Abstract

A CLINICAL EVALUATION OF PATOLYADI LEPA IN THE MANAGEMENT OF MADHUMEHAJA VRANA

Dr. N. Hari* and Dr. T. Srinivasa Rao

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Abstract

The concept of Vraṇa (wound) has been around the beginning of time. The word „Vraṇa’ appears in Vedic literature for the first time in the context of injuries. The basics of wound cleaning, closure and splinting have been stated by several medical systems. Ayurveda is a science of life and it contains a thorough explanation of Vraṇa, its classification and treatment along with various local and systemic interventions. Caraka Samhita, Suśruta Samhita and Aṣṭānga Hṛdaya are the three important treatise (Brhatrayi) that gave detailed descriptions of Vraṇa. Suśruta (1000 B.C.), Father of Indian Surgery‟ had elucidated the concept of Vraṇa, its aetio pathogenesis, types and therapeutic options. He devised sixty protocols dealing with Vraṇa using numerous drugs. The wound-care principles and treatments developed by Suśruta are still in use today. Various researchers have studied on the wound, with encouraging results.[1] All Ācāryas in Ayurveda classify Prameha as a Mahāvyādhi and 20 Prakāra of Prameha are mentioned. According to Vriddha Vāgbhaṭa, Prameha is a horrible disease since it involves all three dośas, is localized in the most vital organs, lasts a long time and is accompanied with many complications. Vraṇa could be regarded a Prameha Upadrava. Madhumehajanya Vraṇa are typically classified as Duṣṭa Vraṇa and is considered Kricchra Sādhya or Yāpya. Current medicines have a low success rate and do not address the microvascular pathology that diabetics experience.[2] The conditions for diabetic lower extremity preservation have never been great earlier several researches have been carried out. The task at hand is to get these patients back on their feet. According to International Diabetes Federation (IDF) 540 million people across the globe are estimated to be living with diabetes.[3] India is deemed to be the Diabetic Capital of the world and in most households, it is known as “sugar” or “The Sugar Disease”. Out of this, 25% develops Diabetic Foot Ulcers (DFU), of which 50% become infected requiring Hospitalization while 20% need amputation. DFUs contribute to approximately 80% of all non-traumatic amputations in India annually. Diabetic foot ulcer is a major complication of Diabetes Mellitus. It becomes one of the medical, social and economic problems worldwide. India being termed as capital of DM. AYUSH department of India also declared theme “Mission Madhumeha through Ayurveda”. In diabetes, 85% of leg amputations are preceded by a seemingly insignificant leg ulcer. Lower extremities issues are common in diabetic patients, afflicting one out of four people. In individuals with Diabetes, poor healing is a serious clinical issue which even lead to lower-limb amputation.[3]

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