Kshara, an alkali preparation of plant origin obtained by burning dried parts of a specific plant into ash and processed systematically to use for medicinal purposes. Acharya Sushruta mentioned Kshara as parasurgical procedure and considered as superior among all surgical and parasurgical procedures because of its actions like Chedana,Bhedana, Lekhana ,Tridosha hara property and it can be used in different forms as Pratisaraneeya Kshara, Paneeya Kshara, Kshara sutra, Kshara varti, Kshara avaleha , Kshara gutika and as a Ingredient in indigenous formulations. He preferred parasurgical procedures which are non invasive, cause less pain and require no anaesthesia in treating surgical diseases. When a kshara is used internally it is called as Paneeya kshara . In classical texts it is mentioned that with the help of paneeya kshara the common surgical diseases like gulma (abdominal tumour), udara(ascites),Sharkara, Ashmari(calculi) , Abhyantara vidradhi, Krimi and Arsha etc can be treated without a knife and it is also mentioned kshara can cure the diseases which are difficult to a cure, hence an effort is made to describe the utility of paneeya kshara in surgical diseases.

Varicose ulcer or Venous ulcer is open wounds in the skin that occurs with sustained venous hypertension and improper functioning of venous valve, usually in the lower limbs. It is one of the most serious chronic venous insufficiency complications, accounting for 80% of lower extremity ulcerations. Gangrene, cellulitis and risk of amputation are the complications if it is left untreated. Symptomatologies of venous ulcer indicate the correlation towards sirajanyadushtavrana, which is explained in Sushruta Samhita. A case of 26- Year- old male who presented with complaints of venous ulcer in medial aspect of lower 1/3rd of left leg associated with pain, swelling, and discoloration of the skin since 3 months has been taken for the current study. Vranabasti for 5 days was done Followed by cleaning and dressing with NS and jatyaditaila. oral medicines are Sahacharaadikashaya two times a day, tab Kaishoraguggulu three times a day, cap viscovas three times a day, khadiraaristha two times a day, sahacharaaditaila for local application twice a day. There was Significant improvements in the size of the wound and nature of tissues.