Abstract

COMPREHENSIVE REVIEW ON THE MANAGEMENT OF DUSHTA VRANA: INSIGHTS FROM AYURVEDA AND MODERN PERSPECTIVES

Dr. Shruti Rajendra Bhosale* and Dr. Gayatri Mavale

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Abstract

Dushta Vrana, or chronic non-healing wounds, remains a significant health concern affecting patients globally. Its management has evolved through centuries, from ancient Ayurvedic practices to modern medical interventions. In Ayurveda, Dushta Vrana is attributed to imbalances in the three doshas—Vata, Pitta, and Kapha—which contribute to delayed wound healing, infection, and tissue degeneration. The treatment of Dushta Vrana in Ayurveda encompasses the use of herbal remedies, detoxification therapies, and lifestyle modifications. Herbs such as Haridra (Curcuma longa), Yashtimadhu (Glycyrrhiza glabra), and Guggulu (Commiphora wightii) have been documented for their potent anti-inflammatory and antimicrobial properties, supporting wound healing. Panchakarma therapies like Virechana (purgation) and Raktamokshana (bloodletting) are employed to detoxify the body and balance doshas, aiding wound repair. On the other hand, modern medicine addresses chronic wounds with debridement, antimicrobial therapy, and advanced dressings such as hydrocolloids and silver nanoparticles. These interventions help maintain a sterile environment and promote granulation tissue formation. This review explores an integrative approach to Dushta Vrana management, merging Ayurvedic wisdom with modern medical advancements. Several case studies and clinical trials support the efficacy of this combined approach, demonstrating improved healing outcomes in patients. This review emphasizes the importance of blending traditional and contemporary practices to enhance chronic wound care, paving the way for further research into integrative healing protocols.

Keywords: Dushta Vrana, chronic wound, Ayurveda, Panchakarma, wound healing, herbal remedies, modern medicine, wound care.