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Dr. Hema Goswami* and Dr. Ajay Kumar Gupta


In practice, Dushta-Vrana is one of the most common encountered problem faced by Surgeons. Vrana is the condition associated with Dhatu nasha (Destruction of tissue), and characterised by Vedana (Pain), Srava (Discharge) and Vikriti (Deformity). Commonly, poor hygiene and malnourished conditions increases the infection in Vrana, causes delayed healing, and ultimately converts Vrana into Dushta- Vrana (Non-healing wounds). In modern surgical practice, cases of Dushta-Vrana are managed by dressing with antiseptic solutions, administration of anti-inflammatory and analgesic drugs, debridement, skin grafting, amputation, etc. Many of such techniques are expensive and also not successful in many cases. Hence, there is a need of appropriate Ayurvedic management to cure Dushta-Vrana. In the present research “A COMPARATIVE CLINICAL STUDY OF TILA-KALKA LEPA AND KARAVIRAAVACHOORNANA IN THE MANAGEMENT OF DUSHTA-VRANA” has been evaluated which is free from above mentioned drawbacks. Total 30 patients were taken and randomly divided into two equal groups based on inclusion and exclusion criteria. Local application of selected drugs was done in respective groups after Nirgundi Kwath prakshalana, followed by sterile bandaging once daily. Assessment was done according to subjective and objective parameters. The observations showed that 100% patients got cured in Group A; and 86.67% were cured and 13.33% were markedly improved in Group B, without any complications. Result was observed on the basis of subjective parameters (Pain, Itching) and Objective parameters (Tenderness, Discharge, Size, Floor/Granulation, and Smell) and analysed statistically. Although Tila-Kalka Lepa and Karavira Avachoornana both showed magnificent results in curing patients suffering from Dushta-Vrana, but on the basis of overall effect of therapy, it was found that Tila-Kalka Lepa showed better result than Karavira Avachoornana. Moreover, both classical herbal formulations were well accepted by all patients and did not produce any side effect during study period as well as follow up.

Keywords: Dushta-Vrana, Tila-Kalka Lepa, Karavira Avachoornana.

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