ROLE OF SIRA VEDHA IN RELIEVING VENOUS CONGESTION IN SIRAJ GRANTHI (VARICOSE VEIN): A CASE STUDY

Abstract

Siraj Granthi (varicose vein) is a condition described in Ayurveda as an abnormal dilatation and tortuosity of veins, predominantly affecting the lower limbs. Sira Vedha (therapeutic venesection) is one of the important Shastra Karmas mentioned by Acharyas for the management of Siraj Granthi, aimed at relieving venous congestion, improving circulation, and reducing associated symptoms. This is a single case study of a 42-year-old male patient presenting with pain, heaviness, swelling, and dilated tortuous veins in the left leg. The diagnosis of Siraj Granthi was made based on Ayurvedic and modern parameters. The patient was managed with Sira Vedha at regular intervals under aseptic conditions. Clinical observations such as pain, swelling, engorgement of veins, and functional discomfort were recorded before and after the intervention. Following repeated sittings of Sira Vedha, the patient reported marked relief in pain, reduction of swelling, and improvement in functional activity. Visible engorgement of veins also reduced significantly. No adverse events were observed during the course of therapy. This case study highlights that Sira Vedha is an effective and safe therapeutic procedure in the management of Siraj Granthi (varicose vein). It offers significant symptomatic relief, improves venous circulation, and enhances quality of life. Further clinical trials with larger sample sizes are recommended to validate these findings.