By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Patradana means masking with leaves. It is 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 executed. This technique 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 forestall their problems. These 60 sorts of remedies are included in 7 forms of remedies known 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. It is a sort of beauty rebuilding of the ulcer space and to advertise therapeutic in a complete approach. 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 situations during which the ulcers / wounds have to be lined with leaves –

  • Sthiranam – motionless ulcers / wounds
  • Alpa mamsanam – ulcers / wounds lined with much less muscle tissues, the muscle tissues would have gotten destroyed resulting from ulcers / wounds as a complication
  • Raukshyaad anuparohataam – wounds / ulcers which haven’t healed resulting from excessive dryness in them

Within the above stated situations the ulcers / wounds are lined by the leaves. That is executed 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 Method of Wound Care: Meaning, Types, Clinical Significance

Sanskrit Verses

Forms 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 vegetation / bushes
  • Audaka Patra – leaves of vegetation rising in water (like lotus and so forth)

c. In ulcers attributable to vitiated kapha – the beneath 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 outdated (ought to be contemporary)
  • Sukumarakam – tender
  • Ajantu jagdham – not infested with worms and bugs
  • Mrdu – clean

Leaves used to cowl the injuries / ulcers – Causes and advantages

The beneath talked about ought to be utilized on the ulcer / wound from inside out –

  • Medicinal paste instantly utilized over the ulcer
  • Leaves having medicinal property positioned over the medicinal paste
  • Bandage tied over the leaves

If the leaves usually are not positioned in between the paste of drugs 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 forestall 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 forestall lack of fat within the medicinal pastes as stated above.

Click to Consult Dr Raghuram Y.S. MD (Ayu)

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