Vol. 3, Issue 1, Part A (2026)

Varicose veins (VV), characterized by enlarged, twisted veins, are a common vascular disorder affecting millions globally. Primarily observed in the lower extremities, VV leads to discomfort, pain, and potential complications like thrombophlebitis and ulceration. Conventional medical interventions, such as sclerotherapy and surgery, offer temporary relief but often fail to address the root causes, leaving patients susceptible to recurrence. As a result, there is an increasing interest in alternative therapeutic modalities, with Ayurveda offering a holistic approach to managing vascular health. This review aims to explore the Ayurvedic management of varicose veins through Asthi Chikitsa (bone therapy), focusing on its potential benefits in improving vascular health and preventing further progression of the disease. Asthi Chikitsa, traditionally employed for musculoskeletal disorders, involves the use of herbal formulations and therapeutic techniques aimed at strengthening the bones and promoting circulatory efficiency. In Ayurveda, the balance of the doshas Vata, Pitta, and Kapha is central to maintaining optimal health. Disruption of Vata dosha is often associated with vascular issues, including varicose veins, leading to stasis and poor circulation. By addressing these imbalances, Ayurvedic treatments aim to restore proper circulation and reduce the severity of symptoms. This paper reviews the scientific evidence supporting the efficacy of Ayurvedic treatments, particularly Asthi Chikitsa, in managing varicose veins. Through an analysis of both ancient texts and contemporary studies, we evaluate the role of herbal medicines, dietary modifications, and lifestyle practices in alleviating the symptoms of VV and improving vascular health. The findings suggest that Ayurveda offers promising adjunctive treatment options for varicose veins, complementing conventional therapies and potentially improving long-term outcomes.