Multimodal Panchakarma management of chronic recurrent venous ulcers (Vatarakta) in a young male – A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i8.2977Keywords:
Basti, Case report, Chronic Venous insufficiency, Panchakarma, Vatarakta; Venous leg ulcer; VirechanaAbstract
Background: Chronic Venous ulcers are conventionally disease of older adults, with venous hypertension secondary to valvular incompetence as primary mechanism. Recurrence following standard compression and wound-care therapy remains major clinical problem, and presentation in young adult without classical risk factors is comparatively uncommon. Clinical findings: This report describes 26-year-old male labourer with a 6year history of progressively worsening, recurrent, non-healing ulcers over left lower limb of 9cm × 7cm × 0.5 cm, which had previously been treated elsewhere but relapsed on resumption of occupational standing work. Colour Doppler confirmed superficial venous incompetence with multiple incompetent perforators, without deep venous thrombosis (CEAP-C2,3,4,6s; Ep; As,p; Pr). Based on Clinical examinations, patient was diagnosed with venous ulcer secondary to chronic venous insufficiency correlating to Vatarakta, Intervention: Patient underwent sequential courses of Panchakarma over eight months, comprising repeated Virechana (Purgation therapy), Jalaukavacharana (Leech therapy), Basti (Enema therapy) along with wound care and internal medications. Outcomes: Treatment yielded marked result both in terms of wound healing and resolution of symptoms assessed by VAS/Bates-Jensen/PUSH scores. Ulcers got completely healed leaving only minimal residual pigmentation without any complications. Follow-up was uneventful. Conclusion: This case suggests that sequential, multimodal Panchakarma and oral Shamana (palliative) therapy can achieve durable healing in a chronic, recurrent, multiple venous ulcers where Pain (VAS) fell from 9 to 0, itching (VAS) from 7 to 0, and PUSH tool total score from 16 to 0, with complete ulcer healing and leaving only residual pigmentation by the end of treatment. This case suggests the effectiveness of ayurvedic therapies and proper wound care in the management of long-standing venous ulcers. No recurrence was reported over an eight-month follow-up period, in contrast to his six-year history of repeated relapse under earlier treatment.
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