Management of nonhealing venous leg ulcer: A case report

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.