Ayurvedic management of venous ulcer - a case report

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurvedic management of venous ulcer - a case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Author:

K. Shanti, Sarathchandran R


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurvedic management of venous ulcer - a case report

Year: 2023 | Doi: 10.1016/j.jaim.2023.100723

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic management of venous ulcer - a case report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Ulcer:
An ulcer is a sore or lesion that forms due to the breakage of the skin or mucous membrane, often becoming a site for infection. In the context of Ayurveda, ulcers like 'Dushta vrana' are chronic wounds affected by dosha imbalance, emphasizing the need for holistic healing approaches to restore health.

2) Vrana:
Vrana refers to a wound or ulcer in Ayurvedic medicine. It represents the physical manifestation of an imbalance in the body's doshas, requiring specific treatment protocols that address both the symptoms and underlying causes of the wound to facilitate healing and restore balance.

3) Table:
In medical literature, a table typically summarizes data, treatment protocols, or case study results. Tables enhance the clarity of information, allowing for quick comparison and understanding of treatment effects, timelines, and outcomes related to chronic conditions like ulcers.

4) Medicine:
Medicine refers to substances or compounds used to prevent, diagnose, or treat illness and conditions. In Ayurvedic practice, various forms of medicine—including powders, extracts, and decoctions—are utilized to balance the doshas and promote natural healing processes in the body.

5) Kashaya (Kasaya):
Kashaya refers to Ayurvedic herbal decoctions or extracts that are typically used for therapeutic purposes. These preparations, often bitter in taste, are employed to balance specific doshas, aiding in the purification and restoration of bodily functions, particularly in cases of chronic conditions.

6) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with metabolism, digestion, and transformation. It embodies heat and energy in the body. An imbalance in Pitta can lead to inflammation and pain, commonly seen in conditions like chronic ulcers.

7) Rakta:
Rakta translates to 'blood' in Ayurveda and is recognized as a vital fluid that nourishes the body. It is involved in various physiological processes and the healing of wounds. Maintaining its balance is crucial for recovery from ulcers and other inflammatory conditions.

8) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dushta-vrana denotes a chronic, non-healing ulcer characterized by inflammation, discharge, and pain. It is typically resistant to treatment. Ayurvedic approaches focus on restoring balance within the body, often employing complex herbal formulations tailored to the patient's constitution and condition.

9) Dushta (Dusta):
'Dushta' means 'bad' or 'corrupted' in Sanskrit and designates something that is vitiated or pathological. In Ayurveda, it describes conditions like chronic disease, where the underlying doshas become imbalanced, leading to diseases such as Dushta-vrana.

10) Pain:
Pain is a critical symptom often associated with chronic ulcers. It serves as a signal of imbalance within the body systems, specifically indicating issues within the doshas. Ayurveda approaches pain management through balancing the affected doshas using herbal treatments and lifestyle modifications.

11) Vata:
Vata is another of the three Ayurvedic doshas, associated with movement, air, and space. An imbalance in Vata can lead to various physical issues, including dryness and pain, which may hinder the healing process of wounds or ulcers.

12) Guggulu:
Guggulu is a resin derived from the Commiphora mukul tree, valued in Ayurveda for its healing properties, particularly in reducing inflammation and promoting wound healing. It plays a significant role in formulations targeting chronic conditions, including ulcers.

13) Dosha (Dosa):
Dosa refers to a vital concept in Ayurveda, distinguishing the three fundamental energies (Vata, Pitta, Kapha) that influence health. Recognizing the dominant dosa is essential in diagnosis and treatment, especially for conditions like ulcers.

14) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic herbal compound consisting of three fruits: Amla, Haritaki, and Bibhitaki. It is commonly used for its digestive, detoxifying, and healing properties. Triphala supports the body's natural healing processes, particularly in cases of chronic conditions.

15) Water:
Water is essential for life and plays a vital role in bodily functions, including digestion and detoxification. In Ayurveda, the quality and balance of fluids in the body are critical for maintaining health and facilitating healing processes.

16) Lepa:
Lepa refers to the application of medicinal pastes or ointments to external wounds or ulcers in Ayurveda. Such treatments directly target the affected area, promoting healing and providing symptomatic relief by addressing pain and inflammation.

17) Pradhana:
Pradhana means 'dominant' or 'principal.' In Ayurvedic contexts, it might refer to the primary dosha affecting a condition, guiding treatment strategies to address the dominant imbalance for effective healing outcomes.

18) Tridosha (Tridosa, Tri-dosha):
Tridosa refers to the concept of the three doshas (Vata, Pitta, Kapha) operating together. Understanding their interplay is fundamental in Ayurveda for diagnosing and treating imbalances, particularly in chronic conditions like Dushta-vrana (chronic ulcer).

19) Samana (Shamana):
Shamana signifies a therapeutic approach in Ayurveda focused on alleviating symptoms and calming the doshas. It aims to provide relief from discomforts such as pain and inflammation, often essential in the treatment of chronic conditions like ulcers.

20) Diet:
Diet plays a crucial role in Ayurvedic treatment, influencing dosha balance and overall health. A prescribed diet helps to mitigate vitiation of specific doshas, promoting healing, particularly in chronic conditions such as ulcers.

21) Sign:
In a medical context, 'sign' refers to observable physical indicators of health conditions. Identifying signs associated with ailments like Dushta-vrana is essential for accurate diagnosis and effective treatment planning in Ayurveda.

22) Prakshalana (Praksalana):
Prakshalana relates to the process of cleansing or washing out disease-related toxins or impurities in Ayurveda. This procedure is integral for managing chronic conditions, including ulcers, as it helps prepare the body for healing.

23) Tridoshaja (Tridosaja):
Tridoshaja indicates a condition influenced by an imbalance of all three doshas, necessitating treatments that address the unique combination of dosha imbalances for effective healing, particularly relevant in chronic ulcer cases.

24) Vitiation (Vitiated):
Vitiation refers to the disturbance or imbalance of the doshas in Ayurveda, leading to disease. Understanding the underlying causes of vitiation is crucial for devising appropriate treatment strategies for conditions like chronic ulcers.

25) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine promoting holistic health through the balance of the body, mind, and spirit. It utilizes herbal remedies, dietary adjustments, and lifestyle changes to prevent and treat ailments, including chronic wounds.

26) Study (Studying):
In a medical context, a study refers to a systematic investigation to understand aspects of health, treatments, or conditions. Researching Ayurvedic practices helps validate their efficacy, particularly in chronic conditions like ulcers.

27) Hara:
Hara means 'destroyer' or 'remover' in Sanskrit. In Ayurvedic contexts, it might indicate treatments or practices designed to eliminate disease or imbalances, critical in managing persistent conditions like Dushta-vrana.

28) Kaishoraguggulu (Kaisoraguggulu, Kaishora-guggulu):
Kaishora-guggulu is an Ayurvedic formulation made from guggulu resin and various herbs, used primarily for its anti-inflammatory and wound-healing properties. It is effective in treating conditions that require balancing Pitta and Kapha doshas.

29) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara refers to remedies or treatments that pacify the three doshas—Vata, Pitta, and Kapha. Utilizing Tridoshahara treatment approaches is essential for comprehensive management of health issues tied to dosha imbalances.

30) Patoladi (Patola-adi):
Patoladi is a specific Ayurvedic formulation incorporating various herbs aimed at promoting digestion and reducing Pitta dosha. Its application in treating chronic ulcers helps in overall detoxification and healing.

31) Atyartha:
Atyartha means 'excessive' in Sanskrit, often describing the severity of symptoms in medical contexts. Understanding the extent of symptoms like pain or discharge is crucial for diagnosing conditions such as Dushta-vrana.

32) Ropana:
Ropana refers to healing or wound-repair in Ayurveda. This principle guides the treatment of ulcers, where therapeutic approaches focus on promoting tissue regeneration and restoring health to damaged areas.

33) India:
India is the birthplace of Ayurveda, an ancient system of medicine that emphasizes natural healing and the importance of holistic approaches in treatment. Its practices are still integral to healthcare in contemporary society.

34) Rules:
Rules refer to established guidelines governing medical practice and treatment protocols. In Ayurveda, these rules help practitioners assess and address imbalances, ensuring that individuals receive tailored, effective treatments based on their specific conditions.

35) Food:
Food holds significant importance in Ayurveda as it directly influences the balance of doshas. Dietary choices can either alleviate or exacerbate health conditions, including chronic ulcers, making it vital to adhere to prescribed dietary guidelines.

36) Line:
Line typically refers to an established pathway or protocol for treatment. In Ayurvedic contexts, this can mean the methodical approach taken to treat conditions like chronic ulcers, integrating various therapies to ensure effective healing.

37) Drug:
Drug refers to any substance used to treat, prevent, or diagnose health conditions. In Ayurveda, herbal drugs are often combined in formulations designed to restore balance and promote healing, particularly in chronic ailments.

38) Emblica officinalis:
Emblica officinalis, commonly known as Amla, is a crucial herb in Ayurveda known for its antioxidant properties and roles in enhancing digestion and immune function. It is used in various formulations due to its health benefits, particularly in restoring balance.

39) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is an ancient Ayurvedic surgical text attributed to Acharya Sushruta. It provides comprehensive insights into surgery, wound management, and various treatments, forming the basis of practical applications in Ayurvedic medicine.

40) Vranaropana (Vrana-ropana):
Vrana-ropana focuses on the process of healing wounds or ulcers in Ayurveda. This concept emphasizes the significance of employing appropriate herbal treatments and practices that facilitate the regeneration of tissues and overall recovery.

41) Antibiotic (Antibacterial):
Antibiotics are medicinal compounds used to combat bacterial infections. While modern medicine relies heavily on antibiotics for wound infections, Ayurveda approaches infections with a focus on balancing doshas and using natural antibacterial herbs for treatment.

42) Samprapti:
Samprapti refers to the pathophysiological process of disease development in Ayurveda. Understanding Samprapti is crucial for accurately diagnosing health conditions and formulating effective treatment strategies that restore balance and promote healing.

43) Prasadaka:
Prasadaka refers to substances or actions that purify or uplift. In Ayurvedic treatment, using Prasadaka medicines is essential to cleanse the body of toxins and imbalances, promoting overall wellness and healing.

44) Prasadana:
Prasadana relates to the process of purification or cleansing within Ayurvedic practices. It is essential for addressing ailments and facilitating healing by eliminating dosha imbalances and enhancing the body's natural functions.

45) Pariksha (Pariksa):
Pariksha means examination or assessment in Ayurveda. This term encompasses the various methods practitioners use to evaluate a patient's health status, ultimately guiding diagnosis and tailoring effective treatment plans.

46) Rasayana (Rasa-ayana):
Rasayana is a branch of Ayurveda focused on rejuvenation and longevity. It emphasizes using specific herbs and treatments to enhance vitality while promoting health, making it integral in managing chronic diseases and supporting recovery.

47) Sanskrit:
Sanskrit is the ancient language of India, in which many Ayurvedic texts are written. Its study is essential for understanding the principles and practices of Ayurveda, including the terminology used in healing methodologies.

48) Krishna (Krsna):
Krishna refers to the dark color often associated with certain conditions or symptoms in Ayurvedic diagnosis. It may describe wound characteristics or dosha imbalances, aiding in the identification of health issues.

49) Itching:
Itching is a common symptom often associated with skin disorders, including ulcers. Recognizing and addressing itchiness is essential in Ayurveda, as it relates to dosha imbalances, requiring appropriate treatments to restore comfort and health.

50) Edema (Oedema):
Oedema refers to swelling caused by excess fluid accumulation in tissues. In Ayurveda, it can result from dosha imbalances, often requiring targeting specific imbalances through treatments to promote drainage and healing.

51) Indian:
Indian refers to the cultural and geographical context of Ayurveda, a traditional system of medicine that has evolved in India for thousands of years. It encompasses a holistic approach to health focused on balance and natural remedies.

52) Kapha:
Kapha is the third dosha in Ayurveda, associated with structure, stability, and moisture. Imbalances in Kapha can contribute to various health issues, including weight gain and congestion, influencing the treatment strategies for chronic conditions.

53) Shrava (Srava):
Srava signifies discharge or oozing, typically from wounds or ulcers. In Ayurveda, analyzing the nature and quality of Srava is crucial for diagnosis and treatment, helping to identify underlying imbalances and guide healing.

54) Hindi (Himdi):
Hindi is one of the languages spoken in India and is significant for communication and dissemination of Ayurvedic knowledge. Understanding local languages aids in making Ayurveda accessible to a broader audience.

55) Ruja:
Ruja means pain or discomfort, often indicating an underlying issue in Ayurvedic diagnosis. Identifying and addressing Ruja in chronic conditions like ulcers is essential for effective treatment and restoring the patient's quality of life.

56) Nija:
Nija refers to conditions that arise from inherent imbalances in the doshas, emphasizing the internal causes of diseases. Understanding whether a condition is Nija helps practitioners select appropriate Ayurvedic treatments for effective healing.

57) Paka:
Paka denotes the process of maturation or ripening in Ayurveda, often referring to the development of ailments. In the context of wounds, understanding Paka helps determine the healing stage and appropriate treatments.

58) Sour:
Sour refers to the taste that can impact dosha balance, particularly Pitta. In Ayurvedic dietary guidelines, overconsumption of sour foods is often discouraged, as it may aggravate certain conditions, including ulcers.

59) Tinospora cordifolia:
Tinospora cordifolia, also known as Guduchi, is an important herb in Ayurveda, known for its immune-boosting and anti-inflammatory properties. It's frequently used in formulations to support recovery and manage chronic conditions.

60) Zingiber officinale:
Zingiber officinale, or ginger, is a widely used herb in Ayurveda known for its digestive and anti-inflammatory properties. It plays a significant role in formulations aiming to alleviate symptoms and support healing in various conditions.

61) Cinnamomum tamala:
Cinnamomum tamala, also known as cinnamon leaf, is valued in Ayurveda for its aromatic properties and potential health benefits, particularly in digestion and circulation. It is often included in formulations targeting inflammatory conditions.

62) Rubia cordifolia:
Rubia cordifolia, commonly referred to as Manjishta, is an important herb in Ayurveda recognized for its blood-purifying properties. It plays a significant role in various treatments aimed at addressing skin ailments and promoting healing.

63) Cyperus rotundus:
Cyperus rotundus, known as Musta in Ayurveda, is used for its digestive and detoxifying properties. It is beneficial in managing various gastrointestinal issues and is often included in herbal formulations for holistic health.

64) Piper longum:
Piper longum, commonly known as long pepper, is an important herb in Ayurveda valued for its potential health benefits, particularly for respiratory health. It has a warming effect, making it favorable for balancing Vata and Kapha.

65) Peer review:
Peer review is a critical process in scientific publication, where experts evaluate research for quality and credibility before publication. It ensures that studies contribute accurately and reliably to medical knowledge, including fields like Ayurveda.

66) Vetiveria zizanioides:
Vetiveria zizanioides, known as Vetiver, is an aromatic grass used in Ayurveda for its calming and grounding properties. Its inclusion in treatments helps balance doshas and promotes relaxation and well-being.

67) Rasayanadhikara (Rasayana-adhikara):
Rasayana-adhikara refers to the context or chapter in Ayurvedic texts dedicated to rejuvenation and longevity. It emphasizes using specific treatments, herbs, and lifestyle modifications to enhance vitality and health, particularly in chronic diseases.

68) Triphalaguggulu (Triphala-guggulu):
Triphala-guggulu is a potent Ayurvedic formulation combining Triphala and Guggulu, aimed at detoxification and promoting overall health. It effectively addresses digestive health while supporting natural healing processes in the body.

69) Commiphora mukul:
Commiphora mukul is the source of guggulu resin, known for its anti-inflammatory and healing properties in Ayurveda. It is widely used in various formulations targeting chronic ailments, including skin and joint issues.

70) Agantujavrana (Agantuja-vrana):
Agantuja-vrana refers to wounds or ulcers caused by external factors or trauma. Understanding the nature of Agantuja-vrana helps practitioners tailor treatments that address both the symptoms and root causes for effective healing.

71) Embelia ribes:
Embelia ribes, known as Vidanga, is an herb in Ayurveda recognized for its digestive and anti-parasitic qualities. Its use in formulations supports gastrointestinal health and overall well-being, contributing to the management of various conditions.

72) Rogapariksha (Rogapariksa, Roga-pariksha):
Roga-pariksha refers to the examination and assessment of diseases in Ayurveda. This process is crucial for accurately identifying ailments and developing effective treatment plans tailored to individuals’ specific health needs.

73) Inflammation:
Inflammation is a biological response to harmful stimuli, often characterized by redness, heat, and swelling. In Ayurveda, treating inflammation is critical for managing chronic conditions like ulcers, emphasizing the need for balancing doshas to alleviate symptoms.

74) Sutrasthana (Sutra-sthana):
Sutrasthana refers to the foundational texts in Ayurveda that guide diagnostic and treatment principles. Studying Sutrasthana is essential for practitioners to understand the root causes of diseases and apply appropriate therapeutic methods.

75) Raktavarna (Rakta-varna):
Rakta-varna means 'red in color', significant for assessing health conditions in Ayurveda. The color and characteristics of the blood provide vital information for diagnosing diseases and determining treatment strategies, particularly in conditions involving healing.

[Note: The above list is limited to 75. Total glossary definitions available: 135]

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