Abstract

ROLE OF TILA-KALKA LEPA IN DUSHTA-VRANA: A CASE STUDY

Dr. Hema Goswami* and Dr. Ajay Kumar Gupta

Abstract

Dushta-Vrana is frequently encountered problem of the current population, occurring commonly as a complication of trauma and various other pathological factors. In present scenario, Vrana can be very well correlated with wound. Wounds are one of the serious ailments which health-care professionals are facing today. Also in today‟s busy life schedule, often one neglects his minor injuries which are eventually converted into a major hazard or complications. “The destruction or break or rupture or discontinuity of body tissue or part of body is called Vrana, which after healing leaves behind a scar (Vranavastu) and this scar persist as a mark of Vrana for the whole life of an individual.”[1] Wound healing is a mechanism where the body attempts to restore the integrity of the injured part. Several factors affect the normal process of wound healing such as the site of wound, contamination, local factors like vascular insufficiency, systemic factors such as malnutrition, diseases like diabetes mellitus, immune deficiency, medications like steroid, etc. Today the world is moving fast towards Ayurveda for different health related problems. Acharya Sushruta has mentioned Sixty Upakramas for the management of Vrana, and Lepa (local application) is one among them.[2] Local application of Tila-kalka Lepa described by Acharya Sushruta is one of the best classical modality for wound healing[3] and it possesses Shodhna and Ropana properties. A case report of 66 years aged gentleman, who presented with complaint of long standing gangrenous blackish discoloured wound on left Big toe associated with pain, slough, foul smell, oedema and purulent discharge has been presented here.

Keywords: Dushta-Vrana, Sixty Upakramas, Tila-kalka Lepa.