Shodhana And Ropana Which means, Medical Significance, Varieties

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Shodhana and Ropana are the fifth and sixth types of remedy classes included in ‘Sapta Upakrama’ i.e. 7 kinds of therapies defined by Grasp Sushruta. They goal at therapeutic and treating the ulcers, wounds and swelling associated to those circumstances and likewise to stop the problems of the identical.
Learn – Sushruta’s 7 Kinds of Remedies Sapta Upakrama

Shodhana and Ropana
“Fifth of all shodhna must be performed and the sixth measure can be ropana”
Shodhana means cleaning. Ropana means Therapeutic. Each these teams of therapies are mentioned collectively.

13 remedy strategies from amongst the listing of 60 therapies talked about beneath shashti upakrama are included beneath shodhana and ropana measures. They need to be selectively utilized by the surgeon in treating the ulcers and wounds as per their situation, manifestation and presentation.

Anyhow shodhana and ropana, although defined collectively, they’re talked about as separate therapies amongst the sapta upakrama. Shodhana and Ropana serve comparable goal. The truth is ropana occurs after shodhana. Even after cleaning the ulcers and wounds with shodhana if they don’t heal correctly, the following measure i.e. ropana must be resorted to. Ropana will likely be individually thought-about in one other article.
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers

Sanskrit Verses

Varieties

Primarily 13 therapies are included beneath shodhana and ropana from amongst the 60 therapies talked about in Shashti Upakrama.

Learn – Shashti Upakrama Which means, Classification, Medical Significance

1. Sandhana – union of fractures

Circumstances during which union must be performed – The identical circumstances defined within the context of seevana included in Patana group of therapies are relevant for union of fractures additionally. They’re –

• Apaka upadruta – ulcers not related to problems of suppuration
• Mamsa sthita – ulcers localized within the muscle tissue
• Vivrta – open ulcers

2. Peedana – compression

Circumstances during which compression must be performed –

• Puya Garbha – having pus pockets (ulcers stuffed and surrounded by pus)
• Anu dwaran – ulcers / wounds having small openings
• Marma gatan vranan – ulcers positioned on important organs, tissues)

Learn how to compress the ulcers and wounds?
When these circumstances persist, paste of herbs used for compression is utilized over and across the ulcer in order that it’s compressed.

The natural paste utilized over the ulcer / wound is allowed to dry in place. When the opening of the ulcer / swelling are minute, the paste of herbs shouldn’t be utilized over the orifice. When the opening of the wound / ulcer / swelling is just not lined the doshas (pus and many others) accrued in them maintain draining because of the compression imparted on them by the medicinal paste.
Learn – Damage, Wound care Ayurvedic Treatments, Medicines

3. Shonita Sthapana – stopping the bleeding

When extreme and uncontrolled bleeding happens resulting from procedures like bloodletting or in any other case, the bleeding must be instantly checked by administering the shonita sthapana vidhi i.e. measures for controlling the bleeding as defined within the earlier contexts (Su.Su.Ch14).

4 efficient strategies of checking extreme bleeding from ulcers / wounds are –

4. Nirvapana – utility and showering of chilly efficiency medicines

Circumstances during which chilly efficiency medicines must be showered on the ulcers – As a result of extreme aggravation of pitta when the ulcer / wound will get related and stricken with burning sensation, suppuration and fever and vitiation of blood, the ulcers must be washed / showered / utilized with medicines having chilly efficiency.

‘The medicines used to pacify the ache and different signs related to the ulcers brought on by vitiated pitta and blood, which is within the technique of getting suppurated, and related to fever are known as as nirvapana’.

Kinds of Nirvapana – Nirvapana is of two sorts. They’re

• Seka – showering the ulcers and wounds with medicinal liquids
• Lepa – anointment of the ulcers and wounds with medicinal paste

Learn how to do?
The herbs of chilly efficiency must be floor in milk, blended with ghee and utilized on the ulcer within the type of skinny paste. The identical medication is used for showering the ulcer.

5. Utkarika – utility of heat, semi-solid, vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds

Circumstances during which heat pastes is utilized on the ulcers / wounds –

• Kshina Mamsa – depleted and thinned out muscle tissue within the neighborhood of ulcers
• Tanu srava – ulcers with skinny exudates
• Apaka vrana – ulcers which aren’t suppurating
• Toda – ulcers related to pricking ache
• Kathinya – hardness across the ulcers
• Parushya – roughness across the ulcers
• Shula – ulcers related to ache
• Vepathu – ulcers related to tremors

Learn how to do?
Bhadradarvadi group of herbs (herbs which treatment vitiated vata), Amla gana (bitter group of issues), Kakolyadi Gana group of herbs and oily seeds is processed to arrange heat paste which is semisolid and utilized on the stricken web site in order to supply sudation. Sudation must be performed over the motionless, painful, foul smelling, decaying and slimy ulcers.
Learn – 4 Varieties Of Swedana As Per Sushruta And Vagbhata

6. Kashaya – use of natural decoctions

Shodhana Kashaya – Natural decoctions having ‘cleaning motion’ solely shall be used for this goal. The aim is to result in cleaning the injuries and ulcers.

The under talked about herbs could also be thought-about for getting ready the cleaning decoctions –

Circumstances during which cleaning natural decoctions must be administered in treating the ulcers and wounds –

• Antah shalyan, anu mukhan – ulcers having overseas object inside them and now have minute opening
• Gambhiran – deep seated ulcers
• Mamsa samshritan – ulcers positioned within the muscle tissue

7, 8 Varti – suppositories and Kalka – natural pastes

Circumstances during which suppositories and natural pastes are administered for cleaning the injuries – The suppositories (wicks) and natural pastes are utilized in the identical circumstances and are ready with the identical herbs. Under talked about are the circumstances for his or her utilization –

• Puti mamsa pratichchannan – ulcers lined with decayed muscle tissue
• Mahadosha – in extreme aggravation of doshas

Herbs that are used for cleaning functions are utilized in each these therapies.

Kalka – The natural pastes also needs to be ready utilizing the identical herbs with which the suppositories are ready. As many herbs obtainable shall be used. When utilizing the suppositories the skinny, thick, thicker and thickest kinds of wicks shall be utilized in that order in keeping with the ulcer being handled. The doctor / surgeon shall decide in order to during which situation the suppositories / wicks must be used and during which circumstances the pastes have to be utilized.
Learn – Pakwashaya Shodhana Basti: Medicated Enemas For Colon Cleanse

9. Sarpi – use of medicated ghee

Circumstances during which medicated ghee must be used –

• Pitta pradushtan – ulcers contaminated by vitiated pitta
• Gambhiran – ulcers that are deep seated
• Daha paka prapiditan – ulcers troubled by (affiliation of) burning sensation and suppuration

When the above talked about circumstances prevail within the ulcers / wounds, cleaning ghee ready with cotton seeds (Gossypium herbaceum Linn) must be used.

10. Taila – use of medicated oil

Circumstances during which medicated oil have to be used –

• Utsanna mamsan – elevated muscle tissue across the wounds and ulcers
• Asnigdhan – dried out ulcers / wounds
• Alpa sravan – ulcers / wounds having much less (scanty) discharges

Ulcers related to the above talked about circumstances shall be cleansed utilizing sesame / mustard oil ready with herbs having cleaning property.

11. Rasakriya – semi-solid medicinal extracts

Circumstances during which semi stable natural extracts have to be used –

• Tailena ashuddhyamananam – these ulcers / wounds which can’t be cleansed by administering cleaning oils
• Sthira mamsanam – stiff / unmovable muscle tissue across the ulcers

Within the above circumstances of ulcers cleaning rasakriya (rasakriya ready with cleansing herbs).

Learn how to put together Rasakriya?
The herbs having cleansing properties are taken and their decoction is ready. This decoction is as soon as once more processed and added with alum, inexperienced vitriol, realgar and orpiment. Later this must be completely blended with juice of Citrus medica and honey. The resultant semi-solid preparation is named rasakriya. This must be administered / utilized for cleaning the injuries related to above talked about circumstances. This shall be used as soon as in three days.
Learn – Rasanjan Makes use of, Treatments, Dose, Facet Results, Analysis

12. Avachurnana – sprinkling / dusting of natural powders

Circumstances during which dusting of natural powders have to be performed –

• Medo jushtan – ulcers brought on by vitiated fats (ulcers having fats)
• Agambhiran – ulcers which aren’t deep (superficial ulcers and wounds)
• Durgandhan – ulcers having foul scent

Learn how to do?
The nice powder ready from herbs having cleaning property (identical as these used to arrange varti – suppositories) is sprinkled / dusted on the ulcers and wounds with above talked about circumstances. 

13. Vrana Dhupana – fumigation of ulcers

Circumstances during which fumigation of ulcers have to be performed

• Vatatmakan – ulcers stricken by vitiated vata
• Ugra rujan – ulcers related to extreme ache
• Saasravan – ulcers related to discharges

For fumigation linen, barley, ghee and fumigation herbs Pinus roxburghii, Vateria indica and many others are used.

Abstract

The above talked about measures of shodhana and ropana are helpful in cleaning and therapeutic the injuries and ulcers. Shodhana must be performed first and after the injuries have been cleansed correctly ropana must be resorted to for in depth and complete therapeutic of ulcers and wounds.

Shodhana, following the chronology must be performed after patana (excision and different set of surgical strategies). Following Ropana we have now Vaikrutapaha – the seventh amongst the Sapta Upakrama which includes of 26 therapies geared toward eradicating the deformities, problems and sequels of ulcers and wounds, a type of beauty rebuilding.

Ropana, as already talked about are defined within the movement by Grasp Sushruta instantly after having defined the measures of shodhana. He has not included it amongst the 60 therapies and therefore doesn’t get a quantity from amidst 1 to 60.

Shodhana measures defined above too are therapeutic in nature however since ropana measures have individually been highlighted by grasp Sushruta with out numbering it, we have to think about it as a separate remedy process. Anyhow it will get a quantity amongst the shad upakramas i.e. 6^th among the many seven therapies which the identical writer has defined in sutra sthana chapter 17.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)