Concept of Vaikritapaham for the Management of Scar in Ayurveda – A Critical Review
Life Sciences -Medicine
DOI:
https://doi.org/10.22376/ijlpr.2023.13.3.L17-L22Keywords:
Vrana vaikritapaham, shasti upakrama Sushruta, Utsadana, avasadana mrdukarma darunakarma, ksarakarma, krsnakarma, pandukarma, pratisarana, romasanjanana, lomapaharanaAbstract
A wound has six root causes, and eight primary locations, characterized by signs of five, prescribed with sixty therapeutic measures and management by four limbs of treatment. The aesthetic management of wounds and scars has been an extensive concept from ancient days to the current surgical practice. Ayurveda is elemental in boundless cosmetic measures for people spanning centuries, with the idea of vaikritapaham commending wound management in the branch of Shalya Tantra. This study aimed to explore the concept of vaikritapaham, managing scar and granulation issues in Ayurveda. The method followed for this review was a thorough analysis of brihatrayees and their commentaries and reference from various research articles on scar management in Ayurveda. It was found that in Sushruta Samhita, the concept of vaikritapaham as the anti-scar measure is mentioned in sapta upakrama of vrana-sopha and various concepts like Utsadana and avasadana for stimulating and depressing granulation, mrdukarma and darunakarma for hardening and softening the woundksarakarma for improper granulation, krsnakarma, pandukarma and pratisarana for discolouration of the skin, romasanjanana and lomapaharana for repilatory and depilatory measures respectively have been mentioned in shasti upakrama of Vrana. Charaka and Vagbatta have described lepas for discolouration issues in managing Vrana. The research thoroughly reviewed the concept of vaikritapaham, scar management and measures for granulation issues in Ayurveda.
References
Sharma PV, Samhita S. Dalhana commentary with English translation, Sutra Sthana, Chaukhamba Vishwabharathi, Varanasi. 2013;21/40:239.
Sharma PV, Samhita S. Dalhana commentary with English translation, Sutra Sthana, Chaukhamba Vishwabharathi, Varanasi. 2013;250,251:18-20/40.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana. Chaukhamba Vishwabharathi Varanasi, 2013: 1/6 p. 246.
Sharma PV, Samhita S. Dalhana commentary with English translation, Sutra Sthana, Chaukhamba Vishwabharathi, Varanasi. 2013;191:17/17-18.
Sheoran S, Khanam B, Khane RS, Mahanta V, Gupta SK. A systemic review on VRANA and its management.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana. Chaukhamba Vishwabharathi Varanasi, 2013: 1/8 p. 249.
Trikamji Yadavji, Samhita C. Chakrapani Datta Hindi commentary, Chikitsa Sthana, Chaukhamba Sanskrit series office. Varanasi; 2015. p. 25/39-43, 593.
Srikantha Murthy KR, Hridayam A. English translation, Uttara sthana, Choukambha Krishanadas academy, Varanasi 2012: 25/59. Vol. 67,p.245,246.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana, Chaukhamba Vishwabharathi, Varanasi. 2013;1/81. 82 p:264.
Trikamji Yadavji, Samhita C. Chakrapani Datta Hindi commentary, Chikitsa Sthana, Chaukhamba Sanskrit series office. Varanasi; 2015. p. 25/98-99, 596.
Srikantha Murthy KR, Hridayam A. English translation, Uttara sthana, Choukambha Krishanadas academy. Varanasi; 2012. p. 25/46-47, 243.
Trikamji Yadavji, Samhita C. Chakrapani Datta Hindi commentary, Chikitsa Sthana, Chaukhamba Sanskrit series office, Varanasi. 2015;25/100:596.
Dutta KSA. Edited Sushruta Samhita Ayuveda-Tattva-Sandipika Hindi commentary 1st Part Published Chaukhambha Sanskrit sans than Edition: reprint, 2009. Sutrasathana11/5 p. 45.
Srikantha Murthy KR, Hridayam A. English translation, Uttara sthana, Choukambha Krishanadas academy. Varanasi; 2012. p. 25/48-50, 243.
Fadanvis P, Gurao R, Zade D, Wairagade S, Gawande V, Adhav P. Evaluation of the effect of local application of Kalpit Kasisadi Yoga in the Management of Ksharasutra induced hyper granulation at external opening Offistula-in-Ano: A randomized controlled trial. Indian J Forensic Med Toxicol. 2020 Oct 1;14(4).
Sharma P. Dravyaguna Vijnana Vol II, Reprint. Varanasi, U.P: Chaukhamba Bharati Academy; 2003. 144 p.
Baghel PS, Shukla S, Mathur RK, Randa R. A comparative study to evaluate the effect of honey and silver sulphadiazine dressing on wound healing in burn patients. Indian J Plast Surg. 2009;42(2):176-81. doi: 10.4103/0970-0358.59276, PMID 20368852.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana, Chaukhamba Vishwabharathi Varanasi. 2013;265:1/84-85.
Trikamji Yadavji, Samhita C. Chakrapani Datta Hindi commentary, Chikitsa Sthana, Chaukhamba Sanskrit series office, Varanasi. 2015;25/109:596.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana, Chaukhamba Vishwabharathi Varanasi. 2013;1(86-87):265.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana, Chaukhamba Vishwabharathi Varanasi. 2013;266:1/90-93.
Trikamji Yadavji, Samhita C. Chakrapani Datta Hindi commentary, Chikitsa Sthana, Chaukhamba Sanskrit series office. Varanasi; 2015. p. 25/113-115, 596.
Bawoor SU, Rakesh RN, Haridas A. A review study on pandukarma CHIKITSA in AYURVEDA.
Suresh YY, Prashanth BK, Rao R, Kekuda P. Clinical Evaluation of Modified Manashiladi Lepa in preventing postsurgical scar. J Ayurveda Holist Med (JAHM). 2020 Sep 21;8(3).
Srikantha Murthy KR, Hridayam A. English translation, Uttara sthana, Choukambha Krishanadas academy. Varanasi; 2012. p. 25/62-63, 245.
Sharma PV, Samhita S. Dalhana commentary with English translation, Chikitsa Sthana, Chaukhamba Vishwabharathi, Varanasi. 2013;268:1/101-103.
Xue M, Jackson CJ. Extracellular matrix reorganization during wound healing and its impact on abnormal scarring. Adv Wound Care. 2015 Mar 1;4(3):119-36. doi: 10.1089/wound.2013.0485, PMID 25785236.
Singer AJ, Clark RA. Cutaneous wound healing. N Engl J Med. 1999;341(10):738-46. doi: 10.1056/NEJM199909023411006, PMID 10471461.
Desmoulière A, Redard M, Darby I, Gabbiani G. Apoptosis mediates the decrease in cellularity during the transition between granulation tissue and scar. Am J Pathol. 1995;146(1):56-66. PMID 7856739.
Liu A, Moy RL, Ozog DM. Current methods employed in the prevention and minimization of surgical scars. Dermatol Surg. 2011;37(12):1740-6. doi: 10.1111/j.1524-4725.2011.02166.x, PMID 22093099.
Foo CW, Tristani-Firouzi P. Topical modalities for treating and preventing postsurgical hypertrophic scars. Facial Plast Surg Clin North Am. 2011;19(3):551-7. doi: 10.1016/j.fsc.2011.06.008, PMID 21856542.
Javed D, Sajwan N. Scar remodelling concepts and techniques of Ayurveda wsr to Vaikritapaham.
Published
How to Cite
Issue
Section
Copyright (c) 2023 Pavithra Jaivarshaa G V, Devyani Dasar, Akshay Kumar, Shubham Biswas

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

