Concept of wound care and wound cicatrization is very well explained in Ayurvedic text books. Sushruta, being the father of surgeon has explained in detail about wound healing.
Due to external injury, there will be vitiation of three doshas –
Vata imbalance – leading to pain, swelling,
Pitta imbalance – leading to Burning sensation, infection (dooshana) of blood and ulcer wound
Kapha imbalance – accumulation and vitiation of fluids.
Types of external wounds:
- Ghrishta – which exudes fluid mixed with little quantity of blood, associated with burning sensation.
- Avagadha – more severe than Ghrishta
- Vicchinna – more severe than Avagadha
- Pravilambi – deep wound causing injury till bone
- Patita – Organ gets separated from body
- Viddha – piercing type of wound
- Bhinna – Piercing wound of abdomen
- Vidalita – wound occurring due to hitting or punch or crushing
Wound care Treatment:
For Ghrishta and Vidalita:
If associated with severe pain, wash with warm Yashtimadhu Ghrita or with Bala taila.
In order to mitigate heat of wound, drugs which possess astringent taste, cold potency and unctuous properties should be made use for lepa (bandage or local application)
In traumatic wounds which are wide, in order to promote healing, honey and ghee should be specially used.
When accompanied with severe swelling,
Vamana therapy – for wounds of upper body parts.
Virechana therapy – for wounds of lower body parts.
In other types of wounds, due to excessive loss of blood, Vata will be vitiated leading to severe pain. Therefore Parisheka (Sprinkling of medicated kashayam/oil), Swedana (local sudation), lepa (local application of medicine in paste form) and Upanaha (poulties) should be applied.
Snehabasti (a type of Panchakarma) should be done with medicines mitigating Vata Dosha.
Acharya Sushruta has explained 64 types of treatment for wounds.
Among them following are a few important ones –
Apatarpana – a type of fasting, or avoidance of food articles that take long time for digestion.
Alepa – application of paste. It clears the dust and toxins, decreases swelling, brings back normal texture of skin.
Parisheka – Fomentation/sprinkling
Abhyanga – Gentle massage
Swedana – should be done in wounds with severe pain
Panchakarma therapies, based on the Dosha imbalance.
Lekhana – in cases where cut ends of muscle is lying exposed. Here scraping is done with KCl (Saindhava), cotton, Samudra Phena etc.
Eshana – Probing. In case of sinuses with excessive pus collection.
Aharana – Extraction. In case of impacted foreign matter.
Vidravana – Draining out. In case of pus collection.
Seevana – suturing in case the wound is free of any foreign object and in fresh wounds.
Peedana – squeezing to let out pus.
Shodhana – Purification of wounds by using decoction made of – Shankini, Ankota, Karaveera,, Suvarchala and Aragwadha.
Avachoornana – sprinkling of powders – in case of wounds with bad smell.
Dhoopana – fumigation by burning Yava (hordeum vulgare), ghee, Shreeveshtaka, Sarjarasa etc.
Krishnakarma – To bring back black color of skin in case the skin has turned white after wound healing – For this purpose, Bhallataka is kept immersed in Cow,s urine for seven days, then it is kept immersed in cow’s milk. Then it is dried, cut into pieces and oil is extracted. The oil is mixed with Khura bhasma (Ash obtained after burning the hard part of the foot of the cow, collected after cow’s death). The paste is applied over the affected area.
Pandukarma – To bring back the white color of skin, if it has turned black due to wound. Rohini fruit (variant of Terminalia chebula) is kept immersed for seven days in goat’s milk and then a paste is prepared and applied over the affected part.
Like this many techniques are explained in detail to bring back normal skin texture and colour.
Ayurvedic medicines for quick wound healing:
Murivenna oil: can be used for pichu (cotton swab immersed in the oil is applied over the affected part. Very effective in wounds with severe pain. (Reference: Yogagrantham)
Aragwadhdai Kashayam Tablet: To cleanse wounds, can be used for local Dhara. . (Reference: Ashtanga Hrudayam)
Guggulutiktakam Kashayam Tablet: Relieves inflammation & infection when administered internally. (Reference: Ashtanga Hrudayam)
Mahatiktakam Kashayam Tablet: Purifies blood and accelerates healing process. (Reference: Ashtanga Hrudayam)
Tiktakam Kashayam Tablet: Action pretty much similar to above.
DOSAGE OF ALL KASHAYAM TABLETS – two tablets two times a day, before food, with a glass of water.
(Reference: Ashtanga Hrudayam)
In case of intense swelling: Punarnasavam, Gokshuradi Guggulu, Gokshuradi Guggulu DS
In case of fever: Amrutottara Kashayam tablet, Amrutarishta.
In case of severe pain: Maharsanadi Kashayam tablet.