RANDOMIZED CONTROLLED CLINICAL STUDY OF PARNABEEJA SIDDHA TAIL MALAHAR TOPICAL APPLICATION IN COMPARISON WITH TILA TAIL IN SHUDDHA VRANA

Today wound is basic problem in surgical practice Surgeon deals with inflammation & problem in

healing in any surgical disorder. Even though Vrana is a natural process of healing it should be

protected from dosha dushti from various microorganism, which may affect the vrana and delay the

normal healing process. Wound has different aspect for healing process If is left untreated can

leads to complication. So we are looking for effective management. Dushta Vrana (Infected wound)

is a common problem faced in surgical practice. The presence of Dushta Vrana worsens the

condition of the patient with different complicationsand maybecome fatal. Wound healingisanatural

process, but factors like slough, infection and foreign bodies, affect the normal process of healing. A

healthy wound in anormal body heals earlier with a minimum scar as compared to a contaminated

wound. Therefore in the present concept, all efforts are directed to keep the wound clean during the

various stages of its healing process. Wound is a physical injury to any of the tissues in the body

that results in a break in the continuity of soft parts of body structures[8]. A process of healing of

wound is a normal biological response to the injury that occurs naturally, as long as the local care is

adequate. The normal phases of wound healing-reaction, regeneration, and remodeling take place

without any difficulty, if wound is debrided properly of non-viable tissue and repaired it in a physiological manner. Acharya Sushruta has given much emphasis on Vaikruthapaham. Hence

good wound healing with minimal or no scar formation is the prime motto.Sushruta, Charaka,

Vaghbhata, Madhavakar and Sharangdhara have clearly mentioned that the Lakshanas of Dushta

Vrana as foul smelling, continuously flowing pus discharge along with blood filled cavities, which

can be correlated to non-healing or contaminated wound. Infected wounds mostly require surgical

debridement to stabilize the patient as well as to promote healing process, longer hospitalization,

and surgery with use of anaesthesia drug, wound care and also other expenses