Abstract

HOLISTIC APPROACH IN WOUND HEALING (VRANA CHIKITSA)- A REVIEW

*1Dr. Navneet Yadav (Assistant Professor), 2Dr. Ajay Kumar Pandey (Assistant Professsor) and 3Dr. Anish Vishwanadhan (Associate Professor)

ABSTRACT

Wound healing is an intricate biological process characterized by several coordinated phases: hemostasis, inflammation, proliferation, and remodeling. Within Ayurveda, which translates to the "science of life," this healing process is encapsulated in the concept of VranaChikitsa, a comprehensive and holistic protocol for wound management derived from ancient texts such as the Sushruta Samhita. In Ayurvedic practice, wound healing is perceived not merely as the repair of local tissues but as a dynamic interaction of Doshas (bioenergetic influences), Dhatus (tissues), Agni (digestive/metabolic fire), and Ojas (fundamental immunity). This review delves into the traditional framework of VranaChikitsa, which encompasses different types of wounds (Vrana), stages of healing—Shodhana (cleansing), Ropana (healing), and Shamana (restoration)—as well as the medicinal formulations used internally and externally. Time-honored remedies such as herbal oils, decoctions, powders, and ghee preparations, including JatyadiTaila, TriphalaKwatha, and Madhu, areacknowledged for their antimicrobial, anti-inflammatory, and regenerative effects. Additionally, specific therapies like Panchakarma procedures (e.g., Basti, Raktamokshana) are employed in cases of chronic, non-healing wounds that require systemic detoxification. Increasingly, modern scientific research is substantiating these age-old principles, demonstrating significant improvements in aspects such as wound contraction, epithelialization, and pain alleviation with the application of Ayurvedic treatments. Furthermore, the integration of dietary and lifestyle modifications, Rasayana therapy, and the promotion of psychosomatic harmony amplifies Ayurveda's comprehensive approach to health. This integrative methodology shows considerable promise in enhancing the healing outcomes of chronic wounds, diabetic ulcers, pressure sores, and recovery following surgery, thus positioning it as a valuable addition to contemporary wound care practices.

Keywords: Vrana Chikitsa, Ayurveda, wound healing, Shodhana, Ropana, Panchakarma, herbal Formulations.