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=== Importance of ''dhupana karma'' (fumigation therapy) in wound sterilization healing process ===

=== Importance of ''dhupana karma'' (fumigation therapy) in wound sterilization healing process ===

Fumigation of ulcer is done with ''dhupana dravyas'' (fumigating materials).<ref>Kaviraja Ambikadutta Shastri, Sushruta Samhita, Ist part, Sutra sthana Chap 5, shlok no.17 ,Reprint 2013, Chaukhambha Sanskrit Sansthan, Varanasi, pp 24</ref>, <ref>Kaviraj Atrideva Gupta, Astanga Hridaya, Vidyotini Tika, Uttara tantra Chap 25, shlok no.45, Reprint 2005, Chaukhambha Sanskrit Sansthan,Varanasi, pp 542.</ref>. Purpose of fumigation is to make suitable conditions for better ulcer healing such as local sterilization, vasodilation, decreased discharge and removal of foul smell.

Fumigation of ulcer is done with ''dhupana dravyas'' (fumigating materials).<ref>Sushruta. Sutra Sthana, Cha.5 Agropaharaneeya Adhyaya verse 17. In: Kaviraja Ambikadutta Shastri, Editors. Sushruta Samhita. Reprint ed. Varanasi:Chaukhambha Sanskrit Sansthan ;2013. pp 24.</ref>,  

Fumigation also relieves pain, discharge and kills microorganisms due to ''vata, kapha'' alleviating property along with antiseptic property.<ref>Kaviraja Ambikadutta Shastri, Sushruta Samhita, Ist part, Chikitsa sthana Chap 1, shlok no.80, Reprint 2013, Chaukhambha Sanskrit Sansthan, Varanasi, pp 12</ref> Various types of preparations are  used to harden or soften the wounds as per condition of wound.

 

Fumigation also relieves pain, discharge and kills microorganisms due to ''vata, kapha'' alleviating property along with antiseptic property.<ref>Sushruta. Sutra Sthana, Cha.5 Agropaharaneeya Adhyaya verse 17. In: Kaviraja Ambikadutta Shastri, Editors. Sushruta Samhita. Reprint ed. Varanasi:Chaukhambha Sanskrit Sansthan ;2013. pp 24.</ref> Various types of preparations are  used to harden or soften the wounds as per condition of wound.

#Research studies on management of ulcers:  The physician observing inflammation as prodromal sign in the beginning should apply blood-letting to prevent the manifestation of wound. Sushruta also indicated blood letting in initial stage of abscess or inflammatory conditions and in ischemic condition of the wound. (SU. Su. ---)<ref>Dwivedi SP, Shukla DV. Role of Jalaukavacharana (leech therapy) in the management of ankle sprain: a pilot study. International journal of [[Ayurveda]] & Alternative Medicine. 2014; 2 (4): 92-95.</ref>,<ref>Pandey BB, Kumar A, Singh N, Bhatia. Efficacy of Jalaukavcharana (Leech Application) in Ischemic Ulcer with Pre-Gangrenous Changes - A Case Report, Journal of [[Ayurveda]] 2012 Jul-Sep ; 4 (3) :103-107.</ref>

#Research studies on management of ulcers:  The physician observing inflammation as prodromal sign in the beginning should apply blood-letting to prevent the manifestation of wound. Sushruta also indicated blood letting in initial stage of abscess or inflammatory conditions and in ischemic condition of the wound. (SU. Su. ---)<ref>Dwivedi SP, Shukla DV. Role of Jalaukavacharana (leech therapy) in the management of ankle sprain: a pilot study. International journal of [[Ayurveda]] & Alternative Medicine. 2014; 2 (4): 92-95.</ref>,<ref>Pandey BB, Kumar A, Singh N, Bhatia. Efficacy of Jalaukavcharana (Leech Application) in Ischemic Ulcer with Pre-Gangrenous Changes - A Case Report, Journal of [[Ayurveda]] 2012 Jul-Sep ; 4 (3) :103-107.</ref>