# A non-invasive Ayurveda management of venous leg ulccer- A case report

**Authors:** Archana Muraleedharan, Sree R. Nair, P.N. Rajeshwari

PMC · DOI: 10.1016/j.jaim.2024.101073 · Journal of Ayurveda and Integrative Medicine · 2025-03-28

## TL;DR

This case report describes successful non-invasive Ayurvedic treatment of a venous leg ulcer in a 55-year-old man over 10 days, with sustained healing after 4 months.

## Contribution

The study presents a novel application of Ayurvedic therapies for venous leg ulcers with documented short- and medium-term outcomes.

## Key findings

- The patient showed significant reduction in pain, swelling, and stiffness within 10 days of treatment.
- Complete wound healing was achieved by the 14-day follow-up with no recurrence observed over 4 months.
- Ayurvedic treatments like Patradana and Grihadhumadi lepa were effective without surgical or invasive interventions.

## Abstract

Venous leg ulcer (VLU) is a severe complication of chronic venous insufficiency that commonly affects older individuals. It is a long-standing consequence of venous insufficiency and accounts for 70%–80% of lower limb ulcers seen in outpatient departments. These ulcers are often unresponsive to treatment and can significantly impact patients' quality of life, causing pain, sleep disturbances, and decreased mobility. Managing varicose leg ulcers is a significant challenge for physicians.A 55-year-old male presented with symptoms including pain, stiffness, discoloration, swelling in the left lower limb, and a history of non-healing ulcer. The patient was treated with Patradana using leaves of Ricinus communis (Eranda patra) and Grihadhumadi lepa along with oral medications such as TriphalaGuggulu and Gandhaka Rasayana. Each day, the change was carefully observed and documented, revealing a notable improvement by the end of the treatment (10 days). The pain, swelling, and stiffness exhibited significant reduction, accompanied by wound healing after the first follow-up of 14 days. The complete wound healing was achieved and quality of life showed improved. The patient has beenunder observation and has not reported any recurrence of ulcer in the 4 months of follow up.

## Linked entities

- **Diseases:** chronic venous insufficiency (MONDO:0000492)

## Full-text entities

- **Diseases:** venous leg ulccer (MESH:D010264), discoloration (MESH:D014075), stiffness (MESH:C566112), ulcer (MESH:D014456), venous insufficiency (MESH:D014689), pain (MESH:D010146), swelling (MESH:D004487), sleep disturbances (MESH:D012893), VLU (MESH:D014647)
- **Chemicals:** TriphalaGuggulu (-)
- **Species:** Ricinus communis (castor bean, species) [taxon 3988], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

7 references — full list in the complete paper: https://tomesphere.com/paper/PMC11994297/full.md

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Source: https://tomesphere.com/paper/PMC11994297