Ayurvedic Management of Kshataj-Dushta Vrana Using Apamarga Kshara: A Case Report on Chronic Non-Healing Wound

Introduction: Chronic non-healing wounds, especially among the geriatric population, pose a major therapeutic challenge due to factors such as impaired circulation, comorbidities, and decreased tissue regeneration capacity. According to Ayurveda, a traumatic wound (Kshataja Vrana) that does not heal because of aggravated Doshas eventually becomes a Dushta Vrana. Patient Information: This case study describes the Ayurvedic management of a 63-year-old Diabetic male with a non-healing wound (Kshataj-Dushta Vrana) for 6 months, located in the third interdigital space of the left foot. The wound was characterised by chronicity and lack of granulation and did not respond to repeated courses of antibiotics, dressings, or suturing. It showed unhealthy granulation, slough, intermittent seropurulent discharge (Srava), and surrounding induration, accompanied by constant pain (Ruja) and limited movement. Intervention: The therapeutic approach included local application of Apamarga Kshara Churna and proper bandaging and Daily Vrana Prakshalana with lukewarm Triphala Kashaya before applying Kshara, along with administration of Ras Manikya and Sarivadi Vati, with advice to restrict movement of the affected foot. Result: A significant improvement in wound dimensions, pain, discharge, and granulation tissue formation was observed within two weeks, culminating in complete healing within four to five weeks. No recurrence was observed during a one-month follow-up period. Conclusion: This case demonstrates the potential effectiveness of Kshara in Vrana Shodhana (purification) And Ropana (healing) for Kshataj-Dushta Vrana.