Abstract

A CASE STUDY OF DUSHTA VRANA

Dr. Mahesh Sharma* and Dr. Waheeda Banu

ABSTRACT

A condition where the tissues in the body are selectively destroyed and after repair and discoloration, leaves a scar for whole life is known as vrana. Acharaya Sushruta has mentioned various types of wounds and their management which is of prime importance in any surgical practice/procedure. In recent past brilliant progress of surgery in various fields has immensely reduced the incidence of wound infection by decreasing the impediments associated with wound healing to certain limit. But still wound management continues to be a subject of speculation. The defense mechanism of body like phagocytosis and its local enzymatic action on dead tissue help to keep a wound clean. But at times when infection is massive, surface area of wound is very large and slough or necrotic tissue is too much this autoclensing mechanism becomes inadequate. Acharya Sushruta was aware of these facts and has indicated the process by which these impediments can be removed thus paving way for uninterrupted healing. This process is called as vrana shodhana and later healing process can be accelerated by the process described under vrana ropana. Here in this article, a case study of female patient aged 50 yrs, who presented with complaints of multiple infected wounds in left forearm with pain, discharge, slough, bad smell, and discolouration of skin has been diagnosed as Dushta vrana. Chikitsa sutra explained for Dushta vrana has been adopted here.

Keywords: Dushta vrana, Wound, Vrana ropana.