ABSTRACT

Introduction – A chronic wound is one that does not heal in a predictable sequence of stages. Ayurveda has given a unique treatment modality i.e., para-surgical procedures and Kshara karma is one among them and it serves the purpose of Vrana Shodhana (Wound debridement/cleansing). Case Report – A 62-year-old male complaints of non-healing wound on the left lower leg for 2 months with history of blunt trauma, received symptomatic treatment from local doctor and got quite relief but no history of taking rest or regular dressings which aggravated the symptoms, on examination revealed ulcer 7x4cm in size on Antero-medial aspect of the left lower leg and 2x1cm at dorsum of left foot. Chronic wound management is still a difficult task and even Acharya Sushruta broadly explained the concept of Kshara and also indicated for the treatment of Dushtavrana (Chronic wound). In this case will review wound healing physiology in 3 stages and discuss the current approach for treating a wound. Diagnosis – Case was diagnosed as Chronic wound as per contemporary science and Dushtavrana as per Ayurveda. Intervention – The case was managed by Kshara karma as an external application and post operative Yashtimadhu (Glycyrrhiza glabra) and Ghrita (Cow ghee) was applied for wound dressing. Kaishora Guggulu and Manjishtadi Kashaya administered internally. Outcome - The wound took 3 months for complete healing with improvement in the patient quality of life to perform his routine activities. Conclusion – The adopted Ayurveda treatment i.e., Kshara karma has given promising results in the management of Dushtavrana (Chronic wound). Keywords: Ayurveda, Dushtavrana, Kshara karma, Palasha Pratisaaraneeya Kshara, Vrana Shodhana, Vrana Ropana, Shashtiupakrama, Chronic Wound, Wound Healing
Publication date: 05/03/2022

https://ijbpas.com/pdf/2022/March/MS_IJBPAS_2022_MARCH_SPCL_1087.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.3.1087