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Summary of article contents:

This case report is the description of multiple varicose ulcers over right lower limb of a 35 years old male, working as a bakery store shopkeeper. Pain and burning sensation with serous discharge was present from the ulcers. In right lower limb venous Doppler, incompetent perforators were noted, which indicated varicose ulcers. Patient was also having complaints of bilateral tortuous dilated veins, RT>LT. As he got no relief with regular wound dressing, so for better treatment he got admitted to SDMCAH, Hassan, Karnataka. In Ayurveda varicose ulcers can be considered as Siragranthijanya vrana. Integrated treatment given with Nimba Tila kalka as external application fror 10days and 3 sittings of leech therapy. After 10days patient got symptomatic relief with healed multiple venous ulcers over right lower limb. In this case study, an attempt is made to prove the efficacy of Nimba Tila kalka as an integrated approach in the management of non healing venous ulcers