Ayurvedic management of a chronic venous ulcer using dusting of powdered botanicals - A Case Report

Chronic venous ulcers (CVUs) pose a persistent challenge in clinical practice, especially among elderly individuals with comorbidities such as hypertension and venous insufficiency. Characterised by delayed healing, frequent recurrence, and impaired quality of life, these ulcers often remain unresponsive to conventional treatment. In recent years, Ayurveda has gained attention for its approach to chronic wound care, offering fewer side effects and greater cost-effectiveness. This report details the case of a 74-year-old male with a history of varicose veins. He presented with a chronic, non-healing venous ulcer over the left lower limb, unresponsive to standard wound management. Diagnosed with a chronic venous ulcer. The patient was managed with Avachoornan (dusting powdered botanicals), composed of equal parts of Shigru (Moringa oleifera), Nirgundi (Vitex negundo), and Guduchi (Tinospora cordifolia) powders. The dressing was applied once daily for four weeks. Progressive improvement in the wound was observed, with noticeable epithelialisation within 1 week. This case demonstrates the potential of Avachoornan (dusting powdered botanicals) as a complementary approach during dressing in managing chronic venous ulcers, warranting further clinical evaluation.