MANAGEMENT OF VARICOSE ULCER WITH JATYADI TAILA AND SARIVADIGHANA VATI: A case Report
European Journal of Molecular & Clinical Medicine,
2018, Volume 5, Issue 1, Pages 417-423
AbstractVenous ulcers are open sores in the skin that occur with sustained venous hypertension and malfunctioning of venous valves, usually of the lower limbs. Ulcers develop in areas where blood collects and pools, as swelling there interferes with the movement of oxygen and nutrients through the tissues. Eventually, a visible ulcer develops on the skin. It is one of the most serious chronic venous insufficiency complications, accounting for 80% of lower extremity ulcerations. If it is left untreated, venous ulcers can quickly become infected, leading to cellulitis or gangrene and the risk of foot or leg amputation.
Conservative management for varicose ulcers includes compression therapies, foot elevation, oral antibiotics, regular dressing of the wound. Surgery may be performed for chronic venous insufficiency that fails to respond to other therapies, or for non-healing or infected venous ulcers. surgical management includes ultrasound-guided foam sclerotherapy, ELVA (Endo Venous Laser Ablation), RFA (Radio Frequency Ablation), Saphenofemoral ligation, and long saphenous vein stripping, skin grafting, etc. However, recurrence of venous ulcers is common, ranging from 60 to 70% of patients.
As per the Ayurveda perspective, varicose ulcers can be correlated with “Sira jayna dusta vrana”. In Sushrut Samhita, where we get the description of various wounds and its management, so these kinds of the wound can be managed with the specific Ayurvedic adjuvent therapies.
A 55-years old male patient having chief complaints of non-healing ulcer on the left ankle with pain and swelling in the left lower limb, was clinically diagnosed as a case of Varicose ulcer. The patient was treated with a specific regimen such as Jatyadi taila for local application once daily and Sarivadi ghanvati 250mg 2BD orally. The parameter observed for prognosis were pain, size of the ulcer, edema, hyperpigmentation, and granulation tissue was assessed during the treatment. Therapeutic evaluation of treatment was done based on improvement in the symptoms.
The observations showed remarkable improvement in terms of pain, size of the ulcer, edema, hyperpigmentation, and granulation tissue. This Observational case study revealed that jatyadi tail (local application daily for 8weeks) along with sarivadi ghana vati (internally) provided significant relief in symptoms of a varicose ulcer.
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