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An integrated approach in the treatment of varicose ulcer
Deepa Patil1, Sangeeta H Jahagirdhar1, Hemant D Toshikhane2
1Department of Panchakarama, KLEU Shri B M K Ayurveda Mahavidylaya, Shahapur, Belgaum, Karnataka, India.
Insights
Venous ulcers, a complication of chronic venous insufficiency, result from damaged venous valves. Ayurvedic therapy involving Nitya virecana and Basti karma successfully treated a case of duṣṭa vraṇa (venous ulcer).
Area of Science:
- Vascular Medicine
- Ayurvedic Medicine
Background:
- Venous ulcers, also known as stasis or varicose ulcers, are painful wounds on the legs resulting from chronic venous insufficiency.
- These ulcers are a serious complication of impaired venous valve function, leading to hypertension and skin breakdown, with incidence rates of 0.76% in men and 1.42% in women.
Observation:
- Venous ulcers typically manifest on the medial distal leg, are prone to bleeding, infection, and significant pain.
- Conventional treatment presents challenges for both physicians and patients.
Findings:
- The Ayurvedic approach classifies venous ulcers as duṣṭa vraṇa.
- Successful management was achieved using specific Ayurvedic s'odhana therapies, namely Nitya virecana and Basti karma.
Implications:
- Ayurvedic treatments offer a viable alternative for managing difficult-to-treat venous ulcers.
- This case highlights the potential of integrated or alternative medicine in addressing chronic wound conditions like venous ulcers.
Abstract:
Venous ulcers (stasis ulcers, varicose ulcers) are the wounds occurring due to inappropriate functioning of venous valves, usually of the legs. It is one of the most serious chronic venous insufficiency complications. The overall incidence rate is 0.76% in men and 1.42% in women. When a venous valve gets damaged, it prevents the backflow of blood, which causes pressure in the veins that leads to hypertension and, in turn, venous ulcers. These are mostly along the medial distal leg, which is often very painful, can bleed, and get infected. Treating varicose ulcers is a difficult task to the physician and a nightmare to the suffering patients, though a good number of the treatment principles are mentioned and practiced in allied sciences. In Ayurveda, this condition is considered as duṣṭa vraṇa. It can be managed with the specific s'odhana therapy. So, the same treatment protocol was used to treat the case discussed here, i.e. with Nitya virecana and by Basti karma. The wound was successfully treated and, therefore, is discussed in detail.
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