EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

ANCIENT CONCEPT IN THE MANAGEMENT OF HYPERTROPHIC SCAR AND KELOID

Dr. Suman Yadav* and Dr. Sudeep Tiwari

ABSTRACT

The Keloid and Hypertrophic scar are wound healing disorders. These disorders occur during phase of proliferation and remodelling in wound healing. In Hypertrophic scar, there is excess scar but it will not extend beyond the margins of the scar of original wound where as in Keloid persistent excessive growth of scar beyond its margins into the adjacent skin. Although various attempts has been made to understand the exact patho –physiology, molecular abnormalities and treatment of Hypertrophic scar and Keloid but it is yet to be determined clearly. So, it is high time for us to explore and validate the ancient concept of the texts. Even though there are many treatment modalities for Hypertrophic scar and Keloid but the recurrence rate is very high despite of the present ways of treatment. In Ayurvedic text, Acharya Sushruta mentioned many procedures for the treatment of Vrana vastu (can be correlated to Hypertrophic scar and Keloid) which are known as Vaikratapaham/ warding off the abnormalities. Term „Vaikratapaham’ is formed by two words „Vikrati’ and „Apaham’ means to remove the deformity formed after wound healing.At present we believe that the following combination of therapeutic procedures in a definite sequence will most reliably achieve a complete cure i.e. prophylactic as well as curative treatment for Hypertrophic scar and Keloid. These therapeutic procedures are Snehana/oleation, Swedana/fomentation, Vranabasti/oil pooling on scar, Pratisarana/ rubbing, Patradan/covering with leaf, Avasadana/ removal of granulation tissues, Kshar karma/ caustic application and Pandu karma/ bring to normal skin colour etc. The prophylactic treatment includes Shamana therapy while in curative treatment we can choose Shodhana therapy as well as Shamana therapy.

Keywords: Keloid, Hypertrophic scar, Vrana vastu, Shamana, Shodhana, Dosha.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )