Published Paper Details:

In the present era, ulcer management is challenging for the surgeon. Varicose ulcers are wounds that arise due to the malfunctioning of veins, typically in the lower limbs. In Ayurveda, the condition is clinically correlated with 'Sira janya dushta vrana' in Sushruta Samhita, which gives a detailed description of the various features of a Dushta Vrana and has Shashti Upakramas for treating such Vranas (ulcers). The overall incidence is higher for females than males. Compression therapy and antimicrobial therapy are strategies for managing chronic wounds. Surgery is performed in cases where there are no responses. This case report is the description of a 43-year-old male who is a businessman by profession and complains of non-healing ulcers in the left lower limbs around the ankle joint with a history of 10 years, associated with severe pain, burning sensation, and foul smell that have aggravated for 2 years. He took treatment for the same but didn't get any relief, so he approached for the treatment. By using Shashti Upakrama, we applied treatment for the patient, which was Jalaukavacharana, followed by Kasisadi Taila external application and internal medications such as Kaishora Guggulu, Gandhaka Rasayana, and Manjishtadi Kashaya for 2 months. The presented study combines Jalaukavacharana and Kasisadi Taila applications with internal medications, which was a good alternative therapy for managing non-healing varicose ulcers.