A case study of Necrotising Fascitis w.s.r. to Pittaja Dushta Vrana

Necrotising fascitis is a spreading inflammation of the skin, deep fascia and soft tissues with extensive destruction, toxaemia commonly due to Streptococcus Pyogens infection. It is common in old age, smoking, diabetes, immunosuppressed individuals. Trauma is the precipitating factor for this disease. It can occur in limbs, lower abdomen, groin, perineum etc. It needs intensive care with appropriate antibiotics and surgical debridement. Vrana is a condition which even after the complete healing, leaves a scar over the area, which stays as long as the person is alive. Vrana which has foul odour, has abnormal colour with profuse discharge, intense pain and takes longer time to heal is said to be Dushta. Acharya has mentioned separate treatment for the management of these Vrana in detail. It is a case report of a 46 year old male patient who presented with chief complaints of pain and swelling over the dorsum of the left foot with foul smell oozing purulent discharge with blackish discolouration since 1 week. He was examined and diagnosed as necrotising fascitis and was managed with Shodhana therapy along with palliative treatment

Critical understanding of the journey of Urinary Calculi from Inception till Cure

Acharya Sushrutha “the Father of Surgery” has mentioned both medical as well as surgical emergencies in the field of Ayurveda. Among them his skill of managing Ashmari Chikitsa shows an important limelight into the field of surgery. Each and every step mentioned by Acharya in the management requires critical analysis with respect to contemporary practice. The analysis has been carried out through the literary review of Sushrutha Samhitha, modern text and other supporting scientific data. Even though the field of surgery has advanced by leaps and bounds today; many techniques practiced today have still been derived from the practices of Acharya Susrutha

A randomised controlled clinical study to evaluate the role of Nirvapana Upakrama with Durva ointment in the management of Pittaja Dushta Vrana with special reference to fissure-in-ano

Introduction: Fissure-in-ano is an ulcer in the longitudinal axis of lower anal canal. It is having prevalence of about 17.91%. By seeing the signs and symptoms we can consider it as one among the six varieties of Dushta Vrana i.e., Pittaja Dustavrana. Due to busy life schedules people don’t prefer hospitalization and other operative procedures. So, there is a need to find out a new and simpler medicament which enables easy and better storage, preservation and mode of application. Here an attempt was made to study the effect of Nirvapana Upakrama in the management of fissure in ano is taken. This Upakrama is used for the treatment of Vrana accompanied with Daha, Paka, Jwara and having Pitta Kopa and Raktena Abhibhuta. Since fissure is having the similar symptoms this treatment can be adopted for the management of the same. Methodology: A randomized controlled clinical study was conducted over 30 subjects in two groups.  Fifteen subjects were advised to apply Diltiazem gel and 15 subjects were advised to apply Durva ointment twice daily for a period of 14 days. Results: Rapid reduction in pain, burning sensation and length of ulcer was observed in the subjects who were given Durva ointment. Discussion: Durva ointment having Madura Rasa, Snigdha Guna and Sheeta Virya does Vatapitta Shamana and pacifies vitiated Rakta. Kashaya rasa of Durva does Vrana Ropana and Rakta Sthambana which amplifies in ulcer healing and relaxation of the sphincter