A critical review

wound care in ayurveda

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: A critical review
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.
This page presents a generated summary with additional references; See source (below) for actual content.
Subtitle: baltisara and its management according to ayurveda

Original source:

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Author:

Dr. Dipratna More, Dr. Aboli Patil, Dr. Rajanish Meti and Dr. Mahesh Pawar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A critical review

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

Doi: 10.20959/wjpr20208-18478


Summary of article contents:

Introduction

Wound care is a significant aspect of medical practice, notably referenced in Ayurvedic texts. In Ayurveda, wounds, termed Vrana, are classified according to their origins and characteristics. The management of these wounds is detailed extensively in historical texts like the Sushruta Samhita, laying the foundation for various treatment methods. The Ayurvedic approach identifies six primary causes of vitiation that can exacerbate wound conditions and outlines a comprehensive set of procedures, referred to as Shasti Upakrama, for effective management. This critical review underscores the importance of these traditional practices in modern wound care and promotes the understanding of their applicability and effectiveness.

Shasti Upakrama: A Comprehensive Framework for Wound Management

One crucial aspect of Ayurvedic wound management is the Shasti Upakrama, which comprises sixty distinct measures to address various types of wounds. These methods are essential for cleansing and healing wounds through a multi-step approach that adheres to Ayurvedic principles. The procedures include the assessment of vitiated doshas (body humors) such as Vata, Pitta, and Kapha, with subsequent treatment strategies that guide the healing process. This foundational framework allows practitioners to develop tailored interventions based on specific wound characteristics, thereby enhancing the likelihood of successful recovery.

The Importance of Shodhana and Ropana in Wound Care

Shodhana (detoxification) and Ropana (healing) stand out as two pivotal components in the Ayurvedic management of wounds. Shodhana focuses on purifying the wound area, using various herbal preparations to eliminate impurities and promote a conducive environment for healing. In contrast, Ropana emphasizes the application of medicinal remedies that foster tissue regeneration and restore wound integrity. The interplay of these two processes ensures that both the physical and systemic aspects of healing are addressed, allowing for a holistic recovery process that significantly reduces the risk of recurrent wounds.

Treatment of Dushta Vrana

The management of Dushta Vrana (chronic or non-healing wounds) requires a careful evaluation of the underlying dosha imbalances and a personalized approach to treatment. Techniques such as Vamana (therapeutic vomiting), Virechana (purgation), and Raktamokshana (bloodletting) may be employed depending on the patient's constitution and the specific characteristics of the wound. Coupled with dietary modifications that support healing, these interventions exemplify the intricacies of Ayurvedic wound care. By addressing both local and systemic factors contributing to non-healing, practitioners can effectively guide patients toward recovery.

Conclusion

The comprehensive exploration of Ayurvedic wound management reveals a rich tapestry of knowledge encapsulated in texts like the Sushruta Samhita. The principles of Shasti Upakrama, alongside the critical roles of Shodhana and Ropana, underscore the efficacy of these traditional practices in contemporary settings. The meticulous approach to diagnosing and treating various wound types demonstrates a sophisticated understanding of human physiology and pathology, making Ayurveda a valuable framework for modern wound care. As the integration of ancient wisdom with contemporary medical practices continues, the methods outlined in this review may enhance treatment outcomes and improve patient quality of life.

FAQ section (important questions/answers):

What is the definition of a wound in Ayurveda?

In Ayurveda, a wound, referred to as 'Vrana,' is defined as the condition where tissues undergo destruction and results in a scar that remains for the individual’s life.

What are the main causes of wounds according to Ayurveda?

Ayurveda identifies six root causes of wound vitiation: Vata, Pitta, Kapha, Rakta, Sannipata, and Agantuj, which can be managed through numerous treatments.

What are the two main procedures emphasized in wound management?

The two primary procedures in managing wounds are 'Shodhana' (cleansing) and 'Ropana' (healing), essential for achieving complete healing of wounds.

How does Ayurveda classify the treatment of wounds?

Ayurveda classifies wound treatment into sixty different procedures, summarized into seven basic procedures, known as 'Saptopakrama,' for effective wound management.

What dietary considerations are advised for wound care in Ayurveda?

Patients are advised to consume light, wholesome foods that promote digestive fire, while avoiding heavy, sour, or salty foods that can impede healing.

What is the treatment approach for 'Dushta Vrana' or chronic wounds?

'Dushta Vrana' is treated based on the vitiated doshas involved, employing methods like Vamana, Virechana, and specific dietary adjustments to facilitate healing.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A critical review”. 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) Vrana:
Vrana refers to a wound or injury within the context of Ayurveda. It embodies the disruption of tissue integrity, which is critical in surgical and therapeutic practices. Understanding vrana enables practitioners to develop appropriate healing strategies and interventions, focusing on achieving complete healing and minimizing complications.

2) Shodhana (Sodhana):
Shodhana is a cleansing process aimed at detoxifying and purifying the body and its tissues. In wound management, it helps to eliminate impurities and unhealthy elements from a vrana, facilitating better healing. This process is integral to Ayurveda, ensuring that subsequent treatments can be effective.

3) Ropana:
Ropana translates to 'healing' or 'repairing' in Ayurveda. It encompasses the processes and treatments applied after cleansing injuries or wounds. Ropana aims to regenerate tissue and restore skin integrity, critical for effective recovery and cosmetic repair of wounds, thus ensuring proper healing.

4) Upakrama:
Upakramas are specific therapeutic procedures or measures in Ayurvedic treatments. They guide practitioners in choosing the right method for treating ailments, especially in wound care, linking to various stages of healing and allowing customization based on individual patient needs.

5) Dravya:
Dravyas is the plural form of dravya, encompassing various substances utilized in Ayurvedic treatments. This includes a wide range of herbs, minerals, and formulations tailored for specific therapeutic purposes. Knowledge of different dravyas enables practitioners to craft effective, personalized treatment regimens for optimal patient outcomes.

6) Taila (Thaila):
Taila refers to medicated oil used in Ayurvedic practices, especially for treatment and healing processes. It plays a significant role in both shodhana and ropana therapies, promoting tissue repair and nourishments. Taila applications are integral to wound care, targeting both healing and therapeutic actions.

7) Kashaya (Kasaya):
Kashaya translates to 'decoction', a concentrated herbal extract used in Ayurvedic medicine. It is commonly employed for cleansing wounds or ulcers, facilitating healing by providing the necessary medicinal properties to combat infection and promote recovery. Its effectiveness lies in its application to different types of vrana.

8) Kalka:
Kalka refers to a medicinal paste made from crushed herbs and plants. In wound management, kalka is applied directly to vrana to enhance healing, reduce inflammation, and address infection. Its preparation and application are pivotal in both shodhana and ropana processes, making it fundamental in Ayurvedic treatment.

9) Kumar:
Kumar is the surname of the lead author, Bijendra Kumar, involved in the research and publication of wound care strategies in Ayurveda. His work contributes to the understanding of ancient practices and their relevance in contemporary medicine, particularly in the field of surgeries and wound management.

10) Dushta (Dusta):
Dushta means 'bad', 'corrupted', or 'infected' in the Ayurvedic context. It describes wounds or conditions that are non-healing or complicated due to the vitiation of doshas. Management of dushta vrana requires specific treatment strategies aimed at restoring balance and promoting proper healing.

11) Shopha (Sopha):
Shopha indicates swelling or inflammation in the context of wound care. It is often a symptom of an underlying issue, such as infection or improper healing. Identifying shopha is crucial as it guides the selection of appropriate therapies focusing on reduction of inflammation.

12) Karma (Karman):
Karmas refer to the various therapeutic actions or procedures carried out in Ayurveda, particularly in treatments for ailments. Understanding different karmas empowers practitioners to implement effective healing strategies tailored to individual needs and specific conditions.

13) Rasakriya (Rasa-kriya):
Rasakriya refers to the preparation of herbal decoctions and medicinal applications in Ayurveda. It is utilized for both shodhana and ropana actions in wound management, focusing on enhancing healing processes, reducing infection risks, and providing holistic care to affected areas.

14) Vitiation (Vitiated):
Vitiated refers to the imbalance of doshas within the body, leading to various health complications. In wound care, it is essential to identify any vitiation affecting healing processes, as remedies and treatments must address these imbalances for effective recovery.

15) Samhita:
Samhita refers to classical texts in Ayurveda that compile knowledge, practices, and methodologies for various medical conditions. These resources, including the Sushruta Samhita, provide essential guidance for practitioners, especially in understanding wound care and surgeries from an Ayurvedic perspective.

16) Shuddha (Suddha):
Shuddha means 'pure' or 'clean' in Ayurveda. It describes a classification of wounds or conditions that are not infected or corrupted. Managing shuddha vrana requires focused treatment protocols promoting optimal healing outcomes, relying on proper therapies to ensure successful recovery.

17) Varti (Vartin):
Varti refers to medicated plugs used in wound care. These are often applied to manage infection or support healing in various types of vrana. Their application is crucial in both shodhana and ropana stages, contributing to effective wound management.

18) Ghrita (Ghrta):
Ghrita means 'clarified butter' or 'ghee' in Ayurveda. It is highly regarded for its healing properties and is applied to wounds for lubrication and nourishment. Ghrita supports ropana actions, enhancing recovery from injuries by providing essential fatty nutrients and soothing effects.

19) Dosha (Dosa):
Dosha signifies the three primary biological energies in Ayurvedic philosophy—Vata, Pitta, and Kapha. Each dosha plays a crucial role in determining an individual's health state, and understanding their balance or imbalance is essential for effective diagnosis and treatment of conditions like wounds.

20) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is a specialized branch of Ayurveda focusing on surgical procedures and techniques. It encompasses a detailed understanding of various surgical interventions, wound management, and anatomical insights, promoting holistic treatment methods in addressing surgical conditions and enhancing patient care.

21) Dushtavrana (Dushta-vrana, Dusta-vrana, Dustavrana):
Dushtavrana denotes non-healing or chronic wounds, often complicated by infections or other health issues. Effective management strategies for dushtavrana focus on addressing underlying dosha imbalances, ensuring targeted treatments aimed at achieving proper healing and restoring tissue integrity.

22) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, focusing on holistic healing through natural means. It encompasses a wide range of practices, including herbal medicine, diet, and lifestyle changes, aimed at restoring balance within the body and supporting overall health and well-being.

23) Varanasi (Varanashi):
Varanasi, a city in India, is significant in the context of Ayurveda as it is home to several renowned educational institutions and scholars. The rich cultural and historical heritage of Varanasi supports the advancement and preservation of Ayurvedic knowledge, particularly in traditional medical practices.

24) Utkarika:
Utkarika refers to a poultice or medicinal preparation applied externally on wounds in Ayurveda. Its usage promotes healing through moist warmth, facilitating tissue repair and providing relief from pain. Utkarika formulations are tailored to etio-pathological conditions relevant for effective wound care.

25) Upanaha:
Upanaha is a therapeutic application that involves the use of medicated pastes or wraps on affected areas, especially in cases of wound care. This method helps promote healing, reduce inflammation and enhance tissue repair by facilitating better absorption of medicinal properties.

26) Tantra (Tantrism, Tamtra):
Tantra refers to a system of principles and techniques that encompass knowledge and practices within Ayurvedic medicine. It often delineates specialized branches of treatment, such as Shalya-tantra, which require detailed understanding and application of surgical and therapeutic strategies for effective patient care.

27) Shalya (Salya):
Shalya pertains to surgical techniques or the surgical aspects of Ayurveda. It encompasses various procedures, from incisions to wound care management. Mastery of shalya practices is essential for Ayurvedic practitioners involved in surgical interventions, ensuring successful patient outcomes in operative settings.

28) Rakta:
Rakta refers to blood in Ayurvedic terminology. It plays a vital role both as a substance that nourishes tissues and as a medium for dosha vitiation. Understanding rakta is crucial for managing wounds, as its condition often influences healing processes and interventions.

29) Sarpis (Sarpi, Sarpish):
Sarpi refers to a ghee-based preparation used in various Ayurvedic treatments, particularly in wound care. Its application enhances healing and provides nourishment to the affected areas. Sarpi formulations are chosen based on their therapeutic properties to support recovery from injuries.

30) Gana:
Ganas refer to groups or categories of herbs or substances used in Ayurveda. Understanding different ganas helps practitioners create effective therapeutic formulas for managing wounds and various conditions, enhancing the overall treatment experience.

31) Parisheka (Pariseka):
Parisheka refers to the technique of pouring or sprinkling medicinal liquids over a wound or affected area. This method enhances healing by delivering concentrated therapeutic properties directly to the site, supporting both shodhana and ropana actions in Ayurvedic wound care.

32) Vimlapana:
Vimlapana involves a technique to treat wounds by performing specific actions like gentle rubbing or manipulation with the intention to promote blood flow and healing. This procedure is vital in enhancing recovery and is often employed in combination with other treatments in Ayurveda.

33) Pradeha:
Pradeha refers to the application of medicated pastes on the skin, particularly for the treatment of wounds. This method is used to aid in healing, reduce inflammation, and protect the area from external pathogens, playing a crucial role in wound management.

34) Raktaja:
Raktaja means 'blood-derived' and often refers to conditions related to blood in Ayurvedic treatment. Understanding raktaja vrana helps tailor treatment specifically focusing on blood conditions and associated challenges in healing processes, ensuring effective wound management strategies.

35) Siddha:
Siddha translates to 'perfected' or 'accomplished' and signifies processed substances aimed at enhancing efficacy in Ayurvedic treatments. Siddha preparations, including those for wounds, combine various active ingredients to provide enhanced healing and therapeutic benefits for patients dealing with vrana.

36) Pitta:
Pitta is one of the three doshas in Ayurveda, representing fire and water elements. It is associated with metabolism, digestion, and energy production. In wound management, understanding pitta's influence aids in diagnosis and selection of appropriate treatments to restore balance and promote healing.

37) Kapha:
Kapha is another dosha in Ayurveda, symbolizing earth and water. It governs structure, stability, and lubrication in the body. In the context of wound care, recognizing kapha imbalance is crucial, as it may influence healing processes and dictate specific therapeutic approaches.

38) Ushna (Usna):
Ushna denotes warmth or heat in Ayurvedic terms. It is often linked with pitta dosha and represents activation and activity within the body. In wound management, understanding ushna properties informs treatment choices aimed at balancing doshas for effective recovery.

39) Yava:
Yava refers to barley in the context of food and therapeutic practices in Ayurveda. It is considered beneficial for health, particularly in the healing process. Consuming yava provides nutritional support, which aids the body in recovering from injuries effectively.

40) Vata:
Vata represents one of the tridoshas in Ayurveda, encompassing elements of air and space. It is responsible for movement and communication in the body. In wound care, vata's role is significant, and understanding its influence is essential for effective treatment strategies.

41) Food:
Food in Ayurveda constitutes a fundamental element influencing health and healing. Dietary considerations, including the types and qualities of food consumed, play a crucial role in wound recovery and overall well-being. Proper nutrition supports the body’s healing processes and enhances treatment effects.

42) Raktamokshana (Rakta-mokshana, Raktamoksana):
Raktamokshana signifies the therapeutic procedure of bloodletting, employed in Ayurvedic practice to purify the blood and address certain ailments. In wound management, it can be a crucial intervention for vitiated blood conditions, enhancing healing by reducing toxicity in the body.

43) Aragvadhadi (Aragvadha-adi):
Aragvadhadi refers to a specific group of medicinal herbs utilized in Ayurvedic formulations. These herbs are valued for their therapeutic properties, particularly in treating wounds, as they promote healing and restore balance in the affected areas.

44) Saindhava (Saimdhava):
Saindhava translates to rock salt in Ayurveda, valued for its health benefits and used in treatments. It is often integrated into various herbal preparations for its purifying properties, useful in wound care for its ability to enhance healing processes.

45) Cleansing:
Cleansing is a fundamental component in Ayurveda, aiming to remove impurities and toxins from the body. In wound management, effective cleansing procedures facilitate proper healing by preparing the affected area for subsequent treatments, thereby enhancing the overall effectiveness of the therapeutic interventions.

46) Sandhana (Samdhana):
Sandhana refers to the method of approximating or joining the edges of a wound in Ayurveda. This procedure is crucial in surgical contexts for ensuring proper healing by facilitating tissue union and minimizing scarring, thereby promoting effective recovery.

47) Vataghna (Vata-ghna):
Vataghna describes substances or treatments that pacify the Vata dosha in Ayurveda. Recognizing vataghna properties is essential in managing conditions exacerbated by vitiated vata, especially in the context of wound care where improving circulation and relaxation may enhance healing.

48) Langhana (Lamghana):
Langhana denotes the therapeutic approach of reducing or alleviating conditions associated with excess, particularly in relation to dosha imbalances. In wound care, langhana may be applied to manage excess fluids or inflammation, facilitating improved healing and recovery.

49) Godhuma (Go-dhuma):
Godhuma means 'wheat' in Ayurvedic context, recognized for its nutritional value and health benefits. It is frequently included in dietary recommendations for wound healing, offering vital nutrients essential for supporting the body’s recovery mechanisms.

50) Trivrit (Tri-vrit, Trivrt):
Trivrit refers to a specific herb used in Ayurveda, known for its purifying and therapeutic properties. It is employed in wound care for its ability to assist in cleansing, supporting the healing process, and restoring balance in vitiated conditions.

51) Pittaja (Pitta-ja):
Pittaja denotes conditions or ailments originating from pitta dosha imbalance. In wound care management, understanding pittaja properties is essential for selecting appropriate treatments aimed at restoring balance and promoting effective healing.

52) Sthira:
Sthira means stable or firm in Ayurveda. It describes the state of tissue or structure, especially in the context of injuries and wounds. Promoting sthira tissue is vital for facilitating adequate healing and ensuring effective recovery from wounds.

53) Patana:
Patana pertains to the procedure of excision or cutting in wound management. It involves surgically addressing complications or damaged tissues associated with wounds. Understanding patana techniques is crucial for Ayurvedic practitioners focused on effective surgical interventions and optimizing healing outcomes.

54) Vamana:
Vamana is a purifying procedure involving therapeutic vomiting, used in Ayurveda to remove excess dosha from the body. In the context of wound care, it may be applied to address systemic imbalances that affect healing and promote overall health.

55) Danti (Damti, Dantin):
Danti refers to a medicinal herb used in Ayurveda recognized for its therapeutic benefits, particularly its action on wounds and tissue healing. The application of danti in formulations can enhance the recovery process and support wound care strategies.

56) Tikta:
Tikta means 'bitter' in Ayurveda, describing certain herbs or substances with bitter taste often used for their health properties, including anti-inflammatory and healing effects. In wound care, tikta dravyas support balancing doshas and enhancing recovery processes.

57) Vastu:
Vastu translates to 'substance' or 'object' in Ayurvedic context. It represents various materials utilized in treatments, including herbs, oils, and other elements essential for effective healing strategies, promoting successfully the management of conditions like wounds.

58) Krimi (Krmi):
Krimi refers to parasites or microorganisms that can adversely affect health in Ayurveda. In the context of wound care, addressing krimi is vital to prevent infections and complications during the healing process, thus ensuring optimal recovery outcomes.

59) Ghana:
Ghana in Ayurveda refers to a concentrated form of medicinal preparations, often achieved through boiling or concentrated decoction methods. Its application in wound management enhances the therapeutic effects and improves the potency of treatments used in healing.

60) Nimba:
Nimba denotes the neem tree and its leaves, valued in Ayurveda for their medicinal properties. Nimba is commonly used in formulations for wound care due to its antibacterial and healing qualities, contributing significantly to effective wound management strategies.

61) Tila:
Tila refers to sesame seeds in Ayurveda, recognized for their health benefits and medicinal properties. They are often included in preparations for wound care, leveraging their nourishing qualities and support for tissue repair and overall healing processes.

62) Katu:
Katu refers to the 'pungent' taste in Ayurveda and describes herbs or substances that stimulate digestion and metabolism. In wound healing contexts, utilizing katu dravyas can enhance therapeutic actions, supporting effective wound management, especially when addresses dosha imbalances.

63) Milk:
Milk is an important nutritional substance in Ayurveda, containing proteins and fats vital for health and recovery. Its application in wound care must be managed carefully, considering the individual's dosha, to ensure it supports effective healing and does not lead to complications.

64) Kashayadravya (Kasayadravya, Kashaya-dravya):
Kashaya-dravya signifies substances that function as decoctions, commonly used in Ayurveda for their cleansing properties. In the context of wounds, they are applied to cleanse and promote healing, being key components in effective wound management strategies.

65) Tiktadravya (Tikta-dravya):
Tikta-dravya encompasses bitter substances used in Ayurvedic practice, recognized for their cleansing and detoxifying properties. These preparations assist in managing wounds and supporting healing, especially when doshic imbalances play a role in complications.

66) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a crucial ancient Ayurvedic text authored by Sushruta, detailing surgical techniques and comprehensive wound management protocols. Its teachings remain relevant today, providing foundational knowledge for surgeons and practitioners engaged in treating wounds and surgical issues.

67) Shonitasthapana (Sonitasthapana, Shonita-sthapana):
Shonitasthapana refers to procedures that promote hemostasis or cessation of bleeding in wound management. Understanding shonitasthapana is vital for Ayurvedic practitioners to effectively manage bleeding and ensure successful surgical interventions.

68) Ghrishtavrana (Ghrishta-vrana, Ghrstavrana):
Ghrishtavrana denotes a type of wound that is greasy or oozing due to excessive fluid. Managing ghrishtavrana requires specific treatment strategies aimed at drying out excess moisture and promoting effective healing, underscoring the need for tailored therapeutic approaches.

69) Kaphajavrana (Kaphaja-vrana):
Kaphaja-vrana describes wounds influenced by an imbalance of kapha dosha, often characterized by thick, moist, and potentially infected conditions. Understanding kaphaja types is vital in Ayurveda for devising effective treatment plans aimed at restoring balance and facilitating wound healing.

70) Raktajavrana (Raktaja-vrana):
Raktaja-vrana refers to wounds associated with blood disorders or conditions stemming from rakta vitiation. Proper assessment and tailored treatments focusing on restoring blood quality and combating associated complications are essential to achieving successful healing outcomes in Ayurvedic practice.

71) Daruharidra (Daru-haridra):
Daruharidra is a medicinal herb known for its potent antimicrobial and anti-inflammatory properties. In wound care, daruharidra formulations can enhance healing, support tissue repair, and prevent infections, making it a valuable component of Ayurvedic treatments.

72) Yashtimadhu (Yashti-madhu, Yastimadhu):
Yashtimadhu, also known as licorice, is an herb with significant soothing properties, commonly used in various Ayurvedic formulations. In wound management, yashtimadhu can alleviate irritation, promote healing, and support overall recovery processes.

73) Nyagrodhadi (Nyagrodha-adi):
Nyagrodhadi refers to a group of medicinal plants associated with the banyan tree, known for their therapeutic benefits. Preparations from nyagrodhadi are utilized for their cleansing and healing properties, especially beneficial in addressing various wound conditions.

74) Sutrasthana (Sutra-sthana):
Sutrasthana is a section within the Sushruta Samhita that outlines fundamental surgical principles and methodologies. It serves as a critical reference for practitioners, emphasizing best practices in surgical techniques and patient care management.

75) Sadyovrana:
Sadyovrana refers to acute, fresh wounds resulting from injuries or surgical interventions. Proper management of sadyovrana focuses on immediate treatment approaches to promote rapid healing and minimize complications, critical for successful wound care outcomes.

[Note: The above list is limited to 75. Total glossary definitions available: 156]

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