Venous ulcer develops at around and above the medial malleoli of foot and occurs as a result of recanalization of DVT (deep vein thrombosis). These ulcers are often large in size, non-healing, tender and recurrent with secondary infection. In this case report a 73 years old male patient of varicose ulcer at medial malleolus of right foot was visited in OPD. Patient had complaints of severe throbbing pain, watery discharge, swelling in right foot and large ulcer (12cm x 10cm) at medial malleolus. The pus culture report showed absence of microorganism (Bacteria and fungus). So this case was diagnosed as non infected varicose ulcer and was successfully treated with herbal paste of Katupilla (Securinega leucopyrus). Wound was cleaned with normal saline and then applied paste of S. leucopyrus leaves powder mixed with sesame oil daily once in the morning. Along with this crepe bandage applied at affected part above ankle joint and Rasayan powder (Ayurved medicine) 5gm orally two times a day was given. Wound healed completely within two months of treatment without any complication. Hence this case highlighted that varicose ulcer can be treated with local application of S. leucopyrus paste.

Keywords: Ayurveda; Katupila; Non Healing Ulcer; Rasayan Powder; Securinega Leucopyrus; Thumari; Varicose Ulcer; Wound.