Introduction:Diabetic Foot ulcer is the commonest burning problem in the society. Many histopathological studies show prolonged inflammatory phase in diabetic wounds. In Sushruta Samhita, Vimlāpanakarma (gentle massage) quoted, as first line of treatment for Vranashotha (inflammation).Case Report:A 70 yrs old male patient, presented with complaints of ulcer associated with severe pain and reddish skin discoloration over ventral aspect of 3rd toe of right foot since 2 months. Vimlāpanakarma performed with Jātyādi taila around the wound for about 15-20 minutes daily for 10 days and follow-up done for period of 45 days.Discussion:By Vimlāpanakarma with Jātyādi taila there will be raised local temperature, due to which vasoconstriction is relieved and necessary nutrients, oxygen, insulin etc. are carried to the wound site, thereby improving the anoxic condition of wound.Conclusion:Vimlāpanakarma showed significant role in wound healing of Diabetic Foot ulcer, in a short period of time 10 days with no recurrence seen till 45 days follow-up.

Eczema is a form of dermatitis where inflammation of epidermis occurs. The exact cause of eczema is not known. Although it is activated by the immune system and is related to allergic reactions, it is not the same as other allergic reactions. In Ayurveda, the disease is described by the name “Vicharchika.” Virechana is the best line of management for skin disorders. Controlling eczema more effectively can make a radical improvement to the patient's quality of life. A case report of 45-year-old male, who presented with complaints of rashes over dorsum of both foot associated with intense itching and burning sensation, oozing wound posterior to lateral malleolus and dorsum of left foot has been presented here.

This is the era of fast foods. Irregularity in food timing, improper diet, and mental stress coupled with a sedentary life disturb the digestive system resulting in increased incidence of hemorrhoids. In the present report, we present two cases of intero-external hemorrhoids. Case 1: A 30-year old young male approached with intero-external hemorrhoid at 11 O’clock position as a primary. Case 2: A 41-year-old female visited with second degree intero-external hemorrhoid at 11 O’clock position. Hemorrhoids present in these patients can be considered as Kaphaja Arṣa. These cases were diagnosed by per rectal digital and proctoscopic examinations by ayurvedic proctologists. In both cases, application of Jīmūtaka Lepa was done under local anesthesia administered using lignocaine 2% with adrenaline. This was followed by manual anal dilatation. Jīmūtaka Lepa was applied to the internal hemorrhoids (Arṣa). Changes were observed in the form of edema, ulcer in 3-4 days and sloughing out of the pile mass up to 5-7 days. Subsequently fibrosis of hemorrhoidal masses started after 7 days. Jīmūtaka Lepa shows a significant effect in obliterating the hemorrhoidal mass within a month of application. The patients were followed-up regularly with proctoscopic examination in each visit and did not reveal any evidence of recurrence of the hemorrhoids.

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Vein is said to be varicose when it is dilated, tortuous and elongated. It appears commonly in long standing people like police, drivers and rickshaw pullers, older people and obese. Varicose ulcer is clinical manifestation of chronic venous insufficiency. The pathogenesis starts with dysfunction of venous valves causing venous hypertension which stretches the veins resulting in ulcer formation. In modern, conservatively advise stocking, foot end elevation and Heparin medications. The lakshana of siragranthi and dushta vrana mentioned by Acharya Vaghbat and Sushrutas resembles varicose vein and venous ulcer respectively. Mainly siramokshan, shodhan and ropan are its prime treatment modalities. Surgical modelities involve saphenofemoral junction ligation and greater saphenous stripping and saphenopopliteal junction ligature and lesser saphenous stripping, sclerotheoraphy, subfascial ligation of Cockett and Dodd split skin graft, radical surgical approach and bypass surgery. So treatment modalities mentioned in classics need to be followed to avoid the surgery complications.