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Varicose Veins

Normal veins-the vessels that carry blood to the heart-contain valves that open and close to permit blood to flow in only one direction. If these valves become weak and don't fully close, blood flows backward and collects, resulting in bulging veins. Commonly referred to as varicose veins, they almost always develop in the legs (although hemorrhoids are actually varicose veins in the anus).

In most people, varicose veins produce only mild discomfort. In severe cases, however, blood and other fluids leak out of the veins into the surrounding tissue, causing scaly, itchy skin or swelling in the ankles from the fluid that has pooled in the legs. Sometimes the legs feel heavy or achy, particularly after extended periods of standing. The veins tend to worsen over time without treatment.

Genetic and hormonal factors play key roles in the occurrence of varicose veins. The condition tends to run in families and is four times more common in women than men.

Other possible causes include obesity, pregnancy, or frequent heavy lifting, all of which can create excessive pressure on the veins. Pregnancy also produces hormonal changes believed to weaken the veins in the legs. Varicose veins tend to affect people who spend a lot of time on their feet, who habitually cross their legs, or who get too little exercise. Also at risk are people with congestive heart failure (an inability of the heart to pump blood properly) or liver disease.

Supplements and herbs

If you have varicose veins, taking vitamin C with flavonoids (which help the body use vitamin C) and vitamin E can improve blood circulation and strengthen the walls of the veins and capillaries. The herb gotu kola can be added to these vitamins and is probably the most valuable botanical for this condition. Gotu kola enhances blood flow, increases the tone of the connective tissue surrounding the veins, and keeps the veins supple. Bilberry complements gotu kola; in fact, these two herbs are often sold in a single supplement. Horse chestnut can be used in place of gotu kola and bilberry. This herb appears to control inflammation and swelling and to reduce the accumulation of fluid. If you cannot find the standardized extract of horse chestnut, you can substitute the herb butcher's broom. Procyanidolic oligomers (PCOs) found in grape seed extract at a dose of 150- 300 mg a day may also improve varicose veins. It may take up to three months to see results. You can take the vitamins and herbs that work best for you indefinitely.

Homeopathy

For acute symptoms of pain or inflammation, take the chosen remedy several times daily. For more chronic vein problems, use the remedy for up to a month, taking a break for a week or more and reassessing.

  • Aesculus
    Distended veins of purple color. Purple, puffy skin. Varicose ulcers.
    Depressed and irritable. Weak lower limbs. Sense of heaviness, fullness.
    Sticking, hot lightening pains. Congestion of the liver with constipation.
    Worse: walking, standing, motion, cold, winter, a.m. Better: open air.
  • Bellis
    Distended, engorged veins. Varicosities during pregnancy, difficult to walk.
    Painful varicose veins; deep aching or bruised pain. Heavy, tired limbs.
    Swollen tissues, bruising. Tendency to bleed. Old injuries or sprains.
    Worse: fast walking, warmth, touch, chilling. Better: rubbing, motion.
  • Carbo veg
    Congested blue vein network under the skin. Mottled appearance, livid.
    Varicosities tend to ulcerate. Slow, sluggish; mentally and physically.
    Limbs go to sleep. Weak. Chilly; icy cold, blue limbs but burning pains.
    Worse: warmth, night before sleep, cold air, wine. Better: elevating feet.
  • Fluoric acidum
    Chronic varicose veins, ulcers; in women who have had many children.
    Burning pain in small spots. Small knots of enlarged capillaries, veins.
    Weak distended blood vessels. Sensitive veins. Feels need to walk fast.
    Worse: night, warmth, lying, sitting, touch. Better: fast motion, cool bathing.
  • Hamamelis
    Varicose veins of legs and thighs with congestion, heaviness, swelling, or soreness. Passive bleeding. During pregnancy. Chilliness down legs.
    Sensitive, stinging, inflamed veins. Itching. Ulcers. Tired, bruised feeling.
    Worse: jarring, touch, warm, wet, sitting, pressure. Better: lying, motion.
  • Lachesis
    Sensitive, swollen, engorged, inflamed or ulcerated veins. Network of veins in skin or face; knotted veins behind knee, in the leg, foot, arms.
    Phlebitis, blue-red swelling along course of veins. Hard, ropy veins.
    Skin mottled, purplish, livid. Easy bleeding. Intense, talkative, suspicious.
    Worse: after sleep, pregnancy, menopause, touch, heat, alcohol, left side.
  • Pulsatilla
    Knotty, weak, swollen veins, tender to touch. Bluish, sore, stinging pains.
    Phlebitis, itching. Heaviness in legs. Varicosities of forearms and hands, legs; of feet with swelling. Bleeding. Chilly. Mild, emotional, weepy, needy.
    Worse: external heat, evening, rest, pregnancy. Better: rubbing, cool air.
  • Sepia
    Loss of elasticity: distended, congested, purple veins. Legs and thighs.
    During pregnancy, uterine prolapse, menses with bearing down pains.
    Inflamed, itching or ulcerated. Heaviness, bleeding. Stitching pains.
    Sluggish bowels, late menses, hemorrhoids, lax muscles, depression.
    Worse: cold, on waking, touch. Better: walking fast, warmth, uncovering.

What else you can do

  • Exercise, but avoid high-impact activities. Walk, bike, or swim rather than jog, If you lift weights, don't use very heavy ones.
  • Elevate your legs whenever possible. This helps prevent the blood from pooling in the veins.
  • Avoid prolonged standing or sitting and don't cross your legs.
  • Don't wear tight clothing, including shoes, panty hose, or belts. These items can constrict veins in and around the legs and make it hard for blood to move upward as it should.

Usual dosage

Vitamin C / Flavonoids
1,000 mg vitamin C and 500 mg flavonoids 3 times a day.
Reduce vitamin C dose if diarrhea develops.
Vitamin E
400 IU twice a day.
Check with your doctor if taking anticoagulant medications.
Gotu kola
200 mg extract or 400-500 mg crude herb 3 times a day.
Extract standardized to contain 10% asiaticosides.
Bilberry
80 mg 3 times a day.
Standardized to contain 25% anthocyanosides.
Horse chestnut
500 mg each morning.
Standardized to contain 16%-21% escin.
Butcher's broom
150 mg 3 times a day.
Standardized to contain 9%-11% ruscogenin.

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