Abstract

A CASE STUDY ON DUSHTA VRANA

Kiran S. S.* (BAMS), Keshava D. V.* BAMS MD PhD, Ashwini S. G.* BAMS MD (Ayu)

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Abstract

Introduction: Vrana is defined as the destruction/ discontinuity in the body tissues or part of the body. Vranas are divided into two types broadly Nija vrana and Aganthuja vrana. Vranas can be compared with that of non-healing ulcer, which is usually associated with underlying disorders such as Diabetes mellitus, leprosy and peripheral vascular diseases etc. Non-healing ulcers present serious problems for both patients and their families. Vrana is termed as dusta vrana when observed with the signs of Ativivrita (broad based), Bhairava (uglylooking), Putipuyamansa (purulent pus discharge), Gandha (foul smell), Vedana (pain), Dirghakalanubandhi (chronic in nature). Here a sincere effort is made to evaluate the clinical changes in a patient with dusta vrana after administration of internal and external medications. Methodology: Detail study of dushta vrana from Ayurvedic treatises, Research Journals, and electronic databases done. A Patient suffering from dushta vrana is administered internal and external medications. The changes are observed and noted. Result: With Ayurvedic treatment protocol, the chronic case of dushta vrana was successfully managed with shamana and vrana ropana chikitsa. Discussion: Dushtavrana is a condition with association of multiple local and systemic complications with antibiotic resistance. Treatment modalities involve correction of systemic derangements with shaman aushadhis and local management of vrana with Jaluka(leech) along with Vrana ropaka dravyas, which should be regularly followed for stipulated duration of time until pacification of signs, and symptoms with complete healing of vrana without any recurrence of lesions.

Keywords: Dushta vrana, non-healing ulcers, Jaloukaavacharana, Shaman.