A COMPREHENSIVE LITERARY REVIEW ON DUSHTA VRANA W.S.R DIABETIC FOOT ULCER

Dr. Shreya S. Shetty, Dr. Shankar S. and Dr. Monisha C. J.

ABSTRACT

A wound is a disruption of the normal structure and function of the skin and underlying tissues caused by various factors such as trauma, surgery, or pathological conditions. It maybe acute or chronic. Chronic wounds do not follow the normal healing process. Diabetic Foot Ulcer which is a chronic is a distressing, devasting complication of diabetes and is common neglected problem that can lead to amputation which can result in patient becoming handicap. Wound healing is a complex and dynamic process involving a series of overlapping stages. A Vrana reaches the chronic stage due to lack of adequate knowledge of the disease, exact diagnosis and the right treatment for the specific type and stage of the Vrana. Dushta Vrana, a type of Vrana, refers to chronic, non-healing, or infected wounds with the chronicity of more than 7 days which are due to significant tissue damage and have foul odour, discharge and severe pain. Pramehajanya Vrana is one of the complications of Prameha. In the wounds developed in Prameha, treatment modalities prescribed for the Dushta Vrana should be adopted. The treatment of Dushta Vrana involves a holistic approach, including both local wound care and systemic therapies. Local treatments focus on wound cleansing, debridement, and healing. Systemic therapies aim to restore balance in the Doshas. This review provides an in-depth compilation of dispersed concepts of Dushta Vrana from various classical Ayurvedic texts, which includes etiological factors, classification, pathology, symptoms, clinical features and managements.

Keywords: Vrana, Dushta Vrana, Pramehajanya Dushta Vrana, Wound, Diabetic Foot Ulcer, Management.