Abstract

MORPHOLOGICAL CONSIDERATION OF VARICOSE VEIN IN AYURVEDA – AN OBSERVATIONAL STUDY

Tarali Baruah*, Tikendrajit Sarma and Dhirendra Nath Deka

Abstract

Background: Venous insufficiency is the most common disorder of venous system and is usually manifested as Varicose Vein. Due to fast life style people get affected because of various type of jobs that affect the physical, mental state of health and socially also. The swollen, bulging and twisted bluish veins that become visible just beneath the skin surface and filled with blood are known as Varicose Vein which may be superficial or deep. This commonly affects both in lower limbs and happens because of defective venous valves. The Varicose Vein is very common disorder in the society. The prevalence is 15 – 20% of total Indian population. In Ayurveda, Sirajaganthi and Siragatavata bears a similarity with the Varicose Vein. Objective: Assessment of morphological alteration in Varicose Vein in relation to Sirajagranthi and Siragatavata. Materials and Methods: Total 27 Varicose Vein patient is observed in all the morphologicall abnormality along with physical changes. Assessment has done by 2 parameter- CEAP Classification and Duplex ultrasound. Results: Total 27 patient of varicose vein registered in the age group of 20-70 years with majority of patient in age group of 51 -60 years(33.33%) where female shows maximum 15(55.55%) comparatively than male 12(44.44%). In relation to segment involvement great saphenous vein involve maximum in 15 cases (55.6%). Pain is a character of Siragatavata, found pain in 24 patients (88.9%). Sampidana a character of Sirajaganthi can be understood with cramping, which present in 14 cases (51.9%) Sopha character a Siragatvata understood with swelling or oedema in involving of Varicose vein and found in 21 patients (77.8%). Dilatation of superficial vein is found in 13 cases i.e. (48.10%) can be understood with bakrikritya which is found in Sirajagranthi. Tortousness is found in 12 patient (44.44%) can be understood with vrittam i.e circular localisation or unnatai. eraised of surface area. Mahatya is seen in anatomical distribution where in 16 patient (62.96%) deep vein involvement are present. Conclusion: By Doppler study out of 27 cases shows venous incompetency seen in 22 cases at different level. Sula, Sampidana, Sankocha, Vakrikritya, Unnata are the character of Sirajagranthi and Siragatavata which can be incorporated with pain, cramping , contraction, dilatation of prominence of superficial vein, tortuosity of Varicose Vein respectively and found in different percentage.

Keywords: Varicose Vein, Sirajagranthi, Siragatavata.