Published Paper Details:

Vrana (ulcer), in Ayurveda is defined as a structural deformity in the skin and deeper structures, associated with pain, discharge etc and caused either by the vitiation of the doshas or by trauma. Vrana is basically of 2 types- Dushta vrana and Shudha vrana. Shudha Vrana is acute condition which is easily treatable, whereas Dushta vrana is a chronic wound, mostly unresponsive to any treatment. Acharya Sushruta has described sixty methods for treating such vranas (wound). In this case, symptoms like Deerghakalaanubandhi (chronic), Teevra ruja (painful), Teevra puti srava (smelly discharge) etc. were suggestive of Pitta pradhana Sarakta Tridoshaja Dushta vrana on the right leg. The chronic wound management strategies include compression therapy and antimicrobial therapy (if infected). However, in unresponsive cases, surgery (skin grafting) is done. A male patient of 52 year old having no history of DM and HTN came to opd with painful and foul-smelling vrana , to the extent of disturbing his sleep and restricting his daily activities. His Ayurvedic treatment comprised of Kaishora guggulu, Manjishtadi kashaya orally and Vrana prakshalana (wound cleaning) and Vrana lekhan externally. For fastes recovery skin grafting was done as a sandhankarma procedure. Ayurvedic treatment was effective in healing the Dushta vrana completely in this case. This suggests the efficacy of Ayurveda in the management of chronic wound. However, a detailed study of the same with larger sample sizes will help to formulate a treatment protocol for such cases.