Abstract

A REVIEW ARTICLE OF GUDUCHI PATRADHANA

Parshwanath Jain S. S.*, Dr. M. N. Hireth, Dr. Adithya J. V.

Abstract

Guduchi (Tinospora cordifolia [Wild.] Miers), family Menispermaceae, is widely distributed in India and is commonly known as Amrita. It is one of the most important medicinal plants used in Ayurveda. During COVID 19 pandemic situation, Guduchi gained a worldwide recognition for its therapeutic values in general and its immunomodulatory activities in particular through internal applications. Although highlighted for its external administration in various ayurvedic pharmacopoeias, information about its external applications is still lacking. It is estimated that in the course of life time, almost 10% of population will develop a chronic ulcer with mortality rate of 2. 5% Despite treatment, many chronic ulcers fail to heal or persist for months/years and pose serious complication leading to even death in surgical practice. In Dushtavrana, healing will be delayed because of Doshadushti. Acharya Susrutha elaborately explained the management of Vrana which incorporated Vranashodhana, Vranaropaana and Vaikrutapaha. Shastirupakrama helps to attain Shudha Avastha and Ruda Avastha of Vrana with restoration of normalcy. Patraadaana is one among Shastirupakrama which is indicated in management of wounds which are non-progressive, with poor granulation tissue and not healing due to dryness. Among the leaves mentioned, two of them, Guduchi (Tinospora cordifolia) were selected here for clinical assessment in Dushtavrana. Local intervention with Guduchi patraadana with Jatyadi taila along with internal medications was found to be significant in reducing pain, tenderness, burning sensation, itching, discharge, odour and size of the ulcer. Vrana management is being an important challenge for the surgeons since ancient times. As human body is sustainable to vrana in many aspects, many managements are described and applied for the treatment of vrana. Acharya Sushruta has described vrana broadly in many context in his classics. Acharya Sushruta defined the term vrana as the tearing or splitting of the tissue under the skin and since it causes discontinuity of the body hence it is called vrana. Shasti-upakrama is the best management of vrana in the Ayurvedic classics. Patradana is one of the treatment described under the shastiupakrama. Many drugs leaves are used for patradana in the healing of wound in this context Guduchi patra is best used in the healing of wound. vrana can be correlated to wound in modern text. In this article we are going to discuss about the effects oGuduchi patra as patradana in the healing of wound.

Keywords: Dusta vrana, Non-healing ulcer, Guduchi patradana, Jathyadi taila.