A Conceptual Study of Wound Bed Preparation by Leech Therapy (Jallaukavacharana) In Patients of DushtaVrana w. s. r. Chronic Non-Healing Wound
Keywords:
Wound bed preparation, Shodhana, Sandhana Karma, Jalaukavacharana, Shashti Upakramas, Leech TherapyAbstract
Of all the surgical entities , the treatment of Vrana is the hallmark of Ayurveda Shalya Chikitsa. Acharya Sushruta has explained varieties of Vrana, of them Dushta Vrana secures supreme importance.Vrana which has foul smell, flowing putrefied pus along with blood, with cavity, since long time and has bad odor, is Dushta Vrana. Moreover wound which heals very slowly in spite of best efforts by chikitsa chatuspada can be considered as Dushta Vrana and needs extra therapeutic efforts for management. Acharya Sushruta has explained Shashti Upakramas and have also mentioned Shodhana by Raktamokshana (Bloodletting) in Dushta Vrana (contaminated wound).
According to modern medical science chronic wounds are those which do not follow the normal healing process and show no signs of healing in 4 weeks and remain in prolonged inflammatory stage.
Wound bed preparation is the management of a wound in order to accelerate endogenous healing or to facilitate the effectiveness of other therapeutic measures.
Jalaukavacharana has a comprehensive therapeutic influence in reducing inflammation, pain, Srava (exudates) and vitiated Doshas and stimulates granulation tissue in the wound bed.
Chronic non healing wound is a debilitating illness especially in adult population irrespective of cause. In modern science availability andaffordability of these treatment options is questionable.
With all such basic concepts in mind a study has been planned for clinical research in which cnhu patients will be treated by jallaukavacharan in two groups so as to compare effect of leech therapy with control group treated by TIME principle of wound management.
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