Conservative Management of Dushta Vrana (Chronic Ulcer) Through Ayurveda: A Case Study

Non-healing ulcers or Dushtavrana possess a great challenge to the doctors, as it is a very common problem presented by the patients. It is not only that the patient feels the pain and discomfort but the others who look at the patient, they also feel a lot of discomfort. It creates a very embarrassing situation for the patient in his day to day life. After trying for all the therapies eventually patient looks forward to Ayurvedic system of medicine with a very little ray of hope that here his ulcer may be healed. Fortunately only with the help of Ayurvedic medicines and without any sort of surgical intervention the patient get healed. This article presents the conservative management of non-healing ulcers or Dushtavrana which proved to be a miracle for the patients.

A Comparative Clinical Study On Application Of Yashada Bhasma Lepa And Jatyadi Ghrita In The Management Of Dushta Vrana W.s.r. Diabetic Ulcer

Introduction: Wounds and their management are fundamental to the practice of surgery. In surgery of trauma, wound is frequently a primary pathology. In elective surgery, it is through the wound that access is obtained to deal with the underlying pathology. In both situations surgeon’s task is to minimize the adverse effects of wound, remove or repair damaged structures and harness the process of wound healing to restore function. Objectives: The study is aimed to know the comparative efficacy of Yashada Bhasma Lepa and Jatyadi Ghrita in the management of Dushta Vrana. Method: Clinically diagnosed 30 patients of Dushta Vrana were randomly divided into two groups, each group consisting of 15 Patients. First (A group) is treated by Yashada Bhasma Lepa and second (B group) is treated by Jatyadi Ghrita for 21 days. Result: On the basis of assessment criteria and on the overall result of treatment the patients of Yashada Bhasma Lepa group showed better relief when compared to Jatyadi Ghrita. Interpretation: Yashada Bhasma Lepa having the properties of Tikta, Kashaya, Katu, Rasa predominance thus had action of Kapha Pitta Shamana, Netra Roga, Pandu, Bahumootra Roga, Kasa, Swasa, Rajayakshma, Ratrisweda, Vranasrava Avarodaka,Prameha, Sankochakara.etc. Thus this help for Shodhanaand Ropana. Conclusion: Yashada Bhasma Lepa has provided better relief in maximum signs and symptoms of the patients of Dushta Vrana, in comparison to Jatyadi Ghrita. Its overall effects were also better in comparison to Yashada Bhasma Lepawith Jatyadi Ghrita and dressing reduces the infection.

Formulation And Physico-chemical Characterisation Of Ksharaplota Dressing For Vrana Chikitsa

Good quality of wound healing is a difficult task to the clinicians in ancient time and even in present time though. Wound healing is a defense mechanism of our body to prevent and fight against infection. In Health sciences, wound healing formulations are practiced with their own advantage and disadvantages. Ayurveda is a divine science of medicine where there are so many pieces of diamonds available for management of Vrana without any complication. Our Acharyas broadly described about treatment principles of wound management and classified the drugs related to Vranashodhana and Vranaropana. As per text we are well known about the wider approach of Acharya Sushruta in relation to Vrana and its management. They have mentioned various dressing materials for wound care it comprises Pichu, Plots, Kawalika, etc. Among these Plota is much better because we can use it for both purposes i.e. to clean as well as to cover the wound. Ksharaplota (medicated gauze) is an innovative and newer concept used for management of Infected and chronic Wounds and ulcers. This Ksharaplota is a herbo-chemical compound and prepared with the help of Snuhikshira (milk of Euphorbia neriifolia Linn.), Apamargakshara (ash of Achyranthes aspera L.) and Haridra (Curcuma longa L.). A single coating of the above drugs were given to the Plota (gauze). It can be used in number of open wounds and ulcers. This Ksharaplota was prepared similarly with basic concept of Ksharsutra preparation. The Aim of this study was to formulate Ksharaplota dressing and to do the physico-chemical analysis of the Ksharaplota. The proved that pharmaceutical processing of the raw drugs imparts characteristic property to the formulation were evident by the physicochemical analysis of the Ksharaplota. The method of formulation of Ksharaplota holds good even for today’s era and can be considered as standard protocol for Vrana Shodhana and Ropana in Dushta Vrana Chikitsa.

Pharmaceutical Development & Anti-microbial Study (in Vitro) Of Tankanamruta Malahar W.s.r. To Rasa Tarangini

Tankanâ which is among the â˜Kshar traya’ mentioned in “Kshar trik vidnyaniya trayodasha taranaga†of Acharya Sadananda Sharma virachit ‘Rasa tarangini’. Tankan i.e., Borax (Na2B4O7 10H2O) is composed of boric acid & soda. It is a salt of tetra Boric acid, an important compound of Boron, which is also known as sodium biborate. Other Rasa Vaidyas also have included “Tankan†under the groups of Ksharatraya, Ksharapanchaka, Dravaka gana, Mitra panchaka etc. The present study was conducted to develop “Tankanamruta malahar†(pharmaceutically & to study its antimicrobial activity (In vitro). “Tankanamruta malahar†is a good combination of herbo-mineral preparation, which is indicated in Dushta vrana shodhan chikitsa or infected wounds. Though this formulation is from Ayurvedic classical text but there is a need to develop the standard procedure of preparation as they have faster & accurate results than oral administration of drug, so by the fusion of modern instruments & traditional methods of manufacturing procedures we have tried to make “Tankanamruta malahar†which contains Shuddha Tankan bhasma, Siktha taila, Sarji kshar, Shuddha pushpa kasis & Pipal twak kshar. Standardization describes all measures taken during manufacturing process like Shodhan, Maran, Kshar nirman & Siktha taila preparation etc & quality control leads to reproducible quality of particular product & in vitro study was performed to evaluate its anti-microbial activity against selected pathogens.

Katupila (Securinega leucopyrus) as a potential option for diabetic wound management.

In acute and chronic wounds, Katupila (Securinega leucopyrus) (Willd.) Muell is a commonly used folklore remedy in Sri Lanka and Saurashtra region of India. We report a case of Madhumehajanya Dushta Vrana (chronic diabetic wound) that was treated with local application of S. leucopyrus in paste form once daily. Wound healed within a month with normal pigmentation and minimal scar. This case also demonstrated possible antimicrobial potential in the treatment of Dushta Vrana.