A case study on Varicose Ulcer with Maggots by Jatyadi Taila - A Case Report

Abstract

Venous ulceration occurs in the gaiter area in 95% of cases especially, around the malleolar region. The tiny veins on the medial aspect of the ankle dilate due to the increase in pressure. This is known as ankle flare and also causes atrophy of the veins, which are prone to damage, especially around the lower ankle area.  Lipodermato sclerosis is a term used to describe the combination of changes in the lower leg from Venous hypertension. As a result of venous congestion and the loss of intercellular fluid balance, the skin can become very dry and flaky. The build-up of hyperkeratotic skin is also an indicator of high venous pressure. In venous disease, ulcers are usually located in the gaiter area between the ankle and the calf, often on the medial aspect of the leg. A diagnosed case of Varicose Ulcer on Right leg with maggots was admitted for mild pain, edema, serous discharge, blackish discoloration of the skin with foul smell. Aims and objective: To evaluate the efficacy of Jatyadi Taila in the management of Dushta Vrana.  Methodology:  Wound debridement was done by removing maggots. Vrana Prakshalana with Panchavalkala Kwatha, Vrana Basti was done using Jatyadi Taila followed by dressing with Jatyadi Taila. Along with this the patient was given Shodhana (Virechana). After Shodhana, Vrana Prakshalana with Panchavalkala Kwatha, Vrana Basti was done followed with dressing with Jatyadi Taila in the morning and only dressing with Jatyadi Taila in the evening. Patient was also given with oral medications. Conclusion: Virechana improves potency of individual cell of the body, increases sensitivity of the cells in the ulcer site towards Shodhana and local application i.e., Jatyadi Taila and hence accelerates the wound healing.