Ayurvedic approach to the management of Dry Gangrene (Vrana Kotha) In Peripheral Vascular Disease: A case report

Authors

  • Sreechand S R Sreechand KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.
  • K Hemalata KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.
  • Pradeep S Shindhe KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.
  • MS Arya Sri shivayogeeshwar rural ayurvedic medical college, Inchal, Karnataka, India.
  • Aditya Anil KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

DOI:

https://doi.org/10.70066/jahm.v13i5.1805

Keywords:

Dry gangrene, Peripheral Vascular Disease, Kotha, Manjisthadi kshara basti, Vrana Ropana, Case report

Abstract

Peripheral vascular disease (PVD) presents a significant challenge for surgeons, often culminating in the development of dry gangrene. The prevalence of dry gangrene resulting from peripheral vascular disease is notably higher in populations under the age of 45 with a history of tobacco or smoking use. A study indicates that gangrene affects 0-5% of the Indian population, with the majority of cases occurring in individuals aged 20-40.[1] Ayurveda, addresses peripheral vascular disease and dry gangrene, drawing correlations with the concept of Vrana Kotha. Management of dry gangrene encompasses local and systemic approaches, including Vrana Shodhana, Vrana Ropana, and oral medications. [2]

A 38-year-old  male, non-diabetic and non-hypertensive, sought treatment at Shalya Tantra IPD for wounds on his toes accompanied by pain, burning sensation, discolouration, and discharge. A chronic smoker for 23 years, he had no known metabolic or systemic disorders. We developed a comprehensive Ayurvedic management plan incorporating local and systemic interventions. Throughout the treatment course, the patient exhibited notable improvement, with reduced pain and visible healing of the gangrenous tissue. Subsequent assessments revealed restored circulation and stabilization of the affected area.

Author Biographies

Sreechand S R Sreechand, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Assistant Professor Dept Of Shalyatantra, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

K Hemalata, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Assistant Professor Dept Of Kayachikitsa, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Pradeep S Shindhe, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

Professor& HOD, Dept of Shalya Tantra, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

MS Arya, Sri shivayogeeshwar rural ayurvedic medical college, Inchal, Karnataka, India.

Assistant Professor Dept Of Shalyatantra, Sri shivayogeeshwar rural ayurvedic medical college, Inchal, Karnataka, India.

Aditya Anil, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

3rd Year Pg Scholar, Dept Of Shalyatantra, KLE Academy of Higher Education and Research, Deemed to be University, Shri BMK Ayurveda Mahavidyalaya, Shahpur, Belagavi, Karnataka, India.

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Additional Files

Published

2025-06-19

How to Cite

Sreechand, S. S. R., Hemalata, K., Shindhe, P. S., Arya, M., & Anil, A. . (2025). Ayurvedic approach to the management of Dry Gangrene (Vrana Kotha) In Peripheral Vascular Disease: A case report. Journal of Ayurveda and Holistic Medicine (JAHM), 13(5), 168-175. https://doi.org/10.70066/jahm.v13i5.1805

Issue

Vol. 13 No. 5 (2025): Journal of Ayurveda and Holistic Medicine (JAHM)

Section

Case Report

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Copyright (c) 2025 Dr.sreechand s r, DR PRADEEP S SHINDHE, Dr Aditya anil

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