Abstract
Pressure ulcer is a sequel of tissue necrosis and ulceration due to prolonged pressure. External pressure of more than 30 mmHg on the skin leads to ischemia (reduced blood flow) causing ischeohypoxia, necrosis and ulceration. It is more common between bony prominence and an external surface. It may be due to impaired blood supply, defective nutrition and neurological deficit. Ayurveda describes this type of non-healing ulcer in terms of <em>Dusta vrana</em>, in that context <em>Acharya Sushruta</em> had also mentioned it as “<em>Dirghakalanubandhi</em>” which suggests that these kind of ulcers take longer time to heal due to underlying reasons. This article is about the single case report of a 51-year-old male patient with a stage 3 decubitus ulcer over the right heel since 2 months. As decubitus ulcers especially of stage 3 is difficult to cure, ayurvedic management with internal medication and external therapy was performed in this reported case. For Internal medication, Tablet septilin (A Patent medicine of Himalaya pharmacy, India) and <em>Punarnavadi kashay</em> (A Patent medicine of Vaidhyaratnam pharmacy, India) was used for enhancement of better wound healing. For external application Paste Katupila and honey was applied for 30 days. According to the assessment, wound showed good response within 10 days and was completely healed in 30 days.
Highlights
As per the healing stages of Vrana (Dusta vrana, Shudhhavrana, Ruhyamanvrana and Rudhavrana)[2], Dustavrana is the stage in which normal healing process of the body is impaired due to disturbance in its basic prerequisites
It is mentioned that Vrana over bony area is more difficult to treat[3]. This case report is of a 51-year-old male patient from Panchna, Gujarat, India reported to Parul Ayurveda Hospital, Vadodara, Gujarat, the case was presented as a complaint of non-healing ulcer of size 3.5×2.5 cm on right heel since 2 months
Case report suggests that Ayurvedic classical management for bed sore which can be compared to Dustavrana as detailed in Ayurvedic texts
Summary
As per the healing stages of Vrana (Dusta vrana, Shudhhavrana, Ruhyamanvrana and Rudhavrana)[2], Dustavrana is the stage in which normal healing process of the body is impaired due to disturbance in its basic prerequisites. Classical texts comment on prognosis of different ulcers according to its clinical condition. Dusta vrana is described as difficult to cure (Kastasadhya). It is mentioned that Vrana over bony area is more difficult to treat[3]. This case report is of a 51-year-old male patient from Panchna, Gujarat, India reported to Parul Ayurveda Hospital, Vadodara, Gujarat, the case was presented as a complaint of non-healing ulcer of size 3.5×2.5 cm on right heel since 2 months.
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