BACKGROUND: A surgically planned incision on the perineum and the posterior vaginal wall during the second stage of labour is called episiotomy (perineotomy). In Ayurveda Samhita, the description of an episiotomy wound has not been given directly, but Vrana(wound) is described very well, and an episiotomy wound can be considered Yoni Vrana. In the present era, there are several methods for managing episiotomy wounds, such as NSAIDs, antibiotics, etc. Still, it is found to have various adverse effects like inflammation, itching, peptic ulcer, delayed wound healing and drug resistance. Hence, the prime focus is proper care and treatment to promote episiotomy wound healing and avoid complications. AIM- To evaluate the preventive and therapeutic efficacy of VAPU Spray on perineal wound healing after episiotomy. OBJECTIVE- To analyse the effect of VAPU spray in managing episiotomy wounds. MATERIALS AND METHODS- The study was conducted among a few postnatal patients with Right mediolateral episiotomy (RMLE), and four such subject evaluations are presented here. RESULTS: These patients were successfully treated with VAPU Spray, which contains Panchavalkala, Triphala, etc., and has Vrana Shodhana and Vrana Ropana qualities. The result was assessed by using the REEDA Scale and VAS scale. The considerable results were pain, oedema, discharge, redness, and tenderness in episiotomy wounds. CONCLUSION- Thus, we can conclude from the study that this Ayurveda regimen with a modified drug delivery system was influential in managing episiotomy wounds