A Clinical Study to Evaluate the Efficacy of Vipareeta Malla Taila in Dusta Vrana

Abstract

Dusta vrana management is a common problem, encountered by medical practitioners all over the globe. i.e. non-healing chronic ulcer.Without early and optimal intervention, the wound can rapidly deteriorate and leading to amputation of the affected limb. Studies reveal that it is difficult to achieve the complete aim of wound management with a single drug.In the present study Vipareeta Malla Taila is selected from Bhaishajaya Ratnavali and Yogaratnakar. It consists of   Sindoor, Kushta, Hingu, Rason, Chitrka Root, Langali, Hartal, Sharpunka, Shudh Tutha and Shudh Samundrafena  etc.These drugs having properties of Vrana Shodhana (cleansing), Ropana (healing), Vedanashamana (analgesic), Shothaharana (anti- inflammatary and reducing swelling) and bactericidal. It is single blind clinically study where 15 patients were selected. The patient were treated with Vipareeta Malla Taila. Vipreetmala Taila mentioned by Acharya Yogratnakar in the context of Vrana chapter is found efficacious in wound healing. The drug initially acts as a debriding agent removing slough and necrotic tissues & subsequently paves way for smooth & uninterrupted healing of the ulcer.Topical application of Vipreetmala Taila reduces pain, burning sensation and itching. It also decreases discharge, edema and also helps in gradual improvement in floor & granulation tissue. The semi occlusive dressing of Vipreetmala Taila provides moist environment which enhances epithelialization, prevent scar formation and can be easily removed from wound surface without causing pain or damage to the new growing epithelium.Hence from the present clinical study, it can be speculated that Vipreetmala Taila possess sufficient efficacy in Vrana Shodana & Vrana Ropana without producing any adverse effects.