Dushta Vrana, described in Ayurvedic classics, can be correlated with chronic or non-healing ulcers characterized by delayed healing, foul smell, pain, discoloration, discharge, and tissue destruction. Wound healing is a complex biological process influenced by multiple local and systemic factors such as infection, vascular insufficiency, diabetes mellitus, malnutrition, and immune compromise. Ayurveda provides a comprehensive approach for the management of Dushta Vrana through principles of Shodhana (purification) and Ropana (healing), as elaborated by Acharya Sushruta under the concept of Shashthi Upakrama. Various therapeutic measures including internal purification procedures, local wound cleansing, Ksharakarma, Raktamokshana, and application of Vrana Ropaka formulations have been described for effective wound management. The present review highlights the Ayurvedic understanding of Dushta Vrana, its clinical features, and classical management principles while correlating them with contemporary concepts of chronic wound healing. The study emphasizes that proper wound purification, infection control, and Dosha balance are essential for successful healing and prevention of complications in non-healing ulcers.
Dr. Prakash Kalu*1, Dr. Vijaykumar Biradar2, Dr. Ashok Naikar3 (Mon,) studied this question.