Dhanvayas paste for chronic wound management: a case report.
Journal name: Ayushdhara
Original article title: Clinical potentiality of dhanvayas (fagonia cretica linn.) paste in the management of chronic wound – a case report
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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*Naresh Kumar Ghodela
PhD Scholar, Dept. of Shalya Tantra, IPGT&RA, Gujarat Ayurved University, Jamnagar
T.S. Dudhamal
Associate Professor. Dept. of Shalya Tantra, IPGT&RA, Gujarat Ayurved University, Jamnagar
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Clinical potentiality of dhanvayas (fagonia cretica linn.) paste in the management of chronic wound – a case report
Year: 2016
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Chronic wounds, particularly when complicated by recurrent infections, present a significant challenge in clinical management. Traditional Ayurvedic practices utilize various herbal formulations for wound care, and among these, Dhanvayas (Fagonia cretica Linn.) has gained attention for its medicinal properties. This case report explores the potential of Dhanvayas paste in treating a chronic wound accompanied by symptoms like cellulitis and serous discharge. The patient, a 65-year-old male, presented with a lengthy history of a challenging wound on the left lower limb, which had not responded to prior antiseptic treatments.
Healing Efficacy of Dhanvayas
Dhanvayas exhibits notable wound healing properties and is traditionally employed to manage various conditions such as fever and skin eruptions. In this case, daily treatment involved cleansing the wound with Dhanvayas decoction and applying a paste made from Dhanvayas powder. Initial observations indicated that the wound was broad and purulent, highlighting infection risks. After a week of treatment, significant improvements were noted: the discharge diminished, and the wound began exhibiting healthy granulation tissue. These changes suggest that the application of Dhanvayas paste significantly contributes to the wound healing process.
Antimicrobial Activity
Dhanvayas's ability to combat infection is also notable. The study cited previous research demonstrating its effective antimicrobial activity against common pathogens like Staphylococcus aureus and Escherichia coli. In this specific case, culture analysis revealed the presence of Pseudomonas aeruginosa and E. coli in the wound. Alongside the Dhanvayas treatment, the patient received systemic antibiotics for infection control. This dual approach—topical application of Dhanvayas paste and systemic treatment—proved effective in reducing symptoms and revitalizing the tissue.
Conclusion
This case report emphasizes the therapeutic potential of Dhanvayas powder for managing chronic infected wounds. The positive outcomes observed suggest that Dhanvayas may serve as an effective natural remedy in wound care. Future studies with larger patient populations are warranted to further investigate and substantiate the wound healing capabilities of Dhanvayas, potentially integrating it into contemporary wound management practices.
FAQ section (important questions/answers):
What is the significance of Dhanvayas in wound management?
Dhanvayas, or Fagonia cretica, is traditionally used in Ayurveda for managing chronic wounds due to its wound healing properties. In a case study, its local application effectively reduced itching and discharge, leading to complete healing within six weeks.
What symptoms did the patient present with during the case study?
The 65-year-old male patient exhibited pain, serous discharge, oedematous margins, peripheral cellulitis, and fever associated with a chronic wound on the left lower leg, which had been present for four months.
How was Dhanvayas applied in the treatment protocol?
The wound was daily cleaned with Dhanvayas kwatha (decoction) before applying a paste made from Dhanvayas powder mixed with distilled water. This was done each morning until the wound healed completely.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Dhanvayas paste for chronic wound management: a case report.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Powder:
In the case report, Dhanvayas powder, derived from the plant Fagonia cretica Linn., was used as a paste for wound healing. This powder was applied to chronic wounds to promote healing and reduce infection. The Dhanvayas powder served as a crucial element in the wound management process, demonstrating significant healing properties.
2) Blood:
Blood investigations of the patient showed normal values, crucial for assessing overall health and eliminating underlying conditions such as diabetes mellitus and hypertension. Regular blood tests help monitor a patient’s condition, ensuring that there are no complications affecting wound healing.
3) Vrana:
Vrana refers to a wound, which is a central focus in this case study. The chronic wound addressed in this report is an example of Vrana, specifically described using Ayurvedic terminology. Proper management of Vrana is essential for effective wound healing.
4) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a branch of Ayurveda that deals with surgical techniques and practices. In the case report, the Department of Shalya Tantra at Gujarat Ayurved University handled the wound management, employing both traditional and modern methods to treat the chronic wound.
5) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dusta-vrana refers to a chronic, infected wound, characterized by symptoms like foul smell, pain, and purulent discharge. The case study focused on treating a Dusta-vrana with Dhanvayas powder paste, highlighting the challenges and solutions for managing such persistent wounds.
6) Gujarat:
The case study was conducted at Gujarat Ayurved University, located in the state of Gujarat, India. This region provided the backdrop for the use and study of Ayurvedic treatments in managing chronic wounds.
7) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
8) Shalya (Salya):
[see source text or glossary: Shalya]
9) Dushta (Dusta):
[see source text or glossary: Dusta]
10) Kumar:
Dr. Naresh Kumar Ghodela is one of the authors of the case report and a PhD Scholar in the Dept. of Shalya Tantra, Gujarat Ayurved University. His contributions to the study include treatment and documentation of the wound management process.
11) Pain:
Pain is a significant symptom associated with chronic wounds or Dusta-vrana, making patient care and comfort a priority in treatment. The case study noted that pain was present mainly during dressing, indicating inflammation and infection requiring careful management.
12) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine used in the case report to manage the chronic wound. It employs herbal and herbo-mineral formulations, such as Dhanvayas paste, to treat various conditions, showcasing its relevance to modern medical practices.
13) Mineral:
Herbo-mineral formulations are mentioned as part of Ayurveda's practice in wound care. However, the focus in this case study was primarily on the herbal component, specifically using the Dhanvayas powder paste.
14) Pitta:
Pitta is one of the three doshas in Ayurveda, associated with heat and metabolism. The report indicated that Pitta dosha was vitiated in the wound, and Dhanvayas powder paste, having Pitta-hara properties, helped to balance and heal the wound.
15) Kapha:
Kapha is one of the three doshas in Ayurveda, linked to body fluids and structure. In the case study, the chronic wound displayed symptoms associated with vitiated Kapha dosha, and the treatment aimed to address this imbalance to facilitate healing.
16) India:
India is the country where the study on wound management using Ayurvedic practices was conducted. Ayurveda, a traditional medical system integral to Indian culture, played a pivotal role in this case study, reflecting the country's rich heritage in natural and holistic medicine.
17) Sugar:
Blood sugar levels were monitored as part of the patient's blood investigations to rule out diabetes, which can complicate wound healing. Normal levels of fasting and postprandial blood sugar indicated that diabetes was not a contributing factor.
18) Fever:
Fever was one of the symptoms associated with the patient's chronic wound, indicative of underlying infection and inflammation. The Ayurvedic treatment aimed to address all symptoms, including fever, to promote overall healing.
19) Drug:
In addition to Ayurvedic treatment, the patient received an antibiotic drug, Cefoperazone-sulbactam, to control infection. This combined approach of modern antibiotics with traditional herbal medicine demonstrates an integrative treatment strategy.
20) Tuberculosis:
The case report mentioned that the patient had no familial history of Tuberculosis, an important consideration when evaluating chronic infections and potential complications in wound healing.
21) Pittadosha (Pittadosa, Pitta-dosha):
[see source text or glossary: Pitta-dosha]
22) Kaphapitta (Kapha-pitta):
Kapha-pitta refers to the combination of two Ayurvedic doshas, implying an imbalance between body fluids/structure and metabolism. The chronic wound exhibited symptoms due to the vitiation of Kapha and Pitta doshas, which the treatment aimed to rectify.
23) Pittahara (Pitta-hara):
Pitta-hara refers to substances or treatments that mitigate or balance the Pitta dosha. Dhanvayas powder paste, used in the case study, possesses Pitta-hara properties, making it effective in reducing inflammation and promoting wound healing.
24) Discussion:
The discussion section of the case report analyzed the challenges of treating the chronic wound and assessed the efficacy of Dhanvayas powder paste. It provided insights into the healing process and the importance of both Ayurvedic and modern medical interventions.
25) Saurashtra (Saurastra):
Saurastra is a region in Gujarat, India, where the Dhanvayas plant is commonly found. This geographical reference is relevant due to the local availability and traditional use of the plant in Ayurvedic medicine within the case study.
26) Knowledge:
Traditional and contemporary Ayurvedic knowledge informed the treatment approach in the case study. Understanding the therapeutic properties of Dhanvayas and other herbs was crucial for implementing effective wound care.
27) Flavonoid:
Flavonoids are compounds found in many plants, including Fagonia cretica (Dhanvayas), contributing to its antimicrobial and healing properties. The presence of flavonoids in Dhanvayas powder helped control infection and facilitated wound healing.
28) Bhairava:
Bhairava refers to the ugly appearance of a chronic wound, a characteristic mentioned in the case report to describe the state of Dusta-vrana. This term signifies the challenge of managing unsightly and persistent wounds in Ayurveda.
29) Swelling:
Swelling is a symptom associated with the patient's chronic wound, indicating inflammation and infection. The treatment aimed to reduce swelling as part of the overall approach to promote healing and improve the patient's condition.
30) Kashaya (Kasaya):
Kashaya is one of the tastes in Ayurveda, characterized by astringency. Dhanvayas powder possesses Kashaya properties, contributing to its ability to promote wound healing by drying out excess moisture and tightening tissues.
31) Disease:
[see source text or glossary: Disease]
32) Vedana:
Vedana refers to pain, a primary symptom of chronic wounds. The case report noted pain mainly during dressing, which denotes inflammation and infection, requiring intervention to provide relief and enhance the healing process.
33) Gandha (Gamdha):
Gandha means smell, and in the context of the case report, it refers to the foul smell indicating infection in chronic wounds (Dusta-vrana). Addressing Gandha is essential for managing infection and improving wound condition.
34) Aureus:
[see source text or glossary: Aureus]
35) Family:
Family in the context of the case study refers to the Zygophyllaceae family, which the Dhanvayas (Fagonia cretica Linn.) plant belongs to. Understanding its botanical family helps in recognizing its medicinal properties and applications.
36) Edema (Oedema):
Oedema, or swelling due to fluid accumulation, was a symptom present in the patient’s chronic wound. Effective management of oedema is vital for reducing discomfort and promoting the healing process in chronic wounds.
37) Nature:
[see source text or glossary: Nature]
38) Animal:
Animal studies have demonstrated the wound healing properties of Fagonia cretica (Dhanvayas). Experimental research using animal models supports the traditional usage and efficacy of Dhanvayas in wound care.
39) Dosha (Dosa):
Doshas are the three fundamental bodily bio-elements in Ayurveda: Vata, Pitta, and Kapha. The case report identified the vitiation of Kapha and Pitta doshas in the chronic wound, guiding the treatment approach with Dhanvayas powder paste.
40) Kalka:
Kalka refers to the paste form of a medicine in Ayurveda. Sushruta indicates Kalka for the management of chronic wounds. In this case study, Dhanvayas powder was used to form a paste, exemplifying the application of Kalka.
41) Tikta:
Tikta is one of the tastes in Ayurveda, characterized by bitterness. Dhanvayas powder possesses Tikta properties, contributing to its medicinal value in treating chronic wounds by reducing inflammation and promoting healthy tissue.
42) Virya:
Virya refers to the potency or therapeutic strength of a substance in Ayurveda. Dhanvayas powder has Sheeta Virya (cool potency), which helps in balancing the Pitta dosha and promoting wound healing in the case report.
43) Ayus (Ayush):
[see source text or glossary: Ayush]
44) Hara:
[see source text or glossary: Hara]
45) Salt (Salty):
Salt contamination in the coastal area where the patient worked likely exacerbated the wound condition. Saline environments can retain moisture, promoting infection and complicating wound healing, highlighting the necessity for stringent wound care.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Dhanvayas paste for chronic wound management: a case report.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Ayurveda, Dushtavrana, Chronic condition, Decoction, Herbo-mineral formulation, Wound healing activity, Antimicrobial activity, Chronic Wound, Healthy granulation tissue, Tissue biopsy, Microbiology Lab, Antiseptic Solution, In Vitro Antimicrobial Activity, Saurastra region, Flavonoids, Tannins, and Saponins.