AYURVEDIC MANAGEMENT OF VARICOSE VEINS WITH SHAMAN CHIKITSA : A CASE REPORT

About Author

Correspondence Address

Dr Rukhsar A. Sheikh
Ph.D. Scholar, Department of Kayachikitsa, Government Ayurved College, Nagpur
Assistant Professor, Department of Kayachikitsa, Om Ayurved college, Betul
Contact No. : 8484911027, Email : rukhsarsheikh97@gmail.com

Date of Acceptance : 28 Feb 2024

Date of Publication : 27 Mar 2024

Article ID : SD-IJAY_062

How to cite this article : http://doi.org/10.55552/SDNJAY.2024.2107

Abstract

Varicose veins are defined as dilated, tortuous,  elongated superficial veins that cause reversal of blood flow due to valve insufficiency. Varicose veins are more common in the lower extremities due to the upright posture of the body. Varicose veins are similar to Uttana Vatarakta varicose veins in terms of etiology and symptoms. Varicose  veins also have close similarities with Siraj Granthi and Siragat Vata. We  report a case of a 35-year-old male patient who presented with lower extremity pain from the  calf to  both legs accompanied by dilated and tortuous veins on the back of the legs, discoloration, itching,  and burning. And uncomfortable. The patient was treated with Ayurvedic medications and his symptoms improved significantly. Observations and results were compiled according to the evaluation criteria. The discussion was based on all observations made during the study. Conclusions were drawn based on the results.

Introduction

A condition in which veins become dilated, long, and tortuous is called varicose veins [1]. A common location for varicose veins is the superficial venous system of the lower extremities. Varicose veins are very similar to Siraj Granthi and Siragat Vata. Varicose veins are similar to Uttan Vatarakta's varicose veins in their etiology and symptoms [2]. There are two types of vatatarakta: uttanavatarakta and gambhiravatarakta [3]. Uttanavatarakta causes symptoms such as itching, burning, pain and discoloration. Gambirabataract causes symptoms such as swelling, hardness, soreness, pain, burning, and sometimes numbness. Uttana Vatarakta is a kind of bahya, and its places of manifestation are thwak (skin) and mamsa (muscles). Signs and symptoms of dark, red, or copper-colored skin associated with itching, crying, and pain. It is caused by corruption. Vata, Rakta[2], etc.  The fallen Vata becomes Aavrutta along with the fallen Raktadhadu. Vriddhi and disturbed Vata in turn ruin the entire Rakta and appear as Vatarakta. Ayurveda emphasizes the importance of studying the pathogenesis of a disease before  planning a treatment protocol. In this study, we investigated Nidana and  Samprapti patterns in relation to varicose veins  to  better understand the different clinical manifestations of Uttan Vatarakta.

Discussion

• Based on the symptomatology varicose veins can be compared with Uttana vatarakta of contemporary medicine.
• Vatarakta is a disease caused by vitiation of vata as well as rakta. Aggravated Vata is blocked by vitiated rakta, internal leading to further aggravation of Vata[6].
• Nidaan like Katu, Amla, Ushna, Vidahi Ahara, Adhvagaman, Bharavahan etc were observed is the subject and advised to avoid those by guiding with proper pathya and apathya[7].
• Uttana Vatarakta mainly affects Twak (skin) and mamsa (muscles)[2].
• Mahamanjishthadi kwatha acts as Raktashodhak and Pittashamak in Vatarakta by removing the obstruction of Vata by dushit rakta and helps in minimising the severity of symptoms in patients.
• Kaishor guggul acts as vedanasthapak and arogyavardhini acts as aampachak. Swelling reduces by mutral propertie of Punarnavadi kwath and pittashaman occurs due to mruduvichak karma of Gandharvaharitaki churna.
• The incidence of Varicose veins increasing with the speed of modernisation as well. Hence educating the subject with pathya ahara and vihara is important along with chikitsa simultaneously.

Action of drug  management of  varicose veins:

Table 6: Showing action of drug

Conclusion

• The subject was happy and satisfied with the Ayurvedic line of treatment for his condition and followed pathya and apathya with regular follow-ups.
• Ayurvedic management show very promising result in terms of betterment of the disease.

References

1. Sriram Bhat M, SRB’s Cynical methods in Surgery, Published by Jaypee Brothers Medical Publishers (P) ltd, New Delhi, Second edition:2015, Chapter 7, page no.199-221
2. Agnivesh; Caraka Samhita, Ayurveda Depika Commentry by Sri Chakrapanidutta, Pt. Y.G.Joshi editor,Vaidyamitra Prakashan , Pune, 4th edition,Chikitsathan, Vatashonitachikitsa 29/21 Page No 734
3. Agnivesh; Caraka Samhita, Ayurveda Depika Commentry by Sri Chakrapanidutta, Pt. Y.G.Joshi editor,Vaidyamitra Prakashan , Pune, 4th edition,Chikitsathan, Vatashonitachikitsa 29/21 Page No 734
4. Agnivesh; Caraka Samhita, Ayurveda Depika Commentry by Sri Chakrapanidutta, Pt. Y.G.Joshi editor,Vaidyamitra Prakashan , Pune, 4th edition,Chikitsathan, Vatashonitachikitsa 29/21 Page No 731
5. Subhadeep Mallick, Tanusree Sarkar, Correlation of Venous Clinical Severity Score and Venous Disability Score with Dermatology Life Quality Index in Chronic Venous Insufficiency, Indian J Dermatol. 2020 Nov-Dec; 65(6): 489–494.
6. Agnivesh; Caraka Samhita, Ayurveda Depika Commentry by Sri Chakrapanidutta, Pt. Y.G.Joshi editor,Vaidyamitra Prakashan , Pune, 4th edition,Chikitsathan, Vatashonitachikitsa 29/28 Page No 660
7. Agnivesh; Caraka Samhita, Ayurveda Depika Commentry by Sri Chakrapanidutta, Pt. Y.G.Joshi editor,Vaidyamitra Prakashan , Pune, 4th edition,Chikitsathan, Vatashonitachikitsa 29/28 Page No 660
8. Bramhananda Tripathi, Sharangdhara Samhita (2001), Chaukhambha Sanskrit sansthana, Varanasi, Madhyam Khanda, 7th adhyaya, shloka no. 77, Page No. 205

9. Bramhananda Tripathi, Sharangdhara Samhita (2001), Chaukhambha Sanskrit sansthana, Varanasi, Madhyam Khanda, 7th adhyaya, shloka no. 77, Page No. 205
10. Bramhananda Tripathi, Sharangdhara Samhita (2001), Chaukhambha Sanskrit sansthana, Varanasi, Madhyam Khanda, 7th adhyaya, shloka no. 77, Page No. 205
11. Bramhananda Tripathi, Sharangdhara Samhita (2001), Chaukhambha Sanskrit sansthana, Varanasi, Madhyam Khanda, 7th adhyaya, shloka no. 77, Page No. 205
12. Bramhananda Tripathi, Sharangdhara Samhita (2001), Chaukhambha Sanskrit sansthana, Varanasi, Madhyam Khanda, 7th adhyaya, shloka no. 77, Page No. 205