Wound healing activity of Arjuna bark powder in Dushta vrana (Non healing venous ulcers) - A Case Report

Abstract

A non-healing ulcer or chronic wound is defined as a wound that does not improve after four weeks or does not heal in eight weeks. These wounds include diabetic foot ulcers, venous-related ulcerations (varicose ulcers), pressure ulcers etc. Venous ulcers develop at medial part of lower leg and above the medial malleoli of foot and occur as a result of recanalization of DVT (deep vein thrombosis). These ulcers are often large in size, non-healing, tender and recurrent with secondary infection. In this case report a 65 years old male patient of non-healing multiple ulcers at left lower leg visited in OPD. Patient had complaints of severe pain, serous discharge, swelling of leg and multiple ulcers largest one ulcer (6cm x 4cm) at medial aspect of right leg. The pus culture report showed absence of microorganism (Bacteria and fungus). So this case was diagnosed as multiple varicose ulcers and was successfully treated with Arjuna bark powder (Terminalia arjuna) mixed with coconut oil. Wound was cleaned with normal saline and then applied paste of Arjuna bark powder mixed with coconut oil daily once in the morning. All wounds healed completely within one and half month of treatment without any complication. Hence this case highlighted that varicose ulcer can be treated with local application of Arjuna bark powder.