Role Of Lekhana KarmaIn Dushta Vrana(Wound) Management-A Review

Ayurveda is an ancient Eternal method of medicine. Ayurveda is concerned with all aspects of life, both healthy and unhealthy. It provides a lot of information aimed at healing wounds. For the treatment of different disorders, a variety of surgical and para surgical procedures have been described. Vrana is one among them, which is affecting the humans from the ancient period of civilization. Vrana stated in Ayurveda simulates Ulcers or wound; which may get converted into Dushta Vrana. The word Dushta means bad, wicked, offensive, and culpable or necrotic. In Ayurveda, the Vrana is referred to as Wound and healing process of Vrana is a natural phenomenon that begins almost immediately just after an injury. Shalya Tantra is a significant branch of Ayurveda. In this branch of Ayurveda i.e, Shalya Tantra Lekhana karma is one among the Shashthi Upakrama and Ashtavidh Shastrakarma. In the procedure of Lekhan Karma (Debridement), necrotic tissue & slough are removed till the fresh blood comes out. Lekhan Karma of vrana is removing of debris from the wound. wounds having thick and irregular edges which burst often with hard and elevated muscles, that means the floor is full of slough or with necrosed tissues. Coarse linen clothes, thick cotton clothes, alkali and surgical equipment’s are all the means we use for the purpose of Lekhana karma. Thus, the Infection is prevented by the removal of necrosed tissues.