Role Of Lekhana Karma In Dushta Vrana (Wound) Management- A Review

Abstract

Ayurveda is an ancient Eternal method of medicine. Ayurveda is concerned with all aspects of life, both  healthy and unhealthy. It provides a lot of information aimed at healing wounds. For the treatment of  different disorders, a variety of surgical and para surgical procedures have been described. Vrana is one  among them, which is affecting the humans from the ancient period of civilization. Vrana stated in  Ayurveda simulates Ulcers or wound; which may get converted into Dushta Vrana. The word Dushta  means bad, wicked, offensive, and culpable or necrotic. In Ayurveda, the Vrana is referred to as Wound  and healing process of Vrana is a natural phenomenon that begins almost immediately just after an injury.  Shalya Tantra is a significant branch of Ayurveda. In this branch of Ayurveda i.e, Shalya Tantra Lekhana  karma is one among the Shashthi Upakrama and Ashtavidh Shastrakarma.  In the procedure of Lekhan Karma (Debridement), necrotic tissue & slough are removed till the fresh  blood comes out. Lekhan Karma of vrana is removing of debris from the wound. wounds having thick  and irregular edges which burst often with hard and elevated muscles, that means the floor is full of slough  or with necrosed tissues. Coarse linen clothes, thick cotton clothes, alkali and surgical equipment’s are all  the means we use for the purpose of Lekhana karma. Thus, the Infection is prevented by the removal of  necrosed tissues.