Siragranthi or Sirajagranthi

Siragranthi or Sirajagranthi (dilated, twisted veins due to Vata–Pitta imbalance and obstruction in Rakta vaha srotas).

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Ayurvedic Remedies

1. Internal Medicines

(Should be prescribed based on prakṛti, doṣa involvement, and stage of disease)

• Kaishora Guggulu – Helps purify blood, reduce inflammation, and improve circulation.

• Punarnavadi Kashayam – Reduces swelling and water retention.

• Guggulu Tiktaka Ghrita – For Pitta–Rakta vitiation and inflammation.

• Chandraprabha Vati – Improves microcirculation and relieves heaviness in the legs.

• Sarivadyasava – Purifies blood and cools down inflammation in varicose veins.

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2. External Treatments

• Lepas (Herbal Pastes)

  • Manjishtha + Lodhra + Chandana powder mixed with rose water – apply over affected veins to reduce burning and pigmentation.

  • Nirgundi Patra Swaras (fresh leaf juice) – reduces pain and swelling.

• Taila Abhyanga (Oil Massage) (light massage only)

  • Sahacharadi Taila or Kottamchukkadi Taila – improves blood flow and nourishes veins.

  • Massage should be upward, from feet toward heart, with gentle pressure.

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3. Panchakarma Procedures

(Done under Ayurvedic physician supervision)

• Raktamokshana (Jalaukavacharana – leech therapy) – especially useful when there is discoloration, burning, or congestion.

• Virechana – for Pitta-Rakta imbalance.

• Basti therapy – to pacify Vata and improve blood flow.

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4. Dietary & Lifestyle Advice

• Eat fiber-rich foods (green leafy vegetables, fruits) to prevent constipation, which worsens varicose veins.

• Include garlic, ginger, turmeric – natural blood thinners and circulation boosters.

• Avoid too much salt, deep-fried, or processed food.

• Drink lukewarm water and avoid ice-cold drinks.

• Avoid standing for long periods; elevate legs when resting.

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5. Simple Home Remedies

• Triphala powder (1 tsp with warm water at night) – improves digestion and reduces strain on veins.

• Horse chestnut seed extract (Aesculus hippocastanum) – improves venous tone and reduces swelling (available in Ayurvedic formulations).

• Cold–warm water alternation – pour warm water for 1 minute, then cold water for 20 seconds over the legs, repeat 3–4 times to stimulate circulation.

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📜 Classical Reference:

Suśruta Saṃhitā, Chikitsā Sthāna 12/3 – Siragranthi occurs due to Vata pushing vitiated blood, causing dilation and knot-like swellings in veins. Management includes Raktamokshana, Snehana, Swedana, and use of Rakta-shodhaka drugs.