Ropana That means, Process Of Remedy, Medicines Used

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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 actual fact, we are able to inform that therapeutic happens on the backdrop of cleaning. Shodhana and Ropana are two completely 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 therapy 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 therapy. Even amongst the 13 sorts of cleaning remedies it’s not clear in order to which remedies belong to shodhana and which belong to ropana. In all probability each these remedies are thought of to be complimentary.
Learn – Sushruta’s 7 Forms 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 therapy.

After the injuries and ulcers have completely healed vaikrutapaha, the seventh therapy measure from amongst sapta upakrama (7^th in chronology, after ropana) ought to be performed to take away deformities and sequels of ulcers and wounds if any, as an element and parcel of beauty rebuilding.
Learn – Shashti Upakrama That means, Classification, Scientific Significance

Why Ropana has not been included individually in shashti upakrama?

Shashti Upakrama contains 60 therapy 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 17^th 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 6^th main therapy within the chronology of seven remedies however has not been included amongst the 60 remedies. The place did ropana miss out?

Grasp Sushruta has most likely 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 remaining therapy of shodhana remedies. It appears to be like 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 ought to be thought of for higher and whole therapeutic. Even when the injuries are correctly cleansed by shodhana, ropana ought to be included because the fast subsequent measure to hasten the therapeutic course of.
Learn – Shashti Upakrama That means, Classification, Scientific Significance

Sanskrit Verses

Sorts

Forms of Ropana (therapeutic) remedies and situations for administering

Ropana Kashayas

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 goal. Therapeutic medicines are administered after cleaning the ulcers for higher therapeutic of ulcers. So ropana is fortification of outcomes of shodhana.

Ropana Varti

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 many others.

Ropana Kalka

Therapeutic medicinal pastes – utilized in ulcers devoid of foul smelling muscle mass and the ulcers not getting healed despite being positioned within the muscle mass. Paste of sesame combined with honey is used for this goal.

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 combined with cleaning and therapeutic herbs, this paste of sesame accomplishes the therapeutic actions of cleaning and therapeutic the ulcers / wounds.

Sesame paste administered combined with neem leaves and honey would cleanse the ulcers. The identical sesame paste administered combined with neem leaves, honey and ghee would trigger therapeutic of ulcers / wounds.

Barley Paste act in an analogous approach as that of sesame paste. This pacifies immature ulcers and causes suppuration of partially suppurated ulcers.

Different advantages of Barley paste

Different formulations

Ulcers brought on by vitiated pitta, blood and poisons and from exterior causes and deep rooted ulcers ought to be healed by administration of ghee extracted from the milk ready with therapeutic herbs. The ulcers troubled 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 beneath talked about situations for the aim of therapeutic –

Ulcers by which bandaging is contraindicated (ulcers shaped 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 exhausting muscle mass 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 beneath talked about is named ropana churna as a result of it’s utilized in therapeutic the ulcers and wounds. The components 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 beneath 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

Additionally,
The shodhana and ropana remedies must be performed 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 troubled by vitiated vata, Laghu panchamula and Brhat panchamula group of herbs must be used within the above stated varieties.
Ulcers troubled by vitiated pitta, Nyagrodhadi and Kakolyadi gana group of herbs must be used within the above stated varieties.

Ulcers troubled by vitiated kapha, Aragvadhadi and Surasadi Gana teams of herbs shall be used within the above stated varieties.
Ulcers troubled by combined doshas, the above talked about completely different teams of herbs must be skillfully combined and used within the above stated varieties.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)

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