NON HEALING TRAUMATIC ULCER (Dushta vrana) MANAGEMENT BY SAPTACCHADA KSHARA PRATISARANA- A CASE STUDY

Vd. Ayesha Parveen Abdul Naeem* and Vd. S. V. Annapure 

ABSTRACT

Ulcer is a break in the continuity of the covering of epithelium either by skin or mucous membrane due to molecular death. Chronic ulcers or non healing ulcers defined as spontaneous or traumatic lesion, typically in lower extremities that are unresponsive to initial treatment. Any discontinuity in the skin due to exogenous or endogenous factor it it known as Vrana. Acharya Sushrata described two types of varana as Nija and Agantuja vrana. According to Acharya Sushruta, the vrana that are treated by quack and the vrana of the person who does not take care of his wound, turns into Dushta vrana. Acharya Sushruta has described sixty upakarma in the management of varana. Most of them are externally applicable, Ksharakarma is one of them. A case of non healing ulcer come to the opd which was treated by two setting of Saptachada kshara pratisarana followed by parishek of fresh lime juice, Triphala kwath dhavana done before application of kshara, follow up done on alternate day with dressing by normal saline upto the complete healing. In this study it was observed that shodhana and lekhana of dushta vrana improved by end of the week and vrana was completely healed on 21th day.

Keywords: Dushta vrana, non healing ulcer, Saptacchada kshara, Pratisarana, Triphala kwath dhavana.