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Non healing ulcers are those which do not heal by conservative therapy within 3 months. In Unani system of medicine, the term Qurooh-e-aseerat-ulindamaal is applied for those ulcers which are resilient to healing. Venous ulcers sometimes do not respond to conservative treatment and transform to non-healing ulcers. The incidence of vascular ulcer accounts for 98% of all ulcers in this country. Venous ulcers are usually resilient to modern conservative treatment. In this case series we treated completely within 45 days, four cases of venous ulcers by means of local application of Marhame-raal. At one month follow up after complete healing of the wounds, there was no evidence of recurrence of ulcers in patients. The study was carried out during July-August 2018 at our institute. Source of data is Patients attending surgery (Jarahat) OPD/IPD of NIUM Hospital, Bangalore. Method of collection of data is after assessment of patients by means of medical history and clinical examination. Assessment parameters are area of wound/ulcer in square centimeter, appearance of healthy granulation, epithelialization and discharge from wounds, tenderness and photographs of the affected part. Inclusion criteria are both genders, Ulcers not healing for more than 6 weeks, Wagner’s 0, 1 and 2 ulcers, Patients in age group of 18-60 years. Exclusion criteria are gangrenous and malignant ulcers, Pregnant and lactating women, any severe systemic disease. Study design is descriptive consecutive case series. Duration of study is 45 days. Intervention is Marham-e-raal. Result is Four cases showed astonishing response to Marham-e-raal and ulcers got healed completely within 45 days. No adverse effect was documented. The optimum and cost-effective treatment of qurooh-e-aseerat-ul-indamaal (Chronic wounds) may include local application of Marham-e-raal with maintenance of local hygiene provided all other morbid factors have been controlled.

VENOUS ULCERS AND THEIR HEALING WITH HERBO-MEDICINAL OINTMENT; MARHAM-E-RAAL: A CASE SERIES