Abstract
Background: Dusta vrana is the severe complication of untreated ulcers caused by varicose vein, Thromboangiitis Obliterans, atherosclerosis, trauma, etc. vrana with poothi gandha, vivarnata, bahu srava, maha ruja is known as dusta vrana. Such ulcers can be managed with Panchakarma chikitsa by following the bahya and abhyantara shodhana management line. Brief case report: A 75 years old male patient came with pain, swelling and ulcer over the left foot for six months with a history of trauma; he was a known case of Thromboangiitis Obliterans, having undergone amputation of 1st, 2nd, and 4th and 5th toes of left lower limb. The patient had a 60-70 % block of distal Anterior tibial artery and dorsalis pedis artery. Bahya shodhana was done by dhara with gomutra, sphatika jala panchavalkala kwatha and abhyantara shodhana by Manjistadi kshara basti in yoga basti pattern. Conclusion: Significant reduction was seen in slough and pain. The appearance of granulation tissue was observed. Sthanika dhara with gomutra, which has ushna, teekshna, and lekhana properties, removes slough and improves local circulation. Sphatika jala does lekhana and shodhana. Panchavalkala kwatha has vrana ropana property. Manjistadi kshara basti does srotoshodhana and enhances circulation by virtue of its kshareeya guna and acts as rakta prasadaka and vrana ropaka.
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