Intramarginal Excision of Keloid with Application of Kshara Taila

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Intramarginal Excision of Keloid with Application of Kshara Taila”. 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) Kshara (Ksara):
Kshara is referenced in Ayurveda as a caustic alkaline substance used in treatments for various external growths like keloids. In this context, Kshara is combined with Taila to form Kshara taila, which is applied after keloid excision to prevent recurrence due to its anti-cancer and anti-oxidant qualities.

2) Taila (Thaila):
In Sanskrit, Taila translates to oil. This is relevant in this study as Kshara taila, which is mustard oil infused with certain alkaline substances (bhasma), is used for its therapeutic properties such as anti-inflammatory, anti-fungal, and anti-pruritic activities. This preparation is applied post keloid excision to prevent recurrence.

3) Ksharataila (Ksarataila, Kshara-taila):
Ksharataila is an Ayurvedic preparation that blends Kshara with Taila (mustard oil). Used for treating keloids, Ksharataila leverages its combined anti-inflammatory, antimicrobial, and anticancer properties to inhibit excessive fibroproliferation, reduce symptoms like itching, and improve healing post-surgery.

4) Granthi (Gramthi):
Granthi, in Ayurveda, translates to a type of tumor or swelling caused by the vitiation of doshas and involving tissues like Medas, Mamsa, and Rakta. In the context of keloids, this term is synonymous with Vranagranthi, denoting a hard, round, elevated growth in the affected area.

5) Bhasma (Bhasman):
Bhasma refers to the ash residue of medicinal substances traditionally prepared through incineration. In Kshara taila preparation, various kinds of Bhasma like Shukti Bhasma and Shankha Bhasma are used for their pharmacological actions, enhancing the oil’s therapeutic efficacy in treating conditions like keloids.

6) Campu:
[see source text or glossary: Campu]

7) Mustard oil:
Mustard oil is a key component of Kshara taila, used in its preparation due to its benefits, including anti-inflammatory, analgesic, anti-microbial, and anti-pruritic properties. In the treatment of keloids, mustard oil serves as the base medium carrying Kshara and other therapeutic agents.

8) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is an Ayurvedic branch focused on surgical techniques and treatments. This study on the intramarginal excision of keloid with Kshara taila falls under the purview of Shalya-tantra, illustrating traditional methods combined with surgical interventions to manage conditions like keloids effectively.

9) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian medical system that offers explanations and treatments for various health conditions. The treatment of keloids with Kshara taila is rooted in Ayurvedic principles, showcasing the system's approach to managing such fibroproliferative disorders by leveraging natural and holistic therapies.

10) Vagbhata:
Vagbhata is a renowned Ayurvedic scholar who authored key texts like Ashtanga Hridaya and Ashtanga Samgraha. His works provide detailed knowledge on conditions such as Vranagranthi (keloid), contributing significant insights into the pathophysiology and treatment protocols employed in Ayurveda, including the use of Kshara and taila.

11) Swelling:
Swelling is a symptomatic manifestation seen in many conditions, including keloids. In Ayurveda, swelling caused by Keloids is referred to as Vranagranthi, characterized by an overgrowth of collagen tissue. Treating this involves reducing this swelling and tissue proliferation using methods like Kshara taila application.

12) Mustard:
Mustard, specifically mustard oil, is utilized in the preparation of Kshara taila for treating keloids. This particular oil is chosen due to its pharmacological properties — such as anti-inflammatory and analgesic effects — enhancing the therapeutic effectiveness of the Kshara taila in resolving abnormal scar tissue.

13) Tantra (Tamtra, Tantrism):
Tantra in Ayurveda refers to the domain concerning the systematic handling of diseases and treatments. Specific branches such as Shalya-tantra (surgery) are relevant here, focusing on surgical treatments like the intramarginal excision of keloid and the application of Kshara taila as noted in the presented study.

14) Shalya (Salya):
Shalya refers to the branch of Ayurveda dealing with surgical procedures and techniques. The case study in question focuses on Shalya techniques, specifically the surgical excision of keloids followed by the application of Kshara taila, showing the integration of surgical and Ayurvedic practices.

15) Karma (Karman):
Karma in this context refers to the procedural steps in a treatment. Terms like Purva Karma (pre-operative), Pradhan Karma (main procedure), and Paschat Karma (post-operative) describe the holistic approach in Ayurvedic treatments, such as the series of actions undertaken for keloid excision and healing.

16) Mutra:
[see source text or glossary: Mutra]

17) Vrana:
Vrana translates to wounds or disruption in the tissues. In Ayurvedic pathology, the response to trauma causing Vrana can lead to conditions like Vranagranthi (keloid). This study shows how Ayurvedic treatments using Kshara taila are effective in managing and healing such complex wound presentations.

18) Burning sensation:
[see source text or glossary: Burning sensation]

19) Ashtanga (Astanga, Ashtan-anga):
Ashtanga refers to the eight branches of Ayurveda. Key texts like Ashtanga Hridaya and Ashtanga Samgraha by Vagbhata provide in-depth knowledge about various disorders and treatments, including Vranagranthi (keloids), offering classical foundations for the therapeutic use of preparations like Kshara taila.

20) Samhita:
Samhita denotes the compilations of fundamental Ayurvedic texts. Classic Ayurveda texts such as Sharangdhara Samhita and others elucidate concepts like Granthi and Vranagranthi (keloid), offering a basis for applying therapeutic oils like Kshara taila for treating these abnormal tissue growths.

21) Sheetal:
[see source text or glossary: Sheetal]

22) Shukti (Sukti, Su-ukti):
Shukti refers to an Ayurvedic mineral preparation, specifically involving the bhasma (ash) of oyster shells. Shukti Bhasma contains calcium carbonate and is incorporated into Kshara taila for its therapeutic properties, including anti-inflammatory and analgesic effects, beneficial in treating conditions like keloids.

23) Patala:
Patala, a component in Kshara taila, is a plant known for its medicinal properties. Chemical constituents like lapachol contribute to its anti-inflammatory and anti-cancer activities, making it effective in preventing the recurrence and progression of keloids after surgical excision.

24) Family:
[see source text or glossary: Family]

25) Kalka:
Kalka denotes a paste formed during Ayurvedic preparations. In this study, a Kalka is made using Kshara and other ingredients mixed with mustard oil, which is then processed to form Kshara taila. This Kalka serves as a base for creating the therapeutic oil applied post keloid excision.

26) Blood:
Blood, or Rakta in Ayurveda, is identified as one of the tissues involved in the formation of Granthi (tumors) and Vranagranthi (keloid). Abnormal tissue growths like keloids stem from the pathological involvement of blood, which is targeted by treatments like Kshara taila for its therapeutic and corrective properties.

27) Medas (Meda, Medash):
Medas denotes the fat tissue involved in the formation of Granthi or Vranagranthi (keloids) due to vitiated doshas, particularly Kapha. Kshara taila's therapeutic properties help reduce the pathological proliferation of Medas, aiding in the effective treatment and management of keloids post-surgical excision.

28) Beta:
[see source text or glossary: Beta]

29) Drug:
Drug in this context refers to the various herbal and mineral substances used in Ayurvedic medicine. For the Kshara taila preparation, drugs like Shukti Bhasma, Patala, and other components are utilized for their specific medicinal properties that help manage conditions like keloids effectively.

30) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
Ashtanga-samgraha is one of the classical texts authored by Acharya Vagbhata, encompassing the eight branches of Ayurveda. This text includes detailed descriptions of conditions like Vranagranthi, providing foundational knowledge for applying therapeutic measures such as Kshara taila in treating keloids.

31) Ashtangahridaya (Astangahrdaya, Ashtanga-hridaya):
Ashtanga-hridaya is another key Ayurvedic text by Acharya Vagbhata, integral to understanding and treating conditions like Vranagranthi (keloids). The insights and guidelines provided in Ashtanga-hridaya form the basis for therapeutic interventions using formulations like Kshara taila in traditional Ayurveda.

32) Pharmacological:
Pharmacological aspects relate to the study of drug action. Kshara taila used in the treatment of keloids involves multiple ingredients, each with its own pharmacological actions such as anti-inflammatory and anti-microbial effects. This pharmacology underpins its efficacy in managing keloidal growth post-excision.

33) Paschat-karma:
Paschat-karma refers to the post-operative steps in Ayurvedic treatment. For keloid management, Paschat-karma involves applying Kshara taila regularly to ensure proper healing and prevent recurrence. This post-surgical care is essential for achieving sustained results and minimizing complications.

34) Shuktibhasma (Suktibhasma, Shukti-bhasma):
Shukti-bhasma is the calcined ash of oyster shells used in Ayurvedic medicine. Rich in calcium carbonate, Shukti Bhasma is included in Kshara taila formulations for its anti-inflammatory, analgesic, and antimicrobial properties, enhancing the oil’s effectiveness in treating keloids and promoting healing.

35) Inflammation:
Inflammation is a key pathological process observed in conditions like keloids. The formulation of Kshara taila, which includes ingredients with anti-inflammatory properties, aims to reduce this inflammatory response, inhibiting abnormal tissue growth and aiding the healing process post keloid excision.

36) Purvakarma (Purvakarman, Purva-karman):
Purva-karma refers to the preparatory phase of Ayurvedic treatment. In this keloid treatment case, it involves administering injections (T.T., lignocaine, amikacin) and ensuring aseptic conditions. This step is crucial for ensuring the patient's readiness for the main surgical procedure and subsequent Kshara taila application.

37) Vigrathita (Vi-grathita):
[see source text or glossary: Vigrathita]

38) Discussion:
The discussion section analyzes the effectiveness of treating keloids with intramarginal excision followed by Kshara taila application. It explores how the pharmacological properties of the ingredients in Kshara taila contribute to inhibiting keloid formation, reducing symptoms, and ensuring better patient outcomes.

39) Siddhanta (Siddha-anta, Siddhamta):
[see source text or glossary: Siddhanta]

40) Bhaishajya (Bhaisajya):
[see source text or glossary: Bhaisajya]

41) Flavonoid:
[see source text or glossary: Flavonoid]

42) Lakshana (Laksana):
Lakshana refers to the clinical symptoms or signs of a disease. In this context, observing the 'taila paka lakshana' marks the completion of the Kshara taila preparation process. Proper recognition of these signs ensures that the therapeutic preparation is correctly made, optimizing its efficacy in treatment.

43) Medicine:
[see source text or glossary: Medicine]

44) Samgraha (Sangraha):
[see source text or glossary: Samgraha]

45) Sanskrit:
[see source text or glossary: Sanskrit]

46) Grafting:
Grafting refers to one of the medical treatments for keloids, involving the surgical removal and replacement of keloid tissue with grafted skin. Despite being a treatment option, it has a high recurrence rate. The study suggests Kshara taila as a more effective alternative post-intramarginal excision without such a high recurrence.

47) Hridaya (Hrdaya):
[see source text or glossary: Hridaya]

48) Bhavana (Bha-vana):
[see source text or glossary: Bhavana]

49) Pradhan:
[see source text or glossary: Pradhan]

50) Shankha (Sankha, Samkha, Shamkha):
Shankha Bhasma, derived from the incineration of conch shells, is used in Ayurvedic treatments due to its calcium content and medicinal properties. In Kshara taila preparation, Shankha Bhasma contributes its anti-inflammatory and antibacterial properties, enhancing the oil's effectiveness in treating keloids.

51) Unnata:
[see source text or glossary: Unnata]

52) Cancer:
Cancer relates to uncontrolled tissue growth, akin to keloids, although keloids are benign. The anti-cancer properties in Kshara taila components help manage this abnormal proliferation, aligning in the same plane as the epidermis, thus providing a promising approach to keloid treatment post-surgical excision.

53) Nature:
[see source text or glossary: Nature]

54) Insect:
[see source text or glossary: Insect]

55) Thirst:
[see source text or glossary: Thirst]

56) Indian:
Indian denotes the origin of Ayurveda, the traditional medical system from India. The concepts and treatments discussed, including keloid management using Kshara taila, are deeply rooted in Indian Ayurvedic principles, reflecting the region's rich history of holistic medicine.

57) Dosha (Dosa):
Dosha in Ayurveda refers to the three fundamental bodily bio-elements. In terms of keloids, Vitiation of Doshas like Kapha leads to pathological conditions like Granthi or Vranagranthi. Treatments such as Kshara taila aim to balance these doshas, reduce abnormalities, and promote healing post-surgical excision.

58) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with properties like stability and structure. An imbalance in Kapha, affecting Medas (fat), Mamsa (muscle), and Asra (blood), leads to conditions like Granthi or Vranagranthi (keloid). Kshara taila helps in rebalancing Kapha and treating these tissue abnormalities.

59) Mamsa (Mamsha):
Mamsa refers to muscle tissue in Ayurveda. In the formation of Granthi or Vranagranthi (keloid), vitiated doshas like Kapha disrupt Mamsa tissue, causing abnormal growth. The Kshara taila treatment targets these disruptions, promoting proper muscle tissue healing and preventing excessive fibroproliferation.

60) Rakta:
Rakta refers to blood in Ayurveda. It's one of the tissues disturbed in Granthi or Vranagranthi (keloids) due to doshic imbalances. Post-surgical application of Kshara taila helps address Rakta vitiation, reducing inflammation and supporting proper wound healing, thereby managing conditions like keloids.

61) Purva:
Purva, part of the term Purva Karma, indicates pre-procedure steps in Ayurvedic treatment. The pre-operative steps for keloid treatment, labeled as Purva Karma, include steps like cleaning, anesthesia, and preparation crucial to ensuring a successful surgery and optimal conditions for the subsequent application of Kshara taila.

62) India:
India is the country where Ayurveda originated. The treatment of keloids using Kshara taila, detailed in this study, reflects the application of Indian traditional medicine, showcasing the country's rich heritage in holistic and integrated medical practices.

63) Ayus (Ayush):
[see source text or glossary: Ayush]

64) Paka:
Paka indicates the transformation or cooking process in Ayurveda. Taila paka lakshana marks the final stage of Kshara taila preparation, signaling the readiness of the medicinal oil. Proper Paka ensures the therapeutic efficacy of the oil used in treating keloids and other conditions.

65) Mala:
[see source text or glossary: Mala]

66) Asra (Ashra):
[see source text or glossary: Asra]

67) Diet:
Diet plays a role in overall health and is part of the patient's history. In Ayurveda, diet is crucial in managing conditions and aiding treatment effectiveness. For the patient with a keloid, having a 'mixed diet' indicates a non-restricted dietary intake, balancing Doshas and supporting healing alongside treatments like Kshara taila.