Abstract

Background - Post thrombotic syndrome (PTS) is a complication of deep vein thrombosis (DVT) with limited treatment options.Venous ulceration is the ultimate and most severe presentation of PTS, although not all symptoms and signs are irreversible once PTS is diagnosed, this diagnosis is deemed permanent. Treatment options are limited therefore emphasis is placed on its prevention.
Objective – Management of the Post thrombotic syndrome associated with chronic ulcer by Ayurvedic approach
Materials and Methods–Here we report a case of non-healing ulcer on left foot associated with pain, itching, swelling and blackish discoloration on left lower leg since 2 years.The case was diagnosed and treated as PTS complicated with venous ulcer. In Ayurvedathese clinical features are co-related with GambhirVatarakta and treatment principles include Raktamokshana Virechana, Basti. The case was treated with Jaloukavacharana (Leech therapy), Virechana (Purgation) and Vrana Chikitsa (Shodhana and Ropana).
Results– Clinical improvements were seen in parameters like pain, swelling, itching and wound. The time taken for complete healing of the ulcer was two months.
Conclusion - The adopted Ayurvedic treatment has given promising results in the management of PTS associated with chronic venous ulcer.

Key words: Post- thrombotic syndrome, Chronic ulcer, Gambhirvatarakta, Raktamokshana, Virechana.