Randomized controlled clinical trial to evaluate the efficacy of Yava kalka lepa in Dushta vrana(Non-healing wound).

·         The Aim of Ayurveda is “Swasthasya swasth rakshanam  {to promote and protect the health of healthy person} and Aturasya vikar prashaman {to treat the diseased one}.

·         Shalya is the branch of Ayurveda dealing with Grass, Wound, Stone, Dust,Iron, Soil,Bone, Hair,Nail,Pus discharge,Infected wound,Foreign body,Dead fetus removal and dealing with Yantra ,Shastra karm Kshar Agnikarm therapies and to observe and asess and treat Aam Pachyaman and Pakwa awastha of Vrana is called Shalya tantra**.**

·         As it is clear by Shalya tantra definition Vrana is important part of it

·         Detailed discription of types of Vrana there explaination and treatment has been explained very briefly in dwi-vraniya adhyay of Chikitsa sthan of Sushrut samhita.

In Dwi vraniya adhyay of Sushrut samhita treatment of wound is given by Shashti upkramas.

·         Vrana means Spliting or tearing of body (causing discontinuity of skin and other tissues under it).as per sushruta samhita chikitsa sthan chapter 1 verse 6.it here Acharya Sushruta also explained  Shashti upakramas(i.e 60 management skills of wound ) in which Sushrut acharya explained the lepan karm also.

·         In this Shashti upkaram 29th karm is kalk application for Shodhan and Ropan of vrana

“In case of Wound of which slough is removed which are located in muscles and do not heal ,healing paste of Sesamum mixed with Honey should be applied.”

After that ,Sushruta Acharya mentioned that some scholars says paste of barely similar to that of Sesamum .it pacifies the unripe and ripen the semi ripe ,ruptures the ripened one and cleanses and heals the ruptured Wound**.**

·         In other context acharya Charak also explained in 25th chapter of chikitsa sthan

The wound which are painful hard stiff and without discharge should be pasted frequently  with barely powder mixed with ghrita .

WOUND

The definition of a Wound is damage to the integrity of biological tissue, including skin, mucous membranes, and organ tissues.

Non-healing Wound

A wound that does not heal in an orderly set of stages and in a predictable amount of time

Signs of Non-healing Wound

1.      Foul Odor

2.      Smelling and Thick Discharge

3.      Swelling or Redness

4.      Fever

5.      Hot Skin

·      Rationale of study :

·         The Prevalence of wounds is 15.03 per 1000. The Prevalences of Acute and Chronic wounds were 10.55 and 4.48 per 1000 of the Population respectively

·         Barley production is on very large amount in India so we can make cheapest wound care product from it India ranks 22nd in Barley production worldwide.

·         We need more Ayurveda local drug applications on wound which should be Cheap,  Non- invasive, Not causing any side effect, Easily available  to all Socio-economic classes.

·         To cope up with other pathies it is need of the hour for Ayurveda to make evidence based medicine in such diseases for universal acquiescence .

·         And to prove valuable hidden treasures of Ayurveda literature Samhitas as source  of evidance based research in Samhita kaal.

·         Inadequate and inappropriate treatment of acute wounds is the commonest cause of chronic wounds.

·         The other major area of concern for wound care physicians is a limited knowledge of the physiological processes involved in wound healing.