Management of Sirajanya Dusta Vrana W.S.R to Varicose Ulcer.

Varicose Ulcers are wounds which occur due to improper functioning of venous valves, usually of the lower limbs.It is one of the most serious chronic venous insufficiency complications, occurring in 70% to 90% of chronic wound cases. If this ulcer is not treated properly, it may get infected leading to cellulitis or gangrene and eventually may need amputation of the limb. If the conservative management like compression stocking, foot elevation, antibiotics, regular dressing of wound fails, then surgical treatment like skin grafting, sclerotherapy, laser ablation or surgical correction of superficial venous reflux is done. However, recurrence of venous ulcers is common, ranging from 54 to 78% by the fifth year after healing. In Ayurveda, varicose ulcers can be correlated with “sira jayna dusta vrana”. In Sushrut Samhita,where we get the most scientific description of wounds and its management. So these kind of wounds can be managed with the specific ayurvedic adjuvent therapies. Considering all these, the present study was taken up with the objective of evaluating efficacy of shanshamni vati(internally) and jatyadi taila(local application)in the management of varicose ulcer. The symptoms like pain,oedema, hyper pigmentation,size of ulcer, granulation tissue were assessed during the treatment. The trial drug proved statistically significant in relieving theabove symptoms. The results revealed that the estimated treatment showed significant improvement (p<0.01) in all cardinal signs and symptoms. Adjuvant treatment with jatyadi taila(local application) and shanshamni vati(orally) statistically proved to be much potent and effective in management of varicose ulcer, hence study concludes ancient management is safe, easily available devoid of complication and has better acceptability.