Vaikrutapaha That means, Sorts, Scientific Significance

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Vaikrutapaha is the seventh and last type of remedy included within the ‘Sapta Upakrama’ i.e. 7 sorts of therapies defined by Grasp Sushruta. Together with the opposite six types of remedy it goals at therapeutic and treating the ulcers, wounds and swelling and to forestall its issues. These procedures are accomplished after Shodhana and Ropana. If the situation of the wound / ulcer or swelling obtainable to the doctor on the time of treating the affected person is match to endure one in all these therapies instantly, they shall be skillfully chosen.
Learn – Sushruta’s 7 Sorts of Remedies Sapta Upakrama

Vaikrutapaha

“Lastly (following the chronology) Vaikrutapaha (seventh remedy amongst the seven therapies) needs to be accomplished…!”
Vaikritapaha means eradicating the deformities or undesired modifications which have occurred as issues or sequels of wounds. So after having accomplished cleaning and therapeutic strategies or actually the sooner 6 sorts of therapies of sapta upakrama, vaikretapaha is completed to deal with or take away the residual deformities or sequels of ulcers or wounds that are left over.

Sanskrit Verses

Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers

Sorts

Primarily 26 therapies are included below Vaikrutapaha from amongst the 60 therapies talked about in Shashti Upakrama. They’re –

1. Utsaadana – elevation of ulcer

This consists of the remedy of wounds / ulcers in order to enhance the granulation tissue and likewise to lift the ground of the wound. That is accomplished when wound space is depressed. Utsadana is reverse of Avasadana (melancholy of wounds – defined under).

Circumstances by which wounds have to be elevated –       

• Parishushka – dried ulcers and wounds
• Alpa mamsanam – ulcers coated with much less muscle groups (most muscle groups have been destroyed)
• Gambhiranam – deep seated ulcers

In these situations the ghee and anointments ready with the herbs used for elevating the injuries are administered. The sufferers are fed with the meat of carnivorous animals. By the consumption of such meat the thoughts of the particular person will get devoid of undesirable feelings like anger, grief and so on. This can additional facilitate and hasten the expansion of the muscle groups and elevation of the depressed ulcers.
Learn – Meals That Improve Sattva, Rajas, Tamas: Srimad Bhagavat Geeta

2. Avasadana – melancholy of ulcers

This consists of the measure used for the removing of unhealthy, pointless, hyper-granulation tissue from flooring of the wound in order to trigger their melancholy and make the floor of the ulcer even. That is administered in instances the place the ulcers / wounds are elevated above the floor of the pores and skin. Avasadana is reverse of Utsadana (defined above).

Circumstances by which wounds have to be depressed –   
Utsanna mrdu mamsa – ulcers surrounded by elevated and easy muscle groups needs to be depressed with medicines used for miserable the ulcers combined with honey.

3. Mrdu Karma – softening the sides of the ulcers

Circumstances by which the sides of the ulcers have to be softened –

• Kathinanam – onerous ulcers
• Amamsanam – ulcers having much less or no muscle groups round (losing or destruction of muscle groups)
• Dushtanam matarishvanaa – ulcers that are contaminated by vitiated vata

In ulcers related to the above talked about situations, therapies and medicines for softening the sides of the ulcers needs to be administered.

Together with this the under talked about interventions too shall be included –

4. Daruna Karma – hardening the sides of the ulcers

Some ulcers / wounds have much less tensile power in order that the wound margin simply separate. This causes early dehiscence and wound therapeutic delayed. To keep away from very long time wound therapeutic, daaruna karma i.e. hardening the wound margins is completed.

Circumstances by which the sides of the ulcers have to be hardened –

• Mrudutvam ashu roham cha gaadho bandhah karoti hello – when the ulcers turn into easy and heal rapidly owing to them being bandaged repeatedly
• Mrdu mamseshu vraneshu – ulcers having tender muscle groups

Equal parts of the sleek powder of the under talked about substances needs to be sprinkled on these ulcers to make them onerous –

• Dhava – Anogeissus latifolia
• Priyangu – Callicarpa macrophylla
• Ashoka – Saraca asoca
• Rohini twak – bark of Picrorhiza kurroa
• Triphala – fruits of Terminalia chebula, Terminalia bellirica and Emblica officinalis
• Dhataki Pushpa – flowers of Woodfordia fruticosa
• Lodhra – Symplocos racemosa
• Sarjarasa – Vateria indica

5. Kshara Karma – software of alkalis / alkali cauterization

Circumstances by which alkali must be utilized in treating the ulcers –

• Utsanna mamsan – ulcers with elevated muscle groups of their neighborhood
• Kathinan – onerous ulcers
• Kandu yuktan – ulcers related to itching
• Chirotthitan – ulcers that are persisting for a very long time (power ulcers / wounds)
• Dusadhyan – ulcers that are troublesome to cleanse and deal with

6. Agni Karma – fireplace cauterization

Circumstances by which fireplace cauterization utilized to deal with ulcers –

• Sravato mutran – ulcers discharging urine
• Ashma bhavan – ulcers attributable to stones within the urinary tract (alternatively we are able to perceive combining each these factors as – ulcers fashioned by stones within the urinary tract which ends up in discharge / dribbling of urine)
• Raktavahinah – bleeding ulcers
• Nishesha chinna sandheen cha – ulcers that are related to utterly destroyed (crushed) joints
  Learn – Sushruta’s 8 Sorts Of Surgical Procedures – Astavidha Shastra Karma

7. Krishna Karma – inducing black colour

This remedy is performed to make the hypo-pigmentation areas attributable to ulcers regular like surrounding tissue.

Circumstances –
Durudhatvat tu shuklaanaam – Black colour shall be induced within the ulcers which have turn into white as a consequence of improper therapeutic.

Methodology of inducing black colour within the ulcers

Bhallataka (Semecarpus anacardium) which has been saved within the cow urine for seven days is then saved dipped within the milk for seven days.
Bhallataka is then lower into two items and positioned in an iron vessel. The orifice of this vessel is saved over the opening of one other vessel of comparable dimension. The junction of each these vessels is sealed and your entire equipment is saved within the pit. On the highest of this dry items / truffles of cow-dung are positioned and lit with fireplace. As a result of warmth, Bhallataka melts and its oil is collected within the decrease pot.

To this oil, fantastic powder of the hoofs of animals residing within the villages and marshy areas are added and combined totally. The resultant combination is utilized on the ulcers which have turn into white.

8. Pandu Karma – inducing white colour

This remedy is performed to make the hyper-pigmented areas attributable to ulcers regular like surrounding tissue.

Circumstances –
Durudhatvat tu krshnanam – White colour (regular pores and skin colour) shall be induced within the ulcers which have turn into black as a consequence of improper therapeutic.

Methodology of inducing regular colour within the ulcers

1. The fruit of Rohini – kind of Terminalia chebula is saved in goat’s milk for 7 days and floor with the identical milk to arrange its paste. This paste is utilized on the hyper-pigmented ulcers which have to be delivered to regular colour.

2. The under talked about substances needs to be combined with honey and utilized on the ulcer –

• Kapalika Churna – powder of plate of earthen pot
• Baidula – a part of a reed known as vidula / bamboo?
• Sarjarasa – Vateria indica
• Kasisa – inexperienced vitriol
• Madhuka – Glycyrrhiza glabra

3. The pulp from inside Kapittaha fruit (Feronia linonia) is eliminated. The hole of the fruit is full of goat urine. Later the powder of the under talked about are added –

• Kasisa – inexperienced vitriol
• Gorochana – bezoar
• Tuttha – purified copper sulfate
• Haratala – orpiment
• Manashila – realgar
• Venu nirlekhanam – bamboo bark
• Chakramarda bija – seeds of Cassia tora
• Rasanjana – extract of Berberis aristata

This fruit is buried within the floor, beneath the basis of Arjuna (Terminalia arjuna) tree for one month and left in place. The resultant drugs needs to be utilized on the ulcer for a couple of month time interval.

9. Pratisaarana

On this, the tablets ready from tough powder of medicinal herbs are rubbed on the shiny pores and skin after wound therapeutic has occurred. That is accomplished to make the pores and skin floor tough and similar to the traditional texture of the pores and skin.

The powders of the under talked about substances taken in equal amount are combined and floor with cow urine and tablets are ready –

• Kukkutanda kapalani – items of outer shell of egg
• Kataka – Strychnos potatorum
• Madhuka – Glycyrrhiza glabra
• Samudra Manduki / Mukta Shukti – Oyster shell
• Mani – alum, pearl and so on

This pill is rubbed on the ulcers.

10. Roma Sanjanana – enabling development of hairs

a. The tusks of elephant are burnt and their ash ready. To this good high quality Rasanjana – extract of Berberis aristata is added and combined with goat milk. When utilized this drugs even produces hairs on the fingers (palm).

b. Pores and skin, hairs, hoof, horns and bones of animals are burnt to ash and combined with oil. When that is utilized it produces hairs.

c. Kasisa – inexperienced vitriol and leaves of Karanja – Pongamia pinnata are floor within the juice of Kapittha would produce hairs when utilized.

11. Loma Apaharana – removing of pointless hairs

Circumstances –
When numerous pointless hairs develop within the website of ulcer they arrive into the best way of ulcer therapeutic. These hairs needs to be lower and trimmed utilizing scalpel and forceps and totally eliminated.

1. Powder of conch shell and Haratala – orpiment taken in equal proportions are floor with bitter fruit juices and utilized. This can assist in removing of undesirable hairs.
2. Oil of Bhallataka and latex of Snuhi (Euphorbia neriifolia) are combined collectively and utilized to take away undesirable hairs.
3. Ash of kadali – plantain and stem bark of Aralu – Ailanthus excelsa are combined with Haratala – orpiment, Rock salt and seeds of shami and floor with chilly water. That is utilized to take away undesirable hairs.

12. Vasti Karma – natural enemas

Circumstances whereby natural enemas shall be administered in treating ulcers –

13. Uttara Vasti Karma – urinary and genital enema

Circumstances by which enemas needs to be administered by urinary and genital tracts –

• Mutraghata – obstruction of urine
• Mutra dosha – contamination of urine
• Shukra dosha – contamination of semen
• Ashmari janya vrana – ulcers attributable to urinary calculi
• Artava dosha – contamination of menstrual blood
  Learn – Uttara Basti: Methodology, Indications, Mode of Motion

14. Bandha – bandages

Advantages of bandaging the ulcers / wounds –

• Shudhyati vrano – wounds get cleansed
• Yati cha mardavam – ulcers / wounds turn into easy
• Rohatyapi – the therapeutic would happen comprehensively

15. Patradaana – overlaying the injuries with leaves

Circumstances by which the ulcers have to be coated with leaves –

• Sthiranam – motionless ulcers / wounds
• Alpa mamsanam – ulcers / wounds coated with much less / scanty muscle groups
• Raukshyaad anuparohataam – wounds / ulcers which haven’t healed as a consequence of excessive dryness in them

Within the above mentioned situations the leaves are used to cowl the ulcers / wounds in accordance to the doshas concerned and the seasons. Leaves having medicinal properties is roofed on the injuries after having utilized medicinal pastes on them.

16. Krimighna – disinfectants

When the flies and different bugs sitting on open ulcers / wounds produce worms / germs they might chew the ulcers resulting in swelling (irritation) which is severely troublesome. Consequently extreme and completely different sorts of pains and bleeding happen from the injuries. On this situation Surasadi Gana group of herbs are used washing the ulcers and therapeutic them.

The under talked about herbs shall be floor in cow’s urine and utilized over the ulcers –

Alternatively the injuries shall be washed with alkali water or the ulcers are showered with the identical. The ulcers / wounds are coated with muscle groups / flesh which might entice the worms from contained in the ulcers. This can be a methodology of de-worming the ulcers and wounds.

17. Brmhana – bulk selling therapies

Circumstances for administering bulk selling / strengthening therapies for ulcer / wound therapeutic –

• Dirgha kala aturanam – ulcers persisting for very long time (power ulcers) or for an individual affected by ailments for very long time
• Krshanam – emaciated individuals
• Vrana shoshinaam – those that are debilitated because of the ulcers

Within the above mentioned situations every kind of bulk selling / strengthening therapies shall be administered defending one’s digestive fireplace (capability).
Learn – Brumhana Remedy – Nourishing Ayurvedic Therapy Precept

18. Vishaghna – anti-toxins

This consists of therapies which nullify or neutralize the impact of poisons and toxins on ulcers / wounds.

The signs precipitated after consuming toxic meals and drinks, examination of assorted sorts of toxins / poisons and their remedy are defined intimately within the Kalpa Sthana Part of Sushruta Samhita and therefore not detailed on this context.

19. Shirovirechana – nasal instillation of medicines

Circumstances –

20. Nasya – nasal instillation of medicines / errhines

Circumstances for administering errhines in ulcers / wounds –

• Rujavanto – ulcers related to ache
• Anilaveshta – ulcers troubled by vitiated vata
• Ruksha – dry ulcers
• Urdhwa jatruga vrana – ulcers positioned above the extent of clavicle

In these situations unctuous errhines needs to be administered.

21. Kavala Dharana – rinsing of mouth with medicinal liquids

Circumstances for administering mouth rinse in ulcers / wounds –

Cold and warm (as per situation) medicinal liquids needs to be used for mouth rinsing for the under talked about functions –

• Dosha prachyavanartham – to expel the morbid doshas
• Ruja daha kshayaya cha – cut back the ache and burning sensation related to ulcers
• Jihva danta samutthasya haranaartham malasya cha – take away the wastes from the tongue and enamel and to cleanse them
• Shodhana ropanascha eva vranasya mukhajasya vai – for cleaning and therapeutic the ulcers occurring within the oral cavity
  Learn – How To Do Oil Pulling In Real Ayurvedic Manner?

22. Dhuma – fumigation

Circumstances by which fumigation needs to be accomplished to deal with the injuries / ulcers –

• Urdhwa jatru gatan – ailments occurring above the extent of clavicles
• Kaphavata janya vranan – ulcers / wounds attributable to vitiated kapha and vata
• Shopha srava ruja yuktan – ulcers / wounds related to swelling (irritation), discharges and ache
  Learn – Dhoopana (Fumigation) Blends, Advantages, Process, Mode of Motion

23. Madhu Sarpi – use of honey and ghee

Circumstances –

• Kshatoshmano nigrahartham – to regulate the warmth generated by the harm / trauma
• Sandhanartham – for unification
• Sadhyo vraneshu ayatesu – in freshly fashioned wounds / ulcers and in giant ulcers

24. Yantra – instrumentation

Circumstances whereby devices are utilized in treating ulcers –

25. Ahara – dietetic routine

A smart doctor ought to recommendation lesser amount of meals that are gentle for digestion to all of the sufferers affected by ulcers / wounds.

Learn – Significance Of Weight-reduction plan (Pathya) For Particular Ailments

26. Raksha Vidhana – Sterilization

This consists of sterilization of the surgical wards and devices by the strategies of fumigation with herbs like Guggulu (Commiphora mukul) and so on and by Mantra Uccharana i.e. reciting holy hymns in order to kill the small pathogenic organisms. For a similar functions yama and niyama are additionally adopted.

Abstract

Above talked about are the 26 remedy procedures that are meant for eradicating the deformities and undesired modifications which have occurred as issues of wounds. They shall be used skillfully both individually or in mixtures as and when required relying on the state and stage of ulcer / wound introduced on the time of remedy.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)