38 yr male c/o swelling with mild pain over right leg since 2 to 3 yr. and ulcer since 1 month and also varicose veins are noted. pt. is non diabetic, non hypertensive but regular smoker. X-ray reveals soft tissue swelling.

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As he is a smoker could be DVT, Advise for color Doppler study Manage with Leech treatment and udwartana Dashamoolarishta n khadirarishta 5ml each bd Kaishora guggulu 1tid Rasamanikya, talasindoor, muktha pishti, pravala pishti, Giloy satva in combination Jatyadi taila for dressing of wound

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It is Case of varicose veins with complecations (pigmentation,eczema, ulcer above the media mellolieas) Cause must be evaluated by the Doppler study Siravyadhana can be done along with oral meficines

Patient have chronic history of smoking, It may be the case of buerger's disease..... plan for Colour Doppler...... @Dr. Rafiqul Islam sir

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Do his colour doppler may be deep vein thrombosis

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Stasis Dermatitis

Sodhana chikitsa will be helpful.
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X ray shows swelling of soft tissues in ankle & foot? CVI with DVT foot and active infection

Yes DR.
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Varicose vein can be treated by classical Ayurveda & Cupping treatments Thanks for

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CVi.... varicose vein... pls use my researched medicine AMRUTA VARICOSE SYRUP

Cellulitis-A common and potentially serious bacterial skin infection.

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