A male patient aged 37 yrs came to Salyatantra OPD of Sree Narayana Institute of Ayurvedic Studies & Research Hospital, Puthoor, Kollam with complaints of a non-healing wound on left medial malleolus since 6 months. Discharge and itching around wound since 10 days. Pain over inguinal region since 2 days and came here for better management. On examination there was a vertically oval shaped ulcer with slopping edge and the floor was covered with red granulation tissue and white margin on left medial malleolus. On palpation there was temperature rise and tenderness and inguinal lymph node enlargement. The diagnosis was confirmed as varicose ulcer. Patient was treated with Jalaukavacharana for 2 days, Yogavasthi and Avagaha and dressing with Jathyadi Ghrita and crepe bandaging for 9 days along with internal medication. The wound responded well with each treatment procedures. The wound was completely healed. Follow up was done on 7th day and 14th day of discharge. There was complete closure wound. No reappearance of disease since three months. Thus this patient was successfully treated with this Ayurvedic protocol without any recurrence and complications.

A male patient aged 37 yrs came to Salyatantra OPD of Sree Narayana Institute of Ayurvedic Studies & Research Hospital, Puthoor, Kollam with complaints of a non-healing wound on left medial malleolus since 6 months. Discharge and itching around wound since 10 days. Pain over inguinal region since 2 days and came here for better management. On examination there was a vertically oval shaped ulcer with slopping edge and the floor was covered with red granulation tissue and white margin on left medial malleolus. On palpation there was temperature rise and tenderness and inguinal lymph node enlargement. The diagnosis was confirmed as varicose ulcer. Patient was treated with Jalaukavacharana for 2 days, Yogavasthi and Avagaha and dressing with Jathyadi Ghrita and crepe bandaging for 9 days along with internal medication. The wound responded well with each treatment procedures. The wound was completely healed. Follow up was done on 7th day and 14th day of discharge. There was complete closure wound. No reappearance of disease since three months. Thus this patient was successfully treated with this Ayurvedic protocol without any recurrence and complications.

Chronic Actinic Dermatitis (CAD) or Chronic Photosensitivity Dermatitis is an immunologically mediated photodermatosis which is characterized by pruritic eczematous lesions, severely itchy, red, inflamed and thickened dry skin of sun exposed areas. The other term of chronic actinic dermatitis is Actinic reticuloid. It is usually seen in patients older than 50 years of age. The etiology of chronic actinic dermatitis is not identified until now. The diagnosis of chronic actinic dermatitis is based on patient history, cutaneous findings and histological features (biopsy). Photo protection measures are a central management of chronic actinic dermatitis. Other therapeutic remedies include immunosuppressive agents and antihistamines. Here we reported a case of chronic actinic dermatitis presenting with long history of itching and reddish lesions, multiple hyper pigmented and erythematous papules and plaques present over the body. On the scalp there is multiple well defined de-pigmented and erythematous plaques were present. The patient condition improved with the use of steroids, antihistamines and sunscreens.