Abstract

MANAGEMENT OF DUSHTAVRANA BY JALOUKAVACHARANA- A CASE STUDY

Dr. Nitesh Rathod* and Dr. Seema R. Giri

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Abstract

Dushtavrana is characterized by Atisamvruta/Ativivrta, Atikatina/Atimrdu, Utsanna/ Avasanna, Atisheetha/ Atyushna, Krishna/ Raktha/ Peetha/ Sukla Varna or Anyatama varna is Puti-Puya- Mamsa-SiraSnayu, offensive Gandha (smell). is filled with According to Athyartha Vedana, Daha, Paka, Kandu, Srava, Deerghakalanubandhi. Dushta Vrana may be associated with chronic wounds. Chronic wounds represent a major public health challenge. The prevalence of chronic wounds in India is reported to be 4.5 per 1,000 population. Treatment of chronic wounds is a potential area for exploration. Raktamokshana is one of Dushtavrana's lines of treatment. Rakta visravana should be accepted in samrabda and vishama vrana using jalouka. Here we describe the case when Dushtavrana is administered along with his Jaloukavacharana. A 80- year-old male patient presented with non-healing right lower extremity near lateral malleolus infected wound over a 15 months period. Jaloukavacharana was performed around the wound site and showed significant reduction in inflammation, improved healing, and subsequent wound contraction. Jaloukavacharana removes contaminated blood and relieves pain (inflammation). Leech saliva contains substances with anticoagulant, vasodilatory, local anesthetic and anti-inflammatory properties. These substances are injected into the lesion while the jarouka is sucking blood. With these properties of leech saliva and improved blood flow, faster wound healing was observed. From this, it can be concluded that Jaloukavacharana plays an important role in the treatment of various conditions like Dushtavrana. Jaloukavacharana removes contaminated blood and relieves pain (inflammation).

Keywords: Dushtavrana, Jaloukavacharana, Anushastra, Non-healing Wound.