• DR. SHUBHAM SHARMA
• DR. SANJEET KUMAR SAHU.
• DR. AMIT MISHRA
• DR. NIDHI SHRI BIBHUTI

Sushruta has defined vrana as a phenomenon which consumes the tissue and on healing leaves “vrana vastu” i.e, permanent scar tissue. This definition is not limited to cutaneous lesions only but destructive lesions occurring in any tissue of the body has also been considered as vrana. This phenomenon, followed by inflammation and repair is critical for survival of body. After injury, healing is a natural phenomenon and continues in sequential manner till the formation as a healthy scar. Certain general factor as nutritional deficiency, hormonal imbalance and various systemic diseases like anemia, diabetes, malnutrition etc and certain local factors like foreign body, infection, hematoma etc either alone or in combination influence the normal pattern of wound healing. Hence, in present concept all efforts are diverted to keep wound clean during various stages of healing. Usually nature takes complete care during healing. The defense mechanism of body like phagocytosis and its local enzymatic action on dead tissue help to keep a wound clean. But at times when infection is massive, surface area of wound is very large and slough or necrotic tissue is too much this autoclensing mechanism becomes inadequate. Treatment - After obtaining informed consent, patient was placed in supine position and right leg was little tilted . Then the wound was washed with normal saline and the debridement of unhealthy granulation tissue and dead tissue was done. Then the wound was washed with panchwalkal kwath and then the combination of jatyaadi ghrita , till kalk ( तिल-कल्क ) and madhu was applied on wound and the bandage was done .

dushta vrana , non healing chronic ulcer , jatyadi ghrit , till kalk, , madhu

"Management of dushta vrana with jatyadi ghrit, till tail and madhu.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 9, page no.g250-g253, September-2024, Available :http://www.jetir.org/papers/JETIR2409626.pdf

"Management of dushta vrana with jatyadi ghrit, till tail and madhu.", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 9, page no. ppg250-g253, September-2024, Available at : http://www.jetir.org/papers/JETIR2409626.pdf