periods of exacerbation and remission. It takes a long time to heal, which results in physical and psychological discomfort and negatively affects a patient‟s functional status. In this ulcer jalaukavcharana i.e. leech application has been proved very effective. Leech application has peripheral vasodilator effect due to the presence of vasodilator constituent in the saliva which improves blood circulation at capillary level and corrects “ischemia” around the wound, thus promotes wound healing. Leech application has an anti-inflammatory action on nerves due to the presence of substances like bdellins and egelins in the saliva which prevents leukocyte accumulation in the surrounding vessels, thus inhibits the release of inflammatory factors which causes chronic wound formation. Most of the venous ulcers have surrounding lipo-dermato-sclerosis. Lipo-dermato-sclerosis is chronic inflammation, fibrosis, thickening, induration of skin and subcutaneous tissue of the lower leg (calf) and ankle with hyper-pigmentation and a tight contracted woody leg often with Achilles tendon contracture known as severe chronic venous disease.

Keywords: Venous ulcer, Jalaukavacharan, Nimbapatra Kwath Dhawan, Jatyadi taila, Punarnawadi Kwath, Triphala guggulu.