Panchavalkala for dushta vrana: a wound healing case study.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Wound healing property of panchavalkala in the management of dushta vrana –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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Author:

Dr. Pranali Shinde, Dr. Suvarna Sonawane and Dr. Sanjay Lungare


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Wound healing property of panchavalkala in the management of dushta vrana –a case study

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

Doi: 10.20959/wjpr20235-27806

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

This case study explores the wound healing properties of Panchavalkala, a combination of barks from five species of Ficus, in the management of Dushta Vrana, which refers to infected wounds that do not heal properly. Panchavalkala is highlighted in numerous Ayurvedic texts for its therapeutic efficacy in treating various types of wounds. Given the resistance and complications often associated with modern medical treatments, this study aims to present a viable alternative through the utilization of Ayurvedic formulations.

Panchavalkala as a Potent Healing Agent

Panchavalkala consists of the barks from five specific trees: Nyagrodha (Ficus bengalensis), Udumber (Ficus glomerata), Ashwattha (Ficus religiosa), Plaksha (Ficus infectoria), and Parish (Thespesia populnea). Each has its own unique set of properties conducive to wound healing. They exhibit Kashaya (astringent) rasa and Sheeta (cooling) veerya, which promote tissue repair and address the vitiation of doshas, specifically Kapha and Pitta. This herbal combination has demonstrated significant effectiveness in treating Dushta Vrana by facilitating the cleaning and healing of infected wounds.

The Process of Treatment and Patient Overview

One notable case involved a 46-year-old farmer presenting with a large infected wound on the right foot, characterized by severe pain, edema, pus discharge, and a foul smell, persisting for two months. The patient had a history of trauma, poor hygiene, and inadequate treatment for the wound. For healing, Panchavalkala was administered both topically and internally, employing the decoction to cleanse the wound and alleviate symptoms associated with the Dushta Vrana. The treatment protocol spanned 30 days, effectively supporting wound healing.

Observations and Efficacy of Panchavalkala

The results from this intervention were promising. By the end of two weeks, significant improvements were noted: reduction in wound size, alleviation of pain, decrease in pus discharge, and a cessation of foul odor. By four weeks, the wound had healed completely, leaving only a minimal scar and demonstrating no recurrence of symptoms. Regular observations noted weekly changes, highlighting the efficiency of Panchavalkala in treating complicated wounds and restoring integrity of the affected tissue.

Conclusion

The case study emphasizes the traditional Ayurvedic approach in managing Dushta Vrana using Panchavalkala. It elucidates how maintaining hygiene and appropriate treatment is vital in preventing wound complications. The formulation not only facilitated effective healing but also underscored its safety and cost-effectiveness, suggesting its potential as a reliable alternative in modern wound management practices. As a result, Panchavalkala emerges as a valuable therapeutic agent in tackling chronic and infected wounds, promoting a holistic approach to care.

FAQ section (important questions/answers):

What is the purpose of Panchavalkala in wound management?

Panchavalkala is a herbal group used for treating wounds, particularly Dushta vrana (infected wounds). It promotes healing through its anti-inflammatory properties and helps purify the wound by addressing vitiated doshas.

What are the main components of Panchavalkala?

Panchavalkala consists of barks from five Ficus species, specifically Nyagrodh, Udumber, Ashwattha, Plaksha, and Parish. These herbs predominantly have astringent properties and are effective against various skin disorders.

What symptoms indicate a Dushta vrana wound?

Dushta vrana may present with severe pain, oedema, pus discharge, foul smell, and slough. Other features include changes in size and coloration, indicating a delay in the normal healing process.

How was Panchavalkala administered in the case study?

In the study, Panchavalkala was administered as a decoction for internal use and applied topically as a soak for wound cleaning and bandaging, effectively aiding in the healing process.

What results were observed from the treatment using Panchavalkala?

The treatment with Panchavalkala led to significant improvement in symptoms like pain and discharge, complete healing of the wound by the fourth week, and minimal scarring.

Are there any side effects reported from using Panchavalkala?

No ill effects were reported during the study, indicating that Panchavalkala is safe for treating both healthy and infected wounds.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Panchavalkala for dushta vrana: a wound healing 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 a wound or injury that results in a break in the body's tissue. It may involve various layers of skin and may require different treatment approaches based on its severity and depth. A better understanding of wound characteristics is essential for proper healing and intervention in Ayurveda.

2) Dushta (Dusta):
Dushta denotes a condition that is considered impure or infected. In the context of wounds, 'dushta' indicates those that have become non-healing or infected due to poor hygiene, wrong treatment, or nutritional factors, which can complicate the healing process significantly.

3) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dushtavrana indicates a severely infected wound that resists normal healing processes. Understanding its characteristics helps practitioners develop targeted interventions for effective management and healing.

4) Drug:
Drugs in Ayurveda refer to natural substances used for healing. The selection and combination of drugs are based on their properties, actions, and the doshas they aim to balance in a patient’s treatment plan.

5) Medicine:
The medicine refers to the specific remedy or formulation being used in treatment. In the context of this study, it emphasizes the importance of selecting appropriate herbal formulations to effectively cater to the condition being treated.

6) Dosha (Dosa):
Dosha in Ayurveda refers to the three elemental forces that govern physiological processes: Vata (air), Pitta (fire), and Kapha (earth). An imbalance among these doshas can lead to disease, and treatments often focus on restoring this balance to achieve health.

7) Kashaya (Kasaya):
Kashaya is a taste characterized as astringent and is considered effective in clearing toxins, making it important for treating wounds and infections. Its application can help in drying out excess moisture in wounds, promoting quicker healing.

8) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with earth and water elements. An excess of Kapha can lead to conditions characterized by stagnation and excess moisture, making it critical for health practitioners to address this imbalance for healing.

9) Study (Studying):
The study in this context serves as an investigation into the healing properties of Panchavalkala for treating dushta-vrana. It provides valuable clinical insights into traditional Ayurvedic practices and their effectiveness in modern healthcare contexts.

10) Pain:
Pain is a symptom commonly associated with wounds and injuries. In Ayurveda, it signifies an imbalance of doshas. Effective wound management aims to alleviate pain while promoting healing, making it an essential aspect of the treatment plan.

11) Pitta:
Pitta is another of the three doshas in Ayurveda that embodies the elements of fire and water. It influences metabolism and transformation within the body. Imbalances in Pitta are often associated with inflammation and infection, like in dushta-vrana.

12) Disease:
Diseases can range from acute conditions like infections to chronic ailments. In Ayurveda, disease management focuses on understanding the dosha imbalances and restoring health through tailored natural therapies and lifestyle adjustments.

13) Rakta:
Rakta represents blood in the Ayurvedic system, correlating with vitality and nourishment. It plays a vital role in various bodily functions and is closely linked to the immune response, making it essential for recovery from wounds and infections.

14) Katu:
Katu refers to a taste characterized as sharp and pungent. It is known to stimulate digestion and detoxification. In wound care, katu qualities can promote circulation and may also assist in reducing excess Kapha-related symptoms.

15) Sign:
In this context, 'sign' refers to observable manifestations of disease or physiological changes in a patient. Recognizing signs is vital for accurate diagnosis and formulation of appropriate Ayurvedic treatment protocols.

16) Edema (Oedema):
Oedema refers to swelling caused by fluid accumulation in tissues. It can be due to inflammation or infection, such as in dushta-vrana. Managing oedema through Ayurvedic treatments is critical for reducing pain and promoting healing.

17) Table:
In the study, tables are used to summarize important data, treatment plans, and observations. They serve as visual aids to help researchers and practitioners easily interpret key information regarding patient outcomes and drug properties.

18) Gana:
Gana refers to a group or collection of herbs with similar therapeutic actions. In Ayurveda, plants are classified into these groups to simplify preparation and application in treatments, providing a synergistic effect in managing ailments.

19) Dravyaguna (Dravya-guna):
Dravyaguna is the Ayurvedic science concerning the properties and actions of medicinal substances. Understanding dravyaguna enables practitioners to select the most appropriate drugs for treating specific conditions based on their inherent characteristics.

20) Guna:
Guna refers to the inherent qualities or attributes of substances in Ayurveda. Understanding a drug's guna is essential for predicting its effects on the body, guiding its application in various treatments.

21) Pittarakta (Pitta-rakta):
Pitta-rakta refers to the combined influence of Pitta and the blood (Rakta) on the body. Their balance is crucial for metabolic functions and proper healing processes; hence they are important considerations in treating dushta-vrana.

22) Kaphapitta (Kapha-pitta):
Kapha-pitta denotes an imbalance involving both Kapha and Pitta doshas, which can lead to various health issues. Ayurvedic treatments aim to correct these imbalances for improved health outcomes by focusing on diet and herbal remedies.

23) Vitiation (Vitiated):
Vitiation refers to the process of impairment or corruption of natural bodily functions, particularly doshas. It highlights the importance of ensuring balance to achieve and maintain good health, especially when addressing wounds or ailments.

24) Shuddha (Suddha):
Shuddha indicates a state of purity or health. In contexts related to wounds, shuddha indicates a normal, healthy healing process, contrasting with dushta, which refers to infected wounds and impaired healing.

25) Ruksha (Ruksa):
Ruksha is the quality of being dry, which can assist in treating excess moisture from wounds. Its properties are beneficial in promoting healing, particularly in the context of dushta-vrana, where moisture can exacerbate infection.

26) Varṇya (Varnya):
Varnya refers to a quality in Ayurvedic terminology that signifies the ability to improve complexion and skin health. Medicines with this property can benefit the healing of wounds, rendering it essential in treatments for dushta-vrana.

27) Karma (Karman):
Karma denotes the action or therapeutic effect that a drug or treatment has on the body. Understanding the karma of specific medicines allows practitioners to tailor treatments to achieve desired health outcomes.

28) Guru:
Guru in Ayurveda indicates substances that are heavy or dense. These substances can have a calming effect on the body and are typically used to nourish tissues, making them important in treatments aimed at supporting recovery.

29) Rasa (Rasha):
Rasa refers to the taste profile of a substance, which in Ayurveda plays a significant role in determining its effects on the body. Each taste is linked to specific therapeutic actions, guiding practitioners in treatment planning.

30) Parisheka (Pariseka):
Parisheka refers to the process of irrigation or application of medicated liquids on wounds or affected areas. This is a critical aspect of wound management in Ayurveda, enhancing healing through cleanliness and medicinal effects.

31) Nighantu (Nighamtu):
Nighantus are crucial texts that provide comprehensive information about medicinal plants, their properties, and uses. They serve as essential references for practitioners aiming to utilize Ayurvedic treatments effectively based on traditional knowledge.

32) Samhita:
Samhita refers to classical Ayurvedic texts that systematically record medical knowledge. These foundational texts provide guidelines for diagnosis, treatment, and understanding of herbal formulations crucial for traditional practices.

33) Hygiene (Hygienic):
Hygiene refers to practices that maintain health and prevent disease, particularly the cleanliness of wounds. Proper hygiene is vital in preventing infection, ensuring an optimal healing environment, and minimizing complications in wound management.

34) Nature:
Nature in this context relates to the inherent qualities or characteristics of substances, including their medicinal effects. Understanding the natural properties of herbs is key to successful application in Ayurvedic treatments.

35) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha refers to the elemental force in Ayurveda representing the structure and lubrication of the body. Balancing Kapha is essential to prevent conditions characterized by stagnation and excess moisture, especially in wound care.

36) Visarpa:
Visarpa describes a type of skin disorder characterized by inflammation, often resembling an infection. It underscores the need for proper treatment strategies within Ayurveda that may include the use of specific herbs or formulations.

37) Parisa (Parisha):
Parisha refers to certain herbs or plants classified under specific therapeutic actions. In Ayurvedic practices, understanding the benefits associated with different parisha allows for effective medication preparation and application.

38) Plaksha (Plaksa):
Plaksha is one of the trees included in Panchavalkala known for its medicinal properties. The bark of this tree contributes to formulations aimed at treating wounds and infections, enhancing overall therapeutic effectiveness.

39) Pranali:
Pranali typically refers to the author or researcher’s name in the context of the study. It denotes credibility and context to the work being presented and is essential for acknowledgment and referencing.

40) Species:
Species in this context pertains to the different types of plants used in the formulations. Knowledge of plant species is critical for ensuring the appropriate selection of herbs for effective treatments in Ayurvedic practice.

41) Dravya:
Dravya signifies medicine or substance, forming the basis of Ayurvedic practice. Each dravya has unique properties influencing its therapeutic actions, making it essential to understand these relations for effective patient care.

42) Varti (Vartin):
Varti refers to a type of medicated wick or plug used in Ayurvedic treatments, particularly for specific applications related to wound care or injury. It is designed to deliver medicine directly into the affected area.

43) Kalka:
Kalka typically refers to a medicinal paste or paste made from herbs, which is applied topically to wounds or injuries. This preparation is significant for its direct medicinal effect and localized application.

44) Mamsa (Mamsha):
Mamsa refers to muscle tissue in Ayurvedic terminology. The involvement of mamsa in wounds dictates the severity of an injury and thus influences the treatment approach taken to ensure proper healing.

45) Matra:
Matra indicates the dosage or quantity of a drug in Ayurvedic medicine. Accurate measurement is crucial for ensuring efficacy and preventing adverse effects, highlighting the importance of individualized treatment in Ayurveda.

46) Grahin (Grahi):
Grahi refers to substances with the ability to absorb or control excessive moisture. In wound care, grahi properties help in managing discharge and promoting healing, making them valuable in treating dushta-vrana.

47) Tree:
Tree in this context refers to the classification of plants that provide medicinal benefits. Understanding different trees and their properties is critical for the effective application of herbal treatments in Ayurveda.

48) Sira (Shira):
Sira refers to blood vessels in Ayurvedic discourse. The condition of sira is important as it relates to circulation and healing processes in the body; hence, its health is critical for recovery from wounds.

49) Daha:
Daha refers to the burning sensation, often associated with inflammation and Pitta imbalances. It highlights symptoms that may be present in infected wounds, necessitating cooling and soothing interventions for effective healing.

50) Kala:
Kala pertains to forms or phases in Ayurvedic treatment. Different kalas can represent various preparations or methods used to deliver therapeutic substances, essential for achieving optimal health benefits.

51) Ficus religiosa:
Ficus religiosa, known as the sacred fig, is significant in Ayurveda for its medicinal properties. Its application in wound management highlights the importance of recognizing specific plant benefits for holistic healing.

52) Purification:
Purification signifies the process of cleansing and detoxifying, especially in contexts of dushta-vrana. Ayurvedic treatments focus on removing impurities to restore balance and promote healing in affected wounds.

53) Observation:
Observation refers to careful monitoring of patient responses and symptoms throughout the treatment process. It helps in assessing recovery rates and determining the effectiveness of the treatment regimen.

54) Raktadhatu (Rakta-dhatu):
Rakta-dhatu represents the tissue associated with blood in Ayurveda. Its health is crucial for maintaining vitality and preventing disorders related to blood, making it a focal point in wound care and treatment.

55) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha represents metabolic and transformative aspects within the body. In the context of wounds, pitta imbalances can contribute to inflammation, highlighting the importance of regulating its levels for optimal healing.

56) Abhishyandi (Abhisyandi):
Abhishyandi signifies dietary substances that create heaviness or clogging effects in the body. Such excesses can lead to health issues, including wounds that are not healing properly, necessitating proper dietary management.

57) Raktapitta (Rakta-pitta):
Raktapitta describes a condition characterized by bleeding disorders, often requiring careful management in Ayurveda. Recognizing its symptoms is essential for implementing effective treatments that address underlying causes.

58) Discussion:
Discussion in this context refers to the analytical examination of study findings, providing insights into the significance of results and their implications for practice. It allows for reflection on treatment outcomes and future research directions.

59) Sprinkling:
Sprinkling refers to the application method of herbal powders or decoctions onto a wound. It is an essential technique in Ayurveda for enhancing healing and ensuring that medicinal properties directly interact with the affected area.

60) Samprapti:
Samprapti refers to the process or path by which a disease develops, encompassing all stages from causation to manifestation. Understanding samprapti aids practitioners in creating effective strategies for disease prevention and treatment.

61) Rasakriya (Rasa-kriya):
Rasakriya relates to the therapeutic actions associated with the taste or flavor of a drug. It emphasizes the importance of taste profiles in determining how medicines affect the body and their specific healing roles.

62) Bahukalpa (Bahu-kalpa):
Bahukalpa refers to the multiple preparations or forms of medicine available within Ayurvedic practice. This concept underscores the versatility and adaptability of treatments to suit individual patient needs.

63) Sampanna:
Sampanna means well-endowed or rich in properties, signifying that substances possess beneficial characteristics for healing. It highlights the importance of utilizing potent herbs for effective treatment outcomes.

64) Ayurveda (Ayus-veda):
Ayurveda is the traditional system of medicine that emphasizes balance among body systems. It focuses on natural treatments, dietary guidance, and holistic healing principles to maintain health and treat illnesses.

65) Upakrama:
Upakrama refers to therapeutic measures or treatment modalities employed in Ayurveda. Understanding various upakrama is vital for practitioners to effectively address patient conditions and promote healing.

66) Medoroga (Medas-roga):
Medoroga denotes a disorder related to obesity in Ayurveda. It indicates the need for dietary and lifestyle modifications to manage this condition effectively and prevent related complications.

67) Bahuguna (Bahu-guna):
Bahuguna reflects the diverse actions or properties that a single drug may possess. This principle allows practitioners to utilize herbs comprehensively in addressing multiple aspects of patient care.

68) Yoniroga (Yoni-roga):
Yoniroga refers to disorders related to female reproductive health. Specialized treatment approaches are crucial for addressing these conditions and supporting women’s health from an Ayurvedic perspective.

69) Koshtha (Kostha):
Koshtha pertains to the abdominal cavity, significant in Ayurvedic practices for understanding gastrointestinal health. Proper function of koshtha is fundamental for overall wellness and effective treatment of digestive issues.

70) Shashti (Sasti, Shasti):
Shashti implies the sixty therapeutic procedures detailed in classical texts for wound care. This comprehensive approach offers various treatment protocols aimed at promoting healing through diverse methods.

71) Suvarna:
Suvarna denotes 'gold' in Ayurvedic context, symbolizing purity and superiority. Its mention often relate to the qualities of certain potent substances or preparations aimed toward enhancing healing and vitality.

72) Habitat:
Habitat describes the natural environment where medicinal plants grow. Understanding a plant's habitat helps practitioners source and reserve high-quality herbs, ensuring effective medicinal preparations in treatment practices.

73) Itching:
Itching is an uncomfortable sensation often associated with wounds or infections. Managing itchiness effectively is essential in wound care to prevent further irritation and promote optimal healing.

74) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints within the body. Their health is crucial for mobility and indicates the larger interconnectedness of body systems, highlighting the importance of comprehensive care in Ayurveda.

75) Shotha (Sotha):
Shotha describes swelling or edema in tissues, common in inflammatory responses. Addressing shotha is essential in Ayurveda to facilitate healing and restore the healthy function of affected areas.

[Note: The above list is limited to 75. Total glossary definitions available: 104]

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Panchavalkala for dushta vrana: a wound healing case study.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Dushtavrana, Vaidya, Dravyaguna, Panchavalkala, Edema, Therapeutic action, Treatment modalities, Clinical feature, Kashaya Rasa, Wound healing, Internal administration, Hypersensitivity, Follow-up, Guna and karma, Treatment Protocol, Charak Samhita, Vitiated dosha, Follow Up Period, Case study, Sushrut Samhita, External Administration, Ayurvedic text, Shodhan and ropan, Wound Healing Property, Scar formation, Dietary habit, Vranashodhan, Shuddha-Vrana, Sepsis.

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