Treatment of non-healing ulcers (dushtaVrana) is a clinical challenge. Even though contemporary medicine can manage infected wounds through antibiotics, non-healing wounds are still a problem to be solved. Ayurveda contributes significantly in the management of dushtavrana through its holistic approach. This case report discusses a 52-year-old male patient who complained of a non-healing ulcer over the left big toe's metatarsophalangeal joint area for six months. With associate complains of pricking pain and itching in the nearby area of the ulcer. Cleaning of the ulcer was done with Nomura arka (Distillation preparation of cow urine) followed by Dhara (wash) with kwatha prepared out of lodhra(SymplocosracemosaRoxb), yashtimadhu (Glycyrrhizaglabra), manjishta (Rubiacordifolia).Sadhyovirechana (Purgation therapy) is performed with trivrutlehua and milk. Orally Aragwadhadikashaya, Sarivadhyasava, and Guggulupanchapalachurna were administered. After 15 days of treatment, there was considerable relief in the pain, and the wound started healing. One month of treatment led to the complete healing of the wound. Parisheka of lodra, yashtimadhu, and manjishtakwatha helps clean and heal the wound due to its vranahara, sandhaneeyaaction. Virechana with Trivrutlehya helps in the elimination of vitiated pitta, which allows for enhancing wound healing. Aragwadhadikashayam helps in dushtaVranashodhana and reduces the itching.Sarivadhyasavaisamapachaka, pittahara and pidakahara.GuggulupanchapalachurnacontainsGuggulu, Pippali, Triphala, etc. as its contents. Hence it contributes to the management of pain and healing of the ulcer.
Acharya Susruta has extensively discussed the concept of vidradhi. He used the word “Sheegra vidahivat" to indicate its immediate burning nature. Prevalence of perianal abscess common in clinical practice. The Materia Medica of Ayurveda gives large information on therapeutically critical herbal products. An abscess is a localized collection of pus and a limited assortment of discharges in a depression shaped from tissues that irresistible bacteria have separated. An abscess is caused when microscopic organisms such as staphylococci or streptococci admittance to strong tissue like a wound on the skin. In traditional drug practices, distinct parts (leaves, stem, root, fruit, seeds, latex or even entire plant) of Ficus Racemosa Linn. are used to manage abscess. Its Sanskrit name is Udumbara, commonly known as gular in Hindi. Ficus Racemosa Linn. has confirmed various pharmacological actions like hypoglycemic, hypolipidemic, anti-carcinogenic, antidiuretic, hepatoprotective, anti-ulcer, and antifungal. β-sitosterol and glauanol acetate are the phytoconstituent found in Ficus Racemosa Linn. In the present review management of vidradhi with Udumbara (Ficusracemosa Linn) as ekal dravya (mono drug) with the expected mode of action has been explained. Most of the reviews of the Udumbara (Ficus Racemosa Linn) drug have not explained its effect on managing vidradhi (abscess) with its mode of action. Understanding the mode of action of Udumbara at different stages of shadkriyakala of vidradhi will help better administer the herb and prevent complications. Various Ayurvedic classical texts, Research portals like PUBMED, Google scholar, SCOPUS, DHARA and AYUSH Namaste portal are searched for the data collection: Udumbara (Ficusracemosa Linn) being Kashaya, Madhura rasa, Sheeta veerya, Katu vipaka and ruksha guna acts as pitta kapha shamaka and is a drug of choice in this condition.
Avascular necrosis is a condition where the bone tissue starts degenerating due to interrupted blood supply to the bone tissue. It is also known as ischemic bone necrosis, aseptic necrosis or osteonecrosis. From the contemporary medicine the management of AVN goes by pain management and joint replacement surgery. There is no direct correlation for AVN in Ayurveda. But concepts like Asthi kshaya, Asthi majja gata vata, Asthi majja gata Vatarakta symptoms stands very close to this disease condition. A female patient of age 42 came to the OPD complaining of pain in the bilateral hip joints with difficulty in walking since 6 months. MRI of the hip reveled grade 2 AVN of bilateral femur head. Patient was diagnosed as a case of Asthi majja gata Vatarakta with physical examinations. Pancha tikta ksheera kashaya, Lakshaguggulu, was given. Sandhaneeya mahakashaya gana Ksheera basti (enema with medicines processed in milk) was given to the patient for 14 days after sthanika snehana ans swedan . Pancha tikta ksheera kashaya has tikta and kashaya rasa. Tikta rasa has ashraya asharee bhava with asthi dhatu. Hence it improves the quality of asthi dhatu. Laksha guggulu helps in reducing the pain and improving the quality of rakta (rakta). Medicines included in Sandhaneeya mahakashaya gana are either Tikta, Kashya , Madhura. These rasa helps in reducing the rakta dushti (impaired circulation) and improves microcirculation. Ksheera basti helps in improving the quality of Asthi and majja dhatu. It also helps in reducing the pain in the affected region.
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