Abstract
The term “Vrana” refers to the interruption of biological tissue or a specific body portion (wound). Whithin a week, if there is no Doshik invasion (infection), the Vrana (wound) will naturally heal. Despite the best efforts of Bhishak, Dravya, Upsathata, and Rogi from Chikitsa Chatuspada, a wound known as Dushta Vrana either refuses to heal or heals very slowly. Dushta Vrana in Ayurveda can be corelated with the non-healing ulcers described in contemporary science. In this case study, a 49-year-old male with a history of Dusta vrana (a non-healing ulcer) on his right lower limb for two months came to the Shalya department for Ayurvedic management. Vranaprakshalana using panchawalkalaqwath, local application of Neem oil, followed by dressing using sterile gauze and bandage. Triphala guggulu, Arogyavardhini vati, Mahamanjisthadi qwath, and Kaishor guggulu were prescribed to the patient. This Shodhana karma and Shamana Aushadhis were continued for 45 days regularly, and they facilitated the vranasodhana and vranaropana activities to treat the ulcer successfully. In two months, the ulcer healed entirely. The efficacy of Ayurveda is the main topic of this case study. In treating such terminally sick ulcers, other medical specialities are limited to skin grafting. This treatment plan decreased the chance of recurrence while resulting in no complications. The patient saw improvements in just two to three months after obtaining this affordable treatment.
Keywords: Abhyantar Aushadhi, Dusta Vrana, Neem Oil, Non-Healing Ulcer, Panchawalkalaqwath.