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 performed. This methodology of surgical dressing has been defined within the context of Shashti Upakrama i.e. 60 sorts of remedy 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 issues. 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 remedy amongst these 7 remedies. Vaikrutapaha means eradicating the deformities attributable to the ulcers and wounds. This can be a form of beauty rebuilding of the ulcer space and to advertise therapeutic in a complete method. Vaikrutapaha contains of 26 sorts of remedies amongst which Patradana is one.
Learn – Sushruta’s 7 Kinds of Therapies Sapta Upakrama
Patradana
Under talked about are the situations during which the ulcers / wounds should be lined with leaves –
- Sthiranam – motionless ulcers / wounds
- Alpa mamsanam – ulcers / wounds lined with much less muscle tissue, the muscle tissue would have gotten destroyed attributable to ulcers / wounds as a complication
- Raukshyaad anuparohataam – wounds / ulcers which haven’t healed attributable to excessive dryness in them
Within the above mentioned situations the ulcers / wounds are lined by the leaves. That is performed in accordance to the doshas concerned and the prevailing seasons. Leaves having medicinal properties shall be lined on the injuries after having utilized medicinal pastes on them.
Within the above talked about situations, first the medicinal pastes are utilized on the ulcer / wound. Subsequent the ulcer / wound on which the medicinal paste has been utilized are lined with leaves such that the leaves cowl the paste.
Learn – Avasechana Methodology of Wound Care: Which means, Varieties, Medical Significance
Sanskrit Verses
Kinds of leaves
a. In ulcers attributable to vitiated vata – the beneath 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 attributable to vitiated pitta and blood – the beneath 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 crops / timber
- Audaka Patra – leaves of crops rising in water (like lotus and so on)
c. In ulcers attributable to vitiated kapha – the beneath talked about leaves are used for masking –
Learn – Charaka Vrana Chikitsa – twenty fifth Chapter – Wounds, Ulcers
Qualities of leaves that are used for masking the ulcers and wounds
- Akarkasha – not tough
- Avichchinnam – not torn
- Ajirnam – not outdated (needs to be recent)
- Sukumarakam – tender
- Ajantu jagdham – not infested with worms and bugs
- Mrdu – easy
Leaves used to cowl the injuries / ulcers – Causes and advantages
The beneath talked about needs to be utilized on the ulcer / wound from inside out –
- Medicinal paste straight 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 material, the fat and essence of medicines within the paste would come into direct contact with the bandage material and get wasted. To stop the lack of fat and medicinal essence the leaves are layered between the paste and bandage material. 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 mentioned above.
