Dustavrana are a frequently occurring problem in current period produced commonly as a complication of trauma and it causes long lasting problem to the patient. According to Sushruta, a Vrana converts to Dushtavrana due to excessive vitiated doshas caused by improper management by Physician or Patient himself. Dustavrana is an excessively damaged condition characterized by vitiation of Mamsa, Medha Dhatus and Dosha and caused by external injuries with exudation of Durgandhayukta Puyam (pus), temperature, pain, inflammation, itching, redness and also oozing of Durgandha-yukta raktam with no intention to heal. The management of Non healing wound with ayurvedic methods is one of the major areas of the research and has wide scope of study. In the present study treatment methods like Vrana Prakshalana, Dhoopan and Bandhana were done which is mentioned by Acharya sushrutha in the context of Vrana Shasti Upakrama. This is the case report of a 70year old patient, who presented with an open ulcer on the posterior aspect of the right fore arm associated with pain,slough, discharge and foul smell. Prakshalana with Panchvalkal Kwath, Dhoopan Karma and Bandhana Karma with Jatyadi tail for 10 days along with internal medication was given as the line of treatment which showed remarkable results.
Dr. Akhila Sundar2 Dr. Poorvi Pachouri*1 (Sun,) studied this question.