Outcome and follow-up of both internal and external medicines
During the treatment, the patient did not experience any complications,
and no Adverse Drug Reaction was reported. In every IPD round, all the
vital signs and symptoms of naalavibatha punn were noted and
documented. The pain, itching, and swelling were reduced moderately
during the treatment. After 60 days, the ulcer disappeared without any
signs of its presence. Hyperpigmented skin lesions were moderately
changed by the normal coloration of the skin by new tissue formation.
The VCS Score was reduced to 4, which was mild. On discharge, the
patient was advised to take internal medicines other than rasa
gandhi mezhugu for the next 3 months. In the next 8 months of
follow-up, after the 60 days of treatment, the patient had no clinical
features of varicose ulcer (naalavibatha punn ).