Twak Vikara Chikitsa in Ayurveda: A Case Report on Lipodermatosclerosis with Venous Ulcer
Author : Acharya Manish, Dr. Gitika Chaudhary, Dr. Richa, Dr. Harshit Maurya and Dr. Tanu Rani
Abstract :
Lipodermatosclerosis (LDS) is a chronic inflammatory disorder primarily affecting the lower limbs, characterized by skin fibrosis, induration, and pigmentation changes. This case study explores the Ayurvedic management of a 44-year-old male diagnosed with Lipodermatosclerosis with venous ulcer (Twak vikar), who visited Jeena Sikho Lifecare Limited Hospital, Gorakhpur, Uttar Pradesh, India. He presented with bilateral foot wounds, constipation, pain, and dilated veins in the left lower leg. Despite undergoing allopathic treatment, his symptoms had worsened, prompting a shift to Ayurvedic care. Following a detailed assessment, a diagnosis of Twak vikar was made, and treatment was initiated. The Ayurvedic protocol involved both Shodhana (purificatory) and Shamana (palliative) therapies. Panchakarma interventions included Lepam with Tankan Bhasma, Sphatik Bhasma, and Jatyadi Taila, alternated with Apamarg Kshar and Jatyadi Taila, along with Prakshalan (wound cleansing) using Panchavalkala Kashaya. These therapies aimed at Vrana Shodhana, Kleda Shoshana, and Meda Dhatu Shodhana, addressing the underlying Dosha-Dushya Sammurchana. The patient experienced wound healing, reduction in pain, and overall well-being, reflecting the efficacy of Ayurvedic interventions. In conclusion, this case highlights the potential of integrated Ayurvedic approaches in the successful management of Lipodermatosclerosis with venous ulcer. Holistic therapies tailored to Dosha and Dhatu involvement not only relieved symptoms but also improved the patient’s quality of life. Such evidence supports further research and integration of Ayurveda with conventional management for chronic dermatological vascular conditions like LDS.
Keywords :
Lipodermatosclerosis, Twak vikar, Venous Ulcer, Dushta Vrana, Chronic Venous Insufficiency, Ayurveda and Panchakarma.
