Venous insufficiency is a defect in the veins, particularly in the legs. Here the blood flow from the leg to the heart is affected, due to the defect in the wall or valves in the veins.
- SIGNS AND SYMPTOMS OF VENOUS INSUFFICIENCY
- CAUSES OF VENOUS INSUFFICIENCY
- PATHOPHYSIOLOGY OF VENOUS INSUFFICIENCY
- DIAGNOSIS OF VENOUS INSUFFICIENCY
- TREATMENTS FOR VENOUS INSUFFICIENCY
- PROGNOSIS OF VENOUS INSUFFICIENCY
- COMPLICATIONS OF VENOUS INSUFFICIENCY
- VENOUS INSUFFICIENCY AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF VENOUS INSUFFICIENCY
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF VENOUS INSUFFICIENCY
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF VENOUS INSUFFICIENCY
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF VENOUS INSUFFICIENCY
- AYURVEDIC PROGNOSIS OF VENOUS INSUFFICIENCY
- CHIKITSA- AYURVEDIC TREATMENT FOR VENOUS INSUFFICIENCY
- AYURVEDIC LOCAL TREATMENT FOR VENOUS INSUFFICIENCY
- AYURVEDIC SAMANA TREATMENT FOR VENOUS INSUFFICIENCY
- AYURVEDIC SHODHANA TREATMENT FOR VENOUS INSUFFICIENCY
- COMMONLY USED AYURVEDIC MEDICINES FOR VENOUS INSUFFICIENCY
- HOME REMEDIES FOR VENOUS INSUFFICIENCY
- DIET AND BEHAVIOUR FOR VENOUS INSUFFICIENCY
- YOGA FOR VENOUS INSUFFICIENCY
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF VENOUS INSUFFICIENCY
SIGNS AND SYMPTOMS OF VENOUS INSUFFICIENCY
- Aching pain in the calf region
- Ankle swelling
- Night cramps
- Pain during walking
- Itching sensation over the skin
- Dragging pain in the leg
- Pain may relive at night or elevation of the leg
- Brownish discolouration of the skin
CAUSES OF VENOUS INSUFFICIENCY
- Congenital absence of valves
- The congenital paucity of valves
- Venous dilatation
- Any obstruction which hampers venous return- pregnancy, tumours
- Blood clots
- Certain medications
- Smoking
PATHOPHYSIOLOGY OF VENOUS INSUFFICIENCY
Due to the above-mentioned causative factors pooling of blood in the superficial veins and rise in intraluminal pressure occurs. Excessive dilatation occurs due to loss of elasticity, sacculation and elongation. When an elongated structure is placed between shorter lengths it becomes tortuous. This causes stasis of blood, swelling and a feeling of tightness in the calves.
DIAGNOSIS OF VENOUS INSUFFICIENCY
- EXAMINATIONS
- Inspection
- Palpation – cough impulse test, multiple tourniquet test, Trendelenburg test
- INVESTIGATIONS
- Venography
- Doppler ultrasound
- Duplex ultrasound
- Laboratory tests – to find out the underlying pathology
TREATMENTS FOR VENOUS INSUFFICIENCY
- Conservative treatment
- Surgical interventions
- Treatment of underlying pathology
PROGNOSIS OF VENOUS INSUFFICIENCY
- Prognosis is based on the cause of venous insufficiency, degree of symptoms and condition of the patient
COMPLICATIONS OF VENOUS INSUFFICIENCY
- Venous ulcers
- Thrombo phlebitis
- DVT
- Pulmonary embolism
VENOUS INSUFFICIENCY AND AYURVEDA
- In Ayurveda, venous insufficiency is managed based on the treatment of “sira grandhi”
NIDANA- AYURVEDIC CAUSES OF VENOUS INSUFFICIENCY
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF VENOUS INSUFFICIENCY
- Aching pain in the calf region
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF VENOUS INSUFFICIENCY
Due to Vataprakopaka nidanas (causative factors which increase vata)such as, physical exertion, straining, for debilitated persons the vitiated vata enters the Siras (veins) causing the Sampeedana (Squeezing), Sankocha (constriction), and Vishoshana (the act of drying up) which produces round and protruded Granthi (cyst) in the Siras (Veins), manifesting Siragranthi (varicose vein) and venous insufficiency.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF VENOUS INSUFFICIENCY
- Toda – aching pain
- Sopha – oedema
AYURVEDIC PROGNOSIS OF VENOUS INSUFFICIENCY
- Symptoms are manageable with Ayurvedic treatments
CHIKITSA- AYURVEDIC TREATMENT FOR VENOUS INSUFFICIENCY
Ayurvedic local treatment for venous insufficiency
- Siravyadhanam- venesection
AYURVEDIC SAMANA TREATMENT FOR VENOUS INSUFFICIENCY
- Balarishtam
- Saribadyasavam
- Maharasnadi kashayam
- Vasaguloochyadi kashayam
- Siva Gulika
- Sooranavaleha
- Kaisore guggulu
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR VENOUS INSUFFICIENCY
- VASTHI- Erandamooladi yapana vasthi
- SNEHAVIRECHANAM-Eranda tailam
COMMONLY USED AYURVEDIC MEDICINES FOR VENOUS INSUFFICIENCY
Internal administration
- Dasamoolarishtam
- Maharasnadi kashayam
- Vasaguloochyadi kashayam
- Sooranavaleha
- Kaisore guggulu
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Abhyangam – with sahacharadi tailam (upward direction)
HOME REMEDIES FOR VENOUS INSUFFICIENCY
- Massage the painful area for 15 minutes ( NOT too much pressure )
- Elevate the foot while sleeping
DIET AND BEHAVIOUR FOR VENOUS INSUFFICIENCY
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body advised. This alleviates vata dosha.
- Take proper rest.
YOGA FOR VENOUS INSUFFICIENCY
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF VENOUS INSUFFICIENCY
- A case study on the ayurvedic management of varicose vein
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