Ayurvedic Management of Venous Vascular Malformation: A Case Report

The venous vascular malformation is a congenital venous anomaly in which clusters of veins are filled with blood but are not used by the body. This condition can be compared with Shiragranthi Vikar described in the context of Srotadusti in Ayurvedic classics. The manifestation of Shiragranthi occurs due to the vitiation of Mamsa (muscle), Asrik (blood), Meda (fat), and Shira (blood vessels) by Vatadi Dosha. As a result, circular edematous swelling appears on the affected part. In the present case study, a 2.5 years old, female child approached to Kaumarabhritya OPD presented with thigh swelling and pain, bulky mass with tenderness in the lateral aspect of the left knee. The child was unable to walk properly for six months. 3T CE MRI of left thigh and knee joint revealed venous vascular malformation. The child was taking regular allopathy treatment. After approaching our hospital, she was advised for Ayurvedic treatment with the regular follow up visit in every 15 days to determine the clinical progress. The child was administered with Kumarkalyan Rasa, Aravinda Sava, Kalyanaka Ghrita, Varunadi Kashaya, and Abhyanga with Balaswagandha taila for a period of 2 months and follow up of study conducted for another one month. After treatment, the study confessed that there was remission from pain, tenderness, swelling, and bluishness in the affected part. The child walks without any difficulty. The study highlights the clinical efficacy of Ayurvedic drugs in venous vascular malformation with significant improvement of all clinical features.