By Dr Raghuram Y.S. MD (Ayu) & Dr Manasa, B.A.M.S
Ropana means therapeutic. Shodhana i.e. cleaning and Ropana i.e. therapeutic are carried out concurrently so far as ulcers and wounds are involved. In reality, we will inform that therapeutic happens on the backdrop of cleaning. Shodhana and Ropana are two totally different remedies included within the Sapta Upakramas i.e. seven remedies whereby ropana has been talked about after shodhana within the chronology.
All of the above stated 13 sorts of remedy are primarily cleaning in nature however the identical remedies additionally result in therapeutic. Grasp Sushruta has defined Ropana in between avachurnana (dusting) and dhupana (fumigation) that are types of cleaning remedies. However the grasp has not thought of it as one of many remedies amongst shashti upakrama i.e. 60 sorts of remedy. Even amongst the 13 forms of cleaning remedies it’s not clear in order to which remedies belong to shodhana and which belong to ropana. Most likely each these remedies are thought of to be complimentary.
Learn – Sushruta’s 7 Kinds of Remedies Sapta Upakrama
Chronology of Shodhana, Ropana and Vaikrutapaha
Coming to the chronology, shodhana is completed first after which ropana is completed. The injuries / ulcers would get cleansed after shodhana. These wounds are comprehensively healed by administering ropana remedy.
After the injuries and ulcers have completely healed vaikrutapaha, the seventh remedy measure from amongst sapta upakrama (7th in chronology, after ropana) needs to be executed to take away deformities and sequels of ulcers and wounds if any, as an element and parcel of beauty rebuilding.
Learn – Shashti Upakrama Which means, Classification, Medical Significance
Why Ropana has not been included individually in shashti upakrama?
Shashti Upakrama consists of 60 remedy rules in surgical faculty, defined by Grasp Sushruta in Chikitsa Sthana part, chapter 1. They’re magnified variations of Sapta Upakrama i.e. 7 remedies talked about by Sushruta in 17th chapter of Sutra Sthana part. This implies to inform that these 60 remedies are included underneath 7 main remedies. Ropana has been talked about as 6th main remedy within the chronology of seven remedies however has not been included amongst the 60 remedies. The place did ropana miss out?
Grasp Sushruta has in all probability thought of shodhana and ropana as complementary remedies. So all 13 sorts of shodhana remedies additionally concurrently heal the ulcers and wounds i.e. act as ropana. Rationalization of Ropana has been interposed in between the reason of penultimate and last remedy of shodhana remedies. It seems to be like pushed into the context with default however for Grasp Sushruta the aim and thought of explaining the ropana measures there was very clear. The unsaid perspective is that shodhana remedies will serve the aim of ropana many of the occasions. If shodhana remedies don’t cleanse or heal the ulcers and wounds comprehensively then ropana needs to be thought of for higher and whole therapeutic. Even when the injuries are correctly cleansed by shodhana, ropana needs to be included because the quick subsequent measure to hasten the therapeutic course of.
Learn – Shashti Upakrama Which means, Classification, Medical Significance
Kinds of Ropana (therapeutic) remedies and situations for administering
Therapeutic Decoctions – administered in shuddha vranas i.e. the injuries / ulcers which have already been cleansed. Decoction of Vatadi group of herbs is used for this function. Therapeutic medicines are administered after cleaning the ulcers for higher therapeutic of ulcers. So ropana is fortification of outcomes of shodhana.
Therapeutic suppositories / wicks – i.e. ulcer / wound therapeutic suppositories is used within the ulcers that are devoid of ache, that are cleansed and deep seated. The wicks are ready with therapeutic herbs like Tinospora cordifolia, Withania somnifera and so on.
Therapeutic medicinal pastes – utilized in ulcers devoid of foul smelling muscle groups and the ulcers not getting healed despite being positioned within the muscle groups. Paste of sesame blended with honey is used for this function.
The sesame paste being candy, scorching and unctuous destroys vata. Being astringent, candy and bitter it combats pitta. Being scorching, astringent and bitter it destroys kapha. When administered blended with cleaning and therapeutic herbs, this paste of sesame accomplishes the therapeutic actions of cleaning and therapeutic the ulcers / wounds.
Sesame paste administered blended with neem leaves and honey would cleanse the ulcers. The identical sesame paste administered blended with neem leaves, honey and ghee would trigger therapeutic of ulcers / wounds.
Barley Paste act in an analogous means as that of sesame paste. This pacifies immature ulcers and causes suppuration of partially suppurated ulcers.
Different advantages of Barley paste
Ulcers attributable to vitiated pitta, blood and poisons and from exterior causes and deep rooted ulcers needs to be healed by administration of ghee extracted from the milk ready with therapeutic herbs. The ulcers stricken by vitiated kapha and vata is handled with oils ready utilizing therapeutic herbs.
Rasakriya – semisolid preparation ready utilizing Curcuma longa and Berberis aristata is run / utilized within the ulcers related to under talked about situations for the aim of therapeutic –
- Ulcers through which bandaging is contraindicated (ulcers fashioned by vitiated pitta, blood, poisons and harm)
- Ulcers positioned on the joints of the physique
- Doshas which get contaminated despite getting cleansed
Within the ulcers / wounds that are even, surrounded by arduous muscle groups and positioned within the pores and skin is healed utilizing the natural powder prescribed in Sutra Sthana part (Su.Su.37).
Ropana Churna (Su.Su.37)
The powder of the under talked about is known as ropana churna as a result of it’s utilized in therapeutic the ulcers and wounds. The elements embody –
- Kanguka – Panicum stalicum / Setaria italic (foxtail millet?)
- Triphala – Terminalia chebula, Terminalia bellirica, Emblica officinalis
- Rodhra – Symplocos racemosa
- Kasisa – inexperienced vitriol
- Shravanahvaya – Sphaeranthus indicus
- Dhava – Anogeissus latifolia
- Ashvakarna – Shorea robusta
Equally the powder of the under talked about shall be used for therapeutic the ulcers –
- Priyangu – Callicarpa macrophylla
- Sarjarasa – Vteria indica
- Pushpa Kasisa – Inexperienced vitriol
- Dhava Twak – Bark of Anogeissus latifolia
The shodhana and ropana remedies should be executed with out giving a lot thought, similar to mantras are used for therapeutic functions.
The medicaments shall be utilized in one or the opposite varieties as per want and utility. These varieties embody decoctions, suppositories / wicks, paste, ghee, oil, semisolids or powder.
For treating the ulcers stricken by vitiated vata, Laghu panchamula and Brhat panchamula group of herbs should be used within the above stated varieties.
Ulcers stricken by vitiated pitta, Nyagrodhadi and Kakolyadi gana group of herbs should be used within the above stated varieties.
Ulcers stricken by vitiated kapha, Aragvadhadi and Surasadi Gana teams of herbs shall be used within the above stated varieties.
Ulcers stricken by blended doshas, the above talked about totally different teams of herbs should be skillfully blended and used within the above stated varieties.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)