Abstract

MANAGEMENT OF SARPDANSH JANYA DUSHTA VRANA WITH JALAUKAVACHARANA: A CASE STUDY

Vd. Gangadhar P. Ingale* and Dr. Vijay P. Ukhalkar

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Abstract

Acharya sushruta who is known as father of surgery elaborately explained types of vrana in dvivarniyaadhyaya of chikitsasthana in sushrutsamhita. There he clearly mentioned the causes of agantujavrana in which snake bite is also cause of vrana.[1] A chronic non healing wound, caused due to snake bite in which wound healing is worsen by presence of poisonous elements.Multiple debridement and antibiotics therapy can not improve the healing of wound. Such vrana is often correlated with nonhealing ulcers with eczema and swelling based on clinical presentations. No satisfactory treatment is available in medical practice to treat such type of nonhealing ulcers caused due to snake bite. Blood is the vehicle of poison as the wind of fire.[2] Therefore bloodletting should be performed by pracchana, jalauka or siravyadhana.[3] In Ayurveda main treatment of such types of vrana is raktmokshan. A patient came to OPD of shalyatantra with chief complaints of Non healing wound with itching and swelling around wound having history of snake bite before 6 months at right ankle was treated with jalaukavcharana along with sthanic chikitsa of vrana and remarkable healing observed in 21 days.

Keywords: jalaukavacharana, sarpadansha janya vrana, sthanic chikitsa.