Ayurvedic–Integrative Management of Sirajagranthi (Varicose Veins): A Case Report
1Ratikant Birajdar, 2Arun Raj GR and 3Mokindan R
1,2,3Department of Kaumarabhritya, Parul Institute of Ayurved and Research, Parul University, Vadodara - 391760 (India) Corresponding Author: Dr. Ratikant Birajdar Email: ratikantbirajdar22@gmail.com Phone: +91 8600777880
ABSTRACT
In ayurvedic classics Sirajagranthi is described under Granthi Rogas. It is characterized by a non-Pulsating, painless and round swelling of veins, elevation and quickly developing. In Modern science symptoms of Sirajagranthi co-relates with Varicose veins. Varicose veins, commonly seen in lower limbs, arise from venous valve incompetence and vessel wall weakness. In Ayurveda, this condition resembles Siraj Granthi, Siragata Vata, and Vata-Rakta disorders. This case study aims to highlight the ayurvedic management of Sirajagranthi. A 14-year-old female patient presented with the complaints of pain, visible distended, and tortuous veins in the right lower leg. She was treated using Ayurvedic modalities including Raktamokshana through Jalaukavacharana (leech therapy), Virechana, and internal medications such as Kaishora Guggulu, Rasna Saptaka Kashaya, and Shallaki. External therapies like Abhyanga, Udvartana, and Parisheka were also administered. The treatment led to significant symptomatic improvement, including reduction in pain, swelling, and enhanced mobility, as measured by the Visual Analogue Scale. This case highlights that integrative Ayurvedic management, especially Jalaukavacharana, which offers effective, noninvasive treatment for Siraja Granthi, even in pediatric cases, thereby supporting its relevance in modern clinical practice.