Abstract

A CASE STUDY OF PANCHVALKAL KWATH DHAWAN IN DUSHTA VRANA W.S.R. TO VARICOSE ULCER

Pardeshi Neetu Narayan*

Abstract

Aacharya Sushrut mentioned sixty measures for management of wound. Panchavalkal is the combination of five drugs, having properties like shodhan (cleaning) and ropan (healing) of wound. Individual drugs and in combination have a kashaya rasa (astringent) dominant and useful in the management of vrana (wound) as well as shotha (inflammation). A 44 years old male patient consulted in Shalya tantra OPD with complaints like swelling, itching, slough, pain and discharge from the infected wound at lateral aspect of ankle joint of right foot since about last 8 to 9 months. The case was diagnosed as dushta vrana w.s.r. varicose ulcer and treated with Panchvalkal kwath dhawan daily. During the treatment period, wound was assessed routinely for pain, swelling, slough and discharge to observe the overall healing of the dushta vrana w.s.r. varicose ulcer. There are significant improvements in the healing of wound in one and half month of treatment. This case demonstrated that dushta vrana w.s.r. varicose ulcer can be treated with Panchvalkal kwath dhawan. Aim: To evaluate the result of treatment of panchvalkal kwath dhawan in case of dushta vrana w.s.r. to varicose ulcer. Objective: To evaluate the outcome of treatment with panchvalkal kwath dhawan in terms of pain, ankle flare, peripheral hyper pigmentation, size of ulcer, granulation tissue in case of dushta vrana w.s.r. to varicose ulcer.

Keywords: Infected wound, Panchvalkal kwath, dushta vrana, varicose ulcer, healing.