Patana Kriya Meaning, Types, Clinical Significance

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Patana is the fourth kind of remedy talked about amongst ‘Sapta Upakrama’ i.e. the 7 forms of therapies. These 7 therapies talked about by Grasp Sushruta are usually not solely meant to deal with and heal the injuries, ulcers and associated swelling but additionally to stop their problems.
Learn – Sushruta’s 7 Types of Treatments Sapta Upakrama

Patana Kriya

 “Fourthly patana ought to be accomplished…!”

Paatan means

• tearing
• slipping
• dividing or
• making incision

Kriya is the strategy during which that is performed. 9 therapies from amongst the checklist of 60 therapies talked about in shashti upakrama are included beneath patana kriya. They should be selectively accomplished as per situation of the wound / ulcer / swelling across the ulcer.
Vimlapana means to melt or trigger to wither. This process is completed to melt the injuries or ulcers. This must be carried out first within the remedy of wounds and ulcers. The primary 6 therapies amongst the Shashti Upakrama are included beneath vimlapana. These therapies ought to be skillfully used to make the injuries or ulcers mushy. The set of those 6 therapies comprise vimlapana.
Learn – Shashti Upakrama Meaning, Classification, Clinical Significance

Sanskrit Verses

Sorts

Primarily 9 therapies are included beneath Patana.

If we’re following the chronology of the therapies as per shashti upakrama procedures, patana group of therapies ought to be strictly accomplished after upanaha. If the situation of the wound or swelling accessible on the time of treating the affected person is match to bear certainly one of these patana therapies straight, they shall be skillfully chosen.
Learn – Kaphaja Upanaha (Netra Roga) – Definition, Symptoms, Treatment

1. Chedana – excision
Situations during which excision must be accomplished –

• Apakveshu tu rogeshu – within the wounds and ulcers which haven’t undergone suppuration
• Kathineshu rogeshu – wounds and ulcers that are exhausting
• Stihreshu rogeshu – wounds and ulcers that are motionless
• Snayu kothadishu – wounds and ulcers whereby gangrene of the ligaments (tendons, blood vessels and so forth) have occurred within the environment

2. Bhedana – incision
Situations during which incision must be accomplished –

Incision ought to be accomplished within the wounds and ulcers / swellings whereby –

3. Daarana – splitting
Situations during which splitting must be accomplished –

• Bala Vrddha Asaha Kshina Bhiru Yoshitam – ulcers manifesting in kids, previous aged folks, those that are illiberal, emaciated, fearful and in ladies
• Marmopari Jateshu – ulcers and wounds manifested on the very important spots of the physique

How ulcers are cut up ?

a. Pidana – A sensible doctor who’s properly versed and has immense expertise in coping with completely different phases of wounds and ulcers ought to first conduct pidana karma i.e. compression of wounds and ulcers. This ought to be accomplished when the swelling across the ulcers are lumped up and the pores and skin across the ulcers has been suppurated.

The best way to do?
The herbs that are prescribed for pidana ought to be floor and made right into a paste. This paste is utilized on and across the opening of the ulcer and allowed to dry. When the paste of medicines dry up it shrinks the pores and skin across the ulcer and imparts strain on the ulcer. It will allow the buildup of pus at one place. The powder of barley, wheat and black gram shall be used for this function.

b. Darana – After the ulcers and swelling round them have been correctly pressed and compressed following the administration of pidana remedy, darana ought to be accomplished. So pidana is the preparation for darana and when accomplished on the backdrop of pidana, darana yields good outcomes.

The darana ought to be accomplished utilizing darana dravyas i.e. herbs able to splitting or tearing the swelling / ulcer or by means of kshara.

The under talked about herbs are used for this function –

• Chirabilva – Holoptelea integrifolia
• Agni – Semecarpus anacardium
• Danti – Baliospermum montanum
• Chitraka – Plumbago zeylanica
• Hayamaraka – Nerium indicum
• Kapota purisha – feces of pigeon / dove
• Grdhra purisha – feces of vulture
• Kanka purisha – feces of heron

4. Lekhana – scraping
Situations during which scraping must be accomplished –

• Kathina – ulcers that are exhausting and difficult
• Sthula Vrutta oshtan – ulcers which have thick and rounded edges
• Diryamanan punah punah – ulcers which break open repeatedly
• Kathina utsanna mamsa – presence of exhausting and elevated muscular tissues across the ulcers

How a lot scraping ought to be accomplished?

• Within the exhausting and difficult wounds and ulcers ought to be scraped evenly i.e. neither an excessive amount of nor too much less.
• In thick and spherical edged ulcers scraping ought to be accomplished in extra.
• Within the ulcers that break open repeatedly full scraping ought to be accomplished with out leaving any portion which must be scraped.
• In ulcers having exhausting and elevated ulcers, the extreme parts ought to be scraped off utilizing appropriate devices.

Within the absence of surgical devices for scraping, gauze, cotton, cuttlefish, alkali of barley, rock salt or tough leaves are used for a similar function.

5. Eshana – probing
Situations during which probing must be accomplished –

• Nadivrana – sinus ulcers
• Shalya garbha – ulcers containing international substances
• Unmargi vrana – fistula in anal area
• Utsangi vrana – hole ulcers

Shoot of a bamboo, hairs, fingers and steel probes ought to be utilized by the doctor progressively and punctiliously for the aim of probing.
Learn – Fistula In Ano Ayurvedic Understanding And Effective Treatment

6. Aaharana – extraction
A sensible doctor ought to extract the international physique from the wound / ulcer with none a part of it remaining inside it. It shall be extracted from the closed or open ulcers following the rules of extraction defined within the sutra sthana part. ‘Signs of correct extraction’ are the symptoms of the international physique being eliminated utterly.

Nishalya Lakshana – indicators / signs of correct elimination of international physique from the wound / ulcer

• Alpa badham – much less bother / ache
• Ashunam – lack of numbness
• Nirujam – painless
• Nirupadravam – absence of problems
• Prasannam – seems clear
• Mrdu paryantam – edges are mushy / easy
• Niraghattam – motionless
• Anunnatam – not raised

The ulcer having above stated indicators ought to be examined with the assistance of a probe and likewise by flexing and lengthening the a part of the physique / limb whereby the ulcer consisting of the international physique is positioned. Following this the surgeon ought to declare that the ulcer / wound / swelling are devoid of international materials.
Learn – Sushruta’s 8 Types Of Surgical Procedures – Astavidha Shastra Karma

7 and eight Vyadhana – puncturing and Vidravana – liquefaction (drain)
Puncturing and draining of ulcers / wounds (accumulation of fluids within the ulcers and swelling surrounding them) are associated procedures. First the surgeon punctures the ulcers after which drains them of their content material.

Professional surgeon ought to puncture the ulcer / wound that are eligible to be punctured utilizing appropriate devices. Puncturing is helpful in illnesses like ascites, abscess and hydrocele. Following puncture the contents like pus and so forth contained within the ulcer / swelling across the ulcer shall be drained.

9. Seevana – suturing
Situations during which suturing must be accomplished –

Abstract
The above talked about measures of Patana remedy are helpful in opening (excision, incision, tearing) the ulcers and swelling round it, to scrap off the undesirable tissues across the ulcers and wounds, to probe the interiors of ulcers and sinuses, to extract the international substances impacted contained in the ulcers and swellings, to puncture and drain the accrued fluids like pus and water and for suturing the open wounds and ulcers. All these measures embody minor surgical measures which should be accomplished at correct time seeing the situation of the ulcers. A superb experience and expertise is required by the surgeon to diagnose the situation correctly and to manage the remedy as per the necessity and situation. These procedures are often accomplished after upanaha (poultice and different associated therapies) if chronology is being adopted. The 13 procedures included beneath shodhana (cleaning therapies) and ropana (therapeutic therapies) shall be accomplished after patana procedures.

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