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Avasechana Technique of Wound Care: That means, Sorts, Scientific Significance


By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Avasechana is the second sort of remedy talked about amongst ‘Sapta Upakrama’ i.e. the 7 forms of therapies talked about by Grasp Sushruta which are supposed to deal with and heal the injuries, ulcers and associated swelling.
Learn – Sushruta’s 7 Varieties of Remedies Sapta Upakrama


Avasechan means to expel the doshas. It’s comprised of 4 therapies and completed after Vimlapana (first remedy amongst 7 remedy procedures). Vimlapana means softening the wound / swelling related to ulcers. ‘Secondly avsechan must be completed…!’

Avasechana means ‘to take away / expel the doshas’. It includes of 4 measures which must be skillfully administered as and when wanted, relying on the situation of the illness and the diseased. They embody bloodletting or drainage of ulcers / swelling (containing contaminated fluids), oleation, therapeutic emesis and purgation. These measures are 4 among the many 60 sorts of therapies defined by Grasp Sushruta (Shashti Upakrama) within the first chapter of Chikitsa Sthana. The set of those 4 therapies collectively comprise avasechana.
Learn – Shashti Upakrama That means, Classification, Scientific Significance


Under talked about are the 4 therapies which assist in cleaning the swelling, ulcers and wounds by enabling the expulsion of doshas both triggering or worsening them in order to allow complete therapeutic. These measures must be undertaken solely after having administered the therapies included underneath vimlapana.

1. Visravana – drainage / bloodletting

Grasp Sushruta has given significance to the blood tissue and has thought of it because the 4th dosha. Vitiated blood is invariably concerned in both inflicting the injuries, ulcers or swelling (irritation) or complicating the talked about circumstances. Contaminated blood might also be collected in these wounds and swellings. Due to this fact bloodletting shall be one of many essential remedy methods in these circumstances.

Circumstances for doing bloodletting
If the swelling across the wound is suppurating the affected person must be given with meals in a amount of 1’s consolation. In swelling that has freshly manifest bloodletting must be completed to supply reduction from ache and to stop suppuration. Bloodletting is helpful in elevated or depressed wounds related to swelling / irritation, hardness, darkish brown (darkish shade) or golden yellow / pink / reddish brown shade, congested, broad or deep rooted. In swellings consisting of poisons bloodletting must be completed by the use of leech utility and scraping / scarifying procedures.
Learn – Raktamokshana Advantages, Sorts, Process, Indications

2. Snehapana – oleation remedy

Oleation must be administered –

  • for offering reduction from ache
  • to stop suppuration of wound / swelling (to stop formation of pus)
  • when the wound / ulcer / swelling is related to problems
  • when the affected person is dry (devoid or has much less of fats within the physique)
  • when the affected person is skinny / emaciated
  • when the affected person has been debilitated by ulcers / wounds

Medicated oil or ghee ready with herbs particular for mitigating concerned dosha, have cleaning property, can produce unctuousness, relieve ache, stop suppuration and problems shall be used skillfully.
Learn – Oleation – Snehakarma Dose, Advantages, Facet Results, Administration

3. Vamana – therapeutic emesis

Therapeutic emesis shall be administered when –
the wound / ulcer is surrounded by elevated muscle tissue (muscle tissue raised above the floor of the wound)
the wound brought on by vitiated kapha
there’s accumulation of blackish coloured blood within the wound / ulcer or swelling
Learn – Vamana Remedy – Proper Technique, Facet Results, Administration

4. Virechana – therapeutic purgation

Therapeutic purgation shall be administered in wounds and ulcers / swelling –

Sanskrit Verses


The above mentioned measures assist in purification of the injuries, swelling and ulcers of their contaminants and doshas. Pathological enhance of doshas or blood within the physique might also affect on the injuries / ulcers / swelling and should both worsen or complicate the image of the illness.

Due to this fact well timed cleaning therapies shall be administered taking into account the dosha or blood which has been vitiated and inflicting the illness. These procedures won’t solely expel the morbid doshas but in addition assist in correct and complete therapeutic of ulcers / wounds / swelling. Removing or expulsion of doshas / contaminants (i.e. visravana) shall be completed after the primary remedy (set of therapies which embody) vimlapana. Following visravana the third remedy process talked about amongst 7 therapies i.e. upanaha – making use of poultice / unguent shall be administered if want be.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)




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