Comparative Effecicacy of Siravyadha and Siravyadha Followed By Bhadradarvadi Basti in Sirajagranthi (Varicose Veins)

Abstract

“Varicosity is the penalty for verticality against gravity”. WHO defines varicose veins as saccular dilatations of vein, dilated tortuous and elongated superficial veins of the lower limb. The Incidence of Varicose veins is 5% in India and 10-20% in the western world, prevalence of visible varicose veins is between 30-50% , especially 25-30% in women, 15% in men and increases with age. Certain jobs which demand prolonged standing suffer from varicose veins. It also occurs with muscular contractions e.g.  Athletes. Varicose veins can be co-related to Sirajagranthi as described in Ayurvedic texts. Due to Vataprakopaka Nidana like physical exertion and straining, vata enters the Sira causing Sampeedana, Sankocha and Vishoshanam and leads to Sirajagranthi. In Contemporary science, the treatment for varicose vein includes elastic stockings, elevation of legs, exercises, sclerotherapy and surgical managements like vein ligation, stripping and Endovenous laser treatment. They produce complications like eczema, hemorrhage, hematoma and saphenous nerve irritation. Sclerotherapy often causes deep vein thrombosis, thrombophlebitis, cutaneous ulcerations and stroke. Recurrence rate post surgeries stands between 20-80% .According to Ayurveda, Vata and Rakta are involved in the samprapti of sirajagranthi. Ayurvedic classics explained different modalities of treatment in the management of sirajagranthi such as kashayapana, upanaha, vataharabasti, and Siravyadhana. In this clinical trial, patients of varicose veins were enrolled and divided into two groups. In group A, Siravyadha was done twice in an interval of 14 days. In group B, Siravyadha was done twice followed by Bhadradaruvadi Basti at an interval of 1 month.