ROLE OF PATOLYADI LEPA AND LOCAL APPLICATION OF PRAPOUNDRIKADYA GHRITA IN THE MANAGEMENT OF DUSHTA-VRANA

Dr. Santosh Kumar Singh*, Dr. Balendra Singh, Dr. Uttam Nirmalker and Dr. Satrupa Nirmal

ABSTRACT

Dustavrana (non healing ulcer) are a often encountered problem faced in surgical practice present era produced commonly as a complication of trauma or pathologic insult and it causes long term agony to the patient. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. The healing of wound or an ulcer is the natural response of the body. Naturally wound will heal in one week if no doshic invasion or infection takes place. The vrana more than a week called dushta vrana which fail to heal for a long period and result into chronic wound(dheergha kalanubandhi dushta vrana), such vrana needs shodhana (Bahya) and ropana (Bahya) chikitsa. Shodhana by Patolyadi lepa[2] and Ropana by Prapoundrikadya Ghrita[3] is a best line of treatment for Dushta Vrana. These medicaments possess vranashodhana and ropana properties. It was used topically in non healing ulcer once daily for 28 days. A case report of 68 year old female, who presented with complaint of an ulcer formed at left thigh medial aspect spontaneously associated with pain, pus discharge, foul smell, swelling and discoloration of the skin since 10-15 days has been presented here.

Keywords: Dushta Vrana, Shodhana, Ropana, Patolyadi lepa, Prapoundrikadya Ghrita.