Management of nonhealing venous leg ulcer: A case report

S. Mandal, V. Yadav, Meenakshi Sharma, Vivek Agarwal, Ragini Yadav, Girwar Sahu
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Abstract

Venous ulcer is the recurrent form of ulceration that occurs due to chronic venous insufficiency. Its annual prevalence rate is 1.69%. If not properly treated, it may lead to gangrene, cellulitis, and even amputation of the affected part. The condition can be correlated to Sirah granthi janya dushta vrana in classics. In the conventional system, conservative and surgical treatment is practiced, which has only a supportive role. Ayurveda treatment modalities have vast potential in various challenging skin conditions and ulcers. The present case report is the description of a venous ulcer of a 42-year-old male, which was diagnosed through a Doppler study of the venous system of lower limbs. Here, a holistic Ayurvedic approach, including Shamana chikitsa (pacifying therapy) and Jaloka (leech therapy), was employed for 3 months. Complete healing of the wound without any adverse effects was found.
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不愈合静脉性腿部溃疡的处理方法:病例报告
静脉溃疡是慢性静脉功能不全导致的复发性溃疡。其年发病率为 1.69%。如果治疗不当,可能会导致坏疽、蜂窝组织炎,甚至截肢。这种病症与经典中的 Sirah granthi janya dushta vrana 有关。在传统治疗体系中,保守治疗和手术治疗只起到辅助作用。阿育吠陀治疗方法在各种具有挑战性的皮肤病和溃疡方面具有巨大的潜力。本病例报告描述了一名 42 岁男性的静脉溃疡,通过对下肢静脉系统进行多普勒检查确诊。在治疗过程中,采用了包括 Shamana chikitsa(安抚疗法)和 Jaloka(水蛭疗法)在内的整体阿育吠陀疗法,为期 3 个月。结果发现伤口完全愈合,无任何不良反应。
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