Muraleedharan Archana, Nair Sree R, Rajeshwari P N
Department of Shalya Tantra, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Department of Shalya Tantra, Amrita School of Ayurveda, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
J Ayurveda Integr Med. 2025 Mar-Apr;16(2):101073. doi: 10.1016/j.jaim.2024.101073. Epub 2025 Mar 28.
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.
下肢静脉溃疡（VLU）是慢性静脉功能不全的一种严重并发症，常见于老年人。它是静脉功能不全的长期后果，占门诊所见下肢溃疡的70%-80%。这些溃疡往往对治疗无反应，会显著影响患者的生活质量，导致疼痛、睡眠障碍和活动能力下降。对医生来说，治疗静脉曲张性腿部溃疡是一项重大挑战。一名55岁男性出现疼痛、僵硬、皮肤变色、左下肢肿胀等症状，并有溃疡不愈合病史。该患者使用蓖麻叶（Eranda patra）和Grihadhumadi lepa制成的Patradana进行治疗，并配合服用如三果古古卢（TriphalaGuggulu）和硫黄药（Gandhaka Rasayana）等口服药物。每天仔细观察并记录变化，治疗结束时（10天）显示出明显改善。疼痛、肿胀和僵硬明显减轻，在14天的首次随访后伤口愈合。实现了完全伤口愈合，生活质量有所改善。该患者一直在观察中，在4个月的随访中未报告溃疡复发。
