This document presents a case study of a 38-year-old male patient diagnosed with Raktaj vrana (bleeding wounds). The patient had multiple wounds on his left leg below the knee that bled and caused itching, pain, and occasional rashes. After initial treatment at a private hospital provided no relief, the patient came to MGACH & RC for further management. Through examination and diagnosis, the patient was determined to have pitta-dominant rakta and twacha, mamsa, and lasika dushya involvement. Treatment included internal medications to purify the blood and heal wounds as well as external applications of herbal pastes and oils. After 9 days, leeches were

1. MAHATMA GANDHI AYURVED COLLEGE
HOSPITALAND RESEARCH CENTRE
(SALOD)
DEPARTMENT OF KAYACHIKITSA
CASE PRESENTATION ON : RAKTAJ
VRANA
GUIDED BY PRESENTED
BY
Dr Vaishali Kuchewar Dr Yogesh Jakhotiya

2. Patient information
Patient Name :- ABC
Age/ Sex :- 38years ,male
Occupation :-candle businessman
Address :- Pulgaon ,wardha
Opd no :-1701090017
IPD No:-1701090005
Dignosis :-Raktaj vrana

3. Chief complaints
1. Multiple wound over left leg below knee joint
2. Bleeding
since 2months
3. Itching
4. Pain
5. On and off urticarial rash over some body parts

4. H/o present illness
 Patient was well before two months gradully he
has started to appear small postules on left leg
below knee upto ancle joint.
 These postules are converted to a fresh blood
ozing wound which are increased day by day.
 He has taken treatment in private hospital but
not found any satisfactory relief
 Patient came to MGACH & RC for further
mangment.

5.  H/o past illness : not significant
 Family history : not significant
 Personal history : patient has habbit of drinking
alcohol min four times in a week .personal
hygiene maintained .
 Diet : Nonvegitarian

6. ASHTAVIDH PARIKSHA
 Nadi : 76/min,regular, Vatapradhan pittaj
 Mala : Niram
 Mutra : 4 to 6 times/ day
 Jivha : Niram
 Shabda : Aspashata
 Sparsha : Anushnashita
 Drika : No Pallor , No icterus
 Aakruti : Hina

7. VITAL PARAMETERS
Temp : Normal
Pulse :76/min
B.P : 110/70 mmhg
R.R :18/min

8. Dashvidh pariksha
 Prakruti : Vatapradhan pitta
 Vikruti : Dosha-pitta,rakta
Dushya-twacha ,mamsa ,lasika
 Sara : Madhyam
 Sahnana : Madhyam
 pramana : Madhyam
 Satmya : episodes of urticarial rash
 Satva : Madhyam
 Aaharshakti : Madhyam
 Vyayamashakti : Madhyam
 Vaya :Taruna

9. SROTAS PARIKSHA
 Raktavaha : fresh blood ozing from wound seen
with mild pus discharge .
 Mamsavaha : multiple wound with well defined
margins are seen .
: local tenderness present

10. DIAGNOSIS
 SU .CHI. ADH1 .VERSE 7
 From the above verse the symptoms of raktaj
vrna are seen in this patient and dignosed as
Raktaj vrana .

11. ABHYANTARA CHIKITSA
DRUG DOSE
GANDHAK RASAYAN 250mg BD
TRIPHALA GUGGUL 500 mg BD
TAB SEPTILLIN 500mg TDS
KHADIRARISHTA 20 ml BD
TRIPHALA CHURNA 5gm HS
LODHRA CHURNA
YASHAD BHASMA
TWO MATRA
CAP S KIN 250 mg TDS
MAHAMANJISHTHA KWATH 20ml BD
CHOPCHINI CHURNA 3 gm OD
KAISHOR GUGGUL 500 mg BD

12. BAHYA CHIKITASA
DRUG PROCEDURE
TRIPHALA KWATH , NEEM
PATRA AND S KIN POWDER
FOR VRNADHAVAN FOR 8
DAYS
TRIDEX LEAVES and HARIDRA
POWDER
APPLIED ONLY ON FIRST DAY
JATI TAIL AND NEEM TAIL LOCAL APPLICATION
LEECH APPLICATION ON ANCLE JOINT ON 9TH DAY

13. FOR SHODHAN
 Virechana karma was planed on 10th day
 Snehapana with panchatikta ghruta done .
 Total 12 vega came
 Sansarjana krma was adviced.

14. CONTAINT OF TAB SEPTILLIN
 GUDUCHI
 YASHTIMASHU
 GUGGULU

15. PICTURES B. T

16. AFTER TREATMENT

17. THANK
YOU