Ayurvedic Management of Siraja Granthi (Varicose Veins): A Case Report

  • Unique Paper ID: 189413
  • Volume: 12
  • Issue: 7
  • PageNo: 5507-5512
  • Abstract:
  • Siraja Granthi, described in various Ayurvedic classics, refers to a pathological condition marked by a rounded, rapidly developing, non-pulsatile, and painless swelling arising from the veins. The clinical features of Siraja Granthi closely resemble those of varicose veins in modern medicine. Ayurveda offers several time-tested therapeutic modalities for its management, including external applications like Sahacharadi Taila, Guluchyadi Taila, Madhuyastyadi Tailam Lepa, Upanaha etc. Internal purification therapies such as Virechan, Basti, and Para-surgical procedures like Raktamokshana. These interventions aim to correct the underlying Dosha imbalance, improve venous circulation, and alleviate symptoms associated with the condition. Here the present study 31-year-old male patient presented to the OPD of Panchakarma, Government Ayurvedic College, Hospital, Bilaspur (GACH), Bilaspur, Chhattisgarh with complaints of dull aching pain in the B/L lower limb, which worsened particularly by the end of the day. The patient also had visibly dilated and engorged veins over the B/L Lower limb for the past 1.5 year, accompanied by a gradual onset of mild edema around the both ankle along with discoloration and itching for the last 3 months. Based on the clinical presentation, a treatment plan was Virechan Karma 1 time, Kala Basti Karma by Manjisthadi kshar Basti followed by Guluchyadi Taila Anuvasana basti, and Raktamokshana by Siravyadha, administered in 3 sittings first sitting after 15 days of Basti karma, second sitting after 7 days then third sitting after 15 days along with internal administration of Mahamanjisthadi Kashaya (15 ml twice daily), Tab Kaishor Guggulu 2BD for 1 month. Following the treatment, significant improvement was observed, with marked reduction in pain, swelling, itching, and discoloration around the affected varicose veins. This case highlights the effectiveness of Virechan, Basti, Raktamokshan and Shaman yoga as a beneficial therapeutic approach in the management of varicose veins.

Copyright & License

Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{189413,
        author = {Dr. Manoj Kumar Behra and Dr Dipanjan Jana},
        title = {Ayurvedic Management of Siraja Granthi (Varicose Veins): A Case Report},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {7},
        pages = {5507-5512},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=189413},
        abstract = {Siraja Granthi, described in various Ayurvedic classics, refers to a pathological condition marked by a rounded, rapidly developing, non-pulsatile, and painless swelling arising from the veins. The clinical features of Siraja Granthi closely resemble those of varicose veins in modern medicine. Ayurveda offers several time-tested therapeutic modalities for its management, including external applications like Sahacharadi Taila, Guluchyadi Taila, Madhuyastyadi Tailam Lepa, Upanaha etc. Internal purification therapies such as Virechan, Basti, and Para-surgical procedures like Raktamokshana. These interventions aim to correct the underlying Dosha imbalance, improve venous circulation, and alleviate symptoms associated with the condition. Here the present study 31-year-old male patient presented to the OPD of Panchakarma, Government Ayurvedic College, Hospital, Bilaspur (GACH), Bilaspur, Chhattisgarh with complaints of dull aching pain in the B/L lower limb, which worsened particularly by the end of the day. The patient also had visibly dilated and engorged veins over the B/L Lower limb for the past 1.5 year, accompanied by a gradual onset of mild edema around the both ankle along with discoloration and itching for the last 3 months. Based on the clinical presentation, a treatment plan was Virechan Karma 1 time, Kala Basti Karma by Manjisthadi kshar Basti followed by Guluchyadi Taila Anuvasana basti, and Raktamokshana by Siravyadha, administered in 3 sittings first sitting after 15 days of Basti karma, second sitting after 7 days then third sitting after 15 days along with internal administration of Mahamanjisthadi Kashaya (15 ml twice daily), Tab Kaishor Guggulu 2BD for 1 month. Following the treatment, significant improvement was observed, with marked reduction in pain, swelling, itching, and discoloration around the affected varicose veins. This case highlights the effectiveness of Virechan, Basti, Raktamokshan and Shaman yoga as a beneficial therapeutic approach in the management of varicose veins.},
        keywords = {Siraj Granthi, Virechana Karma, Basti Karm, Raktamokshana, Siravyadha},
        month = {December},
        }

Cite This Article

Behra, D. M. K., & Jana, D. D. (2025). Ayurvedic Management of Siraja Granthi (Varicose Veins): A Case Report. International Journal of Innovative Research in Technology (IJIRT), 12(7), 5507–5512.

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