HELLO,
Your complaint- poor circulation In the legs leading to a venous ulcer above the left ankle for more than 6 months- means that blood from your leg veins in not flowing properly back towards the heart
As a result -blood collects in the lower legs called venous stasis -pressure increases inside the veins, causing fluid leakage and tissue damage -overtime, this leads to ulcer formation, usually around the ankle area -because circulation is sluggish, healing becomes very slow
In Ayurveda, this condition is mainly due to -Vata dosha aggravation= leading to improper movement of blood -Rakta dushti (impure or congested blood)- causing stagnation -Sira dushti (veis disorder)= leading to weakened vein walls and ulceration
TREATMENT GOALS -improve blood circulation -purify the blood -heal the ulcer -strenghten veins and prevent recurrence -balance vata and pitta dosha
INTERNAL MEDICATIONS
1) MAHAMANJISTHADI KASHAYA= 20 ml + equal water twice daily after meals for 3 months =purifies blood, reduces inflammation, improves skin and wound healing
2) KAISHOR GUGGULU= 2 tabs twice daily after meals for 2 months =anti inflammatory, detoxifying, purifies blood, reduces chronic infection
3)TRIPHALA GUGGULU= 2 tabs twice daily after meals for 3 months =useful for non healing ulcers, cleansers and promotes tissue repair
4) MANDUKAPARNI CAPSULES= 500mg once daily at night for 3 months = enhances microcirculation and strengthen vein walls
5) PUNARNAVADI MANDUR= 2 tabs twice daily with warm water for 3 months =improves hemoglobin, reduces leg swelling and water retention
6) GUGGULU TIKTA GHRITA= 1 tsp with warm milk in morning for 45 days =reduces vata pitta imbalance,aids tissue healing, lubricates veins
EXTERNAL APPLICATIONS
1) CLEANING= wash ulcer daily with neem water or triphala decoction (lukewarm) =remove pus, infection, and promotes clean wound bed
2) HERBAL PASTE= apply paste of yahtimadhu + neem + turmeric + honey or jatyadi lepa =reduces infection, inflamation and accelerates healing
3) TAILA APPLICATION= after cleansing apply Nirgundi taila =proomotes tissue granulation and healing
4) DRESSING = use light sterile gauze dressing. avoid tight bandages =protects wounds while maintaining airflow
PANCHAKARMA= ADVANCED DETOX THERAPY- DONE AT AYURVEDIC CLINIC -LEECH THERAPY= best for local stagnation and ulcer healing. Improves circulation and removes toxins -VIRECHANA= clears pitta and rakta impurities from the body -BASTI= nourish tissues, strengthens veins, and pacifies vata dosha.
LIFESTYLE AND DAILY ROUTINE -POSTURE= elevate legs while sitting or lying down to help blood return to the heart. avoid sitting/standing for long hour -COMPRESSION= mild compression stockings if no open ulcer -FOOTWEAR= comfortable shoes, avoid tight straps -BATHING= warm water bath with a pinch of rock salt, avoid cold compression -SLEEP= keep legs slightly elevated, ensure regular sleep aptterns
DIET -warm, light, easily digestible food -Green leafy vegetables, beetroot, amla, bottle gourd, pumpkin -Cow ghee in moderation- nourishes tissues and pacifies vata -Herbal teas with cumin, coriander, fennel or cinnamon -Fruits like pomegranate, papaya, and guava for natural antioxidants -warm water with turmeric in the morning to aid blood purification
AVOID -deep fried, spicy and junk foods -excess salt increases swelling -alcohol and smoking worsen circulation -cold, stale or processed foods
YOGA ASANAS- improve venous return -viparita karani= 5-10 min daily -pawamuktasana -tadasana -baddha konasana -setu band hasana
PRANAYAM -Anulom vilom= 10 min. morning and evening -bhramari= calms nerves, supports oxygenation -deep diaphragmatic breathing= enhances blood oxygenation
Avoid high intensity or prolonged standing exercises
HOME REMEDIES -Turmeric + honey paste= apply on clean wound daily mild antiseptic and healing -aloe vera gel= speeds up wound healing , soothes inflammation -neem leaf wash= natural antiseptic for cleaning ulcers -gotu kola tea= 1 cup daily improves circulation and strengthen veiins -Triphala water wash -clean wound daily with lukewarm triphala deccotion -Leg massage light- with warm castor oil only if no open ulcer. help circulation
Chronic venous ulcers are reversible with consistent care Modern treatment often manage symptoms, but Ayurveda works holistically- improving your blood, restoring natural healing, and preventing recurrence
Healing may take 2-3 months, depending on ulcer depth and you constitute but gradual improvement in -skin color -swelling -and wound closure is expected within a few weeks of proper treatment and diet
Patience and consistency are key- this condition didn’t develop overnight, and healing will occur naturally once the rot cause is corrected
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
A venous ulcer above the ankle means the winds in your legs or not efficiently, returning back to the heart, leading to blood tissue, weakness, and ulcer formation. The focus should be on improving circulation, reducing inflammation, and supporting Healing. Keep the ulcer, clean and moist wash gently with warm water and avoid harsh chemicals, applying dental herbal based or medicated ghee such as turmeric mixed with coconut oil or Jatyadi gritha can help produce inflammation and support. Healing cover it lightly with a light dressing. Avoid tight socks or shoes that compress the area Internally her that improve circulation and tissue nourishment Triphala guggulu 1-0-1 Punarnava mandura 1-0-1 Giloy a tab 1-0-1 Dashamoola aristha 20-0-20 ml with equal water can strength and veins and improve tissue health drink warm water throughout the day to support circulation Eat warm nourishing foods Pomegranate Amla Avoid salt, deep fried food, sugar, oil meals as this can worsen swelling Elevate your legs while sleeping Award standing or sitting for long period Gentle walking helps circulation Simple leg exercise exercises like ankle, flexion, calf rises, and short box can improve Venus written, massage the links gently with warm sesame oil, avoiding the ulcer area Avoid tight clothing around the ankle and knees
Monitor the signs of infection such as redness, fall order or sudden increase in pain or swelling. If these occur, seek medical care immediately with consistent Care improves circulation and gentle herbal support Healing and gradually occur ulcer can start to reduce in size over time
You will have to visit ayurvedic centre where treatment of Raktamokshan or Jalaukaharan is done This will solve your problem.
Hello Thank you for reaching out and sharing your concern. I understand how distressing it can be to deal with circulatory problems and a chronic venous ulcer. But dont worry we are here to help you out😊
✅MY SUGGESTION
Consult once to Ayurvedic Shalya tantra specialist for thorough physical examination a
✅AYURVEDIC PLAN OF MANAGEMENT
✅INTERNAL MEDICATION
1 Kaishor Guggulu – 2 tablets twice daily after food with warm water. ( Detoxifies blood, reduces inflammation, promotes wound healing, and improves circulation.)
2 Punarnavadi Guggulu – 1 tablet twice daily after food. (Reduces swelling and venous congestion; supports kidney and fluid metabolism.)
3 Chandraprabha Vati – 2 tablets twice daily with warm water after food (Enhances urinary and circulatory functions; helps in long-term detoxification.)
4 Mahamanjishthadi kashaya – 20 ml with equal water twice daily after food .( Excellent Raktashodhaka (blood purifier) for chronic skin ulcers and venous stagnation.)
5 Veinflux NC 1-0-1 after food ( to improve blood circulation)
✅EXTERNAL TREATMENT
👉Wound Cleansing and Dressing:
Wash gently with Triphala decoction daily. Apply Nimbadi Taila over the ulcer and cover with sterile gauze. ( These oils help in granulation, antiseptic action, and faster healing.)
👉Massage & Circulation Care:
Daily gentle Abhyanga (oil massage) from foot to thigh using Kottamchukkadi Taila. ( Always massage in an upward direction to support venous return.)
Avoid applying oil directly over the ulcer—only on surrounding areas.
👉 Veinflux SWH ( silver infused) - apply around the wound
✅DIET MODIFICATION
✅ Include
Light, easily digestible food with less salt and oil. Include garlic, ginger, turmeric, cumin, coriander, and black pepper in your diet. Eat green leafy vegetables, amla, pomegranate, and bitter vegetables (like karela, methi). Drink lukewarm water infused with cumin or coriander seeds for mild detox. Keep legs elevated while sleeping to aid venous return.
❌Avoid
Deep-fried, sour, salty, or very spicy foods. Standing or sitting for long periods without movement. Tight footwear or clothing around legs. Cold exposure or bathing in cold water (worsens Kapha).
✅GENERAL TIPS Do gentle foot movements and calf raises several times a day. Elevate legs above heart level for 10–15 minutes twice daily. Maintain healthy body weight.
✅HOME REMEDIES
1. Aloe Vera & Turmeric Paste: Apply around (not on) ulcer for soothing effect.
2. Castor Oil + Coconut Oil Mix: Massage gently upward to stimulate venous flow.
3. Triphala Water Wash: Acts as natural antiseptic and cleanser for the ulcer area.
Wishing you a good health😊
Warm Regards, Dr Snehal Vidhate
Don’t worry take Panchatiktha ghrita Guggulu 1tab bd, Gandhak rasayana 1tab bd, vajrakatail with ASD,and go for leech therapy u ll get 100% results
Start with- 1. Punarnavadi Kashayam: 15 ml + 45 ml warm water twice daily (morning empty stomach & night). 2. Kaishora Guggulu: 2 tablets twice daily after meals with warm water. 3. Manjisthadi Kashayam: 15 ml + 45 ml warm water after lunch & dinner. 4. Guggulu Panchapala Churna: 3 gm at night with warm water.
External Applications Jatyadi Ghrita: Clean ulcer with Triphala Kashayam, then apply Ghrita and cover with sterile gauze (change twice daily)
Dhanyamla Dhara: Pour warm Dhanyamla on leg from knee down for 20 min daily (use 500 ml).
Diet Take -Rice, moong dal, ghee, lauki, pomegranate, 1 glass drumstick soup daily. Warm water sip every 30 min (2.5 L total). Avoid: Salt >2 gm/day, Standing >20 min and Tight socks, crossing legs.
Lifestyle Leg elevation: 30 min × 3 daily (legs above heart). Compression: Wear Class 1 medical stocking (ankle to knee) after ulcer dressing. Sleep with 2 pillows under legs.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Addressing circulation issues and the resulting venous ulcers involves a multi-step approach within the principles of Ayurveda. The primary objective is to improve blood circulation, strengthen veins, and promote healing of the ulcer, while addressing any underlying dosha imbalances, most likely Vata and Pitta.
1. Diet and Nutrition: Focus on a Pitta-Vata pacifying diet. Include warm, cooked foods and avoid excessive spicy, oily, or processed foods. Favor sweet, sour, and salty tastes, which are grounding for Vata. Incorporate fruits like pomegranate and grapes, and vegetables such as carrots, beets, and cucumbers. Turmeric, known for its anti-inflammatory properties, can be a valuable addition—add it in moderation to your meals.
2. Herbs and Supplements: Guggulu and Ashwagandha may help to support healthy circulation and tissue healing. Consider Arjuna and Gotu Kola for vascular health. Use Triphala at bedtime to promote bowel regularity, as it can help reduce toxin accumulation (Ama) which can impede circulation.
3. Oil Massage: Abhyanga (self-massage) with warm medicated oil, such as Mahanarayan oil or sesame oil, can enhance circulation and calm Vata. Massage the legs gently, using upward strokes, to help in the movement of blood towards the heart. Make sure to avoid massaging directly on the ulcer.
4. Local Treatment: To aid in the healing of the ulcer, local application of a paste made from neem leaves or applying honey can be beneficial. These substances have antiseptic and healing qualities.
5. Lifestyle Adjustments: Elevate your legs while resting to aid venous return. Engage in mild exercise like walking or yoga to enhance circulation, but avoid prolonged standing or sitting.
6. Hydrotherapy: Warm water foot baths can be helpful. Add salt or Epsom salt to the water, as this can reduce swelling and improve circulation.
Remember that if the ulcer shows signs of infection (increased redness, pus, or non-healing), or if you experience more severe symptoms like severe pain or sudden swelling, it’s crucial to seek immediate medical care from a healthcare professional. This ensures that any necessary interventions are not delayed.
HELLO,
AYURVEDIC MANAGEMENT OF VENOUS ULCER AND CIRCULATION ISSES
1) AVOID CAUSATIVE FACTORS -avoid long standing / sitting, tight clothing, and high fat diet - avoid costipation maintain regular bowel habits -stop smoking and alcohol
2) DETOX AND PURIFICATION Helps remove toxins and. improve circulaiton -RAKTAMOKASHANA= leech therapy locally near the ulcer, improve venous drainage and reduces congestion
-VIRECHNA= mild pulrgration with Triphala churna= 1 Tsp with warm water at bedtime to purify pitta and rakta dhatu
3) PACIFYING THERAPY
-PUNARNAVADI KAHSAYA= 20 ml twic edialy after meals with warm water- improves venous return. reduces swelling
-MANJISTHADI KAHSAYA= 15ml twice daily with wam water before meals- blood purifier, enhances circulation
-KAISHOR GUGULU= 2 tabs twice daily after meals for chronic ulcers
-CHANDRAPRABHA VATI= 2 tabs twice daily after ,meals supports circulation and lymphatic drainage
-ARJUNA KSHEERPAK= 30 ml daily in morinng strengthen vascular walls
4) LOCAL APPLICAITONS
CLEANSING= wash ulcer with triphala kashaya or panchavalkala decoction daily
HERBAL PASTE= apply yashitmadhu ghrita for wound healig
DUSTING= haridra churna or tankana basma can be used if discharge is present
DIET -warm water, green leafy vegetables, triphala, punarnava, gokshura -light, easily digestible food- moong dal , barley, red rice -gentle leg elevation during rest -moderate exercise like walking or yoga asanas- viparita karani, pavanmuktasaa
AVOID -deep fried, spicy sour foods -sedetry habits, excessiv exertion, stress
THANK YOU
DR. HEMANSHU MEHTA
