A Manifold Approach to Assuage the Management of Vishaja-Vrana - A Case Study

Abstract

The Vrana which are produced by different types of Visha such as Sthavara Visha Jangama Visha and Kritima Visha are known as Vishaja Vrana. Acharya Sushruta elaborately described various types of Vrana and its management in Sushruta Samhitha and also Vishaja Vrana has been exclusively mentioned in Kalpasthana. On the basis of Nidana Vrana can either be classified into Nija or Aganthuja. Vrana caused by any assault or an injury from human beings animals etc. can be considered as Aganthuja Vrana hence Vishaja Vrana can be included as one among the Aganthuja Vrana. Acharya Sushruta has voiced about Shasti Upakramas for the management of Vrana and the same can also be employed for Vishaja Vrana. A 54 year old male subject presented with a non-healing ulcer over his left lower leg due to an accidental bite by his own dog 20 days ago was treated with internal medications and other Upakramas. Under aseptic precautions ulcer was cleaned and dressing was done with Gomutra-Arka Tankana-Bhasma and later changed to Jatyadi Thaila along with Prakshalana and Jalukavacharana. The clinical signs of Vishaja Vrana were improved within 14 days and complete healing was achieved through a period of two months without any complications and other invasive techniques. After detailed study on Vishaja Vrana Chikitsa it was found that all the treatment modalities of Vrana were summarized in Shashti Upakramas of Chikitsasthana. Among these Seka Rakthamokshana Shodhana and Ropana Upakramas were employed in this case study for the management of Vishaja Vrana. Vishaja Vrana remains to be a clinical challenge due to its non-healing nature hence adapting the treatment modalities as per our Acharyas helps in its management by promoting healing and minimizing complications.nbsp