Study of an Ayurvedic Herbal Patch for Varicose Veins

INTERVENTION: CONDITION: Health Condition 1: I838‐ Varicose veins of lower extremities with other complications PRIMARY OUTCOME: change in severity of varicose vein symptoms from baseline to the end of treatment, assessed using a validated venous clinical severity score.Timepoint: mean change in VCSS score from baseline to post‐intervention compared with the control group SECONDARY OUTCOME: change in limb circumferenceTimepoint: baseline week 4 week 8 INCLUSION CRITERIA: Primary intervention group test arm Intervention name Ayurvedic herbal transdermal patch type : drug and herbal formulation drug type ayurvedic medicine polyherbal patch composition Manjistha lodhra ashwagandha neem triphala yastimadhu, Dose transdermal patch applied topically over the affected lower limb area frequency and duration: applied once daily Standard group control arm conservative care or compression therapy graduated compression stockings C1 to C4 Inclusion criteria Clinical diagnosis of primary uncomplicated varicose vein of lower limbs CEAP classification C1 to C4 Patient willing to participate and give written informed consent Able to comply with 8‐week protocol