Journal name: World Journal of Pharmaceutical Research
Original article title: Role of tila-kalka lepa in dushta-vrana
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case study
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Dr. Hema Goswami and Dr. Ajay Kumar Gupta
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of tila-kalka lepa in dushta-vrana
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202012-18535
Copyright (license): WJPR: All rights reserved
Download the PDF file of the original publication
Summary of article contents:
Introduction
The study presented in the article by Dr. Hema Goswami and Dr. Ajay Kumar Gupta focuses on the application of Tila-Kalka Lepa in managing Dushta-Vrana, a condition characterized by non-healing wounds. The article underscores the importance of addressing wounds as they frequently become serious complications arising from trauma or various pathological factors. In the context of modern healthcare, wounds are viewed as major challenges, and the need for effective treatment modalities is critical. Recognizing Vrana as synonymous with wound, the authors delve into traditional Ayurvedic approaches, particularly the treatment options delineated by Acharya Sushruta.
The Role of Tila-Kalka Lepa in Wound Healing
Tila-Kalka Lepa, a local application mentioned in Ayurvedic texts, is highlighted for its efficacy in wound care. This formulation combines sesame (tila) and honey (madhu), both known for their healing properties. The authors emphasize that this method aligns with the classical Ayurvedic approach of treating wounds, utilizing its unique Shodhana (purifying) and Ropana (healing) properties. The case study examines a 66-year-old patient with a gangrenous wound on his left toe who received Tila-Kalka Lepa treatment, showcasing the local application as a significant aspect of wound recovery.
Case Study Insights
The case study offers a detailed narrative of a patient who had developed a severe wound due to multiple health complications, including diabetes and pulmonary issues. After initial consultations and treatments that failed to yield results, the patient sought Ayurvedic care. Upon examination, the Dushta-Vrana was assessed based on specific characteristics such as size, color, and discharge. The local application of Tila-Kalka Lepa was initiated, accompanied by irrigation of the wound with lukewarm Nirgundi kwatha, demonstrating a systematic approach to treating the non-healing wound according to Ayurvedic principles.
Observations During Treatment
The treatment's effectiveness was documented through observations on pain reduction, changes in wound coloring, and discharge management. Notably, the progression from a blackish Vrana to a healthy pink hue within a week illustrated the healing capacity of the Tila-Kalka Lepa. The treatment protocol included daily dressing changes, which contributed to the patient's recovery; after two months, the wound demonstrated complete healing and a return to normalcy without signs of recurrence. These results affirm the application of traditional healing methodologies in contemporary medical practices.
Conclusion
In conclusion, the study confirms the therapeutic potential of Tila-Kalka Lepa for treating Dushta-Vrana. Highlighting safety and efficacy, it presents a compelling case for integrating Ayurvedic treatments into modern wound management practices. The absence of adverse effects further supports its use as a reliable approach to addressing chronic wounds, reinforcing the value of traditional medicine in enhancing healthcare outcomes. Overall, the findings encourage further exploration into Ayurvedic solutions for contemporary medical challenges.
FAQ section (important questions/answers):
What is Dushta-Vrana and why is it significant?
Dushta-Vrana refers to non-healing wounds, commonly resulting from trauma and other pathologies. This condition poses a serious health risk, often leading to complications if not managed appropriately.
What is Tila-Kalka Lepa and its purpose?
Tila-Kalka Lepa is a classical Ayurvedic remedy used for local application on wounds. It possesses properties that promote healing, cleansing, and tissue regeneration.
What treatment was administered to the patient in the case study?
The patient received local application of Tila-Kalka Lepa, along with irrigating the wound using lukewarm Nirgundi kwatha, to facilitate the healing process of a gangrenous wound on his toe.
What were the observed effects on the patient's wound?
The treatment led to significant improvement in wound condition: pain reduction, color change to pink, decreased slough, and complete healing was achieved without recurrence.
Were there any side effects from the treatment administered?
No adverse drug reactions or side effects were reported in this case, indicating that Tila-Kalka Lepa is safe for use.
How effective is Tila-Kalka Lepa for Dushta-Vrana management?
The case study concluded that Tila-Kalka Lepa is highly effective in treating Dushta-Vrana, highlighting its potential as a safe herbal approach for wound management.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Role of tila-kalka lepa in dushta-vrana�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Vrana:
Vrana refers to a wound or injury in Ayurvedic terminology. It encompasses various aspects of tissue damage, including cuts, abrasions, and deeper injuries. Understanding Vrana is crucial for effective treatment and healing, as it indicates the need for specific therapeutic approaches to restore tissue integrity and function.
2) Tila:
Tila, or sesame, is an important component in traditional Ayurvedic formulations. It possesses multiple therapeutic properties including anti-inflammatory, antioxidant, and anti-microbial effects. Tila is often used in formulations for wound healing due to its ability to enhance skin integrity and promote recovery in damaged tissues.
3) Lepa:
Lepa refers to a paste or ointment applied externally on the skin. In Ayurveda, Lepa is utilized for its healing properties, particularly in wound care. It acts locally to stimulate healing processes, alleviate symptoms, and protect the affected area from external factors, aiding in faster recovery.
4) Kalka:
Kalka signifies a paste made from herbs or other medicinal ingredients. In the context of wound management, Kalka is typically mixed with oils or other bases to create a therapeutic application. Its role is vital in local treatment, facilitating the delivery of herbal benefits directly to the affected tissues.
5) Tilakalka (Tila-kalka):
Tila-kalka is a specific formulation combining sesame paste (Tila) with other therapeutic agents. This combination enhances wound healing properties through its rich nutrient profile. Tila-kalka is praised in Ayurveda for its effectiveness in managing various forms of wounds by promoting rapid healing and reducing complications.
6) Shodhana (Sodhana):
Shodhana means purification or cleaning in Ayurvedic practice. In wound management, Shodhana refers to the process of cleansing the wound to remove harmful substances and promote healthy tissue regeneration. It involves techniques that enhance healing by ensuring the wound environment is conducive to recovery.
7) Dushta (Dusta):
Dushta indicates a pathological condition in Ayurveda, often associated with chronic or non-healing wounds. When combined with Vrana, it describes wounds that have become complicated or infected. Understanding Dushta is essential for tailoring appropriate treatment strategies to reverse deterioration and promote healing.
8) Study (Studying):
In this context, the term study refers to the observational case study conducted to assess the effectiveness of Tila-kalka Lepa in treating Dushta-Vrana. It provides empirical evidence supporting traditional Ayurvedic practices and contributes to the scientific literature on alternative approaches to wound management.
9) Dushtavrana (Dustavrana, Dusta-vrana, Dushta-vrana):
Dushta-vrana refers specifically to chronic or non-healing wounds that pose significant treatment challenges. This term highlights the severity and complications associated with wound healing in patients. Understanding Dushta-vrana is critical for practitioners to implement advanced therapeutic measures tailored for difficult-to-treat wounds.
10) Ropana:
Ropana translates to healing or restoring in Ayurveda. It refers to the ability of a treatment to facilitate the repair of tissues and promote recovery from injuries. Ropana is a fundamental aspect of wound care, emphasizing the formulation's role in ensuring effective tissue regeneration.
11) Blood:
Blood plays a vital role in wound healing, as it is responsible for delivering essential nutrients, oxygen, and immune cells to the site of injury. Adequate circulation is necessary for repairing damaged tissues and preventing infection. Monitoring blood supply and functionality is critical in managing wounds.
12) Nirgundi (Nirgumdi):
Nirgundi is an Ayurvedic herb known for its analgesic, anti-inflammatory, and antimicrobial properties. It is particularly beneficial in wound treatment due to its soothing effects and ability to reduce pain and infection risks. Nirgundi infusions may be used as part of wound cleansing or treatment protocols.
13) Medicine:
Medicines include various formulations and agents used in Ayurvedic practice for treating health conditions. They can be herbal, mineral, or animal-derived, and are selected based on individual patient needs, particularly in managing chronic conditions like Dushta-Vrana and enhancing overall wellness.
14) Shalya (Salya):
Shalya indicates a branch of Ayurveda dedicated to surgical practices. It teaches the principles and techniques necessary for wound management, surgical procedures, and post-operative care. Expertise in Shalya is fundamental for addressing injuries that require both medicinal and surgical approaches.
15) Gandha (Gamdha):
Gandha signifies the smell or odor associated with a wound. In Ayurvedic diagnosis, the presence of foul smell (Vrana Gandha) can indicate infection or complications. The assessment of Gandha is important to determine the required treatment interventions and to monitor healing progress effectively.
16) Shrava (Srava):
Srava pertains to the discharge or exudate from a wound. In the context of wound healing, the nature and amount of Srava can give valuable insights about the healing process and potential complications. Monitoring Srava is crucial for assessing wound conditions and taking appropriate clinical actions.
17) Pain:
Pain is a crucial indicator of injury and a significant symptom in wound management. It informs the practitioner about the severity and the body's inflammatory response. Effective pain management is essential for enhancing patient comfort and promoting compliance with treatment protocols, facilitating quicker healing.
18) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalya-tantra is the specialized field of Ayurveda that deals with surgery and other invasive techniques. It encompasses the management of wounds, including surgical interventions and postsurgical care. Knowledge in Shalya-tantra is vital for practitioners providing comprehensive care in complex cases involving injuries.
19) Vranaropana (Vrana-ropana):
Vrana-ropana refers to the processes involved in healing wounds. It emphasizes the importance of using suitable treatments to promote tissue regeneration and restore function. This concept is central to understanding the therapeutic approaches in wound management and ensuring effective healing outcomes.
20) Dressing:
Dressing pertains to the bandaging or covering of wounds to protect them from external contaminants and support healing. The technique and materials used in dressing are critical to the wound management process, as they can influence recovery times and minimize complications.
21) Lekhana:
Lekhana refers to the process of scraping or cleaning in Ayurveda. It is often used therapeutically to treat wounds by removing debris or necrotic tissue. Lekhana is essential in ensuring proper wound healing and preventing infection, thus contributing to the overall well-being of the patient.
22) Tantra (Tantrism, Tamtra):
Tantra signifies the system or methods employed in Ayurveda for treatment across various domains. It encompasses the theories, practices, and applications that guide health professionals in administering treatments. Mastery of Tantra is important for effectively managing patients' health across disciplines.
23) Vedana:
Vedana refers to the perception of pain or discomfort. Understanding Vedana is essential in evaluating wound severity and planning appropriate pain management strategies. It plays a crucial role in patient assessment and helps gauge treatment efficacy during the healing process.
24) Campu:
In the context provided, Campu may refer to a method or technique related to Ayurvedic treatments. Understanding the specific nuances of Campu along with its applications in patient care contributes to a broader understanding of treatment approaches in Ayurvedic medicine.
25) Varna:
Varna means color and is often used to describe the appearance of wounds. The color of a wound can indicate the stage of healing and potential complications. Monitoring Varna can be a useful diagnostic tool for assessing the effectiveness of treatment.
26) Antibiotic (Antibacterial):
Anti-bacterial refers to agents or properties that inhibit the growth of bacteria. In wound healing, using anti-bacterial substances is crucial for preventing infections and promoting a conducive environment for recovery. This property is considered when formulating treatments for managing wounds effectively.
27) Prakshalana (Praksalana):
Prakshalana means cleansing or flushing in Ayurveda. It is an important aspect of wound care, where contaminated or necrotic material is removed to facilitate healing. Prakshalana emphasizes maintaining a clean wound bed, which aligns with successful treatment outcomes.
28) Krimighna (Krmighna, Krimi-ghna):
Krimighna refers to properties that combat pathogens, particularly in terms of external infections. In wound management, agents with Krimighna effects are essential to mitigate infection risk and speed up healing, making them vital components of effective wound care formulations.
29) Suffering:
Suffering denotes the experience of pain or distress caused by injuries or illnesses. Identifying the causes of suffering is crucial in clinical settings as it serves as a guide for treatment adjustments. Alleviating suffering is a primary goal of any therapeutic intervention.
30) Upakrama:
Upakrama refers to therapeutic interventions in Ayurveda. It encompasses the various treatments and methodologies employed to address specific health conditions, including wounds. Understanding Upakrama is essential for developing effective treatment plans tailored to individual patient needs.
31) Chedana:
Chedana means cutting or surgical intervention in Ayurveda. It is a critical process in cases where wounds require surgical management. Understanding Chedana is necessary for practitioners to provide effective treatment options for severe injuries that do not heal through conservative methods.
32) Kashaya (Kasaya):
Kashaya refers to astringent substances. In Ayurveda, Kashaya formulations are used for their ability to constrict tissues and reduce secretions. This property can be beneficial in managing wounds by minimizing excessive drainage and promoting a more favorable healing environment.
33) Ruksha (Ruksa):
Ruksha means dry or rough. In the context of Ayurvedic formulations, Ruksha properties can address excessive moisture in wounds or tissues. Utilizing substances with Ruksha characteristics can help balance moisture levels, which is essential for effective wound management.
34) Akriti (Akrti):
Akriti refers to the shape or form of a wound. Monitoring Akriti is essential in wound assessment, as changes in the shape can indicate healing progression or deterioration. Understanding Akriti helps guide treatment decisions based on wound characteristics.
35) Madhu:
Madhu refers to honey, which is utilized in Ayurvedic formulations due to its numerous health benefits, including antibacterial, anti-inflammatory, and soothing properties. It plays a supportive role in wound healing by creating a protective barrier, maintaining moisture, and promoting tissue regeneration.
36) Karma (Karman):
Karma refers to the action or effect of a treatment or intervention. In Ayurveda, understanding the actions of various herbal formulations is critical for predicting outcomes and tailoring interventions that align with individual patient needs for effective health management.
37) Laghu:
Laghu generally signifies lightness in Ayurvedic terms. Laghu properties in formulations can enhance wound healing by ensuring that treatments do not overwhelm the body and allowing for better absorption and action at the site. It promotes a gentle approach to therapy.
38) Delhi:
Delhi, the capital of India, serves as a significant center for healthcare and traditional practices, including Ayurveda. Many practitioners and institutions in Delhi contribute to the propagation and research of Ayurvedic medicine, impacting broader health discussions and practices.
39) Hema (Heman):
Hema likely refers to the first author of the study, Dr. Hema Goswami. Her contributions to the research reflect her expertise and involvement in Ayurvedic medicine, particularly in the context of wound management and treatment methodologies.
40) Rasa (Rasha):
Rasa means taste or essence in Ayurveda, contributing to the understanding of the qualities and effects of various substances on health. Taste plays a role in healing properties and influences therapeutic actions when formulating treatments.
41) Guna:
Guna refers to inherent qualities or attributes of a substance in Ayurveda. Understanding Guna is crucial for evaluating the potential effects of herbal remedies and their interaction with the body, guiding treatment choices effectively for individuals.
42) Life:
Life refers to the state of being living or the experience of existence. In the context of health, maintaining quality of life is paramount. Effective treatment approaches aim to enhance well-being, reduce suffering, and promote healing to improve the overall quality of life.
43) Burning sensation:
Burning sensation is a symptom that often indicates injury, irritation, or inflammation. In wound care, its presence can signify complications or healing processes. Monitoring symptoms like burning helps practitioners adjust therapies to foster optimal recovery.
44) Malnutrition:
Malnutrition refers to deficiencies in essential nutrients that can impede wound healing and overall health. Understanding malnutrition's impact is crucial for treatment, emphasizing the importance of proper nutrition in recovery processes for patients with chronic conditions.
45) Discussion:
Discussion refers to the dialogue and analysis regarding the findings of the case study. This section integrates results with pre-existing knowledge, enhancing understanding and promoting advancements in Ayurvedic practices, especially in the context of wound healing and management.
46) Knowledge:
Knowledge signifies the understanding and information accumulated through study and experience. In Ayurveda, having a thorough knowledge base is essential for practitioners to provide evidence-based treatments and address diverse health issues effectively.
47) Katurasa (Katu-rasa):
Katu-rasa refers to the spicy or pungent taste characteristic of certain herbs. In Ayurvedic formulations, Katu-rasa can stimulate digestion and enhance metabolic processes, contributing to the overall therapeutic effects of treatments and their impact on health.
48) Relative:
Relative refers to a family member or significant other who may play a supportive role in a patient’s treatment journey. Understanding the emotional and logistical needs of relatives is essential for comprehensive healthcare delivery and patient satisfaction.
49) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focusing on holistic health and wellness. It emphasizes balancing the body, mind, and spirit through personalized treatments, including herbal formulations, dietary adjustments, and lifestyle changes, to promote optimal health and healing.
50) Shoshana (Sosana):
Shoshana means drying or drying up. In wound care, the concept of Shoshana can be applied to manage excessive moisture at the wound site. It is essential for creating a suitable healing environment, preventing infections, and promoting tissue regeneration.
51) Shashthi (Sasthi, Sashthi):
Shashthi indicates the sixth or the sixth principle of management. It reflects upon the extensive teachings in Ayurvedic texts regarding advanced treatment methods for varying conditions, particularly emphasizing the intricacies involved in surgical and wound care practices.
52) Vomiting:
Vomiting is the act of expelling stomach contents and can be a symptom of various health issues. In cases related to wound management, it might indicate complications from treatments, necessitating thorough assessment and modification of care strategies.
53) Activity:
Activity refers to the level of engagement or functioning in daily life. Assessing a patient’s activity level is crucial to formulate appropriate treatment plans, particularly considering rehabilitation following injury or surgery to restore quality of life.
54) Bleeding:
Bleeding is a critical condition that involves the loss of blood from the body. It can complicate wound management by increasing infection risk and impeding healing. Prompt attention to bleeding is essential for effective care and recovery.
55) Disease:
Disease signifies a pathological condition affecting the body that disrupts normal function. In the context of wound management, recognizing underlying diseases is crucial for tailored approaches that address both the symptoms and root causes of health issues.
56) Anurasa:
Anurasa means the subsequent taste or flavor remaining after food is consumed. In Ayurveda, understanding the effects of Anurasa informs dietary choices and treatments. It emphasizes the importance of flavors and their therapeutic implications in enhancing health and healing.
57) Burning (Burn, Burned, Burnt):
Burning refers to a type of discomfort often reported in wounds or inflamed areas. It can indicate irritation, infection, or the healing process itself. Understanding and addressing the burning sensation is crucial in providing effective wound management.
58) Company:
Company may refer to a business entity providing products or services, such as health-related supplements. In the context of the study, interactions with specific companies may influence patients' choices regarding alternative treatments, emphasizing the link between commercial interests and health decisions.
59) Edema (Oedema):
Oedema refers to swelling caused by excess fluid retention in tissues. In wound care, managing oedema is vital to improve blood circulation and promote healing. It can complicate the healing process and necessitates targeted interventions to restore normal tissue function.
60) Parashi (Parasi):
Parasi refers to a condition of paralysis, usually indicating loss of motor function in parts of the body. Conditions leading to paralysis require comprehensive management strategies, making multidisciplinary approaches essential for optimizing rehabilitation and recovery.
61) Reason:
Reason pertains to the underlying cause or explanation for a symptom or condition. Understanding the reasons behind health issues is crucial for effective diagnosis and treatment planning, ensuring interventions are well-tailored to individual patient needs.
62) Tikta:
Tikta refers to a bitter taste found in specific herbs with therapeutic properties. In Ayurvedic formulations, Tikta may aid digestion and detoxification, promoting overall health. Understanding Tikta helps practitioners develop effective treatments aimed at various health conditions.
63) Vastu:
Vastu signifies the physical form or structure of a wound or injury in Ayurvedic understanding. Recognizing Vastu characteristics aids practitioners in assessing the condition's severity and carefully planning appropriate therapeutic interventions for healing.
64) Gupta:
Gupta is a common surname in India, often associated with knowledgeable individuals in Ayurvedic or medical fields. In the context of the study, it might reference Dr. Ajay Kumar Gupta, co-author of the case study, underlining collaborative knowledge in wound management.
65) India:
India, the birthplace of Ayurveda, has a rich heritage of traditional medicine practices. The diverse applications of Ayurvedic principles across the country emphasize the importance of integrating ancient wisdom into modern healthcare systems.
66) Kumar:
Kumar is a common Indian surname, often reflecting lineage or heritage. In the context of the study, it likely refers to Dr. Ajay Kumar Gupta, a significant contributor to the research, emphasizing collaborative expertise in addressing complex health issues like wound management.
67) Katu:
Katu refers to a pungent or spicy taste in Ayurveda, found in various therapeutic herbs. Treatments with Katu qualities are believed to improve digestion and metabolic activities, thus playing a role in enhancing overall healing processes.
68) Sign:
Sign refers to observable indicators of a condition or disease. In wound management, recognizing signs such as infection or healing progression is essential for effective treatment planning and adjustment of care strategies.
69) Wall:
Wall can refer to the barriers within the body or external structures surrounding a wound. In a medical context, understanding the anatomy of the 'wall' affecting wounds is critical for assessing recovery outcomes and planning treatment.
70) Hand:
Hand signifies the human limb, which can be prone to injuries or wounds. In this context, the condition of a patient's hand can significantly impact their daily functioning and overall quality of life, making effective treatment essential.
71) Drug:
Drug refers to any substance that causes a physiological effect on the body. In the context of this case study, drugs may pertain to conventional or Ayurvedic formulations used in treatments, emphasizing the diverse approaches used for managing wounds and promoting healing.
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