By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Patradana means masking with leaves. This can be a distinctive measure adopted in masking the injuries / ulcers on which the medicinal pastes are utilized. Over the leaves the bandaging of wounds and ulcers are completed. This technique of surgical dressing has been defined within the context of Shashti Upakrama i.e. 60 sorts of therapy defined by Grasp Sushruta within the first chapter of Chikitsa Sthana part. All these 60 remedies are helpful for treating the ulcers and likewise to stop their problems. These 60 sorts of remedies are included in 7 sorts of remedies referred to as Sapta Upakrama which Sushruta has talked about within the Sutra Sthana Part (Chapter 17).
Vaikrutapaha is the seventh therapy amongst these 7 remedies. Vaikrutapaha means eradicating the deformities brought on by the ulcers and wounds. This can be a type of beauty rebuilding of the ulcer space and to advertise therapeutic in a complete manner. Vaikrutapaha contains of 26 sorts of remedies amongst which Patradana is one.
Learn – Sushruta’s 7 Types of Treatments Sapta Upakrama
Patradana
Under talked about are the circumstances by which the ulcers / wounds should be coated with leaves –
- Sthiranam – motionless ulcers / wounds
- Alpa mamsanam – ulcers / wounds coated with much less muscular tissues, the muscular tissues would have gotten destroyed as a result of ulcers / wounds as a complication
- Raukshyaad anuparohataam – wounds / ulcers which haven’t healed as a result of excessive dryness in them
Within the above stated circumstances the ulcers / wounds are coated by the leaves. That is completed in accordance to the doshas concerned and the prevailing seasons. Leaves having medicinal properties shall be coated on the injuries after having utilized medicinal pastes on them.
Within the above talked about circumstances, first the medicinal pastes are utilized on the ulcer / wound. Subsequent the ulcer / wound on which the medicinal paste has been utilized are coated with leaves such that the leaves cowl the paste.
Learn – Avasechana Method of Wound Care: Meaning, Types, Clinical Significance
Sanskrit Verses
Forms of leaves
a. In ulcers brought on by vitiated vata – the under talked about leaves are used for masking –
- Eranda Patra – leaves of Ricinus communis (castor)
- Bhurja Patra – leaves of Betula utilis
- Karanja Patra – leaves of Pongamia pinnata
- Haridra Patra – leaves of Curcuma longa (turmeric)
b. In ulcers brought on by vitiated pitta and blood – the under talked about leaves are used for masking –
- Ashvabala Patra – leaves of Medicago sativa
- Kashmari (Gambhari) Patra – Gmelina arborea
- Kshiri Vrksha Patrani – leaves of latex yielding vegetation / timber
- Audaka Patra – leaves of vegetation rising in water (like lotus and so on)
c. In ulcers brought on by vitiated kapha – the under talked about leaves are used for masking –
Learn – Charaka Vrana Chikitsa – 25th Chapter – Wounds, Ulcers
Qualities of leaves that are used for masking the ulcers and wounds
- Akarkasha – not tough
- Avichchinnam – not torn
- Ajirnam – not previous (needs to be contemporary)
- Sukumarakam – tender
- Ajantu jagdham – not infested with worms and bugs
- Mrdu – easy
Leaves used to cowl the injuries / ulcers – Causes and advantages
The under talked about needs to be utilized on the ulcer / wound from inside out –
- Medicinal paste immediately utilized over the ulcer
- Leaves having medicinal property positioned over the medicinal paste
- Bandage tied over the leaves
If the leaves are usually not positioned in between the paste of medication and bandage fabric, the fat and essence of medicines within the paste would come into direct contact with the bandage fabric and get wasted. To stop the lack of fat and medicinal essence the leaves are layered between the paste and bandage fabric. Leaves are additionally utilized on the anointment / medicinal paste for inducing chilly or warmth as per want and to stop lack of fat within the medicinal pastes as stated above.
