# Ayurvedic management of persistent ulcers after snakebite – A case report

**Authors:** Sandesh Kumar, Sukanya Bhat

PMC · DOI: 10.1016/j.jaim.2025.101228 · 2025-10-11

## TL;DR

This case report shows how Ayurvedic treatments helped heal a persistent ulcer after a viper bite in a 63-year-old woman.

## Contribution

The study demonstrates the effectiveness of Ayurvedic therapies in managing non-healing ulcers post-snakebite.

## Key findings

- The patient's ulcer healed completely over four months with Ayurvedic treatment.
- Pain and edema were significantly reduced during the treatment period.
- Ayurvedic methods prevented further complications like infection or amputation.

## Abstract

Snake bites pose a major public health challenge worldwide, with significant morbidity and mortality. Non-healing ulcers are common in snakebite survivors, often resulting in chronic pain, infection, necrosis, and, in severe cases, amputation. This case study discusses the Ayurvedic treatment of a non-healing ulcer following a viper bite in a 63-year-old woman. The treatment protocol included Vrana Prakshalana (ulcer washing), Pariseka (irrigation), and Bandha (bandaging) with medicated oils and pastes, along with oral traditional formulations like Gandhaka Rasayana and Mahamanjishtadi kashaya. Over four months, the patient experienced complete ulcer healing, pain reduction, and resolution of edema, illustrating the effectiveness of Ayurvedic therapies in addressing complex post-snakebite complications and preventing further issues. This case underscores Ayurveda's potential in managing chronic, treatment-resistant wounds.

## Full-text entities

- **Diseases:** necrosis (MESH:D009336), infection (MESH:D007239), post (MESH:D000094025), Snake bites (MESH:D012909), pain (MESH:D010146), edema (MESH:D004487), chronic (MESH:D002908), ulcer (MESH:D014456), wounds (MESH:D014947)
- **Chemicals:** medicated oils (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12547734/full.md

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Source: https://tomesphere.com/paper/PMC12547734