A CASE STUDY ON WOUND HEALING BY VRUNA SHODHAN CHIKITSA

An ulcer is the break in the continuity of skin or mucus membrane either by molecular death or traumatic removal1. It is essential to treat ulcer in surgical field as prevalence rate of chronic ulcer is 4.5 / 1000 popu-lation in India. These ulcers mostly caused by trauma, poor blood supply, diabetes, infections, and periph-eral vascular disorders etc. Ulcers heal when the causative factor will be removed and by the proper wound management, Acharya Sushruth, has explained 60 Vruna upakrams2(60 treatment modalities for wound) for the treat-ment of Dusta Vruna (chronic ulcer), among that Vruna Shodhan (wound cleaning) and Vruna Ropan (wound healing) modalities have been applied in this case, and observed the wound healing in detail and successful results noted

CONCEPT OF SHADKRIYAKAALA OF VRANA BY SUSRUTHA W.S.R TO VENOUS ULCER

Acharya Susrutha has described about the Samprapthi (pathogenesis) of Vrana (ulcer) in detail in Susrutha samhitha sutrasthana. All the ulcers like arterial ulcer, venous ulcer, trophic ulcer etc can be considered as Vrana. But no specific term has been made by Acharya for venous ulcer. Venous ulcers are the wounds occurring as a result of inappropriate functioning of venous valves or of venous obstruction by thrombus. While going through the characteristics of Dushtavrana (chronic ulcer) like Krishna/ Suklavarna (hyper/hypopigmented areas), Deerghakaala anubandhitwa (chronicity), Durgandhitha pooyasraava (foul smelling serous/ purulent discharge) etc, venous ulcer can be considered as a dushtavrana, particularly in its chronic stage. Sira (vein) is the deranged anatomical component in case of venous insufficiency as well as venous ulcer and this Sira has been told as one of the Vranasthaanaas (sites of Vrana) by Susrutha. Hence the term Sirajadushtavrana can be attributed to venous ulcer. Aetiopathogenesis of venous ulcer has striking similarities with that of Dushtavrana. In this article, a gentle attempt has been made to correlate the aetiopathogenesis of venous ulcer with the specific characteristics said in each stage of Shadkriyakala (aetiopathogenesis) of Vranasamprapthi (ulcer) as told by Acharya.