Avasechana Methodology of Wound Care: That means, Varieties, 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 sorts 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

Avasechana

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

Avasechana means ‘to take away / expel the doshas’. It contains of 4 measures which should 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

Varieties

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-about it because the 4^th dosha. Vitiated blood is invariably concerned in both inflicting the injuries, ulcers or swelling (irritation) or complicating the talked about situations. Contaminated blood might also be collected in these wounds and swellings. Subsequently bloodletting will likely be one of many major remedy methods in these situations.

Situations 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 executed to offer aid from ache and to forestall suppuration. Bloodletting is helpful in elevated or depressed wounds related to swelling / irritation, hardness, darkish brown (darkish coloration) or golden yellow / purple / reddish brown coloration, congested, broad or deep rooted. In swellings consisting of poisons bloodletting must be executed by the use of leech software and scraping / scarifying procedures.
Learn – Raktamokshana Advantages, Varieties, Process, Indications

2. Snehapana – oleation remedy

Oleation must be administered –

• for offering aid from ache
• to forestall suppuration of wound / swelling (to forestall formation of pus)
• when the wound / ulcer / swelling is related to issues
• 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 issues shall be used skillfully.
Learn – Oleation – Snehakarma Dose, Advantages, Aspect Results, Administration

3. Vamana – therapeutic emesis

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

4. Virechana – therapeutic purgation

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

Sanskrit Verses

Abstract

The above stated measures assist in purification of the injuries, swelling and ulcers of their contaminants and doshas. Pathological improve 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.

Subsequently well timed cleaning therapies shall be administered bearing in mind 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. Elimination or expulsion of doshas / contaminants (i.e. visravana) shall be executed 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)