ABSTRACT

A case of 40-years old male presented with complaints of two non-healing ulcers in right lower limb, 1 above the Gulpha Sandhi (medial malleolus) another over the shin of tibia with slough and discoloration of surrounding skin since 4 months. Dusthavrana is Samvruta Vivruta Kathina. Dusthavrana means chronic wound or ulcer, Dustha is one in which there is localization of Dosha Vata, Pitta, Kapha. Vrana which has Durgandha, abnormal color with slough or Srava and is Deerghakalaanubandhi1. Aim and objectives: To see the efficacy of Virechana and Vrana Basti in the management of Dusthavrana (varicose ulcer). Material and methods: Virechana with Trivrithlehya 50gm + Triphala Kashaya 100ml and Vranabasti was done with Jatyadi Taila twice a day for 60 days followed by dressing with Jatyadi Taila. Results: There was complete cure of the Dusthavrana observed within 60 days of treatment. Conclusion: In this case Virechana Karma due to Ushna, Tikshna and Sukshma Guna it reaches the Anusrotas and break the Dhathugatamala and excessive vitiated Dosha into micro form and quick excretion of Dhathugatamala from the body through Adobhaga [2]. It is one of the treatments explained in the Shasthi Upkarmas for the management of Vrana. Vranabasti with Jatyadi Taila helps in management of Dustavrana, due to its Shodhana, Ropana Karma. Keywords: Dusthavrana, Venous Ulcer, Virechana Karma, Jatyadi Taila, Vrana Shodhana, Vrana Ropana
Publication date: 01/03/2025

https://ijbpas.com/pdf/2025/March/MS_IJBPAS_2025_8537.pdf

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https://doi.org/10.31032/IJBPAS/2025/14.3.8537