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===== ''Vrana shodhana'' (cleaning of ulcer) =====

===== ''Vrana shodhana'' (cleaning of ulcer) =====

Cleaning of ulcer is done with shodhana drugs (cleansing agents) leads to vrana ropana (wound healing) process.

Cleaning of ulcer is done with ''shodhana'' drugs (cleansing agents) leads to ''vrana ropana'' (wound healing) process.

If ulcer is contaminated i.e.presence of infective organisms, profuse secretion, presence of slough etc, in these conditions purificatory measures like debridement of ulcer (i.e. removal of slough), irrigation with shodhana kashaya or paste (purificatory measures) should be applied. Once ulcer becomes clean, healthy granulation tissue formation starts. To enhance and protect the granulation tissue vrana ropana drugs (healing drugs) either externally or internally or in combination are used.

If ulcer is contaminated i.e.presence of infection causing vectors, profuse secretion, presence of slough etc, in these conditions purificatory measures like debridement of ulcer (i.e. removal of slough), irrigation with ''shodhana kashaya'' or paste (purificatory measures) should be applied. Once ulcer becomes clean, healthy granulation tissue formation starts. To enhance and protect the granulation tissue ''vrana ropana'' drugs (healing drugs) either externally or internally or in combination are used.

Bandaging material, methods and its applicability in vrana (wound):

 

==== Bandaging material, methods and its applicability in ''vrana'' (wound) ====

 

Bandaging of wound is very important as it stabilizes wounded part, prevents external injury, prevents contamination from external sources and enhances healing process. Bandaging should not be too tight, nor too loose. Act of bandaging may be from right or left side while others have mentioned fourteen types[ ] and fifteen types. [ ]

Bandaging of wound is very important as it stabilizes wounded part, prevents external injury, prevents contamination from external sources and enhances healing process. Bandaging should not be too tight, nor too loose. Act of bandaging may be from right or left side while others have mentioned fourteen types[ ] and fifteen types. [ ]

Diet: Wholesome and unwholesome aahar-vihar and ulcer healing promoters:

 

Lavana is vishyandi i. e. producing more secretions from tissues; it aggravates kapha and pitta and mitigates vata.[ ]  Due to kapha and pitta vitiating properties it causes sliminess (kledana) and burning pain. Excessive lavana, amla and katu rasa will provoke vata dosha and may produce various types of pain. Vidahi food also leads to burning sensation due to srotorodha while sexual intercourse leads to dhatukshaya and aggravates vata. [ , ] Day time sleep causes srotorodha and gives rise to vitiation of kapha that leads to swelling. Elevation of depressed ulcer is very important aspect of healing process. In ayurvedic classics stanya janana (galactogogue),[ ] jeevaniya (life promoters e.g. vitamins)[ ] and brimhaniya gana (nourishing drugs) [ ] are described. All these drugs have nutritional value (dhatu poshana) that helps in ulcer healing.

==== Diet: Wholesome and unwholesome aahar-vihar and ulcer healing promoters ====

Indications and contraindications of agnikarma (cauterization) in various disorders:.

 

''Lavana'' is ''vishyandi'' i. e. producing more secretions from tissues; it aggravates kapha and pitta and mitigates vata.[ ]  Due to kapha and pitta vitiating properties it causes sliminess (kledana) and burning pain. Excessive lavana, amla and katu rasa will provoke vata dosha and may produce various types of pain. Vidahi food also leads to burning sensation due to srotorodha while sexual intercourse leads to dhatukshaya and aggravates vata. [ , ] Day time sleep causes srotorodha and gives rise to vitiation of kapha that leads to swelling. Elevation of depressed ulcer is very important aspect of healing process. In ayurvedic classics stanya janana (galactogogue),[ ] jeevaniya (life promoters e.g. vitamins)[ ] and brimhaniya gana (nourishing drugs) [ ] are described. All these drugs have nutritional value (dhatu poshana) that helps in ulcer healing.

 

==== Indications and contraindications of agnikarma (cauterization) in various disorders ====

 

Agni karma (cauterization by application of heat) is used as precaution for excessive bleeding ulcers, excision of hanging flesh, kaphaja granthi (enlarged gland due to kapha), goitre and in stiffness (associated with vata) etc. Agnikarma has ushna guna (hot property) which is opposite to vata and kapha. Due to heat, vasodilation leads to alleviation of srotorodha resulting in proper vascularity to organ or part. Dahakarma (cauterization) causes constriction of blood vessels so prevents bleeding from ulcer. [ ] Cauterization is performed with the help of many substances like unctuous or ununctous substances etc by many ways e.g. Small spot (bindu), shape of ring (valaya) etc depending on nature of disease, strength of patient and time of application.

Agni karma (cauterization by application of heat) is used as precaution for excessive bleeding ulcers, excision of hanging flesh, kaphaja granthi (enlarged gland due to kapha), goitre and in stiffness (associated with vata) etc. Agnikarma has ushna guna (hot property) which is opposite to vata and kapha. Due to heat, vasodilation leads to alleviation of srotorodha resulting in proper vascularity to organ or part. Dahakarma (cauterization) causes constriction of blood vessels so prevents bleeding from ulcer. [ ] Cauterization is performed with the help of many substances like unctuous or ununctous substances etc by many ways e.g. Small spot (bindu), shape of ring (valaya) etc depending on nature of disease, strength of patient and time of application.

Importance of dhupan karma (fumigation therapy) in wound sterilization healing process:

Importance of dhupan karma (fumigation therapy) in wound sterilization healing process: