Ayurvedic management of Dushta Siraj Vrana (Venous Ulcer): A case report.
A CASE REPORT.
DOI:
https://doi.org/10.70066/jahm.v13i9.2293Keywords:
Palasha kshara pratisarana, Shashti Upakramas, Venous ulcer, Dushta vrana, Kshara karma, Case Report.Abstract
Background: A venous ulcer (varicose ulcer/stasis ulcer) is a wound that occurs due to inappropriate functioning of the venous valve, usually of the leg. It is regarded to be the most serious complications of chronic venous insufficiency and is a nightmare for suffering patient. If the management wasn’t properly done, the ulcer might be infected causing pain, swelling, redness, pus formation, cellulitis, gangrene, mobility loss, and eventually may need amputation. However, the recurrence of venous ulcers is a common clinical challenge. Debridement, wound dressings, use of antiseptic solutions, analgesics, administration of antibiotics form the conventional line of surgical management. There is no such protocol that enhances the wound healing property in contemporary science. Ayurveda literature correlates, this condition to Dushta Siraj vrana (non-healing ulcer). Kshara karma (application of caustic alkali), one among Shasti Upakramas (sixty procedures), was explained by Ayurvedacharyas for the effective treatment of Dushta vrana. In the present case study, we have prepared and used Palasa Kshara, as per classical references. Clinical findings: Edematous venous ulcer wound size - 6x3cm; Depth - 2.2cm was treated with Palasha kshara pratisarana (application of caustic alkali paste made of Butea monosperma) to the patient, suffering with the history of five months. Outcomes: In 30-day treatment duration with one follow-up post-treatment the slough was completely removed, and this aided in wound healing. No adverse events were seen. Conclusion: A case of Dushta Siraj Vrana was effectively treated using Palasa Kshara Pratisarana, dressing with Jatyadhi ghrtha and supportive internal medications Gandhaka Rasayana, Triphala guggulu followed by debridement. No adverse effects seen during 1 month treatment period and a follow up. This case study proves the potential of Palasha kshara pratisarana in Dushta Siraj vrana management. Comparative clinical studies, Randomized controlled trials can be initiated using Palasha Kshara pratisarana in Venous ulcers.
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