Non Healing Ulcer

In practice, Non Healing Ulcer/Chronic Wound/Chronic Ulcer (Dushta Vrana) is a common condition which has proved challenging to the medical practitioner. Similarly, wound healing is the major factor in surgical practice. Even though healing of a Vrana (Wound) is a natural process of the body, the Vrana should be protected from Dosha Dushti & from various micro-organisms which may hamper the natural course of Wound healing. As the sciences have advanced, newer therapies are being tried out to boast the recovery process. Acharya Sushruta “The Father of Indian Surgery” has explained Vrana in detail in his classical text “Sushruta Samhita”. The wound healing procedures described by Sushruta still holds its place today and being practiced by Vaidya.Kortikar

Signs and Symptoms of Non Healing Wound

• The Non Healing Ulcer shows no tendency towards healing.
• The floor of the ulcer covered with pale (yellowish) granulation tissue.
• Sometimes the floor of the ulcer is covered with wash-leather slough
• Discharge is scanty or absent or sometimes profuse with foul smell.
• The base of the ulcer considerably indurate and so is the edge and surrounding skin.

Non Healing Ulcer includes:

• Ulcer due to Deep Vein Thrombosis (DVT)
• Diabetic Foot Ulcer
• Varicose Vein Ulcer
• Ulcer due to Thromboangiitis obliterans (TAO) or Buerger's disease
• Carbuncle
• Tropic Ulcer (Neurogenic ulcer)
• Tropical ulcer
• Chronic Bed Sores
• Soft sores
• Malignant ulcer
• Callous ulcer
• Burns

Ayurvedic treatment for Non Healing Ulcer

1. Purification of body by Ayurvedic Panchkarma Therapy (Specifically by Vamana (medicated emesis) and Virechana (purgation) procedures)

2. Ayurvedic Bloodletting - Siravyadha Chikitsa - is done with the help of surgical instruments by puncturing appropriate indicated vein or sira. It is a kind of an invasive procedure and consider as ‘Ayurvedic venepuncture’ procedure.

3. Leech Therapy or Jalukaavacharana or Hirudotherapy is a method of bloodletting (raktamokshana) practiced in Ayurveda as an alternative measure to aspirate the toxic collection from the body.

4. Diet - Throughout the treatment regimen a specific and strict diet plan is followed.

5. The ulcer is washed with the use of decoctions

6. Proper dressing of the ulcer.