AN AYURVEDIC MANAGEMENT OF SIRAJ GRANTHIKRUT VRANA W.S.R. VARICOSE ULCER-A CASE REPORT
Dr. Yash Kansara*, Dr Chintan Bhatt and Prof. Dr. Kalapi Patel
ABSTRACT
Background: Varicose veins are dilated, tortuous, elongated veins in the leg. There is reversal of blood flow due to its malfunctioned valves of the lower limb. There are signs like twisted, dilated veins. It involves a genetic predisposition, incompetent valves, debilitated vascular walls, and increased intravenous pressure. Potential complications include infection, leg ulcers, stasis changes, and thrombosis. Ayurvedic view: In Ayurveda science, Sira is mentioned as the Upadhatu of Rakta dhatu and Acharya Shushrut mentioned Sira granthi which resembles to varicose veins. In this condition blood veins are enlarged, fibrosed, tortuous and twisted specifically in lower limbs. The prime treatment mentioned by Acharya Shushrut is Shodhan followed by Jalauka avacharan procedure for improvising Sira granthi clinical condition. Clinical findings: 41 year old male patient who is suffering from varicose vein since 10 year which was converted to varicose ulcer. Diagnosis: On performing Color Doppler study suggest dilated veins on medial aspect of proximal leg and lower thigh in both lower limbs which make the confirmed diagnosis about varicose vein. Management: The conventional medicine suggests surgery for varicose ulcer. Hence considering the alternate management patient came at P D Patel Ayurveda Hospital. He was admitted in P.D. Patel Ayurveda Hospital for 1 month and treated with Shodhan procedure followed by Jalauka avacharan and Shaman chikitsa.
Keywords: Sira granthi, Varicose ulcer, Virechana, Jalauka avacharana.
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