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International Journal of Indian Systems of Medicine

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Year : 2022 | Volume : 1 | Issue : 1 (Jan-Feb) | Pages : 1-6

Category - Original Research

Title - Vranopachara – Shuddha Vrana Management– A Case Study

Rashmi TM1, Sathish HS2, Mithun B3, Narmada MG4


Vranopachara – Shuddha Vrana Management– A Case Study

Keywords

Vrana, Healing, Shuddha vrana

Description

Introduction

Cases of Vrana are a routine in the clinical practice, clinician thrives hard to give the best solution in order to achieve a faster healing with minimal scar and good cosmetic outlook.[i] Ayurveda offers numerous modalities to heal the wound and a number of studies across the globe are being carried out to understand the principles of healing and its applicability suitable to the current era. In this case study, we tried to showcase a case of nonhealing wound treated with simple, easily available medications to achieve the complete healing.

 

 

Case details and Discussion:

A 40 year old male patient visited the OPD with presenting complaints of non healing wound since one month which he occurred due to traumatic injury during his agriculture works.

Patient didn’t have any other associated complaints. Patient presented with a wound on the dorsum of the right foot with pain and slight itching sensation. The size of the ulcer was 3cm ×4.5cm with red granulation tissue and a sloping edge. The features of shyava oshta [pale greyish edge], pidaki sama [healthy granulation tissue], mridu [soft], snigdha [moist surface], nirasrava [no discharge], avedana [less pain] were observed in the vrana suits to be diagnosed as Shuddha vrana.

illustrates the patient photos from starting of treatment to changes observed:

 

Discussion

In this case plan of treatment was mainly to improve the agni [digestion] and potentiate the healing process by internal tikta dravya administration.[ii] Topically wound was cleaned with panchavalkala kashaya[iii] and Jatyadi taila[iv] was applied. Wound dressing was done on alternate days till complete healing is achieved.

 

Shuddha vrana usually requires less medication or no medication, in this case we administered few medicines in order to fasten the healing process as the wound hasn’t healed in the last one month, the possible reasons for non healing were screened, and following reasons were identified - improper wound hygiene, not getting wound dressing due to economical constraints and being held busy in agriculture activities and continuous strain to the foot during farming works. As there were no significant hindering factor of vascularity or bony injury or sepsis were noticed which could halt the healing process, patient was advised to give rest to the part and follow the treatment protocol which he subsequently observed with punctuality.

 

Conclusion

Diagnosis is of wound is a prerequisite before planning any treatment modality, and adherence to the Sushruta’s principles of healing will aide in achieving the complete epithelialisation.

 

Reference

 

[i] Mehra R. Historical survey of wound healing. Bull Indian Inst Hist Med Hyderabad. 2002 Jul 29;32(2):159-75.

[ii] Ghodela NK, Dudhamal T. Wound healing potential of Ayurved herbal and herbo-mineral formulations: A brief review. International Journal of Herbal Medicine. 2017;5(1):39-45.

[iii] Rathod S, Khandare K, Shrivastava P. Efficacy of Panchavalkal Kwatha Dhawana followed by Panchavalkal Ghruta application in case of Dushta Vrana. Journal of Ayurveda and Integrated Medical Sciences (ISSN 2456-3110). 2019 Sep 26;4(4):345-9.

[iv] Shindhe PS, Ramesh Shivappa Killedar LS, Santosh YM, Madiwalar M. Evaluation of Wound healing activity of Jatyadi Ointment and Jatyadi taila in the management of clean wound (ShuddhaVrana)-A Randomised Controlled Trial.


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