ayurvedic perspective of varicose veinsuseful herbs for varicose veins 1. brahmi (bacopa monnieri)...
Post on 22-Apr-2020
10 Views
Preview:
TRANSCRIPT
www.wjpr.net Vol 6, Issue 3, 2017.
296
Nidhi et al. World Journal of Pharmaceutical Research
AYURVEDIC PERSPECTIVE OF VARICOSE VEINS
Dr. Nidhi Garg*1 and Dr. Akhil Jain
2
1Assistant Professor in Agad Tantra Dept.,
2Assistant Professor in Shalakya Tantra Dept.
Ch. Devi Lal College of Ayurveda and Hospital Jagadhari.
ABSTRACT
Varicose veins is a common health complaint in people like security
guards, watchmen, cops, soldiers, vehicle pullers, porters, rikshaw
pullers, launderers, drivers, teachers etc. A condition, in which a vein
becomes dilated, elongated and tortuous, this is said to “Varicose”.
There are primary as well as secondary causes of varicose veins. The
superficial & perforating as well as the deep veins are involved in
varicose veins. The contemporary treatment for varicose veins includes
ligation, ligation with stripping surgical treatments. But these
treatments reoccurrence of this disease. Venous ulcers (stasis ulcers,
varicose ulcers) are the wounds occurring due to inappropriate
functioning of venous valves, usually of the legs. It is one of the most serious chronic venous
insufficiency complications. The overall incidence rate is 0.76% in men and 1.42% in
women. When a venous valve gets damaged, it prevents the backflow of blood, which causes
pressure in the veins that leads to hypertension and, in turn, venous ulcers. These are mostly
along the medial distal leg, which is often very painful, can bleed, and get infected. The
pathogenesis starts with dysfunction of venous valves causing venous hypertension which
stretches the veins resulting in ulcer formation. If not treated properly, the ulcer may get
infected leading to cellulitis or gangrene and eventually may need amputation of the part of
limb. In Ayurvedic literature this particular disease has been described as “Siragranthi”
(ie.Varicose vein).[1]
It can be managed with the specific s’odhana therapy. In Ayurvedic
prospective, varicose ulcers can be correlated with “Siragat Vat janya vran’. Sushruta has
advocated Jalauka (Leech) as one of the most effective method of bloodletting, useful even
in infected and non healing wounds. Patient with varicose ulcers was advised to take “Sariva
Ghana vati” internally, Teel oil “Dhara sweda” over the lower limb along with weekly
World Journal of Pharmaceutical Research SJIF Impact Factor 7.523
Volume 6, Issue 3, 296-310. Review Article ISSN 2277– 7105
*Corresponding Author
Dr. Nidhi Garg
Assistant Professor in Agad
Tantra Dept., Ch. Devi Lal
College of Ayurveda and
Hospital Jagadhari.
Article Received on
25 Dec. 2016,
Revised on 15 Jan. 2017,
Accepted on 04 Feb. 2017
DOI: 10.20959/wjpr20173-7901
www.wjpr.net Vol 6, Issue 3, 2017.
297
Nidhi et al. World Journal of Pharmaceutical Research
application of Leech around the ulcer followed by dressing with „Yashtimadhu Ghrita As it is
not having a permanent solution, people come to Ayurveda to get the relief of vein
engorgement and aching pain. Also, they seek the ways to avoid the occurrence of the
complaint.
KEYWORDS: Basti karma, Dustha vrana, Nitya virechana, varicoseulcer, siragranthi,
jalauka, varicose.
INTRODUCTION
Varicose veins refer to the condition in which the veins of the legs become varicosed, i.e.
they appear swollen and bulging and can be made out from the outside. Majority of varicose
veins are seen mostly on the thigh and back of calf muscles and they lesser exteriorly on the
inner side of legs.[1]
The persons involved in the prolonged standing jobs e.g. Policeman,
conductor, etc. often suffer from varicose veins.[2]
The common symptoms includes heaviness
in the legs, muscle cramps,itching around the swollen vein and pain felt in the whole leg or in
the lower part of the leg. Particularly in modern science the treatment of varicose veins is
limb bandaging, surgical treatment (stiping of Saphenous vein), Scelerotherapy etc. but no
medicinal treatment is available. The therapy develops the immune mechanism in the blood
system by stimulating the antitoxic substances in the bloodstream.[3]
Varicose veins may be
dark in color or may retain their original color. They are always painful. In case of prolonged
varicose veins, there could be skin peeling and skin ulcers in certain affected parts of the legs.
The varicose vein is very common disorder in the society, inUK it is estimated to affect 20-
25% women and 10-15% men1 (Br JSurg. 1994; 81:167–73) Varicose veins are caused due
to excessive pressure caused on the legs or the abdomen. These are brought on by advancing
age, obesity, pregnancy, hormonal changes and a host of other factors. Some deficiencies in
the diet may cause the loss of elasticity of the veins, which may make them varicose. Also,
standing for a long time, engaging in physical activity that puts more strain on the legs,
wearing constrictive clothing and total lack of exercise can make the veins varicose. This
condition is more or less a vata problem. People with a predominance of vata dosha seem to
suffer more from this problem.
Venous ulcers (stasis ulcers, varicose ulcers) are wounds occurring due to improper
functioning of venous valves, usually of the legs. Damaged venous valves prevent the
backflow of blood and cause pressure in the veins. Hence an arterial pressure reduces
significantly than venous and therefore, blood is not pumped as effectively into the area. A
www.wjpr.net Vol 6, Issue 3, 2017.
298
Nidhi et al. World Journal of Pharmaceutical Research
venous ulcer will not usually heal without expert advice and treatment. Without cleaning and
regular dressings, the ulcers usually spread quickly. Venous ulcers can be very painful and
may limit mobility and quality of life. The longer the duration of the venous ulcer, the more
is the damage to skin and greater the difficulty in healing. The annual prevalence of venous
leg ulcer among the elderly is 1.69%. The overall incidence rate is 0.76% in men and 1.42%
in women. Varicose ulcers appear when these enlarged veins become congested with fluid
buildup and infection occurs. It is the major cause of chronic wounds, occurring in 70% to
90% of chronic wound cases.[4]
The etiological factors include increased intravenous pressure, secondary to deep vein
thrombosis, chronic constipation, long standing occupation etc. The pathogenesis starts with
persistently increased intravenous pressure which damages the venous walls and results in
stretching, loss of elasticity, hyper lipo-dermato-sclerosis and finally ulcer formation.
Confirmation of diagnosis is done by Duplex Doppler ultrasound scanning of the lower limb
venous System.
Conservative management of venous ulcers includes use of compression stocking or bandage
to prevent worsening of varicose veins, foot elevation, antibiotics and regular cleaning and
dressing of u interruption of reflux source technique (TIRS) by sclerotherapy, laser ablation
of varicose veins or surgical correction of superficial venous reflux is performed.[5]
If
varicose ulcer is not treated properly or left untreated then, wound infection causing increased
pain, swelling, redness and pus, loss of mobility and even severe complications like
osteomyelitis, septicaemia or malignancy etc. may occur. Statistics revealed that recurrence
of venous ulcers is quite common, ranging from 54 to 78% by the fifth year after healing.
Hence, we can say that in spite of all advances in health sciences, varicose ulcer management
is still a difficult task for the surgeons.
In ayurveda this prakupit vata dosha compresses, raises and squeezes the net work of veins;[6]
In Ayurveda it is considered as Krichh sadhya vyadhi (curable with difficulty) in early stage
and asadhya in late stages affecting the vital parts of the body.[7]
Sushruta and Vagbhatta
mention Jalaukavcharna (leech therapy) in the treatment of all venous diseases. Leech
therapy comes under the Raktmokshana treatment which is one of the Ayurveda
Panchkarma.[8]
Siravedha (bloodletting) is most important parasurgical method and
considered as half of treatment among surgical procedures.[9]
Sushruta’s school of thought
considers the Rakta (blood) as dosha because the blood plays main role in the pathogenesis of
www.wjpr.net Vol 6, Issue 3, 2017.
299
Nidhi et al. World Journal of Pharmaceutical Research
many disorders.[10]
siravedha is a purificatory procedure for rakta as the virechana
(Purgation) for Pitta and Vamana (emesis) for Kapha.
Varicose veins causes as per Ayurveda
Intake of abhisyandi (which occlude channels) food like curd, lassi, deep fried foods, heavy
non veg foods, junk foods, aerated drinks etc etc.
Excess work (shramatiyogat)
Weight lifting (Bharavahana)
Long walk (adwagamana)
Intake of heavy (guru), mild(manda), cold(hima), unctuous(snigdha) food stuffs etc.
Origin Of Siraja Granthi (Varicose veins)
Because blood vessels are involved, there is definitive involvement of Pitta Dosha.
Along with Pitta, Vata alone or Vata and Kapha are vitiated in their site of affliction, ie in
weight bearing area like calf and ankle.
Ultimately the imbalanced Doshas disturb the vessels and the blood of that particular area
(venous blood).
Thus the blood is stagnated due to obstruction of the pathway of the blood vessels. Hence, the
veins are dilated in their weak.
Casuative factors of Siragranthi.[11]
(Varicose veins)
a. Weak person who works hard or for a longer period for longer distance.
b. Weak person who walks for a longer time.
c. If he dips his leg in water (especially in cold water).
d. A person who does heavy exercise.
Due to various vata vitiating factors vata gets vitiated in the body and this vitiated vata
Dosha acquires sthansanshraya (ie.localization) in different parts of the body. Acharya
Sushruta described that vitiated vata dosha gets accumulated either in one part or one dhatu
by producing symptoms described above like Shotha (inflammation), shoola (painful) etc.[12]
If the proper management of vitiated vata dosha is not done at the same time then this
www.wjpr.net Vol 6, Issue 3, 2017.
300
Nidhi et al. World Journal of Pharmaceutical Research
vitiated vata dosha spreads to the other body parts and if still neglected produces the various
diseases like siragranthi (ie.varicose veins).[13]
Pathogenesis (ie.Samprapti) of varicose veins.[14]
1. Upashaya - On rest.
2. Anupashaya – chankramana (excessive walking), Physical strain etc.
Vata vitiates rakta dhatu due to this; Sira undergoes sankochan, sampidana and vishoshana
causing Siragranthi (ie.varicose veins).If vitiated at the site of vein leads to signs and
symptoms of varicose veins. The change in the shape and size causes veins to become
sankuchit i.e. tortousity of veins. Also due to Ruksha guna (dryness) veins becomes rough
and hard (ie.visohoshana) and finally veins looks like a swelling that is painless and non
pulsatile.
Clinical features of Siragranthi.[15]
a. Sira Sankocha (tortous veins)
b. Sira Vakrata (irregular surface of veins)
c. Sira Utsedha (inflammation of veins)
d. Vishoshana (roughness and hardness of veins)
Prognosis of Siragranthi
While describing the siragranthi Acharya sushruta has explained the severity of disease i.e.
as per stage which type of treatment should be followed. In relation to siragranthi it is said
that if the granthi which is painful and movable is difficult to treat. If it is not painful but
large, immobile and situated at marmasthana (ie. at vital points) is also difficult to treat
(ie.kruchyasadhya).[16]
If it is large and we operate it will bleed profusely which will again
cause life threatening condition.
In ancient Indian medicine, such conditions are considered as duṣṭa vraṇa (non-healing
wounds) because they are produced by vitiated dośas inside the body. This can be treated
successfully with śodhana (purification) and śamana (pacification) therapy. So, the fore
mentioned benefits of Nitya virecana (liver and bowel cleansing therapy) and Manjishṭhā
basti (decoction enema therapy) were assessed in alleviating the symptoms and in the healing
process of varicose ulcer in the patient.
www.wjpr.net Vol 6, Issue 3, 2017.
301
Nidhi et al. World Journal of Pharmaceutical Research
Useful Herbs for Varicose Veins
1. Brahmi (Bacopa monnieri)
The indigenous Indian herb, brahmi, is perhaps the best Ayurvedic treatment for varicose
veins. It provides the necessary nutrients required for the proper toning of the veins and
makes them less tortuous. Brahmi is taken in conjunction with some mineral supplement like
Jasad bhasma.
2. Garlic (Allium sativum)
Among its many advantageous properties, garlic also has effects in the treatment of varicose
veins. Garlic can break down the protein content in the body and distribute it evenly. This
increases the protein supply to the lower limb region. Hence, the condition of varicose veins
is avoided.
3. Ginger (Zingiber officinale)
Like garlic, ginger too breaks down and distributes the protein in the body.
4. Onion (Allium cepa)
Onion helps in the proper assimilation and distribution of protein in the human body. It gives
inner strength. Chomping on one onion everyday can help to solve the problem of varicose
veins permanently.
Dietary Treatments for Varicose Veins If the diet of the person is deficient in certain
nutrients, then it may cause the skin to lose its elasticity. This would lead to the condition of
varicose veins. For this reason, people must take good dietary care so as to provide the body
with the essential nutrients. The following are some points to remember: -
- Include whole food grains in the diet, instead of synthetically polished ones. Whole grain
wheat and millet are good.
- Fresh fruits are very much needed, since vitamin C deficiency is a prime cause of varicose
veins. Amalaki and other citrus fruits must be had in good amount.
- Have a protein-rich diet, which is necessary for building up the tissues. You must have one
egg daily, a glassful of milk, meat, legumes and other protein-rich food. But avoid red meat.
- Protein tends to accumulate in fixed pockets in the body. Hence to distribute this protein
properly, you must consume garlic, onion, ginger and pineapple.
- Fish must be included in the daily diet.
www.wjpr.net Vol 6, Issue 3, 2017.
302
Nidhi et al. World Journal of Pharmaceutical Research
Basti karma (medicated drug enema)
In the context of Vraṇa Cikitsā (a chapter for the treatment of ulcer-like wound), Basti
Chikitsā (rectal enema therapy) is mentioned as a śodhana or a specific purification therapy
where medicines are administered through rectal route. The Vāta Doshaja Vraṇa and
Adhaṇkāyaja Vraṇa (ulcers prone to lower limbs) are treated with Basti karma or āsthāpana
Basti (medicines processed with kaśhyam administered through rectal route)āyam
administered through rectal route).
Drug action
Mañjiṣṭhā (Rubia cordifolia)
It has properties like tikta-kashāya rasa, kaṭu vipāka, uṣṇa vīrvya, kapha-pitta-shāmaka;
shleshma-śotha nāśaka. Also, a study proved the significance of Mañjiṣṭhā in chronic wound
healing.
Yaṣṭimadhu (Glycyrrhiza glabra)
Madhura rasa; śīta vīrya; pitta-vata shāmaka; vran.ashothahara; vedanāhara; are its properties.
It has anti-inflammatory activity.
Guḍūci (T. cordifolia)
Tikta-kaśāya rasa; madhura vipāka; uṣṇavīrya; tridośaśāmaka; dīpanīya and dāhanāśaka are
its properties. The chloroform and benzene extracts of gud.ūci were found to possess
significant antibacterial activity as compared with the standard. Gud.ūci leaf extract is useful
in infections due to Proteus vulgaris, Staphylococcus aureus, Streptococcus pyrogens,
Bacillus subtilis and Escherichia coli.
Ayurvedic Treatments for Varicose Veins
Ayurveda prescribes the Brahmi as the drug of choice for the treatment of varicose veins.
Brahmi is used for four continuous weeks to get permanent benefits. It is taken in doses of 10
to 20 milliliters twice a day. Along with brahmi, the Jasad bhasma is also prescribed. This
bhasma has three benefits – (i) it is a rich source of the mineral zinc, (ii) it helps in healing
and blood clotting through the formation of collagen and (ii) it helps in the concentration of
vitamin E in the blood. Other popularly prescribed medicines are Chandraprabha vati,
Nagarjunabhra rasa and Punarnavadi guggulu, among others.
There are some Ayurvedic oils available for local application to seek temporary relief. These
are Prasarini taila and Chandanabala taila. But care must be taken never to massage any oil
www.wjpr.net Vol 6, Issue 3, 2017.
303
Nidhi et al. World Journal of Pharmaceutical Research
directly on the varicose veins, as it would increase pressure on them.
Yogic exercises can treat varicose veins without any medication. The best exercises for this
condition are Halasana, Pawanmuktasana and the Sarvangasana. Simple exercises like
walking, swimming, cycling and stretching the legs while sitting on a chair also help.
Home Remedies for Varicose Veins
1. Have a mixture of carrot and spinach juice daily. This will solve the vitamin deficiencies in
the leg.
2. Apply a mudpack on the leg in the night and wash it off in the morning.
3. Wearing stockings at night helps, but do not wear tight jeans in the daytime.
4. Have an alternating hot and cold hipbath daily.
5. Apply an oil containing vitamin E as its major component onto the legs. But take care not
to rub it too deeply into the legs.
6. Have a wholesome diet rich in proteins and vitamin C.
ayurvedic medicines
1 sahacharadi kashaya
2 sahacharadi thailam
3 rasa thailam
Nitya virecana (bowel and liver system cleansing therapy)
This therapy is indicated in śothāvasthā (edematous condition) where kaphadośa
predominance (retention of fluidity) is observed. It is helpful to reduce kledāmshatā (fluid
retention) in the Dhātu (tissues), thus reducing excess fluid retention extra- and
intracellularly, which in turn facilitates proper microcirculation and reduces the duration of
the edematous stage. This therapy involves laxative actions, using through processed
medicines like Nimba (A. indica and T. cordifolia), it stimulates the liver systemIn addition,
Dhātugata Agni (digestive and assimilation capacity and enzymatic functions through the
liver system) was improved by the Nitya virecana. By the laxative actions it creates osmotic
effects in the gut to suck the extra fluid retained anywhere in the body and is ultimately
helpful in the wound healing process. Therefore, Nitya virecana was the first line of
management in the present case. Three days of treatment with Nitya virechana results in good
appetite, reduction in the edematous swelling around the foot, and starting of granulation
tissue formation in the ulcerative wound.
www.wjpr.net Vol 6, Issue 3, 2017.
304
Nidhi et al. World Journal of Pharmaceutical Research
Treatment of varicose veins in Ayurveda.[17]
1. Taila pana especially sahacharadi taila (Oleation therapy).
2. Upanaha (Poultice).
3. Basti karma(Enema).
4. Siravyadha (Blood letting)
Siravyadha (Blood letting)
According to Sushruta, blood letting (ie. siravydha) is a prime or half the treatment of
diseases in shalyatantra. So it is clear that patients having varicose veins can be treated by
siravedha and also can be prevented from further complications. As Sira granthi is the
disease due to vitiated vata mainly and rakta dhatu also, when blood letting performed the
pathogenesis of siragranthi will break.[18]
Poorvakarma of blood letting
Before performing siravedha, certain prerequisites have to fulfill the poorvakarma like
preparation of patient, preparation of equipments, collection of drugs and dressing materials
Pradhankarma of blood letting
Once all these pre-requisites are completed, the procedure can be proceeded ie. Siravydha.
The important steps for Siravedha are-
A. Proper positioning of the patient either sitting up or standing. An appropriate position aids
in the adequate flow of blood.
B. Selection of Sira (ie.vein) and making it adequately prominent.
Selection of sites of siravydha and amount of blood to be let out. All these conditions are
achieved by various means eg.(i) Tying above the site with any vastra (cloth), valkala
(bark),lata etc. (ii) Pressing with fingers by an assistant. Siravedha was actually done using
various instruments or shastra (ie.sharp instruments) in ancient period. The selection of sharp
instruments depends on the site of blood letting. Now-a-days a simple needle, 12 No blade
(curved), a scalp vein set or a trochar cannula serve the purpose. Appropriate quantity
(maximum) of blood that is to be let out from a strong individual is one prastha (ie.640ml).
According to Dalhana the blood can be let out in order of approximately one prastha
www.wjpr.net Vol 6, Issue 3, 2017.
305
Nidhi et al. World Journal of Pharmaceutical Research
(ie.640ml), half prastha (ie.320ml) and one kudava (ie.160ml) in case of uttama, instruments)
in ancient period. The selection of sharp instruments depends on the site of blood letting.
Now-a-days a simple needle, 12 No blade (curved), a scalp vein set or a trochar cannula serve
the purpose. Appropriate quantity (maximum) of blood that is to be let out from a strong
individual is one prastha (ie.640ml). According to Dalhana the blood can be let out in order
of approximately one prastha (ie.640ml), half prastha (ie.320ml) and one kudava (ie.160ml)
in case of uttama, madhyam and hina matra. Appearances of features of proper blood letting
are important like decrease in the pain, happiness and blood stops flowing of its own.[19]
Sign and Symptoms of proper Siravedha
When appropriate amount of blood has been let out and features of proper blood letting are
obtained that indicates the end of the procedure.
A. Vedana santi (pain decreases)
B. Laghuta (sense of lightness),
C. Vyadhirvega prasamana (remission of signs and symptoms of disease)
D. Mana prasadana (happiness).[20]
It has been stated that all the dushta rakta (ie.vitiated blood) should not be removed
completely. Some of it can be left behind to avoid an accidental excessive blood loss. The left
over vitiated blood can be cleaned up by other forms of samshamana (ie.conservative)
treatment modality. Siravedha usually leads to the flowing out of vitiated blood like jet; this
has been illustrated quite clearly by Sushruta.
Postoperative care after Siravedha
Appearance of features of proper bloodletting indicates the end of procedure and to perform
postoperative care like application of haemostatic and antiseptic powders, tight bandage etc.
at the site of bloodletting. In Ayurvedic prospective, we can co relate varicose ulcers with
“Siragat Vat janya vran’. Sushruta has described wound management in a most scientific
way and lcer. How ever, if patient do not respond, then surgical measures like skin grafting,
terminal given the utmost importance to Bloodletting therapy and considered Leech as the
most unique and effective method of bloodletting even in infected wounds and abscesses.
ayurvedic treatment for siragata vata janya vrana
Acharya Sushruta has exclusively mentioned the treatment regime for ‘Siragata Vata’ which
includes local oleation and fomentation along with Leech therapy.3 Sushruta has advocated
www.wjpr.net Vol 6, Issue 3, 2017.
306
Nidhi et al. World Journal of Pharmaceutical Research
60 procedures (Shashthi upakramas) for wound management which can be practiced as per
stage of wound and necessity. He has given the utmost importance to Bloodletting therapy
and considered Leech as the most unique, effective method of bloodletting even in infected
wounds and in abscess management. Sushruta has also specified that the wounds over the
lower limb delays in healing. References of indication of leech therapy in wounds: Leech
therapy is considered as most unique and effective method of bloodletting. It can be tried in
all mankind including Females, Children, Old and Patients having poor threshhold to pain. It
drains impure blood, useful in Pitta dushit Rakta diseases, various skin disorders and all types
of inflamatory conditions. In Sushruta samhita Chikitsasthana, chapter 12 and 16, Sushruta
has advocated that bloodletting by Leech can be practiced in all inflammatory, suppurative
and painful.
pathology in delaying varicose ulcer healing
The pathogenesis of varicose ulcer starts with dysfunction of venous valves causing venous
hypertension which stretches the veins. This allows blood proteins to leak into the extra
vascular space. It isolates extra cellular matrix molecule and growth factor, preventing them
from helping to heal the wound. Similarly, leaking of fibrinogen and deficiency in
fibrinolysis cause fibrin to build up around vessels preventing oxygen and nutrients from
reaching cells. This also plugs the vessels causing ischemia around the wound resulting in
delaying in wound healing. Further, the venous insufficiency causes leukocytes to accumulate
www.wjpr.net Vol 6, Issue 3, 2017.
307
Nidhi et al. World Journal of Pharmaceutical Research
in small vessels which releases inflammatory factors causes chronic wound formation.
Ayurvedic treatment for siragata vata janya vrana: Acharya Sushruta has exclusively
mentioned the treatment regime for ‘Siragata Vata’ which includes local oleation and
fomentation along with Leech therapy.3 Sushruta has advocated 60 procedures (Shashthi
upakramas) for wound management which can be practiced as per stage of wound and
necessity. He has given the utmost importance to Bloodletting therapy and considered Leech
as the most unique, effective method of bloodletting even in infected wounds and in abscess
management. Sushruta has also specified that the wounds over the lower limb delays in
healing.References of indication of leech therapy in wounds: Leech therapy is considered as
most unique and effective method of bloodletting. It can be tried in all mankind including
Females, Children, Old and Patients having poor threshhold to pain. It drains impure blood,
useful in Pitta dushit Rakta diseases, various skin disorders and all types of inflamatory
conditions. In Sushruta samhita Chikitsasthana, chapter 12 and 16, Sushruta has advocated
that bloodletting by Leech can be practiced in all inflammatory, suppurative and painful.
causes of varicose veins
Varicose veins usually run in the family history. Thus, if you have people in the family
having them, you are more likely to get them.
There are valves that act as doorways and run through the veins in order to push the blood
flow back to the heart up from the feet. When such a doorway becomes too flappy, fluid
tends to accumulate in the veins. That makes them pop out more than usual.
Such a nature of the veins is often genetic in nature and there is not much that one can do
to prevent them from occurring.
symptoms of varicose veins
The symptoms of varicose veins are characteristic in those who suffer them. The symptoms
and signs are not as scary as they look.
Sometimes people may develop tenderness around the area surrounding the enlarged
veins.
There might occur mild swelling of the legs.
One could suffer from skin tightening or itching sensation in the legs.
One could even find the legs going heavy.
The size of the veins is not proportional to the amount of discomfort that they can cause.
The main complaint that emerges is that, it makes one’s legs appear ugly.
www.wjpr.net Vol 6, Issue 3, 2017.
308
Nidhi et al. World Journal of Pharmaceutical Research
Hormonal imbalance can bring on enlarged varicose veins especially if one has genetic
predisposition towards it Elevating the legs.
One could have spent a long day on their feet after which they might find mild swelling:
That is remedied by elevating the legs
One can put up the legs on some pillows when they come home
The blood flow works with gravity and comes back to the hart Ice
One could use ice in the following manner:
It can be used to constrict the blood vessels
If there is swelling or discomfort one could apply an ice pack over the swollen veins
dilated in their weak
previous work done
Study on the effect of Sahacharadi thaila in Siragranthi(varicose vein) by Sreekumar.T-1985,
Dr B K R R Govt. Ayurveda College, A P University, Vijayawada.
To Study the effect of Rakthamokshana in Siragranthi by Babar sanjay-2000, Nasik Ayurved
Maha vidyalaya, Pune University, Pune.
A Study in the management of Siragranthi by Sugatha-2000, Govt. Ayurveda college,
Trivandrum, Kerala University.
A Clinical study on the management of vascular disorders w.s.r to Varicose vein with
Jalookavacharana and Lasunavati by Rao surya prakash-2004, A P University, Vijayawada.
CONCLUSION
The varicose vein is very common disorder in the society, estimated to affecting men and
women both. The most common cause is incompetent valves in the vein, while increasing
age, obesity, family history etc are risk factors. Ayurveda can give a ray of hope in the
treatment of varicose veins and ulcer. Leech therapy‟ proves to be effective, time saving,
affordable and acceptable treatment. Ayurveda is known to possess the rich collection of
medical and parasurgical techniques. Siravedha was found virtuous effort proper assessment
of the effect of siravedha was made and the necessities of dietary regimes were advised to the
patients to follow. After the course of treatment, they were requested to continue bandaging,
www.wjpr.net Vol 6, Issue 3, 2017.
309
Nidhi et al. World Journal of Pharmaceutical Research
for proper support of their varicose veins and exercise to improve action of the calf pump
mechanism.
REFERENCES
1. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013; 11(8-9): 351.
2. Colin ogilive (1997) Chamberlain’s symptoms and signs in clinical medicine,
butterworth-Heinemann international edition, 12th edition ch-7,pp-185.
3. www.leeches.biz/leech-therapy.htm.
4. http://en.wikipedia.org/wiki/Venous_ulcer date 25/04/201313.
5. Bush, R. New technique to heal venous ulcers: Terminal interruption of the reflux source
(TIRS). Perspectives in Vascular Surgery and Endovascular Therapy, 2010; 22(3).
6. Dr. Anantram Sharma, “Sushrut vimarshini” commentary on Sushrut Samhita, Chikitsa
sthan- Chapter 4 (Vat Vyadhi chikitsa- Shlok 7) Volume 2, Published by Chaukhambha
Prakakashan- 2009, Page 205.
7. Shastri A.D., (2007) Sushruta Samhita with Ayurveda Tattva Sandipika-Hindi
Commentary (Reprint) Chaukhamba Sanskrit Sansthan; Varanasi; Vol.-2, Sutrasthan.
ch.11, pp. 539-540.
8. Tripathi R.D.(1995); Ashtanga Samgraha; Chaukhamba Sanskrit Series; Varanasi. Uttar
Tantra Ch; 34.
9. Astanga samgraha, Vidyotini hindi Commentary Written by Gupta Atridev Kaviraj,
Published by Chaukhamba Krishnadas Academy, Varanasi, reprint edition 2005.
AS.Sa.Su.36/3, page no-239.
10. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Su.21/3, page no-112.
11. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Ni.11/8-9, page no-351.
12. Astanga Hridaya, Vidyotini hindi Commentary Written by Upadhaya Yadunandana
Vaidya, Published by Chaukhamba Prakashan, Varanasi, reprint edition, 2012, AH.Ut.
29/2, page no-756.
www.wjpr.net Vol 6, Issue 3, 2017.
310
Nidhi et al. World Journal of Pharmaceutical Research
13. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Ni.11/8-9, page no-351.
14. Charak Samhita, Vidyotini Hindi Vyakha, Written by Shastri Pt Kashinath, Published by
b) Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Su.21/19, page no-117-118.
15. Astanga Hridaya, Vidyotini hindi Commentary, Written by Upadhaya Yadunandana
Vaidya, Published by Chaukhamba Prakashan, Varanasi, reprint edition, 2012, AH.Ut.
29/10-11, page no-756.
16. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Ni.11/8-9, page no-351.
17. Astanga Hridaya, Vidyotini hindi Commentary, Written by Upadhaya Yadunandana
Vaidya, Published by Chaukhamba Prakashan, Varanasi, reprint edition, 2012, AH.Ut.
20/7, page no-760.
18. Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Su.14/34, page no-71. b Sushrut Samhita Ayurved Tatwa Dipika
Hindi Commentary, Written by Shastri Ambicadutt Kaviraj Vol-1st, Published by
Chaukhamba Sanskrita Sansthan, Varanasi, reprint edition, 2013, Su.Sa.8/22, page no-91.
19. Sarangdhar Samhita, Written by Tripathi Bramhanand, Published by Chaukhamba
Surbharti Prakashan, Varanasi, reprint edition, 2010, Sha. Ut.Kha.12/1, page no-415.
Sushrut Samhita Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Sa.8/15, page no-87.
20. Sushrut Samhita, Ayurved Tatwa Dipika Hindi Commentary, Written by Shastri
Ambicadutt Kaviraj Vol-1st, Published by Chaukhamba Sanskrita Sansthan, Varanasi,
reprint edition, 2013, Su.Su.14/33, page no-71.36.
top related