Management of dushtavrana w.s.r to trophic ulcer – a case study

Summary of article contents:

An ulcer is a break in the continuity of the covering epitheliumskin or mucous membrane. Trophic ulcer is a kind of non specific ulcer. Wound healing is a mechanism where the body attempts to restore the integrity of the injured part. A clear wound heals earlier with a minimum scar as compared to contaminated wound. Several factors affect the normal process of wound healing such as site of ulcer, vascular insufficiency, malnutrition, neurological deficit and drugs like corticosteroids. Acharya Sushruta mentioned 60 upakramas for the management of vrana , Kalka and Ksharakarma are among them. Tilakalka , Madhu with NimbaKalka does shodhana ; Tilakalka , Madhu with Ghrita does ropana and kshara does lekhana , shodhana and enhances healing in Dushtavrana . A case report of 18 year young male presented with an ulcer over the ball of the left foot which was painless, slough on the floor and loss of sensation over the distal 2/3 rdof left foot has been presented here Keywords: Dushtavrana , Kalka , Alepa , Ksharakarma INTRODUCTION Trophic ulcer is characterized by tissue necrosis and ulceration beneath the callosity due to prolonged pressure associated with neurological deficit. Wound healing is a complex method to achieve anatomical and functional integrity of disrupted tissue by various components. General and local factors affect the natural process of wound healing. Failure or delay in the process of wound healing leads to Dushtavrana ( deerghakalanubandhi ) or non healing ulcer Management of Trophic ulcer is nutritional supplementation, rest, surgical debridement and regular dressing, vacuum assisted care or once the ulcer granulates well, flap cover or skin grafting is done. Acharya Sushruta described 60 upakramas for the management of vrana , Kalka and Ksharakarma are among them, both does shodhana and ropana which is required in the management of Dushtavrana . Kalkalepa and Ksharakarma are non invasive procedure, without INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (September, 2017) 5(9) MANAGEMENT OF DUSHTAVRANA W.S.R TO TROPHIC ULCER – A CASE STUDY Narmada G B 1 , Narmada M G 2 1 Final year MS ( Shalyatantra ), 2 Professor;Department of PG Studies in Shalyatantra GAMC, Benagaluru, Karnataka, India Email: drnarmadagb 11@gmail.com ABSTRACT An ulcer is a break in the continuity of the covering epitheliumskin or mucous membrane. Trophic ulcer is a kind of non specific ulcer. Wound healing is a mechanism where the body attempts to restore the integrity of the injured part. A clear wound heals earlier with a minimum scar as compared to contaminated wound. Several factors affect the normal process of wound healing such as site of ulcer, vascular insufficiency, malnutrition, neurological deficit and drugs like corticosteroids. Acharya Sushruta mentioned 60 upakramas for the management of vrana , Kalka and Ksharakarma are among them. Tilakalka , Madhu with NimbaKalka does shodhana ; Tilakalka , Madhu with Ghrita does ropana and kshara does lekhana , shodhana and enhances healing in Dushtavrana . A case report of 18 year young male presented with an ulcer over the ball of the left foot which was painless, slough on the floor and loss of sensation over the distal 2/3 rdof left foot has been presented here Keywords: Dushtavrana , Kalka , Alepa , Ksharakarma INTRODUCTION Trophic ulcer is characterized by tissue necrosis and ulceration beneath the callosity due to prolonged pressure associated with neurological deficit. Wound healing is a complex method to achieve anatomical and functional integrity of disrupted tissue by various components. General and local factors affect the natural process of wound healing. Failure or delay in the process of wound healing leads to Dushtavrana ( deerghakalanubandhi ) or non healing ulcer Management of Trophic ulcer is nutritional supplementation, rest, surgical debridement and regular dressing, vacuum assisted care or once the ulcer granulates well, flap cover or skin grafting is done. Acharya Sushruta described 60 upakramas for the management of vrana , Kalka and Ksharakarma are among them, both does shodhana and ropana which is required in the management of Dushtavrana . Kalkalepa and Ksharakarma are non invasive procedure, without INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (September, 2017) 5(9) MANAGEMENT OF DUSHTAVRANA W.S.R TO TROPHIC ULCER – A CASE STUDY Narmada G B 1 , Narmada M G 2 1 Final year MS ( Shalyatantra ), 2 Professor;Department of PG Studies in Shalyatantra GAMC, Benagaluru, Karnataka, India Email: drnarmadagb 11@gmail.com ABSTRACT An ulcer is a break in the continuity of the covering epitheliumskin or mucous membrane. Trophic ulcer is a kind of non specific ulcer. Wound healing is a mechanism where the body attempts to restore the integrity of the injured part. A clear wound heals earlier with a minimum scar as compared to contaminated wound. Several factors affect the normal process of wound healing such as site of ulcer, vascular insufficiency, malnutrition, neurological deficit and drugs like corticosteroids. Acharya Sushruta mentioned 60 upakramas for the management of vrana , Kalka and Ksharakarma are among them. Tilakalka , Madhu with NimbaKalka does shodhana ; Tilakalka , Madhu with Ghrita does ropana and kshara does lekhana , shodhana and enhances healing in Dushtavrana . A case report of 18 year young male presented with an ulcer over the ball of the left foot which was painless, slough on the floor and loss of sensation over the distal 2/3 rdof left foot has been presented here Keywords: Dushtavrana , Kalka , Alepa , Ksharakarma INTRODUCTION Trophic ulcer is characterized by tissue necrosis and ulceration beneath the callosity due to prolonged pressure associated with neurological deficit