1) A 16-year-old male presented with a non-healing traumatic wound on his left hand caused by a sugarcane juicer machine injury.
2) Debridement was performed and the wound was dressed daily with Jatyadi Ghrita gauze and oral herbal medications.
3) Over 5 weeks the wound showed signs of healthy granulation tissue formation, epithelialization, and complete healing with pigmentation resembling surrounding skin. The case study demonstrates that dressing traumatic wounds with Jatyadi Ghrita can promote faster healing and minimize complications.
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A Case Study of Traumatic Wound Treated with Jatyadi Ghrita
1. @ IJTSRD | Available Online @ www.ijtsrd.com
ISSN No: 2456
International
Research
A Case Study of Traumatic Wound Treated with Jatyadi Ghrita
1
Kumar Rajeev
1
Assistant
Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar
2,3
Professor, Department
Uttarakhand Ayurved University Uttarakhand
ABSTRACT
Initial treatment of wound aims to prevent infection
and early wound healing.
Various treatment modalities are used for dressing of
wounds keeping in mind good cosmetic outcome.
Vagbhatta Acharya has also mentioned the effective
treatment of Jatyadi ghrita in the management of
wounds, painful ulcers, insect bite wounds, wounds
caused by heat or fire and deep wounds by external
application. In this context, Jatyadi ghrita application
was carried out in the management of wound. The
patient received in Shalya Tantra department of
Patanjali Ayurved Hospital Haridwar Uttarakhand
India and has been treated with Jatyadi ghrita
patient recovered well with complete healing of the
wound within span of 5 weeks.
Keywords: Wound, Jatyadi ghrita
Wound healing is replacement of destroyed tissues by
living tissues. In secondary intention of
healing, wound is closed by reepithelization and
contraction with some deposition of scar tissue
effective use of jatyadi ghrita in the management
wound is taken as ghrita is vrana ropaka
healing) and healing process was observed.
CASE REPORT
A male patient of 16 years age came to the
tantra opd with complaints of non healing wound of
left hand. Patient was having pain and
lacerated, sloughy wound in anterior and posterior
view of hand.
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International Journal of Trend in Scientific
Research and Development (IJTSRD)
International Open Access Journal
A Case Study of Traumatic Wound Treated with Jatyadi Ghrita
Kumar Rajeev, 2
Sharma P. K, 3
Gupta A. K
Assistant Professor, Department of Shalya Tantra,
Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, Haridwar, Uttarakhand
artment of Shalya Tantra, Rishikul Campus Haridwar
Uttarakhand Ayurved University Uttarakhand, India
Initial treatment of wound aims to prevent infection
Various treatment modalities are used for dressing of
in mind good cosmetic outcome.
has also mentioned the effective
in the management of
wounds, painful ulcers, insect bite wounds, wounds
caused by heat or fire and deep wounds by external
ontext, Jatyadi ghrita application
was carried out in the management of wound. The
patient received in Shalya Tantra department of
Patanjali Ayurved Hospital Haridwar Uttarakhand
Jatyadi ghrita. The
ith complete healing of the
Wound healing is replacement of destroyed tissues by
living tissues. In secondary intention of wound
wound is closed by reepithelization and
contraction with some deposition of scar tissue. The
in the management of
ropaka (wound
healing) and healing process was observed.
years age came to the shalya
tantra opd with complaints of non healing wound of
was having pain and multiple
lacerated, sloughy wound in anterior and posterior
PAST HISTORY: Patient not a k/c/o
any other medical illness. He had two week history of
injury of his hand in sugarcane juicer machine. He
took treatment from some trauma centre where he is
adviced to go for plastic surgery for complete
recovery of hand. On examination there was ope
untidy wound with slough formation
abrasion in hand. Also there was black gangrenous
lower edge of wound. No purulent discharge was seen
from wound.
TREATMENT GIVEN: Debridement was done and
all the sloughy and necrosed part was
Triphala kwath was used to wash the wound followed
by dressing with application of
covering over the wound once daily. Oral medications
Triphala gugglu, Arogyavardhani vati, A
rasayan were taken regularly
for its healing process under following criteria.
Edema around wound
Discharge from wound
Granulation tissue.
OBSERVATIONS:
ON 5th
day, wound was devoid of slough. Redness
and tenderness was present. Edema present.
day, the wound was bright red
epithelialisation at margins.
granulation tissue was present.
Jun 2018 Page: 5
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Scientific
(IJTSRD)
International Open Access Journal
A Case Study of Traumatic Wound Treated with Jatyadi Ghrita
Uttarakhand, India
mpus Haridwar
Patient not a k/c/o DM, HTN or
He had two week history of
his hand in sugarcane juicer machine. He
took treatment from some trauma centre where he is
adviced to go for plastic surgery for complete
On examination there was open
formation with multiple
. Also there was black gangrenous
No purulent discharge was seen
ebridement was done and
all the sloughy and necrosed part was excised.
Triphala kwath was used to wash the wound followed
application of jatyadi ghrita gauze
over the wound once daily. Oral medications
Arogyavardhani vati, Amalki
rasayan were taken regularly .Wound was observed
its healing process under following criteria.
Discharge from wound
wound was devoid of slough. Redness
and tenderness was present. Edema present. On 10th
day, the wound was bright red in colour and signs of
On 15th day, healthy
granulation tissue was present.
2. International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470
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Daily dressing was continued up to 5 week and
epithelialisation of wound was covered within 5
weeks. The colour of epithelialisation resembled with
surrounding skin.
DISCUSSION
Wound requires important conditions to be
maintained :- prevention of infection and slough
formation, maintenance of red granulation tissue.
Probable Mechanism of action of Jatyadi ghrita and
its practical use:-
The shodana and ropana contents in Jatyadi ghrita
drugs found very efficacious as described in ancient
classics. The action of tikta rasa is rakta prasadaka
(blood purifier), ushna veerya is shothahara, ushna
and teekshna are krimighna in nature, action on
tridoshas as calms as Pitta. Shodana drugs on topical
application reduce pain, discharge and oedema of the
surrounding tissue. Initially drugs acts as a debriding
agent, removing slough and necrotic material from
wound and subsequently promotes smooth and
uncomplicated healing. They reduce wound infection
due to their bactericidal action on drug. The dressing
soaked with shodhana drugs provides moist
environment which enhances epithelialisation, prevent
scales formation, beneficial in infected wounds with
drug resistant bacteria.
The content Katuka improves reepithelialisation, neo-
vascularisation and migration of endothelial cells and
fibroblasts into the wound bed5. The jati patola and
sikta have Vrana ropana action. Ghrita prevents fluid
loss from burn wound and also lubricates surface of
wound. Ghrita is having vrana ropana (healing) and
kantivardhana (improving lustre) property so it helps
in early healing with good pigmentation.
CONCLUSION
This case study reveals that wound dressing with
Jatyadi ghrita produces good and faster wound
healing. Also it can help in minimising post healing
complications like hypopigmentation or
hyperpigmentation.
FIGURES:-
Wound of left hand before, during and after treatment
BEFORE TREATMENT
DURING TREATMENT
3. International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470
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AFTER TREATMENT