Abstract

AYURVEDIC MANAGEMENT OF DUSHTA VRANA WITH THE HELP OF HARTAL SIDDHA GHRITA: A CASE STUDY

Dr. Aditya R. Shevate*, Dr. Vitthal K. Kasle and Dr. D. W. Lilke

Abstract

A wound is a break in integrity of the skin or tissues often which may be associated with distruption of the structure and function. A wound is said tobe chronic if healing does not occur within the expected period according to its etiology and localization.[1] In ayurveda, there are 4 Vrana avastha i.e. Dushta Vrana. Shudha vrana, Ruhyaman vrana and Rudha vrana. Dushta vrana is one in which there is localization of Dosha Vata, Pitta and kapha. And which had a bad smell, has abnormal color, with profuse discharge, intense pain and takes a long Period to heal.[2] In modern medicine some Antibiotics and Antiseptics have developed resistance in treatment of infectious wound. The healing process becomes diminished in chronic wounds due to reduced tissue degeneration, angiogenesis and neurological problem.In practice, Dushta vrana is the most common encountered problem faced by a medical practitioner with prevalence rate of Dushta Vrana is 4.5%.[3] Sushruta has described 60 measures for the comprehensive management of Vrana (wound), which includes local as well as the systematic use of different drugs and treatment modalities under a dedicated chapter. Acharyas incorporated number of drugs broadly classified into shodhana and ropana. The processes i.e. shodhana and ropana have been therapeutically grouped under seven headings as Kashaya, ghrita, Kalka, Sarpi, Taila, Rasakriya and avchurnan. As hartal after purification, acts as vranropaka and vrana shodhak.and ghrita which has properties of vranaroka helps for healing the wound. A 60 Yr female with no any co-morbidity having wound over left leg since 1 month. by using hartal ghrita healthy granulation along with contraction of wound noticed. It is suggested to design a larger sample to confirm the effect of this protocol in wound management of Dushta vrana.

Keywords: Dushta vrana, Hartal, Ghrita, Doshas, Shodhan, Ropan.