A Randomized Controlled Clinical Study of efficacy of Chandanadi Yamakam in the management of Dagdha Vrana w.s.r. to 1st and 2nd Degree Burns.

Burns are global public health problem, accounting for estimated death 1,80,000 annually and the estimate burn incidence in India is approximately 6-7 million. Burn injury has been associated with the evolution of human civilization since time immemorial. Burn injuries has always been faced by human in different era with change of mode of injury from past to present. Unlike other diseases the basics of burn injury remains more or less same.

In Ayurveda, burn injury has been described in the name of “Dagdha Vrana”. The concept of Dagdha vrana was found in different treatises. In Sushruta Samhita details regarding Classification, Clinical features and detailed management according to types are described. The basic concepts and principle of management of burn injury is described in Ayurveda are very much relevant and useful in this era of modern surgery. Sushrut Samhita, the treasure of surgical knowledge of ancient Indian Civilization, is a rich source of information regarding burn injury, assessment and management.

Ayurveda is an applied science and a time-tested health system with a wide range of experiment. The goal of increasing the acceptance of Ayurveda on a world wide is to prove certain theories and the therapeutic effects of the medicines. All Brihatrayee and Laghutrayee and other relevant text book of ayurveda studied to search the different data regarding the Dagdha Vrana (Burn Injury). The collected data evaluated scientifically to make it usable in the modern era of surgery. The result show that although there is change in mode of burn injury found in modern era, the basic principles of etiology, classification, management and use of dressing material are almost the same as standard burn wound management of contemporary medical science. So the benefits of ayurveda can be introduced in modern era of burn care.

In modern science there is standard contemporary management are available, but this methods and material failed to give good cosmetic effect. It has always been a process to look for a better solution in order to get past the limitation that have existed in the past the past. This is why researches are still looking for a medicinier pharmacological combination that can meet the ideal criteria.

Always the altimate aim of any surgeon is creating the favourable conditions which allow the wound to heal properly. Because exposure to infection and prolong inflammatory phase delay the healing process of the wound. The shalya chikitsakmakes it very clear that the vrana ( wound) is most important for the success of surgeon.

According to modern science classification of burns.

Types of buns

1. Thermal injury

A) Scald

B) Flame burn

C) Flash burn

D) Contact burn

2. Electric injury

3. Chemical injury

4. Cold Injury

5. Ionising radiation

6. Sun burn

Classification of burns depending on thickness of skin involved.

1. 1st degree burn :-

Here the epidermis look red and painful, No blisters, heal rapidly in 5-7 days by epithelialization with supportive medicine.

It shows capillary filling.

2. 2nd degree burns :-

The affected area is mottled, red, painful with blisters, heals by epithelisation in 14-21 days by using supportive medicine.

Superficial 2nd degree burn heals causing pigmentation.

Deep 2nd degree burn heals causing scaring and pigmentation, sensation  present but no blanching.

3. 3rd degree burns :-

The affected area is charred, parchment like painless and insensitive, with thrombosis of superficial vessels.It requires grafting.

Charred, denatured, insensitive, contracted full thickness burn is called as eschar. These wound must heal by re-epithelisation from wound edge.

4. 4th degree burns :-

Involves the underlying tissues muscles and bones.

In sushruta samhita, burn wound and it’s management described (i.e. dagdha vrana) is in the sutra-sthana adhyaya no.12 ( Agnikarma-vidhi adhyaya ).

In this adhyaya 4 types of burns described

1. Plushta dagdha

2. Durdagdha

3. Samyagdagdha

4. Atidagdha

According to modern science we can correlate Plushta-dagdha and Durdagdha with 1st degree and 2nd degree burn, as the sign and symptoms of this are same.

Chandanadi yamakam is described in ’Chakradatta’ and ’Yogaratnakara’, where mentioned that the above composition is useful in all types of Dagdha vrana. Therefore this is my humble attempt to research the mechanism of action of Chandanadi yamakam, which could be beneficial in the future and could be free of any side effects, have good efficacy and provide better cosmetic effect.

Ayurveda is the name of the conventional, age-old Indian system of health sciences. This useful procedure’s skills was passed down from one generation to the next, curing people of a range of severe illnesses and demonstrating its value to society. Your lifestyle refers to the behaviors and activities that make up your daily existence.