Wound healing potential of Pañcavalkala formulations in a postfistulectomy wound

Abstract

SUMMARYSushruta mentioned sixty measures for management of wounds. Panchavalkal is the combination of five herbs having properties like Shodhana (cleaning) and Ropana (healing) of wounds. Individual drugs and in combination have Kashaya rasa (astringent) dominant and useful in the management of Vrana (wounds) as well as Shotha (inflammations). A 35 years old male patient consulted in Shalya OPD with complaints like discharge per anum, induration and intermittent pain at perianal region since last five years. On inspection external opening was observed at anterior portion 1 O’ clock position which was four centimeter away from anal verge. That case was diagnosed as Bhagandara (fistula-in-ano) and was treated with partial fistulectomy and application of Guggulu based Ksharasutra in the remaining tract. The big fistulectomy wound was treated with local application of Panchavalkal ointment daily and simultaneous change of Ksharasutra. The wound was assessed daily for pain, swelling, discharge, size, and shape. The wound healed completely within two and half month with normal scar having good tissue strength. This case demonstrated that post fistulectomy wound can be treated with Panchavalkal ointment.

Anti-infective potential of a quorum modulatory polyherbal extract (panchvalkal) against certain pathogenic bacteria

“…Wound healing potential of a Pañcavalkala formulation in a post-fistulectomy wound was reported by Meena et al. [38] . Bhat et al.…”

Review of grey literature on Ayurveda wound healing formulations and procedures - A systematic review

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An integrative approach for management of post-traumatic dorsal foot wounds - A case report

“…It aims to remove foreign objects, minimize bacterial contamination of the wound, and remove cellular debris or exudate from the wound's surface [ 15 ]. Therefore, in this study, Panchavalkala kashaya was chosen for the irrigation of wounds as Panchavalkala kashaya has Vrana shodhana properties [ 17 ]. Recent studies indicate that Panchavalkala k ashaya possesses anti-inflammatory, analgesic, and antibacterial properties making it beneficial in the management of infected wounds [ 16 ].…”