Abstract

CASE STUDY: CLINICAL EVALUATION OF NIMBAPATRADI VARTI IN THE MANAGEMENT OF PAATIT GUD VIDRADHI (W.S.R. TO ANO-RECTAL ABSCESS)

Dr. Shreya Maurya*, Dr. Prince Kumar Singh, Prof. (Dr.) Elizabeth P. John, Dr. Ishan Parashar

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Abstract

Background: Gud Vidradhi, an inflammatory and suppurative condition described in Ayurveda, closely resembles an ano-rectal abscess in modern medicine. It is characterized by severe pain, swelling, and pus formation in the perianal region. Conventional management involves incision and drainage (Paatan Karma) followed by antibiotics and daily dressings, which can be associated with delayed healing and infection. Nimbapatradi Varti, a classical Ayurvedic formulation mentioned in Bhaishajya Ratnavali, is indicated for Vrana Shodhana (wound cleansing) and Ropana (healing) due to its antimicrobial, anti-inflammatory, and wound-healing properties. Aim: To evaluate the efficacy of Nimbapatradi Varti in the management of Paatit Gud Vidradhi (incised ano-rectal abscess) in terms of wound healing, pain reduction, and infection control. Materials and Methods: A 32-year-old male patient presented with a diagnosed ano-rectal abscess that had been surgically incised and drained (Paatit Gud Vidradhi). After obtaining informed consent, the patient was treated with daily local application of Nimbapatradi Varti for 28 days. Assessments were made weekly based on subjective parameters (Pain, Itching) and objective parameters (Wound Size, Swelling, Discharge, and Healing Index). Results: After 28 days of treatment, a marked improvement was observed. The wound achieved complete epithelialization (healing index: 5 - Excellent). Pain reduced from severe (score 3) to absent (score 0). Conclusion: Nimbapatradi Varti proved to be highly effective in promoting rapid and complete healing of Paatit Gud Vidradhi. This case provides strong preliminary evidence for the use of this classical formulation as a superior post-incision wound management therapy in ano-rectal abscesses.

Keywords: Gud Vidradhi, Ano-rectal Abscess, Nimbapatradi Varti, Vrana Shodhana, Vrana Ropana, Shalya Tantra, Paatan Karma.