Evaluation of Healing effect of Jalaukavacharana on Dushta Vrana (CNHU) w.s.r to Wound Bed Preparation based on T.I.M.E Principle

Abstract

Chronic non healing wounds represent a significant public health problem. A wound may be acute or chronic; the later could be defined as a wound that is not continuously progressing towards healing, which can be correlated with Dushtavrana. Various therapies are potentially conducive to wound healing, and according to T.I.M.E. principle of wound healing; E stands for edges of wound which is undermined due to chronicity and infection, corrected by debridement and Leech therapy is biological debridement therapy. It is a para-surgical procedure which serves debridement of the wounds by the blood sucking and oozing phenomenon. Jalaukavacharana possesses high efficacy in both Vrana Shodhana and Ropana, hence can be used for management of Dushta Vrana. Jalaukavacharana being a bio-purificatory method removes deep seated toxins, clearing Srotasa and pacifying vitiated Doṣha. Salivary gland secretions of leech have multiple actions like analgesic, anti-inflammatory and antibacterial which serve the purpose of wound healing. Keeping in mind, all the fundamentals & surgical applications of Leech therapy, a pilot study of 15 patients with chronic non healing wound was conducted. Observations were recorded on alternate days for 15 days. Within treatment analysis of the Chronic Non Healing Wound showed that T.I.M.E. principle reflected significant healing of wound after 7 days of leech therapy & supplementary protocol. The results of this pilot study in management of Chronic Non-Healing wound (Dushta Vrana) by Leech therapy (Jalauakavacharana) highlights the wound healing effects significantly.