Study on siddha parasurgery for managing chronic wounds.

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Journal name: World Journal of Pharmaceutical Research
Original article title: A conceptual study on the role of siddha parasurgical procedures in the management of chronic wound
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

B. Vinubharathi, R. Vidhya, V. Mahalakshmi and N. J. Muthukumar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A conceptual study on the role of siddha parasurgical procedures in the management of chronic wound

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20198-15260


Download the PDF file of the original publication


Summary of article contents:

Introduction

The Siddha system of medicine, an ancient approach from India, encompasses a rich tradition of surgical practices tailored for various health concerns, particularly wound management. Despite advancements in modern medical science, ideal wound healing solutions remain elusive. In Siddha medicine, surgery is one of the significant treatment branches, supported by historical texts that describe numerous therapies aimed at treating wounds by balancing bodily humors—vaatham, pittham, and kapam—as well as the seven bodily constituents. The significance of Siddha para-surgical procedures, especially for chronic non-healing wounds, is pivotal in this context.

Role of Siddha Procedures in Chronic Wound Management

One of the key concepts in Siddha medicine is the categorization and treatment of wounds. The ancient texts classify wounds into curable and incurable types based on specific factors such as age, ulcer shape, and underlying conditions. Curable ulcers tend to have a favorable prognosis, typically characterized by certain shapes like oval or triangular. In contrast, incurable wounds may arise from improper medication, chronic infections, or their locations in challenging areas such as the eyes or joints. The treatments, including various forms of medicated decoctions, pastes, and oils, aim to transition wounds from an infective phase to a healing state, thereby enhancing recovery.

External Therapies for Wound Healing

The Siddha system employs several external therapies for wound management, one of which involves the use of compresses or bandages (Kattu). These are crafted from a concoction of medicinal plant materials aimed at protecting the wound and facilitating healing. A range of bandaging techniques is described within traditional texts, emphasizing their role in controlling bleeding, protecting against infections, and promoting faster healing through immobilization. Other therapeutic methods include poultices (Patru and Poochu), which serve to draw out pus and provide a soothing, anti-microbial effect for skin diseases and abscesses.

Unique Applications in Wound Care

Further details on specific Siddha applications include the use of medicated liquids (Neer), emulsions (Kalimbu), and even innovative treatments like leech therapy (Attai vidal). Neer involves soaking medicinal ingredients to create a cleansing liquid for washing wounds, while Kalimbu serves as an ointment for a variety of skin issues. Leech therapy utilizes the bioactive components found in leech saliva to promote healing in chronic venous ulcers and other conditions. These methodologies showcase the diversity and complexity of treatment practices available within Siddha medicine, integrating knowledge from nature with hands-on healing techniques.

Conclusion

The Siddha system presents a comprehensive framework for wound management that links traditional practices with the principles of modern medicine. By using cost-effective herbal remedies and surgical procedures, it offers a viable alternative in wound care, especially valuable in regions facing high healthcare costs. However, to validate these traditional treatments, large-scale randomized clinical trials are crucial for gathering concrete evidence of their effectiveness. Overall, Siddha medicine holds significant potential for future advancements in wound therapy, bridging gaps in current medical practices and enhancing patient care.

FAQ section (important questions/answers):

What are Siddha parasurgical procedures for chronic wound management?

Siddha parasurgical procedures encompass various techniques aimed at managing chronic, non-healing wounds by utilizing traditional therapies, herbal applications, and surgical interventions to promote healing and restore tissue integrity.

What is 'Viranam' in Siddha medicine?

In Siddha medicine, Viranam refers to the discontinuity of skin tissue, or wound. It is classified into two types - Thutta viranam and Athutta viranam, analyzing the characteristics of the wound for appropriate treatment.

What are common treatments used in Siddha wound management?

Common treatments include medicated decoctions, ointments, powders, plasters, and poultices, each with specific healing properties aimed at disinfecting, promoting healing, and providing anti-inflammatory effects to the affected area.

How does the Kattu-bandaging method work?

Kattu is a bandaging technique that involves applying a specially prepared topical medicine to cover wounds. It protects the area while immobilizing and compressing the site to aid in healing and reduce infection risk.

What role do external therapies play in wound management?

External therapies in Siddha medicine support wound healing by offering pain relief, moisturizing, anti-inflammatory, and antimicrobial effects. Methods like poultices and medicated powders are aimed at cleansing and promoting tissue repair.

Why is research necessary for traditional Siddha wound treatments?

Despite promising traditional remedies, rigorous clinical trials are essential to provide scientific evidence and validate the effectiveness and safety of Siddha practices in modern wound management.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Study on siddha parasurgery for managing chronic wounds.”. 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) Ulcer:
Ulcers are skin lesions that can result from various health conditions. The Siddha system classifies them into curable and incurable types based on characteristics such as age, shape, and presence of infections. Effective management is crucial for facilitating healing and reducing complications.

2) Blood:
Blood plays a crucial role in the body’s healing processes and Siddha medicine recognizes its significance in treating various ailments. Bloodletting techniques, such as Kuruthi vangal, aim to remove excess or impure blood, which can help in conditions like abscesses or cysts.

3) Life:
Life in the context of Siddha medicine emphasizes the importance of maintaining health through a balance of bodily constituents. It reflects the holistic approach where health is not merely an absence of disease but an equilibrium of physical, mental, and spiritual well-being.

4) Siddha:
Siddha is an ancient Indian system of medicine, rich in history and tradition. It emphasizes holistic healing practices, focusing on surgery among other modalities. Siddha methodologies are particularly noted for their detailed approaches to wound healing through various para-surgical techniques.

5) Medicine:
Medicine is a vast field encompassing practices aimed at preventing and treating illnesses. Siddha medicine offers unique insights and techniques for wound management, utilizing natural remedies and traditional practices to aid in healing and restore health efficiently.

6) Drug:
A drug is a substance used to alter physiological functions for therapeutic purposes. In Siddha medicine, drugs derived from herbs and minerals serve to heal wounds and alleviate diseases, showcasing the importance of traditional remedies in modern healthcare.

7) Incision:
An incision is a surgical cut made in the skin, often necessary for drainage of abscesses or removal of unhealthy tissue. Siddha techniques like Keeral focus on precise incisions to promote effective healing and manage various wound types.

8) Swelling:
Swelling is an abnormal enlargement of body parts often due to inflammation or injury. Siddha treatments address swelling through methods that promote fluid drainage and improve circulation, aiding the body's natural healing mechanisms.

9) Bleeding:
Bleeding is the loss of blood which can complicate treatment and healing. Siddha practices such as cauterization and bloodletting are employed to control excessive bleeding and help facilitate wound healing, highlighting the system's surgical expertise.

10) Disease:
Diseases encompass a range of health conditions negatively affecting the body’s normal functions. Siddha’s holistic approach aims to address various diseases through tailored therapies that combine surgical techniques and medicinal remedies.

11) Powder:
Powder, particularly in Siddha medicine, refers to finely ground herbal or mineral substances used for topical applications. Powders are effective in treating wounds by absorbing exudates and serving as barriers against infections.

12) Water:
Water plays a critical role in medicinal preparations in Siddha. It is used to create decoctions and medicated liquids, facilitating the application of herbal remedies for cleansing, hydration, and promoting healing in various conditions.

13) Substance:
Substances are the various natural ingredients used in Siddha medicine for treatments. These can include herbs, minerals, and other organic materials, each selected for their therapeutic properties in addressing diverse health conditions.

14) Accumulation (Accumulating, Accumulate):
Accumulated refers to the buildup of fluids like pus or blood in particular areas of the body. In Siddha practices, techniques such as incision and can be employed to remove accumulated fluids to promote healing and prevent further complications.

15) Chennai:
Chennai, a city in India, is significant in the field of Siddha medicine as it houses the National Institute of Siddha. This institute plays a pivotal role in the research, education, and promotion of Siddha practices and therapies.

16) Mineral:
Minerals are natural compounds that are an essential part of Siddha treatments. They are often used in formulations to enhance healing and therapeutic properties, particularly in ointments and external applications for wound care.

17) Science (Scientific):
Science in the context of Siddha refers to the systematic study and understanding of traditional healing methods. It applies rigorous methodologies to validate and explore the efficacy of Siddha practices in modern medical contexts.

18) Nature:
Nature in Siddha medicine refers to the use of natural materials and the environment in healing practices. It emphasizes the importance of harmony with natural elements for maintaining health and treating diseases effectively.

19) Seat (Seated):
Seated typically relates to conditions involving underlying tissues, such as deep-seated infections or ulcers. Siddha medicine emphasizes thorough assessment and treatment strategies for conditions affecting deeper tissue layers in the body.

20) Cauterisation (Cauterization):
Cauterization is a surgical technique used to burn or destroy tissue. In Siddha medicine, this is employed to control bleeding or eliminate unwanted growths by inducing thermal changes in tissues.

21) Pittam (Pittham):
Pittham is one of the three humors in Siddha medicine, associated with heat and metabolism. An imbalance of Pittham can lead to various health issues, including inflammatory conditions, necessitating careful management during treatment.

22) Burning (Burn, Burned, Burnt):
Burn refers to injuries caused by heat, chemicals, or radiation. Siddha medicine encompasses specific treatments aimed at managing burns effectively, addressing both pain and promoting healing through careful application of herbal formulations.

23) Bird:
The term bird in the context of Siddha may indicate the use of medicinal qualities derived from birds. These substances are often included in topical treatments aimed at facilitating healing in wounds and abscesses.

24) Rheumatoid arthritis:
Rheumatoid arthritis is an autoimmune disorder affecting joints. Siddha medicine offers various treatment modalities, including topical applications and systemic remedies, aimed at reducing inflammation and managing pain associated with this chronic condition.

25) Bodily constituent:
A bodily constituent refers to a specific element that plays a role in maintaining health according to Siddha principles. Addressing imbalances among these constituents is essential for effective healing and disease management.

26) Blood letting:
Blood letting is a technique in Siddha medicine used to remove excess or impure blood. This practice aims to restore balance and improve health by facilitating the healing of various conditions, especially abscesses and other inflammatory diseases.

27) Blood-letting:
Blood-letting, akin to blood letting, involves drawing blood from the body for therapeutic purposes. This traditional technique is seen in Siddha as beneficial for purifying the body and facilitating recovery from certain ailments.

28) Tuberculosis:
Tuberculosis is a chronic infectious disease that can complicate wound healing. Siddha medicine addresses TB through holistic approaches including specific medicinal preparations aimed at enhancing immune response and promoting overall health.

29) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhea refers to painful menstrual periods. Siddha treatment incorporates various herbal remedies that aim to alleviate the pain and regulate the menstrual cycle, showcasing the system’s comprehensive approach to women’s health issues.

30) Purification:
Purification in Siddha medicine involves cleansing the body of toxins and imbalances. This practice is critical for restoring health and facilitating optimal healing, particularly in chronic conditions and during wound recovery.

31) Sprinkling:
Sprinkling refers to the application of powdered substances on wounds to promote healing. This method serves as a barrier against infection and helps manage moisture in chronic wounds, essential for effective treatment outcomes.

32) Cleansing:
Cleansing is a vital process in wound management to remove debris and prevent infection. Siddha methods incorporate various liquids and topical agents to ensure effective cleansing, promoting faster and more efficient healing.

33) Akattiyar:
Agathiyar is an ancient Siddha practitioner whose texts greatly influence Siddha medicine. His teachings on wound treatment and herbal remedies remain essential resources for practitioners seeking to understand traditional healing methodologies.

34) Dressing:
Dressing involves applying sterile or medicated materials to wounds. In Siddha practices, special techniques and formulations are employed to protect and promote healing, highlighting the significance of proper dressing techniques in surgery.

35) Nostril:
Nostril refers again to the openings in the nose that serve essential respiratory functions. Treatments targeting this area in Siddha may involve herbal applications for addressing respiratory ailments, emphasizing holistic care.

36) Mandala (Mamdala):
Mandala refers to a term used in various Siddha texts that may indicate specific therapeutic techniques or methodologies. Understanding such terms provides insight into the rich traditions and practices within Siddha medicine.

37) Siddhar:
A Siddhar is a practitioner or saint within the Siddha tradition known for their spiritual and medicinal knowledge. Their writings and teachings form the backbone of Siddha practices, guiding modern practitioners in maintaining traditional healing methods.

38) Kashaya (Kasaya):
Kashaya refers to a medicated decoction made from various herbs in Siddha medicine. It serves therapeutic purposes, often employed to address infections or promote healing by enhancing the body’s natural processes.

39) Leprosy:
Leprosy is a chronic infectious disease that poses significant management challenges. In Siddha medicine, strategies aimed at treating leprosy emphasize holistic healing and external applications that target the skin and promote recovery.

40) Weeping:
Weeping typically describes the excessive discharge from a wound, often indicating infection or irritation. Siddha medicine aims to manage such conditions through specific applications that promote healing and reduce exudate.

41) Kanti (Kamti):
Kaanthi in Siddha might refer to the application of heat or light therapies aimed at promoting healing. This technique underscores the role of thermal methods in managing wounds and enhancing recovery.

42) Surface:
Surface refers to the outer layer of the body where treatments are commonly applied. Siddha medicine emphasizes the proper management of surface wounds through tailored applications that enhance healing and prevent complications.

43) Indian:
Indian signifies the geographical and cultural context in which Siddha medicine developed. Understanding its roots in Indian history helps clarify the evolution of holistic practices and the incorporation of traditional therapies in contemporary healthcare.

44) Varti (Vartin):
Varti denotes the medicated wicks used in Siddha treatments. These wicks are vital in conditions like sinus and abscess management, as they are specifically designed to deliver healing properties to targeted areas effectively.

45) Honey:
Honey is often used in Siddha practices for its natural healing properties. It is employed in various preparations owing to its antimicrobial and soothing effects, enhancing the efficacy of treatments applied to wounds.

46) Study (Studying):
Study refers to the systematic exploration and research of Siddha practices. It helps validate traditional knowledge through scientific methodologies, offering insight into the efficacy of various treatments and enhancing overall healthcare practices.

47) Roga:
Roga translates to diseases in Siddha terminology. A comprehensive understanding of rogues is essential for practitioners as they navigate treatment plans tailored to the specific types of diseases affecting individuals.

48) Pura:
Pura refers to the ancient texts and knowledge systems underpinning Siddha medicine. These foundational texts provide insights into traditional therapies, guiding practitioners in their approach to healing and understanding health conditions.

49) Mara:
Mara can refer to the broader category of Siddha therapies, emphasizing treatments derived from natural sources. Understanding these practices highlights the integration of traditional approaches within Siddha medicine for healing various conditions.

50) Rana:
Rana can imply concepts related to surgical methods in Siddha. It encompasses various techniques and practices that focus on surgical treatment approaches, emphasizing the rich heritage of surgical knowledge within Siddha.

51) Fire:
Fire in Siddha may refer to the role of heat in various therapeutic practices, such as cauterization. This element underscores the importance of thermal therapy in managing wounds and promoting healing experiences.

52) Pain:
Pain is a significant symptom that often accompanies injuries and wounds. Siddha medicine employs various methods, including herbal preparations and topical applications, to alleviate pain, thus enhancing overall healing and comfort during recovery.

53) Ghi (Ghee):
Ghee is a clarified butter used widely in Siddha medicine for its healing properties. Often mixed in various formulations, it acts as a base for medicated preparations, promoting healing and enhancing the absorption of other medicinal constituents.

54) Salt (Salty):
Salt is utilized in various Siddha practices for its preservative and healing properties. In wound care, it may help absorb moisture and enhance the healing process by promoting cleansing and preventing infections.

55) Post:
Post refers to the period following surgical interventions or treatment processes. In Siddha, post-operative care is essential to ensure proper healing, involving methods that promote recovery and minimize complications.

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