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Impact Factor : 6.012 ...... IJAHM Latest Issue IJAHM have published its latest issue Vol. 14 Issue 01, Jan.-Feb. 2024 published IJAHM Call For Paper invites paper from various Ayurveda & herbal Medicine for Volume 14 Issue 01 Jan.-Feb.-2024

Dwivedi Amarprakash1,  Anaya Ashish Pathrikar2, Yadav Birender Nisha3

DOI : http://dx.doi.org/10.18535/ijahm/v7i4.13

1M.S, PhD,Professor & Head, Department of Shalya Tantra, D.Y.Patil School of Ayurveda, Navi Mumbai, Maharashtra, India.

2M.D, Professor & Head, Department of Kayachikitsa, AVPM’S Ayurved Mahavidyalaya, Sion, Mumbai, Maharashtra, India.

3M.S.(Scholar), Department of Shalya Tantra, D. Y. Patil School Of Ayurved, Navi Mumbai, Maharashtra, India.

Corresponding Author :  Dr. Nisha Birender yadav 

M.S.(Shalya – Scholar)  Dara Elcave, Army Colony, sector-9, E block, flat no 801, Nerul, Navi Mumbai.

 ABSTRACT:

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.

KEYWORDS: shanshamni vati, jatyadi taila, Varicose ulcer management, vrana upakarma, sira janya dusta vrana.

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