Varicose vein. More than 30 years. - #25998

Hi Santhosh , As per Ayurveda this Varicose vein is considered to be VATA RAKTA aggravated conditions, so while treating this we have to follow the dosa management also Medicines, Exercises, and lifestyle modifications are mandatory for this.

Internally 1.sahacharadi kwatham tab 2-0-2 before food 2.Kaisora guggulu 1-0-1after food 3.Thriphala tab 2 at bedtime

Externally 1.Jatamayadi churnam + Thriphaladi churnam- take 1tsp each powder and mix it roughly , then do Upward massage over legs with mild pressure only 2.Pinda taila- 30min before bath (mild pressure, upward direction )

PATHYA APATHYA

Do’s Warm, nourishing, sweet food Adequate sleep 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains

Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products Dry, spicy, salty foods Smoking, alcohol, over-exertion Fasting, dry and light food Excessive thinking, anxiety, depression Vata-aggravating diet and lifestyle Night awakenings, sleep disturbances Cold exposure and suppression of urges

HELLO SANTHOSH,

Varicose veins are primarily due to- -vata vyadhi(abnormal movement and stagnation of vata) -aggravation of Rakta dhatu and Meda dhatu - Dhamani pratichaya(thickening or bulging of veins due to improper flow and waste accumulation)

TREATMENT GOAL -reduce venous congestion and swelling - strengthen vein walls - balance vata (main culprit in varicose veins), while supporting pitta(inflammation) and kapha(stagnation) -protect skin and nerves .

INTERNALLY START WITH

1) KAISHOR GUGGULU- 2 tabs twice daily after meals = Anti inflammatory, blood purifier

2) PUNARNAVA MANDORR- 2 tabs twice daily after meals =reduces edema, improves circulation

3) SARIVADYASAVA- 15 ml with equal water after meals = pitta-vata balance, blood detox

4) CHANDRAPRABHA VATI- 2 tabs twice daily after meals = diabetic support, urinary clearance, venous strength

5) MANJISTHADI KASHAYA- 20 ml with water twice daily before meals =improves microcirculation, venous strength

6) TRIPHALA CHURNA- 1 tsp at bedtime with warm water =mild detox, supports bowel function

EXTERNAL TREATMENT

1) SAHACHARADI TAILA= strengthen nerves and veins, reduces pain and stiffness

2) NIRGUNDI TAILA= anti-inflammatory, relieves swelling

3) MAHANARAYAN TAILA= deep tissue nourishment, relaxes veins

4) KUMARI TAILA= skin rejuvination, prevents ulcers

= warm oil slighlty -massage gently upward on legs from feet to thing , avoiding heavy pressure - let it absorb for 20-30 minutes -wash off with warm water

avoid on open ulcers or infected skin. Do not use very hot oil

IF FEASIBLE GO FOR PANCHAKARMA AS IT IS HIGHLY EFFECTIVE IN YOUR CASE - LEECH THERAPY - BLOOD LETTING - MEDICATED ENEMA

YOGA AND ASANA yoga helps improve blood return, relieve venous stasis, and strengthen leg muscles

ASANAS -Viparita karani(legs up the wall)- 10-15 mins/day -Tadasana= improves balance, strength -Pawanmuktasana= enhances abdominal and venous circulation -Setu bandhasana= elevates legs and reduce venous pooling -Paschimottanasana= helps in compression and blood movement

Avoid standing poses for long durations. Do not hold poses too long if swelling increases

DIET TO BE FOLLOWED

INCLUDE -warm, light meals= reduces kapha and vata - garlic, turmeric, ginger= natural blood thinners -bottle gourd, ridge gourd, bitter gourd= light on digestion, support sugar control -green gram, barley, red rice= light grains, good fiber -amla= rejuvinator, antioxidant -triphala= gut detox, and helps with digestion - buttermilk(diluted, spiced)= improves digestion and metabolism

AVOID -deep fried, sour, fermented food= aggravates pitta, leads to inflammation -cold drinks, ice cream, curd at night= triggers kapha and congestion - long fasting or heavy meals= disturbs vata - constipation= leads to increased abdominal pressure, worsens varicosity

FOR BLISTERS ON THAT LEG= kindly go for Leech therapy one of the best and very effective

SOME SYMPTOMS WHICH YOU SHOULD NOT IGNORE -watch for sudden pain, ulcers, bleeding or dark skin patches -swelling or color change may indicate venous insufficiency or diabetic complications -if symptoms worsen, vascular evaluation or minimally invasive treatment may be needed-e.g sclerotherapy or laser ablation

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Visit nearby ayurvedic centre and do Raktamokshan Meanwhile you can take: Take Kishore guggul 1-0-1 after food with water Apply shatdhaut girth on right leg in. upwards direction. Wearing stockings during the day will be beneficial.

Divya Keshore Guggulu - 60 grams Divya Arogyavardhini Vati - 40 grams Divya Vradhivadhika Vati - 40 grams Take 1 tablet from each thrice a day, half an hour after breakfast, lunch and dinner with lukewarm water.

HELLO SANTHOSH, This condition has been sitting in your body for over 30 years, so it has become deeply chronic and rooted in your skin and blood. The black blisters on the leg with occasional rash suggest dushti of Rakta and Twak dhatu along with vitiation of Vata and Kapha dosha. Since it’s mainly on the right leg, it may also be due to poor circulation or old Ama (toxin) accumulation that your body could never fully eliminate. Now with age, the body’s cleansing ability is reduced, so it keeps expressing through the skin.

We need to first pacify the doshas and purify the blood, and then do gentle Shodhana karma if your body is suitable. Local healing is important to avoid further damage or spreading. If followed properly, this condition can be managed and improved.

Internal Medicines (1 month):

Panchtikta Ghrita Guggulu – 2 tabs twice a day after food Sarivadi Vati – 1 tab twice daily Arogya Vardhini Vati – 1 tab twice daily Manjishtadi Kashayam – 15 ml with 45 ml warm water twice daily after food Haridra Khanda – 1 tsp at bedtime with warm water Shodhana Karma / External Medication:

Jatyadi Tailam – apply on blisters and dark patches, leave for 1 hour, then wash Lepa: Mix Triphala churna + turmeric + rose water – apply if rash is active Takra dhara or Dhanyamla dhara on the affected leg can be done if swelling or heaviness is present After initial Shamana treatment, if suitable, Virechana karma or Raktamokshana over leg can be done under supervision Pathya:

Warm, freshly cooked food with ghee Moong dal, lauki, karela, turmeric, neem, methi, bottle gourd Warm water to drink Cow ghee regularly Adequate rest, no suppression of natural urges Light walks in morning sun Apathya:

Curd, fish, eggs, pickles, sour or fermented food Bakery items, fried foods, spicy food Cold water, aerated drinks Sleeping during the day Synthetic clothing or tight socks on the affected leg If investigations are needed:

CBC, ESR FBS/PPBS LFT Vitamin D3 ANA (if autoimmune doubt) IgE (if allergic history is present) If you have any doubts, you can contact me. Take care, Regards, DR.Karthika

HELLO SANTOSH,

Varicose veins are swollen, twisted veins that are most commonly seen in the legs due to poor circulation and valve function in the veins.

Ayurveda can help reduce symptoms and progression, but complete cure (as in removal of veins) without surgery is usually not possible.

In Ayurveda, varicose veins are generally linked to a vitiation of vata dosha, specifically apana vata, along with rakta dhatu dushti(impairment of blood tissue). the veins lose their elasticity and become enlarged due to poor blood circulation and aggravated vata.

INTERNALLY START WITH

MORNING(EMPTY STOMACH) - RASONADI KASHAYA- 20 ml with warm water = balances. vata kapha, strengthens blood vessels, excellent for improving circulation

-GOTU KOLA CAPSULE- 1 cap with lukewarm water = strengthens vein walls, promotes circulation, anti-inflammatory

-MANJISTHA CAPSULE- 1 cap with warm water = blood purifier, helps reduce vein discolouration and swelling

* AFTER BREAKFAST

-PUNARNAVADI GUGGULU- 2 tabs with warm water = reduces water retention and swelling, supports circulation

-KAISHOR GUGGULU- 2 tabs with warm water =blood purifier, anti inflammatory, reduces swelling in veins

*EVENING(30 MIN BEFORE DINNER)

-MAHAMANJISTHADI KASHAYA- 20 ml with warm water before dinner = deep blood purifier , ideal in long standing venous disorders

-HARIDRA CAPSULE- 1 cap with warm water = anti inflammatory , reduces pigmentation and venous ulcers

*AFTER DINNER

-TRIPHALA GUGGULU- 2 tabs with warm water = mild detox, supports bowel health, improves venous tone

-SAPTAVIMSHATI GUGGULU- 1 tab with warm water = indicated in chronic wounds, ulcers, varicose ulcers

EXTERNAL APPLICATIONS

-SAHACHARADI TAILA OR NIRGUNDI TAILA= warm slightly , apply gently upward strokes on varicose veins, leave for 30-60 min, then wash off with lukewarm water. use once daily before bath

AVOID deep pressure massage on veins

PANCHAKARMA ADVISED FOR BETTER AND EARLY RELIEF -RAKTAMOKSHANA -VIRECHANA -MASSAE -BASTI

DIET RECOMMENDATIONS -include= warm, lightly spiced, cooked foods, ghee, ginger, garlic

-avoid= cold, dry foods, fried foods, sour curd, fermented food

-drink warm water infused with cumin, or coriander

-control blood sugar strictly, as uncontrolled diabetes worsen circulation.

LIFESTYLE AND YOGA -avoid prolonged standing and sitting -elevate legs while sleeping or resting -wear compression stockings -leg movements every 30 mins if sedentary

YOGA ASANA -viparita karani -tadasana -pawanmuktasana -paschimottanasana

PRANAYAM like anulom vilom and bhramari are helpful to improve circulation and reduce oxidative stress.

While Ayurveda may not completely remove the varicose veins, it can effectively reduce symptoms like swelling, prevent complications and improve vein health over time without surgery.

THANK YOU

DR. HEMANSHU MEHTA