FORMULATION AND PHYSICO-CHEMICAL CHARACTERISATION OF KSHARAPLOTA DRESSING FOR VRANA CHIKITSA

Good quality of wound healing is a difficult task to the clinicians in ancient time and even in present time though. Wound healing is a defense mechanism of our body to prevent and fight against infection. In Health sciences, wound healing formulations are practiced with their own advantage and disadvantages. Ayurveda is a divine science of medicine where there are so many pieces of diamonds available for management of Vrana without any complication. Our Acharyas broadly described about treatment principles of wound management and classified the drugs related to Vranashodhana and Vranaropana. As per text we are well known about the wider approach of Acharya Sushruta in relation to Vrana and its management. They have mentioned various dressing materials for wound care it comprises Pichu, Plots, Kawalika, etc. Among these Plota is much better because we can use it for both purposes i.e. to clean as well as to cover the wound.Ksharaplota (medicated gauze) is an innovative and newer concept used for management of Infected and chronic Wounds and ulcers. This Ksharaplota is a herbo-chemical compound and prepared with the help of Snuhikshira (milk of Euphorbia neriifolia Linn.), Apamargakshara (ash of Achyranthes aspera L.) and Haridra (Curcuma longa L.). A single coating of the above drugs were given to the Plota (gauze). It can be used in number of open wounds and ulcers. This Ksharaplota was prepared similarly with basic concept of Ksharsutra preparation. The Aim of this study was to formulate Ksharaplota dressing and to do the physico-chemical analysis of the Ksharaplota. The proved that pharmaceutical processing of the raw drugs imparts characteristic property to the formulation were evident by the physicochemical analysis of the Ksharaplota. The method of formulation of Ksharaplota holds good even for today’s era and can be considered as standard protocol for Vrana Shodhana and Ropana in Dushta Vrana Chikitsa

ROLE OF KSHARASUTRA IN AXILLARY HIDRADENITIS SUPPURATIVA - A CASE STUDY

Hidradenitis suppurativa is a chronic inflammatory disease on certain areas of the skin, subcutaneous tissues which characterized by the formation of abscesses and sinuses due to primarily an infection of the apocrine group of sweat glands. Hidradenitis suppurativa occurs after puberty, the majority of patients being in the second or third decades of life. In the early stages the disease appears as a firm subcutaneous nodule, suppuration, persists discharge and the affected region may show numerous sinus openings. Management of Hidradenitis suppurativa requires complete surgical excision of the lesion in single or multiple stages, the resulting raw area may be very extensive which was difficult to heal with secondary intension and commonly requires skin graft. Hence, surgical excision for Hidradenitis suppurativa may become challenge and there is a scope to become an alternative as Ksharasutra therapy for hidradenitis suppurativa surgical excision. The present case study of axillary hidradenitis suppurativa was treated with Ksharasutra along with isotretinoin & doxycycline hydrochloride oral medicine. Ksharasutra therapy required 7 sittings (1 sitting conducted every week) to complete excision and epithelialization of tract while doxycycline hydrochloride 100 mg & isotretinion 10 mg once a day orally was continued upto 3 months to control infection & to prevent new nodule formation. Patient was get completely cured from sign and symptom of axillary hidradenitis suppurativa. After that patient was follow up took place for one month for observations

MANAGEMENT OF INFECTED WOUND WITH KSHARAPLOTA DRESSING - A CASE STUDY

Acharya Sushruta the pioneer of Indian surgery described various surgical diseases and its management in detail. In which Vrana is utmost important. Acharya Sushruta in his text widely classified the word Vrana with its etiology, site, stage, odour and given various rescue modules for its management. Each and every type of wound requires systemic and local care for healthy and early healing. Cleaning and bandaging is important local procedure to expel out unhealthy, vitiated tissue, debris, dead cells and pus and for the generation of newer healthy tissue mass. The management of lower extremity wound is a difficult task. It is necessary that clinician involved in wound care address both the systemic and local precipitating factors. Dushta Vrana defines as the Vrana vitiated by aggravation of Dosha. Dushta Vrana or infected wound has typical character like foul smell, unusual color with abundant discharge, severe pain and greater healing time. Acharya Sushruta has mentioned various dressing materials for wound healing and it includes Pichu, Plota, Kawalika, etc. In these Plota is better because of its dual purpose i.e. wound toileting as well as to cover the wound. Usually patient avoids surgical debridement due to pain, fear and psychological factors. Therefore there is scope for non-surgical debridement modalities which are also known as parasurgical methods. The Aim of this study is to demonstrate that how a Ksharaplota dressing is used to treat an infected wound which was slow healing or can say fails to heal. At the end we have got the desired and satisfactory results of Ksharaplota dressing which will definitely encourage us for new research with Ksharaplota in near future

INNOVATION OF KSHARAPLOTA (MEDICATED GAUZE) IN THE MANAGEMENT OF VRANA (ULCER)

Indians have paid enough attention to discover the therapeutically effects of plants and herbs as medicinal agents in many diseases. Plants contain Alkaloids and various other chemical substances which form the base for many medical preparations. Most of the drugs used are derived from the natural world through the experiments of earlier civilization. Ksharaplota (medicated gauze) is an innovative concept used for management of infected and chronic wounds and ulcers. This Ksharaplota (medicated gauze) was prepared with the help of Snuhikshira (latex of Euphorbia neriifolia Linn.), Apamargakshara (ash of Achyranthes aspera L.) and Haridra (Curcuma longa L.). Single coating of the above drugs are given to the Plota (gauze). It can be used to heal wounds and ulcers. This Ksharaplota is prepared similarly with basic concept of Ksharasutra preparation. There are number of dressing materials given by Sushruta e.g. Pichu (cloth), Kawalika, Plota (gauze) and Vikeshika or Varti (wick). Among that we selected Plota as a dressing material which can be used as for deep and broader wounds and ulcers. In the present study preparation of Ksharaplota, advantages, indications, disadvantages, sterilization, storage, standardization were observed for simple and safest parasurgical practice

EFFECT OF COUNSELING FOR CONSTIPATION IN PRIMARY SCHOOL CHILDREN: A SURVEY STUDY

Constipation is a very common problem which affects large number of school going population of children. The most of the gastroenterologist, pediatricians and proctologist encounter with this problem routinely. Socio-economic factors play significant role towards the prevalence of disease. The dietary habits & life style pattern also leads constipation in children. This article presented a survey study based on primary school children suffered with constipation. The study revealed causes of constipation mainly associated with social & daily routine activities. The 83% of affected students were found to have bad dietary habits. The 56 % of affected children were found to possess lack of outdoor sports activity. Counseling to students, teachers and parents help to change their diet pattern and living habits in natural way. The present study also suggests guideline or rules to be adopted for curing problem of constipation in primary school children

ROLE OF AGNIKARMA THERAPY IN THE MANAGEMENT OF KADARA (CORN): A CASE REPORT

Kadara (corn) is initially painless in condition but with its progress, it may become painful. In modern science, corn is being treated by using anti inflammatory drugs, corn cap, saliciylic acid and excision. Even today there is no satisfactory and permanent treatment available for corn because of its high recurrence tendency. According to Ayurveda, ˜Kadara can be correlated with the condition of corn. Aacharya Sushrut has advised Agnikarma (cauterization) for Kadara. Hence, in this study corn (Kadara) was treated by Agnikarma with Panchadhatu Shalaka (instrument made of 5 metals) in a systematic manner for a duration of 15 days with intervals of 5 days in 3 sittings. Here, we have applied two types of Agnikarma. i.e. Pratisaran (flat type of cauterization) and Bindu (dotted type of cauterization) which were used in combination with application of Tilatailam (sesame oil) for better results. This combination therapy provided cured management, which is observed in the present case study. The patient was followed upto 6 months for observation of recurrence

ROLE OF AGNIKARMA IN THE MANAGEMENT OF TRIGGER FINGER

Although in ancient times, Agnikarma practice has been very less but the last ten years have seen a remarkable rise in the efficiency of Agnikarma practice. This has been possible due to a combination of valuable researches and conferences carried out all over the globe. And thats the reason why most of the Ayurvedic Shalya Tantra practitioners use Agnikarma as a healing mechanism for most of the human diseases. Although modern surgical procedures are effective for curing diseases but the complications that arise out of such procedures are equally fatal and deadly. However in recent times it has been observed that such diseases can be cured by Agnikarma without undertaking any surgical procedure hence Agnikarma is proved to be a boon for curing such diseases. Trigger finger, a disease is commonly seen in professions which involve frequent movement of fingers e.g. surgeons, typist, barbour, soldiers, farmer etc. As the reference of Acharya Sushruta suggests the disease trigger finger can be correlated with Snaya Asthi Sandhi Aashrita Vikara. So the patient should be kept under Agnikarma therapy upto a satisfactory level of relief from pain and hence in this study a case of trigger finger was treated by Agnikarma for a period of 30 days. In this period 4 sittings was administered at intervals of 7 days giving a complete relief from symptoms. After completion of Agnikarma, the patient was followed up and observed for recurrence for 3 months

A NOVEL METHOD FOR VRANA SHODHANA & ROPANA USING KSHARAJALA

Indians have paid enough attention to discover the therapeutic effects of plants and herbs as medicinal agents in many diseases. Plants contain Alkaloids and various other chemical substances which form the base for many medical preparations. Most of the drugs used are derived from the natural world through the experiments of earlier civilization. Ksharajala is an innovative concept used for management of Infected & chronic Wounds and ulcers. This Ksharajala was prepared with the help of Apamargakshara & distilled water in 1:100 proportion. It can be used in number of open wounds & ulcers. This Ksharajala is prepared similar to the Hima kalpana preparation. There are number of dressing materials given by Sushruta e.g. Pichu, Kawalika, Plota and Vikeshika or Varti, Kashaya, Kwatha, Rasakriya, Swarasa, Lepa and Hima. Ksaharajala as a dressing material which can be used as for deep & broader wounds & ulcers. In the present study preparation of Ksharajala, advantages, indications, disadvantages, sterilization, storage, standardization were observed for simple & safest parasurgical practice

NOTABLE MODIFICATIONS OF SUSHRUT SAMHITA BY DALHANA ON KSHARAPAKAVIDHI ADHAYAYA

Ksharapakavidhi Adhyaya is one of the important chapters described in Sushrut Samhita sutrastana. Kshara (caustics) are superior and potential to achieve Chedana (excision), Bhedana (incision), Lekhana (scraping), because of their power to alleviate all the three Doshas. Acharya Vaghbhata and Sushruta advocated its importance in several diseases where surgery is difficult and futile. The commentary on Sushrut Samhita which is available in complete form is Nibhandha Sangraha by Dalhana. Acharaya Dalhana commented on Sushruta quotations gave further modifications on the quotations. Now a days the world recognizes the pioneering nature of Sushruta Kshara Karma Chikitsa and hence modern science also accepts Kshara as an alkali and uses it in various infected wounds. The present review describes the historical perspective of Kshara Karma as described in Ayurveda by Acharya Sushruta and Dalhana

ROLE OF AGNIKARMA WITH ELECTRIC CAUTERY IN CHARMAKILA W. S. R. TO WART- A CASE DISCUSSION

Agnikarma Chikitsa was at peak level in Sushruta period but its use was declined gradually in modern era due to lack of availability of instruments and also the therapy was not easily acceptable by patient so in the present case study discussion we have made attempt on the disease Charmakila with the help of electric cauterization which is nothing but advanced version of ancient Agnikarma therapy. In present case study observation, efficacy of electric cauterization therapy shows minimum invasive parasurgical method in Charmakila (wart). One patient was treated on OPD basis in a minor OT of Ayurved college hospital Rahuri. Treatment was well tolerated by patient without complication during the therapy and post operative period. Hence, use of electric cautery as an Agnikarmas Dahanaupakarana in Charmakila is a best option with minimum trauma, easily acceptable by patient and surgeon in their fast day-to-day life