Article: A CASE STUDY ON THE ROLE OF NIMBA KALKA LEPA IN THE MANAGEMENT OF DUSHTA VRANA

Article Category: Case Reports

DOI: 10.7897/2277-4343.154114

Pages: 44-46

Author: Sujata B Waddar *, Siddanagouda A Patil, Suraj S Patil

Abstract: Acharya Sushruta mentioned various types of Vrana (wound) and their management, which is vital in any surgical practice/ procedure. There has been progress in surgery in various fields, which reduces the incidence of wound infection by decreasing impediments associated with wound healing to certain limits. Still, wound management continues to be a matter of speculation. Healing of Vrana is a natural process, but due to interference with causatives becoming dushta (non-healing) and the normal healing process delayed, the prime motto of the surgeon is effective wound healing with a minimum scar and control of pain effectively. Treatment methods for Vrana are mentioned in Ayurvedic treaties. Dushta Vrana is an issue that is frequently seen in surgical practice. The presence of Dushta Vrana (non-healing ulcer) can harm the patient's state, causing various complications. Wound management of any post-surgical lesion should follow the principle of moist wound therapy and avoid agents that may impede the normal healing process. The aim of the present study is that when diagnosed early, the majority are readily treated with office-based therapy, which is curative with regard to treatment. In the present study, Vrana lepa (topical application) is the therapy for Vrana shodhana action (wound cleansing). This study reports a 60-year-old female patient with Dusta Vrana who presented with a blackish lesion (non-healing ulcer) behind the right ear for two years. The treatment protocol was sthanika (topical). The patient had significant results with this treatment, which is presented here. The study is carried out as per ICH-GCP Guidelines.

Keyword: Dushta Vrana, Shodhana, Ropana, Vrana Lepa, Kalka, Nimba Kalka, Neem.