UTILITY OF VRANA PARISHEKA F/B VRANA BASTI IN THE MANAGEMENT OF CHRONIC NON-HEALING TRAUMATIC WOUND - A SINGLE CASE REPORT

Dr. Kahekasha A. Ali*, Dr. Shivalingappa J. Arakeri, Dr. Mohasin Kadegaon, Dr. Ashwini Hallad and Dr. Shruti T. G.

ABSTRACT

Acharya Sushruta has defined vrana as a condition wherein tissue undergoes destruction which even after complete healing leaves a scar (Vrana Vastu) over the area which stays as long as the person is alive. Vrana is the most important part of shalya tantra and our texts has emphasized a lot of wound care due to trauma or a result of vitiated dosha. Vrana which fails to heal within specific time period gets converted into dushtavrana. Here we reported a new case of non-healing traumatic wound, A case report of 64 year old male who complained of a chronic non-healing traumatic wound with pain and blackish discoloration of left leg since 3 years. The subject who approached shalyatantra OPD of TGAMC, Ballari was systematically reviewed and dushtavrana line of intervention was planned. The dushta vrana was turned to Shuddha vrana within 28 days of treatment as shown in the photographs. A dushtavrana refuses to heal or heal very slowly inspite of best efforts. To achieve approximation early healing and acceptable scar without complications it's been managed with multiple treatment modalities like Prakshalana, Dhupana for vrana-shodhanartha, vrana basti and vrana badhana for early ropana effect were followed.

Keywords: Non-healing traumatic wound, Dushtavrana, vrana parisheka, Vrana basti.