An Ayurvedic Management of Dushta Vrana W.S.R to Chronic Non Healing Ulcer Using Nimba Patra Kwath Dhavana Followed by Jatyadi Taila Pichu – A Single Case Study

Introduction: In Ayurveda, Vrana refers to ulcers or ulcers, which can deteriorate into Dushta Vrana if they becomeinfected. Dushta Vrana is characterized by Ativivrita, Bhairava, Putipuyamansa, Putigandha, Vedana and Dirghakalanubandhi.These features closely align with modern descriptions of nonhealingulcers. Dushta Vrana often arises due to trauma orunderlying pathology. Acharya Sushruta outlined treatmentprinciples involving Vranashodhana and Vranaropana. NimbaPatra Kwath, owing to its Kasaya–Tikta rasa, Krimighna,Sothahara, and Vranasodhana properties along with JatyadiTaila known for its Vranaropana and Vedanasthapana actions,may play a significant role in the management of DushtaVrana. The management of chronic ulcer using these methodsremains significant area of research in Ayurveda. Aim andobjectives To define role of Nimbapatra Kwath Dhawan andJatyaditaila Pichu in the management of Dushta Vrana. Material and Method: A 39-year-old non-diabetic male patient was having non healing ulcer on the right foot characterized by foul-smelling, purulent discharge and pain since six months. There was no relevant past medical history. The treatment involved Vranashodhana using Nimbapatra Kwath Dhavana followed by Vranaropana using Jatyaditaila Pichu. Results and Discussion: Symptoms were assessed before and after treatment. After 3 months of treatment symptoms were significantly reduced and the ulcer fully healed. This suggests that Dushta Vrana can be effectively managed with Ayurvedic treatment. The patient underwent daily treatment with Nimbapatra Kwath Dhawan and Jatyaditaila Pichu. After 3 months, the patient experienced complete relief from symptoms. This Ayurvedic approach aims to transform Dushta Vrana into Shuddha Vrana, which facilitates natural healing with minimal scarring. Conclusion This case study highlights the clinical efficacy of a specialized Ayurvedic ulcer management protocol in the resolution of Dushta Vrana (chronic non-healing ulcer). The transition of the chronic ulcer from an inflammatory, stagnant phase to a regenerative, healing phase was achieved through the sequential application of Nimba Patra Kwath Dhavana and Jatyadi Taila Pichu.