Ayurvedic management of chronic non-healing venous leg ulcers in a patient with diabetes mellitus: A case report
DOI:
https://doi.org/10.70066/jahm.v14i5.2732Keywords:
Case report, Chronic venous insufficiency, Dusta Vrana, Triphala Masi, Varicose vein, Venous leg ulcer.Abstract
Background: Chronic venous insufficiency (CVI) and varicose veins are considered to be the contributing factors for the onset of Venous leg ulcer. Venous Leg Ulcers remain one among the frequently reported cases in the daily life clinical practice. The ulcers having pain, edema, itching, and discharge make it difficult for the patient to carry out his day-to-day activities. It affects the quality of life of the patient thus tarnishing both his physical and mental well-being. Venous ulcers are correlated with Dusta vrana in Ayurveda because of its typical nature described in Ayurveda classics. If intertwined with other contributing factors like Diabetes Mellitus, it can either aggravate the ulcer or prevent the healing process even after administration of medications. Clinical Findings: The present case report, documents the efficacy of treatment protocol derived from the Ayurveda texts in managing two non-healing Venous ulcers in a known case of Diabetes Mellitus. The patient had severe pain, discharge and itching along with the discoloration of left lower limb. Intervention: Internal administration in the form of Sahacaradi Kashaya, Majistadi kashaya, kaishora guggulu, Triphala guggulu along with external application of Triphala masi found to be effective in healing of both ulcers. Outcome: The patient was reviewed at two-week intervals. Gradual reduction in ulcer dimensions, pain, discharge, and surrounding pigmentation was observed. Pain scores improved by the end of treatment (from VAS 8 to Vas 0). Complete epithelialization of both ulcers was achieved in three months. Conclusion: Proper treatment along with diet to keep the blood sugar levels under control and regimens like foot end elevation, bicycling exercise to improve the venous drainage of lower limb have helped the patient to recover from his illness and in improving his quality of life after the completion of treatment.
References
Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014;130(4):333-346. https://doi.org/10.1161/CIRCULATIONAHA.113.006898
Sen CK. Human wound and its burden: updated 2022 compendium of estimates. Adv Wound Care (New Rochelle). 2023;12(12):657-670. https://doi.org/10.1089/wound.2023.0150
Bonkemeyer Millan S, Gan R, Townsend PE. Venous ulcers: diagnosis and treatment. Am Fam Physician. 2019;100(5):298-305.
Slagsvold CE, Stranden E. Venøse leggsår [Venous leg ulcers]. Tidsskr Nor Laegeforen. 2005;125(7):891-894.
Rice JB, Desai U, Cummings AK, Birnbaum HG, Skornicki M, Parsons N. Burden of venous leg ulcers in the United States. J Med Econ. 2014;17(5):347-356. https://doi.org/10.3111/13696998.2014.903258
Davies AH. The seriousness of chronic venous disease: a review of real-world evidence. Adv Ther. 2019;36(Suppl 1):5-12. https://doi.org/10.1007/s12325-019-0881-7
Bopparathi S, KV NR. Diabetic foot ulcer with osteomyelitis, successfully treated with the holistic approach of multiple Ayurvedic treatment modalities: a case report. Int J Surg Case Rep. 2023;107:108315. https://doi.org/10.1016/j.ijscr.2023.108315
Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H, et al. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. 2020;8(3):342-352. https://doi.org/10.1016/j.jvsv.2019.12.075
Bates-Jensen BM, McCreath HE, Harputlu D, Patlan A. Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study. Wound Repair Regen. 2019 Jul;27(4):386-395. Epub 2019 Mar 18. PMID: 30828890; PMCID: PMC6693585. https://doi.org/10.1111/wrr.12714 .
Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, Harris JD. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. JAAOS Glob Res Rev. 2018;2(3):e088. https://doi.org/10.5435/JAAOSGlobal-D-17-00088
Atta HM. Varicose veins: role of mechanotransduction of venous hypertension. Int J Vasc Med. 2012;2012:538627. https://doi.org/10.1155/2012/538627
Joshi A, Baheti A, Wani M, Nimbalkar R. A review through therapeutic attributes of Ayurvedic formulation Masi. J Ayurveda Integr Med. 2021;12(4):715-721. https://doi.org/10.1016/j.jaim.2021.06.018
Biradar YS, Jagatap S, Khandelwal KR, Singhania SS. Exploring antimicrobial activity of Triphala Masi—an Ayurvedic formulation. Evid Based Complement Alternat Med. 2008;5(1):107-113. https://doi.org/10.1093/ecam/nem002
Shanti K, R S. Ayurvedic management of venous ulcer: a case report. J Ayurveda Integr Med. 2023;14(3):100723. https://doi.org/10.1016/j.jaim.2023.100723
Ramachandran AP, Prasad SM, Prasad UN, Jonah S. A comparative study of Kaishora Guggulu and Amrita Guggulu in the management of Utthana Vatarakta. AYU. 2010;31(4):410-416. https://doi.org/10.4103/0974-8520.82027
Muraleedharan A, Nair SR, Rajeshwari PN. A non-invasive Ayurveda management of venous leg ulcer: a case report. J Ayurveda Integr Med. 2025;16(2):101073. https://doi.org/10.1016/j.jaim.2024.101073
Manjappa TB, Kalal L, Shaik RB, Kumar DRS. Ayurvedic management of Dushta Siraj Vrana (Venous Ulcer): A case report. J Ayurveda Holist Med. 2025;13(9):140–146. JAHM [Internet]. 2025Oct.23 [cited 2026Jun.15];13(9):140-7. https://jahm.co.in/index.php/jahm/article/view/2293
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