Management of dushtavrana by jaloukavacharana- a case study
Journal name: World Journal of Pharmaceutical Research
Original article title: Management of dushtavrana by jaloukavacharana- a case study
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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Dr. Nitesh Rathod and Dr. Seema R. Giri
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Management of dushtavrana by jaloukavacharana- a case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20235-27540
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
The management of chronic wounds, specifically Dushtavrana, presents significant challenges in healthcare. Dushtavrana is characterized by various attributes such as abnormal color, foul smell, and inflammation, leading to serious physical and emotional distress for affected individuals. Treatments in Ayurveda suggest various methods for managing Dushtavrana, with Raktamokshana (bloodletting) being one of the accepted treatments. A case study of an 80-year-old male with a non-healing wound illustrates the effectiveness of Jaloukavacharana (leech therapy) in treating chronic wounds.
The Role of Jaloukavacharana
Jaloukavacharana, or leech therapy, is a crucial treatment modality for Dushtavrana. The case presented involves an 80-year-old male patient suffering from a non-healing wound on the right lower limb near the lateral malleolus for 15 months. After performing Jaloukavacharana sessions combined with topical applications and oral medications, the patient experienced a notable reduction in inflammation and wound size. The active substances in leech saliva, including anticoagulants and anti-inflammatory agents, were integral to improving blood flow to the affected area, thus facilitating faster wound healing.
Treatment Methodology
The treatment protocol included a series of eight Jaloukavacharana sittings conducted under aseptic conditions, once a week, along with the application of Jatyadi Ghruta and regular dressings. The patient was also prescribed oral medications, including Shigru Patra Swarasa and Guduchi Patra Swarasa, to enhance recovery. The combination of these therapies led to reduced symptoms including tenderness and discharge, and promoted the formation of healthy granulation tissue, effectively transforming the wound from a Dushta Vrana to a Shuddha Vrana.
Observations and Results
Detailed observations before and after treatment showed significant improvements in various parameters of the wound. Tenderness and foul odors were recorded and evaluated, demonstrating a marked decline post-treatment. The size of the wound decreased visibly and healthy tissue response was noted. These results underscore the efficacy of the holistic Ayurvedic approach incorporated within this case study.
Conclusion
The case study emphasizes the potential benefits of integrating traditional Ayurvedic practices such as Jaloukavacharana in managing chronic wounds like Dushtavrana. By combining localized interventions with oral therapies, the treatment achieved significant improvements in wound healing and patient comfort. This approach not only alleviated physical symptoms but also addressed the emotional strain caused by chronic wounds, showcasing the relevance of traditional medicine in contemporary health care. Further studies could explore more detailed mechanisms and broader applications of Jaloukavacharana in wound management.
FAQ section (important questions/answers):
What is Dushtavrana and its characteristics?
Dushtavrana refers to chronic wounds with attributes like foul smell, slough, and associated pain. It is characterized by unhealing, inflamed tissue and can significantly impact a patient's quality of life.
What role does Jaloukavacharana play in wound healing?
Jaloukavacharana, or leech therapy, helps remove contaminated blood and reduces inflammation around wounds. Leech saliva contains beneficial substances that promote blood flow, aiding in faster wound healing.
How did the 80-year-old patient benefit from the treatment?
The 80-year-old male patient experienced significant reduction in inflammation, improved healing, and wound contraction after Jaloukavacharana therapy, transitioning his wound from Dushtavrana to Shuddha Vrana.
What were the key observations noted during the treatment?
Clinical observations showed reduced tenderness and itching, wound size decrease, and healthier granulation tissue over the treatment period, indicating effective healing.
What is the significance of Raktamokshana in Ayurvedic treatment?
Raktamokshana, related to bloodletting, is considered important in treating Dushtavrana. It facilitates the removal of contaminants and promotes healing by enhancing circulation and reducing inflammation.
What medications were included in the treatment for this patient?
The patient received Jaloukavacharana, Jatyadi Ghruta for application, and oral medications like Shigru Patra Swarasa and Guduchi Patra Swarasa to support overall healing during the treatment process.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of dushtavrana by jaloukavacharana- a case study”. 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 any wound or injury that disrupts the body's surface, causing a discontinuity. In Ayurvedic medicine, it highlights the importance of understanding the nature of the wound, its progression, and how best to treat it to promote healing and restore integrity to the skin.
2) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dushta-vrana is synonymous with Dushtavrana, indicating a wound characterized by infection and lack of healing. This term captures the chronic nature of these wounds and underscores the urgency for tailored interventions, such as Jaloukavacharana, for effective management.
3) Blood:
Blood plays a critical role in the healing process by delivering oxygen and nutrients to the tissues. In the context of Dushtavrana, the management of contaminated or stagnant blood (through Raktamokshana) is necessary to facilitate the healing of chronic wounds and reduce infection risk.
4) Inflammation:
Inflammation is a physiological response that involves redness, swelling, pain, and heat in the affected area. In chronic wounds like Dushtavrana, controlling inflammation is vital to promote healing. Strategies include using leeches that release anti-inflammatory substances, aiding in faster recovery.
5) Dushta (Dusta):
Dushta means corrupted or impaired, often used to describe the quality of tissues or wounds in Ayurveda. The term emphasizes the need for specialized treatment to restore balance and promote passage from a corrupted state (Dushtavrana) to a healed state (Shuddha Vrana).
6) Substance:
Substance is a broader term encompassing chemical or biological elements that can influence health outcomes. In managing Dushtavrana, specific substances derived from natural sources, such as leeches, can significantly improve the healing process by addressing inflammation and infection.
7) Lakshana (Laksana):
Lakshana denotes the signs or characteristics of a condition, specifically related to the classification of wounds in Ayurveda. Understanding the Lakshana allows practitioners to identify the type of Vrana present, guiding appropriate treatment strategies for effective recovery.
8) Vedana:
Vedana refers to pain or discomfort associated with wounds. Recognizing the level and type of pain helps in assessing the severity of Dushtavrana. Effective pain management is crucial in promoting healing and overall patient comfort during the treatment process.
9) Gandha (Gamdha):
Gandha signifies the smell associated with a wound. In the case of Dushtavrana, the presence of foul odor points to infection and the need for immediate treatment. Identifying Gandha is vital for assessing the wound's condition and selecting appropriate management.
10) India:
India is the country where the study originated, showcasing traditional Ayurvedic practices in a contemporary context. The healthcare system in India has a rich history of using natural remedies and therapies, making the investigation into Dushtavrana relevant to both local and global health challenges.
11) Pain:
Pain is a significant symptom associated with chronic wounds like Dushtavrana. It not only alters a patient's quality of life but also hinders the healing process. Addressing pain through various modalities, including medication and alternative therapies, is essential for effective wound management.
12) Raktamokshana (Rakta-mokshana, Raktamoksana):
Raktamokshana is a therapeutic procedure in Ayurveda that involves bloodletting to detoxify the body. This method is particularly relevant for treating Dushtavrana, as it helps eliminate contaminated blood and reduces inflammation, facilitating the healing process of chronic wounds.
13) Maharashtra (Maharastra, Maha-rashtra):
Maharastra is the state in India where the study was conducted, showcasing local Ayurvedic practices in the management of Dushtavrana. The cultural and indigenous knowledge found in this region plays a crucial role in understanding and treating chronic wounds.
14) Vishama (Visama):
Vishama refers to irregular or unstable wounds that require careful evaluation and management. In Ayurvedic practice, recognizing Vishama in Dushtavrana is critical for developing appropriate treatment plans to restore skin integrity and promote healing.
15) Shuddha (Suddha):
Shuddha signifies purity or cleanliness, indicating a well-healed wound. Transitioning from Dushtavrana to Shuddha Vrana is the goal of treatment, emphasizing the importance of effective interventions to achieve optimal skin health and patient recovery.
16) Dosha (Dosa):
Dosha refers to the three fundamental bodily humors—Vata, Pitta, and Kapha—central to Ayurveda's understanding of health. Wound healing can be influenced by the balance or imbalance of these doshas, making their consideration essential in the treatment of Dushtavrana.
17) Rakta:
Raktha translates to blood in Sanskrit, emphasizing its role in physiological well-being and healing. Raktamokshana aims to cleanse Raktha in the context of Dushtavrana, promoting healthier blood flow to support the healing mechanisms.
18) Patra:
Patra refers to leaves or plants used in Ayurvedic preparations. The mention of Patra in this context highlights the incorporation of natural products, such as Shigru Patra, for their therapeutic qualities in managing chronic wounds effectively.
19) Varna:
Varna denotes color, which can reflect the condition of a wound or surrounding tissue. Assessing Varna help clinicians evaluate healing progress; thus, in Dushtavrana, changes in Varna signal improvement or deterioration in the wound's status.
20) Study (Studying):
The study represents an exploration into the treatment of Dushtavrana using Jaloukavacharana. It provides valuable insights into traditional healing practices and their effectiveness, contributing to evolving understandings in integrative medicine and wound management.
21) Tear:
Tear describes the action that leads to the creation of a wound. Understanding the mechanisms of how tissues are torn assists practitioners in addressing the underlying causes and developing suitable interventions for healing in cases of Dushtavrana.
22) Observation:
Observation is the act of assessing a patient's condition and response to treatment. In the study, careful Observation of wound healing leads to better understanding and refinement of Ayurvedic interventions in managing chronic wounds like Dushtavrana.
23) Shuklavarna (Suklavarna, Shukla-varna):
Sukla-varna refers to a white color, which may indicate healthy tissue or granulation in a healing wound. Monitoring the transition to Sukla-varna is essential in determining the healing progress and overall success of the treatment for Dushtavrana.
24) Surrounding:
Surrounding refers to the area around the wound, which can provide additional insights into its healing status. Proper examination of the Surrounding skin can reveal changes in color, temperature, and texture that inform treatment strategies for Dushtavrana.
25) Discussion:
Discussion refers to the analysis and interpretation of results obtained from the study. It allows clinicians to reflect on the findings related to Dushtavrana treatment, integrating traditional knowledge with modern understandings to enhance patient care.
26) Accumulation (Accumulating, Accumulate):
Accumulate highlights the process of building up of doshas or toxins in the body, which can lead to health challenges, including chronic wounds. Recognizing this accumulation is essential for practitioners to develop strategies for detoxifying and healing the patient effectively.
27) Medicine:
Medicine here refers to the general practice and application of therapeutic approaches in healing wounds. Integrating traditional methods with evidence-based practices allows for a holistic approach in managing conditions like Dushtavrana for improved patient outcomes.
28) Upakrama:
Upakrama translates to treatment and focuses on the specific strategies applied in Ayurveda to achieve healing. It is vital to define an appropriate Upakrama for managing Dushtavrana to ensure that patients receive targeted and effective interventions.
29) Ayurveda (Ayus-veda):
Ayurveda is the ancient system of medicine originating from India, emphasizing holistic healing. In this context, Ayurveda provides a framework for understanding chronic wounds like Dushtavrana and offers methods for effective management using natural therapies.
30) Shodhana (Sodhana):
Shodhana refers to detoxification processes in Ayurveda, aiming to cleanse the body of impurities. In treating Dushtavrana, performing Shodhana through methods like Raktamokshana helps to reduce infection and facilitate healing, making it an essential component of wound care.
31) Atyartha:
Atyartha indicates excessive or extreme levels of symptoms, particularly in the context of pain or inflammation in wounds. Recognizing Atyartha in patients with Dushtavrana is crucial for tailoring effective treatment protocols that address severe discomfort.
32) Vishesha (Visesa):
Vishesha denotes particular or specific characteristics that can help differentiate types of wounds or health conditions. Understanding the Vishesha of Dushtavrana aids practitioners in creating customized treatment plans that align with individual patient needs.
33) Dressing:
Dressing involves the application of bandages or topical materials to protect and aid in the healing of a wound. Proper Dressing techniques are critical in treating Dushtavrana to prevent infection, absorb drainage, and support healing.
34) Avastha:
Avastha refers to the condition or state of a wound. Understanding the Avastha of Dushtavrana helps practitioners assess the healing status and determine the appropriate interventions to facilitate recovery and restore skin integrity.
35) Krishna (Krsna):
Krishna describes a dark color, often associated with necrotic tissue in wounds. Recognizing Krishna in the context of Dushtavrana aids clinicians in identifying areas needing intervention to promote healing and prevent further complications.
36) Avedana:
Avedana indicates the experience of pain or discomfort. In assessing Dushtavrana, evaluating the level of Avedana is essential to tailor appropriate pain management strategies, which significantly contribute to patient satisfaction with the treatment.
37) Shashti (Sasti, Shasti):
Shashti signifies the six treatments or basic principles used in Ayurvedic therapy. Understanding Shashti is foundational for practitioners addressing conditions like Dushtavrana, as it provides a knowledge framework for effective wound management.
38) Utsanna:
Utsanna refers to the elevated or swollen state, often associated with inflammation in wounds. Recognizing Utsanna in the context of Dushtavrana indicates active symptoms requiring intervention to promote resolution and healing.
39) Jatyadi:
Jatyadi relates to a specific Ayurvedic preparation used in wound care that aids healing. Leveraging Jatyadi Ghruta indicates the integration of traditional remedies within treatment plans for Dushtavrana, showcasing alternative options to enhance recovery.
40) Itching:
Itching is a common symptom related to wounds and skin irritation. In the management of Dushtavrana, recognizing and addressing Itching is vital to improve patient comfort and prevent complications that might impede wound healing.
41) Surface:
Surface pertains to the outer layer of the skin where wounds occur. Understanding the condition of the Surface is crucial for evaluating the healing status and planning appropriate interventions for persistent wounds like Dushtavrana.
42) Shigru (Sigru):
Shigru refers to the Moringa tree, whose leaves are used in Ayurvedic practices for their medicinal properties. Utilization of Shigru in formulations for chronic wounds highlights Ayurveda's emphasis on natural healing, aiding in reducing inflammation and promoting healing.
43) Sthira:
Sthira translates to stability or firmness and is a desirable state in healing. Achieving Sthira in the context of Dushtavrana signals improvement and a step towards the resolution of the wound, fostering a conducive environment for healing.
44) Reason:
Reason emphasizes the underlying cause or mechanism leading to conditions like Dushtavrana. Identifying the Reason enables practitioners to tailor treatments effectively, addressing not just the symptoms but also the root causes that contribute to chronic wound development.
45) Filling (Filled):
Filled indicates a state where pus or debris complicates a wound. In treating Dushtavrana, ensuring that the wound is not Filled with contaminated substances is crucial for facilitating healing and preventing further infection.
46) Pitha:
Peetha refers to a yellowish color often associated with unhealthy tissue or pus. Its presence in a wound such as Dushtavrana indicates the need for prompt intervention to improve healing and restore healthier tissue appearance.
47) Mamsa (Mamsha):
Mamsa refers to flesh or muscle, which is essential for wound healing. In Dushtavrana management, understanding the condition of Mamsa helps practitioners assess the extent of damage and apply appropriate therapies for restoration.
48) Kandu (Kamdu):
Kandu signifies itching or irritation often associated with wounds, affecting patient comfort. In the context of Dushtavrana, understanding Kandu allows for the implementation of strategies that alleviate discomfort and enhance the overall healing experience.
49) Shukla (Sukla):
Sukla denotes a white or pale state, typically representing healthy, granulating tissue in a wound. Observing the transition to Sukla indicates successful healing progress in the context of Dushtavrana and informs treatment efficacy.
50) Shrava (Srava):
Srava refers to the discharge from a wound, which can indicate its healing status. In the treatment of Dushtavrana, monitoring Srava is essential to assess infection risk and the overall effectiveness of therapeutic interventions.
51) Shana (Sana):
Shana refers to a moment or measure in time relating to the healing process. Understanding Shana in the context of wound management highlights the importance of timely interventions and the need for consistent assessments to facilitate healing.
52) Drug:
Drug refers to any therapeutic agent used in treatment. In Ayurvedic wound management, selecting the appropriate Drug is critical for addressing the specific needs of chronic wounds like Dushtavrana, enhancing healing while minimizing adverse effects.
53) Giri:
Giri is a surname associated with one of the authors of the study. It signifies the contributions made to the research, furthering insights into traditional Ayurvedic treatments and their application in managing chronic wounds like Dushtavrana.
54) Paka:
Paka means the process of cooking or preparing medicines. Understanding Paka in Ayurvedic formulations is essential for developing effective remedies for conditions like Dushtavrana, as preparation and quality impact the therapeutic efficacy of the treatments.
55) Puti:
Puti refers to an unpleasant smell associated with infected wounds. Identifying Puti in Dushtavrana indicates an ongoing infection requiring immediate intervention, as it can significantly hinder the healing process and lead to complications.
56) Sama (Shama):
Sama refers to balance or normalcy in Ayurvedic terminology. Achieving Sama status in the wound is essential for recovery, indicating the transition from a chronic to a healing state in the management of Dushtavrana.
57) Daha:
Daha signifies burning sensation or heat felt in response to a wound. Understanding Daha is essential in both diagnosis and treatment when managing conditions like Dushtavrana, guiding therapeutic interventions to address discomfort and promote healing.
58) Line:
Line refers to a method or approach to treatment. In the context of Dushtavrana, outlining a treatment Line helps practitioners navigate through various therapeutic strategies, ensuring a comprehensive and effective management plan for chronic wounds.
59) Milk:
Milk is often used in Ayurvedic practices as a nourishing agent. In the context of wound care, Milk can serve to provide essential nutrients that support healing, indicating its role alongside other herbal medications in the management of Dushtavrana.
60) Male:
Male denotes the gender of the patient in the case study. Understanding differences in gender responses can be relevant in clinical practices, allowing practitioners to better tailor interventions and treatment plans to meet the unique needs of male patients.
Other Science Concepts:
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Dushtavrana, Raktamokshana, Foul smell, Granulation tissue, Anti-inflammatory properties, Aseptic precaution, Jaloukavacharana, Chronic Wound, Wound contraction, Serous discharge, Shashti Upakrama, Inflammation reduction, Anticoagulant properties, Infected wound, Non healing wound.