This text explains Sushruta Samhita Sutrasthana Chapter 22 “Vrana Srava Vijnaniya Adhyaya” – Information of exudates of the wound.
Vrana Srava Vijnaniya
Information of exudates of the wound
Now, all of us expound the chapter referred to as Vranasrava vijnaniya- information of exudates of the wound, as revealed by the venerable Dhanvantari.
Learn – Lord Dhanwantari ‘The God of Ayurveda
Vranavastu
Seats of wounds
Beneath talked about are the eight vrana vastus (seats, dwelling locations of wounds / ulcers) –
- Twak – pores and skin
- Mamsa – muscle tissue
- Sira – veins
- Snayu – ligaments
- Asthi – bones
- Sandhi – bony joints
- Kostha – stomach viscera and
- Marma – important spots, important organs
In these seats all types of wounds occur.
Prognosis of wounds positioned in vrana vastu
Twak Bhedi Vrana i.e., that wound or ulcer which occurs within the first seat (pores and skin) and inflicting tear within the pores and skin solely is well treatable, whereas the remaining sorts (residing in different tissues) and bursting by themselves are treatable with issue.
Learn – Madhava Nidana Chapter 43 Sadyo Vrana Nidanam
Vranakriti
Totally different shapes of wounds
Broad, rectangular, spherical and triangular – are the shapes of the injuries, in short; others of irregular shapes are tough to deal with.
Prognosis of wounds based mostly on the doctor treating the injuries
Every kind of wounds heal rapidly in individuals who’re disciplined (use solely wholesome meals and behave as directed by the doctor) and handled by a superb doctor. Then again, those that aren’t disciplined and handled by ignorant physicians, result in nice abnormality, due to the good improve of the doshas.
Learn – Sushruta Samhita Chapter 18 Vranalepana Bandhana Vidhi Adhyaya
Dusta Vrana Lakshana
Options of dangerous (septic) wound
Beneath talked about are the signs of dusta vrana (vitiated / septic wound) –
- both has small opening or giant opening, (enormously coated and barely uncovered or enormously uncovered and barely coated),
- excessively exhausting or very smooth,
- elevated or depressed,
- excessively chilly or excessively heat / sizzling,
- having anyone amongst black, pink, yellow or white colours,
- terrifying (by look),
- crammed with / related to putrefying (foul smelling) pus, blood, muscle tissue, veins, ligaments and so on.,
- exuding putrefying pus and exudates transferring in irregular paths,
- wound raised up,
- having disagreeable look (ugly in look) and odor (foul smelling);
- accompanied with extreme ache, burning sensation, suppuration, redness, itching, swelling, eruptions and such different issues enormously;
- exuding
- vitiated blood and persisting for very long time
It ought to be labeled into six sorts on the premise of predominance of the Doshas and acceptable remedies to every be administered, with all efforts.
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers
Srava Lakshanas
Options of the exudates
Additional on, we effectively describe the options of all kinds of exudates;
In wounds reminiscent of Ghrista (abrasion), chinna (minimize, incised) and that on account of bursting or tearing of vesicles (bleeds), the exudates can be water like with slight dangerous odor and yellow colour.
Mamsagata Vrana – The exudates coming from the injuries residing within the muscle tissue, resembles ghee, thick, white and slimy.
Siragata Vrana – In wounds of the veins, brought on by sudden unintended cuts, there can be an excessive amount of bleeding. When the injuries get matured (suppurated), the pus (exudates) can be like water popping out from a tube (sinus). Such exudates can be skinny, discontinuous, slimy, adhering, and black and resembling dew drops.
Snayugata Vrana – The exudates coming from the injuries current within the ligaments, can be unctuous, thick, resembling nasal exudation and combined with blood.
Asthigata Vrana – In wounds of the bones on account of harm reminiscent of splitting, dividing or obtained cracked by aggravated doshas, the bone getting eaten (destroyed) by the Doshas (worms, microbes), turns into sapless (poor in power and weight), resembles wash of oyster shells (shining white) and the exudates are unctuous and are combined with marrow and blood.
Sandhisthita Vrana – When the injuries are current within the joints, the exudates won’t circulate out even by urgent them. Then again, the exudates would circulate out throughout flexion, extension, elevation, melancholy, working, coughing and straining. The exudates can be slimy, resembling streaks of syrup hanging down (similar to saliva dribbles from the nook of the mouth), combined with froth, pus and blood.
Kosthagata Vrana – In these wounds current within the stomach (viscera), there can be exudation of blood, urine, feces, pus and water (serous fluid).
Marmagata Vrana – Within the wounds of important spots, nature of exudation will not be described individually since these are included beneath the pores and skin and so on. (clarification of exudation from the injuries positioned within the pores and skin and so on.).
Options of exudates of wounds of the pores and skin (muscle tissue, ligaments, veins) and so on. relying on the doshas concerned can be defined in respective order as follows –
Vata signs
When vata is concerned within the wounds, the discharges produced therein (relying on from which vrana vastu – seat of wound the exudates is flowing) are-
- tough – in exudates of pores and skin
- black (blackish blue) – in exudates of muscle tissue
- dew drop – in exudates of veins
- whey – in exudates of ligaments
- alkali answer – in exudates of bones
- mutton wash – in exudates of joints
- boiled rice wash (gruel) – in exudates of stomach viscera
Pitta signs
When pitta is concerned within the wounds, the discharges produced therein (relying on from which vrana vastu – seat of wound the exudates is flowing) are-
- gomedaka – in exudates of pores and skin
- cow’s urine – in exudates of muscle tissue
- conch – in exudates of veins
- answer of ash – in exudates of ligaments
- decoction – in exudates of bones
- madhvika – in exudates of joints
- taila / oil – in exudates of stomach viscera
Rakta signs – are just like these of pitta together with an excessive amount of of dangerous odor within the exudates.
Kapha signs
When kapha is concerned within the wounds, the discharges produced therein (relying on from which vrana vastu – seat of wound the exudates is flowing) are-
- butter – in exudates of pores and skin
- kasisa / ferrous sulfate – in exudates of muscle tissue
- marrow – in exudates of veins
- flour – in exudates of ligaments
- sesame – in exudates of bones
- coconut water – in exudates of joints
- boar fats – in exudates of stomach viscera
Sannipata signs – When all of the three doshas are concerned within the wounds, the exudates coming from them can be comparable in colour of coconut water, juice of ervaru (cucumber), scum of gruel, juice of Aruka (bhallataka), fruit of Priyangu, Yakrit (liver) and soup of Mudga (inexperienced gram) in exudates of pores and skin, muscle tissue, veins, ligaments, bones, joints and stomach viscera respectively.
Exudates coming from numerous organs
Exudation from the Pakvashaya (giant gut) resembling water of boiled rice (or rice- wash) is incurable.
Exudation from the Raktashaya (liver and spleen) resembling answer of alkali / ash ought to be rejected.
Exudation from the Amashaya (abdomen) resembling soup of Kalaya (spherical pea) and that (exudates) popping out from the Trika (higher again) by means of the alimentary tract – these ought to be examined first by the doctor and appropriate therapy adopted.
Learn – Madhava Nidana Chapter 42 Shareera Vrana Nidanam
Vrana Vedana
Sorts of pains within the wounds
Subsequent, we are going to describe the completely different sorts of pains of the injuries.
Pains brought on by Vata predominance within the wounds – Pains reminiscent of piercing, tearing, hitting, chopping, dilating, churning, seizing, tingling, burning, crushing, breaking (blasting), tearing, plucking (as if de-rooted, plucked), trembling, numerous sorts of ache, splitting (as if separating or tearing into two), as if being thrown away in all instructions, filling, stiffness, numbness (absence of ache or sensation), absence of ache (numbness), shrinking / sucking (as if flexing or withdrawing), ache as if pierced by hooks and so on. and numerous sorts of pains creating with none obvious trigger, and numerous sorts of ache showing and disappearing ceaselessly – if these signs are current it ought to be understood that they’re brought on by aggravated vata.
Pains brought on by Pitta predominance within the wounds – Burning sensation regionally, sucking ache, burning sensation all around the physique, feeling of sizzling fumes popping out from inside, feeling as if the physique is roofed with burning coal, ulceration, improve of temperature (native and normal), ache within the wounds as if smeared with alkali – are to be understood as brought on by Pitta.
Pains brought on by Rakta (blood) predominance within the wounds – Pains brought on by rakta can be just like these brought on by pitta.
Pains brought on by Kapha predominance within the wounds – Itching, feeling of heaviness, numbness, feeling as if one thing is adhering (physique being coated by one thing), gentle ache, stiffness (lack of motion) and coldness – these are to be understood as brought on by kapha.
Pains brought on by predominance of all three doshas within the wounds -Look of all kinds of pains collectively ought to be understood as brought on by sannipata (mixture of all three Doshas).
Learn – Nadivrana – Sinus: Varieties, Signs, Ayurvedic Therapy
Vrana varna
Color of wounds
Additional we are going to describe the colour of wounds: –
Colours produced by vata aggravation – colour resembling ash, bone of pigeon, tough on contact and gentle pink and black colours.
Colours produced by pitta and rakta (blood) aggravation – blue, yellow, inexperienced, bluish black, black, pink, brown, mild brown colours.
Colours produced by kapha aggravation – white and pale in colour.
Colours produced by aggravation of all of the three doshas – manifestations of all colours are produced by sannipata (mixture of all three doshas).
The completely different sorts of pains and colours talked about up to now aren’t for wounds solely, these are to be understood as referring to all types of ailments arising with swelling. Thus ends the twenty second chapter by identify Vranasrava vijnaniya in Sutra sthana of Sushrutha samhita.
