Patana Kriya That means, Varieties, Scientific Significance

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Patana is the fourth sort of remedy talked about amongst ‘Sapta Upakrama’ i.e. the 7 forms of remedies. These 7 remedies talked about by Grasp Sushruta will not be solely meant to deal with and heal the injuries, ulcers and associated swelling but additionally to stop their problems.
Learn – Sushruta’s 7 Forms of Therapies Sapta Upakrama

Patana Kriya

 “Fourthly patana must be completed…!”

Paatan means

• tearing
• slipping
• dividing or
• making incision

Kriya is the tactic during which that is carried out. 9 remedies from amongst the listing of 60 remedies talked about in shashti upakrama are included underneath patana kriya. They have to be selectively completed as per situation of the wound / ulcer / swelling across the ulcer.
Vimlapana means to melt or trigger to wither. This process is finished to melt the injuries or ulcers. This must be carried out first within the remedy of wounds and ulcers. The primary 6 remedies amongst the Shashti Upakrama are included underneath vimlapana. These remedies must be skillfully used to make the injuries or ulcers mushy. The set of those 6 remedies comprise vimlapana.
Learn – Shashti Upakrama That means, Classification, Scientific Significance

Sanskrit Verses

Varieties

Primarily 9 remedies are included underneath Patana.

If we’re following the chronology of the remedies as per shashti upakrama procedures, patana group of remedies must be strictly completed after upanaha. If the situation of the wound or swelling out there on the time of treating the affected person is match to bear certainly one of these patana remedies instantly, they shall be skillfully chosen.
Learn – Kaphaja Upanaha (Netra Roga) – Definition, Signs, Remedy

1. Chedana – excision
Circumstances during which excision must be completed –

• Apakveshu tu rogeshu – within the wounds and ulcers which haven’t undergone suppuration
• Kathineshu rogeshu – wounds and ulcers that are exhausting
• Stihreshu rogeshu – wounds and ulcers that are motionless
• Snayu kothadishu – wounds and ulcers whereby gangrene of the ligaments (tendons, blood vessels and so forth) have occurred within the environment

2. Bhedana – incision
Circumstances during which incision must be completed –

Incision must be completed within the wounds and ulcers / swellings whereby –

3. Daarana – splitting
Circumstances during which splitting must be completed –

• Bala Vrddha Asaha Kshina Bhiru Yoshitam – ulcers manifesting in youngsters, previous aged folks, those that are illiberal, emaciated, fearful and in girls
• Marmopari Jateshu – ulcers and wounds manifested on the very important spots of the physique

How ulcers are cut up ?

a. Pidana – A sensible doctor who’s nicely versed and has immense expertise in coping with totally different levels of wounds and ulcers ought to first conduct pidana karma i.e. compression of wounds and ulcers. This must be completed when the swelling across the ulcers are lumped up and the pores and skin across the ulcers has been suppurated.

Methods to do?
The herbs that are prescribed for pidana must be floor and made right into a paste. This paste is utilized on and across the opening of the ulcer and allowed to dry. When the paste of medicines dry up it shrinks the pores and skin across the ulcer and imparts strain on the ulcer. This may allow the buildup of pus at one place. The powder of barley, wheat and black gram shall be used for this goal.

b. Darana – After the ulcers and swelling round them have been correctly pressed and compressed following the administration of pidana remedy, darana must be completed. So pidana is the preparation for darana and when completed on the backdrop of pidana, darana yields good outcomes.

The darana must be completed utilizing darana dravyas i.e. herbs able to splitting or tearing the swelling / ulcer or by way of kshara.

The under talked about herbs are used for this goal –

• Chirabilva – Holoptelea integrifolia
• Agni – Semecarpus anacardium
• Danti – Baliospermum montanum
• Chitraka – Plumbago zeylanica
• Hayamaraka – Nerium indicum
• Kapota purisha – feces of pigeon / dove
• Grdhra purisha – feces of vulture
• Kanka purisha – feces of heron

4. Lekhana – scraping
Circumstances during which scraping must be completed –

• Kathina – ulcers that are exhausting and hard
• Sthula Vrutta oshtan – ulcers which have thick and rounded edges
• Diryamanan punah punah – ulcers which break open repeatedly
• Kathina utsanna mamsa – presence of exhausting and elevated muscle tissue across the ulcers

How a lot scraping must be completed?

• Within the exhausting and hard wounds and ulcers must be scraped evenly i.e. neither an excessive amount of nor too much less.
• In thick and spherical edged ulcers scraping must be completed in extra.
• Within the ulcers that break open repeatedly full scraping must be completed with out leaving any portion which must be scraped.
• In ulcers having exhausting and elevated ulcers, the extreme parts must be scraped off utilizing appropriate devices.

Within the absence of surgical devices for scraping, gauze, cotton, cuttlefish, alkali of barley, rock salt or tough leaves are used for a similar goal.

5. Eshana – probing
Circumstances during which probing must be completed –

• Nadivrana – sinus ulcers
• Shalya garbha – ulcers containing overseas substances
• Unmargi vrana – fistula in anal area
• Utsangi vrana – hole ulcers

Shoot of a bamboo, hairs, fingers and metallic probes must be utilized by the doctor step by step and thoroughly for the aim of probing.
Learn – Fistula In Ano Ayurvedic Understanding And Efficient Remedy

6. Aaharana – extraction
A sensible doctor ought to extract the overseas physique from the wound / ulcer with none a part of it remaining inside it. It shall be extracted from the closed or open ulcers following the rules of extraction defined within the sutra sthana part. ‘Signs of correct extraction’ are the symptoms of the overseas physique being eliminated fully.

Nishalya Lakshana – indicators / signs of correct removing of overseas physique from the wound / ulcer

• Alpa badham – much less bother / ache
• Ashunam – lack of numbness
• Nirujam – painless
• Nirupadravam – absence of problems
• Prasannam – seems clear
• Mrdu paryantam – edges are mushy / clean
• Niraghattam – motionless
• Anunnatam – not raised

The ulcer having above stated indicators must be examined with the assistance of a probe and likewise by flexing and increasing the a part of the physique / limb whereby the ulcer consisting of the overseas physique is positioned. Following this the surgeon ought to declare that the ulcer / wound / swelling are devoid of overseas materials.
Learn – Sushruta’s 8 Varieties Of Surgical Procedures – Astavidha Shastra Karma

7 and eight Vyadhana – puncturing and Vidravana – liquefaction (drain)
Puncturing and draining of ulcers / wounds (accumulation of fluids within the ulcers and swelling surrounding them) are associated procedures. First the surgeon punctures the ulcers after which drains them of their content material.

Skilled surgeon ought to puncture the ulcer / wound that are eligible to be punctured utilizing appropriate devices. Puncturing is helpful in ailments like ascites, abscess and hydrocele. Following puncture the contents like pus and so forth contained within the ulcer / swelling across the ulcer shall be drained.

9. Seevana – suturing
Circumstances during which suturing must be completed –

Abstract
The above talked about measures of Patana remedy are helpful in opening (excision, incision, tearing) the ulcers and swelling round it, to scrap off the undesirable tissues across the ulcers and wounds, to probe the interiors of ulcers and sinuses, to extract the overseas substances impacted contained in the ulcers and swellings, to puncture and drain the collected fluids like pus and water and for suturing the open wounds and ulcers. All these measures embody minor surgical measures which have to be completed at correct time seeing the situation of the ulcers. A great experience and expertise is required by the surgeon to diagnose the situation correctly and to manage the remedy as per the necessity and situation. These procedures are often completed after upanaha (poultice and different associated remedies) if chronology is being adopted. The 13 procedures included underneath shodhana (cleaning remedies) and ropana (therapeutic remedies) shall be completed after patana procedures.

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