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 ).