Abstract

ROLE OF NIMBA PATOLA PATRA KWATH, MADHU GHRITA LEPA AND SAHACHARADI TAILA ABHYANG IN THE MANAGEMENT OF CHROINC VENOUS ULCER: A CASE STUDY

^*Dr. Himanshu, Dr. Namita Baishya

Abstract

Introduction: Venous leg ulcers are chronic wounds caused by venous insufficiency and are characterized by pain, discharge, foul odor, itching, and delayed healing. In Ayurveda, such chronic infected ulcers can be correlated with Siragranthi janya Dushta Vrana. The present case report evaluates the efficacy of Neem-Patolapatradi Kwatha Prakshalana , Madhu-Ghrita Lepa and sahacharadi taila Abhyanga in the management of a venous ulcer. Methods: A 45-year-old male presented with multiple ulcers over the left leg associated with pain, purulent discharge, foul smell, itching, and difficulty in walking for six months. Bilateral lower limb varicosities were present. After clinical examination and investigations, the condition was diagnosed as Dushta Vrana (venous ulcer). Following wound debridement, daily wound irrigation with freshly prepared Neem- Patolapatradi Kwatha was performed, followed by application of Madhu-Ghrita Lepa and sterile dressing. Kaishore Guggulu and Mahamanjisthadi Kwatha were administered internally, along with Sahacharadi Taila Abhyanga. Results: Progressive reduction in pain, itching, discharge, and foul smell was observed during treatment. Healthy granulation tissue developed, and ulcer size decreased steadily. Complete healing of all ulcers was achieved within 30 days without complications or adverse effects. Discussion and Conclusion: The combined Vrana Shodhana and Vrana Ropana effects of Neem, Patola, Madhu, and Ghrita, supported by internal Ayurvedic medications, contributed to effective wound healing. This case suggests that the Ayurvedic treatment protocol may be beneficial in the management of venous ulcers and warrants further clinical evaluation.

Keywords: Dushta Vrana, Venous Ulcer, neemb patol patra kwath, Madhu ghrita lepa, sahacharadi taila, Wound Healing.