Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study

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CASE REPORT Sept-Oct 2019 Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct 2019 | Vol. 4 | Issue 5 362 Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study Dr. Pallavi A. Hegde 1 , Dr. Srishyl Horaginamath 2 1 Reader, 2 Post Graduate Scholar, Department of PG Studies in Shalya Tantra, BVVS Ayurveda Medical College and Hospital, Bagalkot, Karnataka, INDIA. C ASE S TUDY A 24 year male patient came with history of self fall 1 hour back and wound of 7 cm over left side of the face, with complaint of Daha (burning sensation), Srava (bleeding), Vedana (pain). To relive the complaints application of Talisadi Taila was carried out daily for a period of 7 days Ghrusta Vrana (2 nd degree Abrasion) having classical Lakshanas like Daha (burning sensation), Srava Address for correspondence: Dr. Srishyl Horaginamath Post Graduate Scholar, Department of PG Studies in Shalya Tantra, BVVS Ayurveda Medical College and Hospital, Bagalkot, Karnataka, INDIA. E-mail: drsri 1008@gmail.com Submission Date: 17/09/2019 Accepted Date: 25/10/2019 Access this article online Quick Response Code Website: www.jaims.in Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CCby-NC-SA (blood/serous discharge), Vedana (pain). 2 nd degree Abrasion: It involves loss of epidermis as well as the dermis and associated with bleed. Procedure Poorva Karma (Pre-operative procedure) The procedure was carried out under aseptic precautions. Wound toileting was done with normal saline. Pradhana Karma (Operative Procedure) Talisadi Taila was applied over Ghrusta Varna uniformly. Once daily for 7 days, with soaked sterile gauze. Paschat Karma (Post-operative procedure) Bandaging was done on first 2 days. And followed by application was done. Duration: Seven days A B S T R A C T Abrasion is a type of injury characterized by loss of superficial layer of the skin due to application of mechanical force. In the modern era there is remarkable increase in the number of traumatic wounds due to rise in the vehicular traffic [1] Traumatic wounds occur at the rate of 50 million every year worldwide. According to Indian Society for Trauma and Acute Care Center, New Delhi (2012) 22.8% of all injuries were due to traffic related and 77.2% of other trauma wounds like self-fall, Agricultural injury, burns, assaults etc [2] The prevalence rate of minor injury in children less than five years are of 67% and under 5 to 9 years 14.2%, such wounds should be treated by cleaning and topical application of antibiotics along with systemic analgesics [3] Acharya Vagbhata explained about Saptahika Chikitsa for Sadhyo Vrana in that Sechana, Lepana and Sandhana can be used for Ghrusta Vrana. [4] In this cosmetic and antibiotic era, healing of wound is not only the intension but also to reduce the pain, burning sensation and minimizing the scar. It is having Vrana Ropana and Varnya property by the ingredients it possesses. Application of Talisadi Taila for 7 days uniformly [5] Key words: Ghrusta Vrana, Talisadi Taila, Sadhyo Vrana.

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Dr. Pallavi A. Hegde et al. Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study ISSN: 2456-3110 CASE REPORT Sept-Oct 2019 Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct 2019 | Vol. 4 | Issue 5 363 R ESULTS SN Subjective/Objective parameters BT During treatment F/U 0 day 1 st day 7 th day 15 th day 1. Vedana 3 3 1 0 2. Daha 3 2 0 0 3. Tenderness 3 3 2 0 4. Srava 2 0 0 0 5. Varna 2 2 1 0 6. Parimana 3 3 1 0 Assessment parameters Subjective parameters [12] 1 Vedana (pain) 2 Daha (burning sensation) 3 Tenderness Vedana (Pain) Symptoms Severity Grading No pain Nil 0 Pain on movement Mild 1 Pain on work Moderate 2 Pain on rest Severe 3 Daha (Burning sensation) Symptoms Severity Grading No Daha Nil 0 Daha that can be easily tolerable Mild 1 Daha that cannot be tolerable Moderate 2 Daha not reduced even after using analgesics Severe 3 Tenderness Symptoms Severity Grading No tenderness Nil 0 Tenderness on deep pressure Mild 1 Tenderness on moderate pressure Moderate 2 Tenderness even on touch Severe 3 Objective Parameter 1 Srava (Discharge) 2 Varna (Colour) 3 Parimana (Size) Srava (Discharge) Symptoms Severity Grading No discharge Nil 0 Bloody discharge Mild 1 Serous discharge Moderate 2 Purulent discharge Severe 3 Varna (Color) Symptoms Severity Grading No granulation of tissue Nil 0 Granulation of tissue Mild 1 Pale floor of wound Moderate 2 Yellowish slough at floor & edges Severe 3 Parimana (Size) Symptoms Severity Grading Healed Nil 0 Within 1-5 cm Mild 1

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Dr. Pallavi A. Hegde et al. Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study ISSN: 2456-3110 CASE REPORT Sept-Oct 2019 Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct 2019 | Vol. 4 | Issue 5 364 Within 5-10 cm Moderate 2 Within 10-20 cm Severe 3 Fig. 1: Before treatment - 0 day Fig. 2: During treatment - 3 rd day Fig. 3: During treatment - 5 th day Fig. 4: After treatment - 7 th day Fig. 5: After Follow-up - 15 th day DISCUSSION This case study reveals that local application of Talisadi Taila is found to be very effective in the management of Ghrusta Vrana. All the ingredients of Talisadi Taila have collective potential of anti-inflammatory, wound healing properties as well as antioxidant vascularization activity which helped for perfect wound healing in Ghrusta Vrana. During inflammatory conditions indirectly helps in better rate of drug absorption as a result higher therapeutic efficacy can be expected. Assessment on 7 th day after the application of Talisadi Taila showed maximum improvement in Daha and Varna. Whereas on Srava , Vedana and Tenderness showed slight improvement.

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Dr. Pallavi A. Hegde et al. Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study ISSN: 2456-3110 CASE REPORT Sept-Oct 2019 Journal of Ayurveda and Integrated Medical Sciences | Sept - Oct 2019 | Vol. 4 | Issue 5 365 On Parimana good improvement is observed in by application of Talisadi Taila . No untoward effects were found. Thus the study is said to be found simple, cost effective and safe CONCLUSION Talisadi Taila has Vrana Ropana effect and hence it helped in reducing the symptoms, without use of any oral analgesics, and also helped in scar prevention. Talisadi Taila contains drugs with Vrana Ropana and Varnya property. ( Talisapatra, Padmaka, Jatamamsi, Harenu, Agaru, Chandhan, Haridra, Daruharidra, Padmaka Beeja, Usira, Maduka and Tila Taila ). Ghrusta Vrana can be managed without using any analgesic drugs by applying only Talisadi Taila . Daha , Vedana reduced on 2 nd day while Sopha reduced on 4 th day and complete wound healing was noted on 10 th day of treatment. Dressing is required in initial days (1 st -2 nd) for Abrasion wound (2 nd degree). Maintain hygiene, avoid dust contact and irritation to wound site by clothing REFERENCES 1 From the Journal of nutrition and food sciences i.e. “Dilatory consideration of wound healing in Ayurveda” by Dr. Sanjeev S. Tonni in august 2013 https://www.omicsonline.org/dietaryconsiderations-of-wound-healing-in-ayurveda-2155- 9600.1000227.php?aid=1766524/03/17,10 am 2 Prof P V Sharma, Sushruta Samhita Chikitsa Stana with English translation, 1 st Chapter, Dwivruniya Chikitsa Adhya, Chaukhambha Vishwabharati Publishers Varanasi, shloka no 1-3, page no 245. 3 Dr. Avadha Bhihari Agnihotri, ChikitsavijnanKosa Under alphabet A Choukamba Bharati Academy Publication Varanasi page no 03. 4 Prof. K. R.Srikanta Murty, Astanga Hrudaya 3 rd volume UttaraStana with English translation, 26 TH chapter Sadhyovrana Pratisedha Adhyaya, Chaukhambha krishnadas Acadmy, Varanasi, Shloka no 55-56, page no 255 5 Dr. Rajesh Bardale, Principles of Forensic Medicine and Toxicology 9 th chapter mechanical injury, jaypee brothers medical publications(p)Ltd Chennai page no 171 6 http://www.worldwidewounds.com/2006/september/ White/Modern-Exudate-Mgt.htm Modern exudates management: a review of wound treatments worldwide wounds by Author(s)Richard White 7 https://blog.mediligence.com/2013/01/29/woundprevalence-and-wound-management-2012-2020/ Wound prevalence and wound management ( 2012- 2020) 24/03/2017,10:30 am 8 According to Indian Society for Trauma and Acute Care Center, NEW DELHI http://www.traumaindia.org/contactus.htm 24/03/201 7,10:50 am 9 http://indianpediatrics.net/july 2000/july-755-758.htm According to the survey study “The prevalence rate of minor injuries under five in a Chandigarh slum 22/03/2017,3:15 pm 10 Dr. Sayyad Mohammad Jalaluddin Outline of shalyatantra 21 th chapter of Vrana with English translation,Chaukhambha Sanskrit publication, Varanasi, page no 328 11 Prof. K. R. Srikanta Murty Sharangadara Samhita Madhyama khanda with English translation, 09 th chapter Snehakalpana Adhya, Chaukhambha Oriental publication, Varanasi, Shloka no 168-172, page no 132 12 Prof P V Sharma, Sushruta Samhita Chikitsa Stana with English translation, 2 st , Chapter, Sadhyo vrana Chikitsa Adhya, Chaukhambha Vishwabharati Publishers Varanasi, shloka no 23-25, page no 278. ****************************** How to cite this article: Dr. Pallavi A. Hegde, Dr. Srishyl Horaginamath. Effect of Talisadi Taila in the management of Sadhyo Vrana - A Case Study. J Ayurveda Integr Med Sci 2019;5:362-365. Source of Support: Nil, Conflict of Interest: None declared.

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