Masking The Ulcers / Wounds With Leaves Patradaana

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 completed. This methodology of surgical dressing has been defined within the context of Shashti Upakrama i.e. 60 sorts of therapy defined by Grasp Sushruta within the first chapter of Chikitsa Sthana part. All these 60 remedies are helpful for treating the ulcers and likewise to forestall their problems. These 60 sorts of remedies are included in 7 kinds of remedies known as Sapta Upakrama which Sushruta has talked about within the Sutra Sthana Part (Chapter 17).

Vaikrutapaha is the seventh therapy amongst these 7 remedies. Vaikrutapaha means eradicating the deformities brought on by the ulcers and wounds. It is a type of beauty rebuilding of the ulcer space and to advertise therapeutic in a complete approach. Vaikrutapaha includes of 26 sorts of remedies amongst which Patradana is one.
Learn – Sushruta’s 7 Varieties of Remedies Sapta Upakrama

Patradana

Beneath talked about are the situations wherein the ulcers / wounds should be lined with leaves –

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

Within the above stated situations the ulcers / wounds are lined by the leaves. That is completed in accordance to the doshas concerned and the prevailing seasons. Leaves having medicinal properties shall be lined 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 lined with leaves such that the leaves cowl the paste.
Learn – Avasechana Technique of Wound Care: Which means, Sorts, Medical Significance

Sanskrit Verses

Varieties of leaves

a. In ulcers brought on by vitiated vata – the under 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 under 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 vegetation / bushes
• Audaka Patra – leaves of vegetation rising in water (like lotus and many others)

c. In ulcers brought on by vitiated kapha – the under 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 under talked about ought to be utilized on the ulcer / wound from inside out –

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

If the leaves aren’t positioned in between the paste of medication 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 stop 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 forestall lack of fat within the medicinal pastes as stated above.

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