TRADITIONAL AND CONTEMPORARY APPRAISAL OF DUSHTA VRANA W.S.R TO VENOUS ULCERS
Dr. Sushant Sud*, Dr. Tejo Lakshman and Dr. Khyati Sud
Even since the birth of mankind, trauma is the first type of ailment which the man must have experienced & treatment of resultant effect of trauma viz, the wound must have been the lesion which received the first attention & which required surgical treatment. Due to constant exposure to trauma, man has been susceptible to wounding. The response of tissue to the injury has formed the basis of all surgical practices. Wound & its management have been dealt since the beginning of the Vedas to the current era & has been a major problem since the early stages of medical study. In spite of brilliant advances in surgical field, wound management still remains a subject of speculation. In Ayurveda particularly Sushruta has mentioned various types of wounds & their management which is of fundamental importance for any surgical practice. In Ayurveda, such infected wounds are treated as dustha vrana. All the wounds if not treated properly may turn into dustha vrana which always heal by secondary intention along with scar formation or may assume such proportions which may necessitate amputation. Systematized records about the management of wounds are available in Sushruta Samhita. Sushruta has exhaustively studied the subject of wound management. The problem of wound healing is a vital problem faced by clinician even today. Ulcer is a discontinuity, often excavation of skin exhibiting loss of epidermis and portions of the dermis and even sub-cutaneous fat. Though wound healing is a natural process it is influenced by both systemic and local factors, like micro organism, growth factors, vascularity and debris. Venous ulcer is abnormal hypertension in the lower third of the leg. Management of these ulcers has been explained by Acharya Sushruta in his Chikitsa Sthana. Hence, a detailed contemporary study is underlined here for the present study.
Keywords: Dushta Vrana, Venous ulcer, Sushruta, Contemporary.
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