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Varicose vein. More than 30 years.
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General Medicine
Question #25998
165 days ago
503

Varicose vein. More than 30 years. - #25998

Santhosh

I am now 58 years old. It started when I was in college - it has not been treated until now. It is more on my right leg. I have black blisters on the bottom of that leg - and sometimes there is a rash.

Age: 59
Chronic illnesses: No
PAID
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Doctors' responses

Dr. Yesha Vyas Shah
I have been practicing Ayurveda since 2010, with a deep commitment to holistic healing and patient-centered care. My journey in the field began as a Medical Officer at Gareja PHC in Porbandar, Gujarat (2006–2008), where I gained valuable grassroots-level clinical experience. In 2008, I expanded my perspective by working as an Ayurvedic Consultant in Berlin, Germany, which enriched my understanding of global wellness expectations and integrative approaches. Since 2010, I have been serving as a Senior Ayurvedic Consultant at Aarsh Ayurveda Health Care in Porbandar. My core areas of expertise include classical Panchakarma therapies, Ayurvedic weight management, nutrition counseling, and Ayurvedic cosmetology. I have been managing Ayurvedic weight and lifestyle interventions since 2012 and have been practicing Ayurvedic cosmetology, including herbal skin and hair therapies, since 2015. I am known for being a patient listener and for forming strong, compassionate connections with those I treat. I believe that healing starts with being understood, and my consultative approach reflects this principle. My practice integrates traditional Ayurvedic wisdom with a personalized plan that suits the unique prakriti (constitution) and needs of each individual. Currently, I am in the process of launching a dedicated Garbh Sanskar Centre, where expectant mothers can benefit from Ayurvedic prenatal care, emotional well-being programs, and classical rituals designed to support healthy conception, pregnancy, and fetal development. With over a decade of diverse Ayurvedic practice, I strive to offer authentic, evidence-rooted care in a modern context. I aim to empower my patients with lifestyle changes, preventive care, and deep-rooted healing techniques that foster long-term wellness.
165 days ago
5

Hello Santosh This condition is not treated by Ayurvedic medicines only… You can have symptomatic relief with help of ayurved medicine and some Panchakarma therapies like Abhyang Swedan and Raktmokshan.

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Varicose veins that you’ve been dealing with for over 30 years can definitely create discomfort and complications, especially with symptoms like blisters and rashes. In Ayurveda, varicose veins are related to imbalances in Vata and Pitta doshas, impacting the blood’s movement and causing stagnation in the veins.

Firstly, it’s crucial to seek immediate medical evaluation to assess and address any potential skin infections or ulcers, particularly when blisters and rashes are present. Now, from the Ayurvedic viewpoint, regular self-massage, or Abhyanga, might be of assistance. Use warm sesame or olive oil and massage upward from feet towards the heart daily before showering—this could help enhance circulation and manage Vata imbalance.

Diet plays a pivotal role too. Aim to focus on foods that are sattvic (pure) and easy to digest—warm, cooked meals are preferable. Consuming gingers, garlic, and turmeric are beneficial as they support circulation and reduce inflammation. Stay away from processed foods and excessive oily or spicy dishes, as they may aggravate Pitta dosha.

Incorporate some routine leg elevation into your day, like placing a pillow under your legs during sleep. It can help with venous return. Practicing pranayama (breathing exercises) and yoga asanas like Surya Namaskar, Viparita Karani (leg up the wall pose), and Pawanmuktasana (wind-relieving pose) can also support overall blood circulation but do ensure you perform yoga under guidance to avoid strain.

Herbs like Triphala, Ashwagandha, and Gotu Kola may provide additional support in strengthening vein walls and improving circulation. However, it’s advisable to consult with a skilled Ayurvedic practitioner before beginning any herbal regimen.

Finally, ensure to stay hydrated and take walks regularly to promote better circulation, avoiding sitting or standing for prolonged periods. These recommendations aim to alleviate symptoms but do keep in close collaboration with healthcare providers for management of long-standing issues.

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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

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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

2167 answered questions
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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.

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
164 days ago
5

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.

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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

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
161 days ago
5

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

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I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
169 reviews
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
300 reviews
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
86 reviews
Dr. Sumi. S
I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
46 reviews

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