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*Dr. Anshika Rao


In Ayurvedic literature it is mentioned that tract responsible for “SARANKARMA” is called “SIRA”. Although in general term “SIRA” reflects the “BLOOD VESSELS” but it is specified as the veins in other references given by Acharyas. Sira transport Vata, Pitta, KaphaDosh and RasadiDhatus etc. According to Ayurveda “SIRAGRANTHI” is one of the pathologies that occurs in veins. Similarly, varicosity of the veins is observed in modern science which leads to various problem concerned with anatomico-physiological changes.Varicose veins are enlarged, swollen and tortuous veins. It caused by weak or damaged vein walls and valves usually appear on legs or feet. Acharya Sushrut has mentioned the fact vitiated Vata directly affects the Sirapratana(cluster of veins) by Aakshepa and exposes them to Sampidya, Samkochya and Vishoshana and produces “GRANTHI” which protrudes out. In modern science due to causative factors, blood becomes stagnated in the superficial veins which is subjected to high leaks and subsequently become distended and tortuous and hence varicose vein occurs. In contemporary situation ligation, ligationwith stripping, sclera therapy, radial surgery is used for the treatment but after sometimethere is reoccurrence of disease. In Ayurveda “SIRAVEDHA” (Venesection), Raktamokshan(Bloodletting) and Jalaukavcharan(Leech therapy) are available which can help in reducing the symptoms more effectivelyas compared to modern medicine.

Keywords: Jalaukavcharan, Raktamokshan, Siragranthi, Varicose vein.

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