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Masking The Ulcers / Wounds With Leaves Patradaana

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By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Patradana means overlaying with leaves. It is a distinctive measure adopted in overlaying the injuries / ulcers on which the medicinal pastes are utilized. Over the leaves the bandaging of wounds and ulcers are performed. This methodology of surgical dressing has been defined within the context of Shashti Upakrama i.e. 60 sorts of remedy defined by Grasp Sushruta within the first chapter of Chikitsa Sthana part. All these 60 therapies are helpful for treating the ulcers and in addition to stop their issues. These 60 sorts of therapies are included in 7 varieties of therapies known as Sapta Upakrama which Sushruta has talked about within the Sutra Sthana Part (Chapter 17).

Vaikrutapaha is the seventh remedy amongst these 7 therapies. Vaikrutapaha means eradicating the deformities brought on by the ulcers and wounds. It is a form of beauty rebuilding of the ulcer space and to advertise therapeutic in a complete manner. Vaikrutapaha includes of 26 sorts of therapies amongst which Patradana is one.
Learn – Sushruta’s 7 Forms of Therapies Sapta Upakrama

Patradana

Under talked about are the situations through which the ulcers / wounds have to be coated with leaves –

  • Sthiranam – motionless ulcers / wounds
  • Alpa mamsanam – ulcers / wounds coated with much less muscle tissues, the muscle tissues would have gotten destroyed because of ulcers / wounds as a complication
  • Raukshyaad anuparohataam – wounds / ulcers which haven’t healed because of excessive dryness in them

Within the above stated situations the ulcers / wounds are coated by the leaves. That is performed in accordance to the doshas concerned and the prevailing seasons. Leaves having medicinal properties shall be coated on the injuries after having utilized medicinal pastes on them.

Within the above talked about situations, first the medicinal pastes are utilized on the ulcer / wound. Subsequent the ulcer / wound on which the medicinal paste has been utilized are coated with leaves such that the leaves cowl the paste.
Learn – Avasechana Methodology of Wound Care: That means, Sorts, Medical Significance

Sanskrit Verses

Forms of leaves

a. In ulcers brought on by vitiated vata – the beneath talked about leaves are used for overlaying –

  • Eranda Patra – leaves of Ricinus communis (castor)
  • Bhurja Patra – leaves of Betula utilis
  • Karanja Patra – leaves of Pongamia pinnata
  • Haridra Patra – leaves of Curcuma longa (turmeric)

b. In ulcers brought on by vitiated pitta and blood – the beneath talked about leaves are used for overlaying –

  • Ashvabala Patra – leaves of Medicago sativa
  • Kashmari (Gambhari) Patra – Gmelina arborea
  • Kshiri Vrksha Patrani – leaves of latex yielding crops / bushes
  • Audaka Patra – leaves of crops rising in water (like lotus and so on)

c. In ulcers brought on by vitiated kapha – the beneath talked about leaves are used for overlaying –

Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers

Qualities of leaves that are used for overlaying the ulcers and wounds

  • Akarkasha – not tough
  • Avichchinnam – not torn
  • Ajirnam – not previous (ought to be contemporary)
  • Sukumarakam – tender
  • Ajantu jagdham – not infested with worms and bugs
  • Mrdu – clean

Leaves used to cowl the injuries / ulcers – Causes and advantages

The beneath talked about ought to be utilized on the ulcer / wound from inside out –

  • Medicinal paste straight utilized over the ulcer
  • Leaves having medicinal property positioned over the medicinal paste
  • Bandage tied over the leaves

If the leaves will not be positioned in between the paste of drugs and bandage material, the fat and essence of medicines within the paste would come into direct contact with the bandage material and get wasted. To forestall the lack of fat and medicinal essence the leaves are layered between the paste and bandage material. Leaves are additionally utilized on the anointment / medicinal paste for inducing chilly or warmth as per want and to stop lack of fat within the medicinal pastes as stated above.

Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)

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