विषय सूची पर जायें

व्रण

References:

C.Chi.25, S.Su.22, 28, Chi.1,2 , A.H.U.25 -26 M.N.41-45

Introduction:

व्रण means wound. Other meanings include sore or ulcer. It may happen due to vitiation of S`haareera Dosha or any exogenous cause like trauma, etc.

Nirukti

  1. Vrin`oti Yasmaad Rood`he Api Vran`avastu Na Nas`hyati |

Aadeha Dhaaran`aat Tasmaad Vran`a Iti Uchyate Budhaih ||

S.Su.21/40

Though a wound gets healed, the scar remains there lifelong, therefore it is called as Vran`a.

  • व्रण Gaatra Vichurn`ane |
  • Vran`ayati Iti Vran`ah | S.Chi.1/6

व्रण is said to be a condition of Tvak (skin) where it is cut or broken.

Types

According causative factors:

  • Nija
  • Caused due to S`haareera Dosha viz. Vaata, Pitta and Kapha wherein Dosha are vitiated first and then Vyathaa (pain) gets manifested.
  • Sus`hruta has counted Rakta as one of the causative factors of व्रण.
  • Considering Dosha dominance these व्रण could be classified as:
  1. Vaataja – It is Stabdha, hard to touch (Kat`hina), with lesser exudates (Manda Sraavee), severe pain (Atiteevra Ruk), Toda (pricking pain), Sphuran`a (pulsation at the site of wound), S`hyaava (the colorof the wound becomes dark brown)
  2. Pitaaja – There is thirst (तृष्णा), infatuation (Moha), fever (ज्वर), perspiration (Sveda), burning sensation (दाह), Dusht`i, Avadaaran`a (breaking of the skin), with odorand exudates in Pittaja Vran`a.
  3. Kaphaja – Kaphaja Vran`a is whitish (पाण्डु) in color. There is less exudation (Alpa Samkleda). It is Chirakaaree (it remains for longer duration). There are sticky secretions (Bahu Pichchaa), mild pain (Manda Vedanaa). The wound is Guru (heaviness at the site of wound), Snigdha (unctuousness of the wound), Stimita (moist and motionless).
  1. Aagantu

These व्रण are caused due to exogenous things like trauma, falling, biting, fire, weapon etc., wherein Vyathaa (pain) is manifested first and then the Dosha get vitiated.

Nija and Aagantu Vran`a, both differ by their Hetu (causative factors), Lakshan`a (signs and symptoms) and चिकित्सा. मंत्र (Spiritual Chanting) etc. are used for the Aagantu Vran`a. In Aagantu Vran`a, when there is association of Dosha, and when these Aagantu Vran`a are not subsided by their own treatment then it is necessary to treat Aagantu Vran`a by the guidelines of Nija Vran`a. According to the dominance and dominance of Dosha, these Aagantu Vran`a should be treated.

There are 16 types of व्रण as per the association of Dosha. 16th type is S`huddha Vran`a.

  1. Doshaadhisht`hita (15)
  2. S`huddha

Types of Aagantu Vran`a (Sadyo Vran`a) fresh wounds according to Sus`hruta.

  1. Chhinna Vran`a
  2. Bhinna Vran`a
  3. Viddha Vran`a
  4. Kshata Vran`a
  5. Pichchita Vran`a
  6. Ghrisht`ha व्रण
  1. Chhinna Vran`a

When a body part gets cut and the shape of the wound is Tirashcheena (Tiryag Vyavasthita), Riju (straight Avakra), Aayata (rectangular), then the व्रण is called as Chhinna Vran`a.

  • Bhinna Vran`a

The Aas`hayaa_s are broken through by the weapons. The secretions are as per the broken Aas`haya. This is Bhinna Vran`a. Though an Aas`haya does not break, through the subtle channels the intestines are filled by the secretions.

When Aas`haya is filled with the blood, it manifests with ज्वर and दाह. The blood gets secreted out through urinary tract, anus, mouth and nose.

  • Viddha Vran`a

It is the व्रण formed by the weapon of sharp edge. It may not pierce the Aas`haya. This is Viddha Vran`a.

  • Kshata Vran`a

It is not highly incised or broken wound. It gives symptoms of both, Chhinna and Bhinna Vran`a. It is Vishama Vran`a.

  • Pichchita Vran`a

Due to trauma and assault, the body part gets widened. The effect is up to the Asthi. The व्रण is associated with Majjaa and Rakta.

  • Ghrisht`a Vran`a

The skin gets removed in this type of व्रण. There is burning sensation and secretions. This is Ghrisht`a व्रण.

Vaagbhat`a has given 8 types of Sadyo Vran`a

  1. Ghrisht`a
  2. Avakritta
  3. Vichchhinna
  4. Pravilambita
  5. Paatita
  6. Viddha
  7. Bhinna
  8. Vidalita
  1. Ghrisht`a Vran`a

There is secretion of Laseekaa or Raktales`ha. There is Plosha when there is incision.

  • Avakritta Vran`a

This व्रण is more deep than Ghrisht`a व्रण. This is a cut on the skin.

  • Vichchhinna Vran`a

Body part gets detached.

  • Pravilambita Vran`a

Dueto a wound body part remains hanging down.

  • Paatita Vran`a

A part when gets divided due to the wound.

  • Viddha Vran`a

The व्रण happened at the skin except the Kosht`ha by a sharp pointed weapon.

  • Bhinna Vran`a

व्रण happened into the Kosht`ha by a sharp pointed weapon. It is actually Viddha Vran`a happened in the Kosht`ha.

  • Vidalita Vran`a

It is the व्रण associated with Majjaa and Rakta. It is also associated with the Asthi. The व्रण is widely spread. It is caused due to the trauma or assault.

Other types of व्रण include:

  1. Kritya – Chhedana can be done here – Saadhya
  2. Utkritya – there is no treatment but Ropan`a can be done – Asaadhya
  3. Dusht`a
  4. Adusht`a
  5. Marmasthita
  6. Amarmasthita
  7. Samvrita
  8. Vivrita
  9. Daarun`a
  10. Mridu
  11. Sraavee
  12. Asaraavee
  13. Savisha
  14. Visharahita (Nirvisha)
  15. Vishamasthita
  16. Samasthita
  17. Utsangee – Utsanga Maamsa – where Maamsa Dhaatu elevated in the wounds above the normal skin level or there may the elevation due to the pus formation.
  18. Anutsangee
  19. Utsanna
  20. Anutsanna

रोगमार्ग of व्रण – Baahya

Dosha get vitiated by their own causative factors and in Baahya Rogamaarga (S`haakhaa, Rakta etc. Dhaatu and Tvak) they manifest with the व्रण.

Pareekshaa (examination) of व्रण

  1. Dars`hana – A wound is to be looked for the age of patient, color(Varn`a) the wound, and the Indriya Ashisht`haana (the organ whereon the und is manifested)
  2. Spars`hana – By touching a wound the temperature, hardness of the wound can be known.
  3. Pras`hna – After questing a patient, causative factors (Hetu), type of pain, Saatmya (habits), Agnibala (capacity to digest) can be known.

Assessment of व्रण includes assessment of site (व्रण Vastu), size and shape (Aakriti), secretions (Sraava), smell (Gandha), signs and symptoms (Lakshan`a – Vedanaa).

व्रण Vastu

व्रण Vastu is the site of व्रण at which व्रण gets manifested. All the व्रण are counted under these 8 types of व्रण Vastu.

  1. Tvak
  2. Maamsa
  3. Siraa
  4. Snaayu
  5. Asthi
  6. Sandhi
  7. Kosht`ha
  8. मर्म


Vran`a Aakriti

व्रण Aakriti is a shape of the wound. Those are broadly considered as four.

  1. Aayata Deergha broadly spread
  2. Chaturasra Chaushkon`a four angled
  3. Vritta round
  4. Triput`aka Trikon`a triangular

अन्य व्रण Aakriti are difficult to cure. They are

  1. Aayata
  2. Chaturasra
  3. Tryasra
  4. Man`Dala
  5. Ardhachandrasama
  6. Vis`haala (Visteern`a)
  7. Kut`ila (Vakra)
  8. S`haraava Nimna Madhya
  9. Yavamadhya

व्रण Sraava

Secretions of व्रण are important in diagnosis and prognosis of व्रण.

व्रण Sraava – 14

  1. Laseekaa
  2. Jala
  3. Pooya
  4. Rakta
  5. Haaridra
  6. Arun`a
  7. Pinjara – reddish yellow
  8. Kashaaya
  9. Neela
  10. Harita
  11. Snigdha
  12. Rooksha
  13. Sita
  14. Asita



व्रण Sraava according to व्रण Vastu

  व्रण Vastu व्रण Bheda व्रण Sraava
1 Tvak Ghritsht`a, Chhinna, Sphot`a, Bhinna, Vidaarita Jalavat Kinchid Visra Peetaavabhaasee
2 Maamsa   Sarpivat, Saandra S`hveta, Pichchhila
3 Siraa Sadyah Chhinna Siraa Pakva Siraa Vran`a (Toyanaad`ee Iva) Rakta Atipravritti Toyaagamana Pooyasya Tanu Vichchhinna (Alpa Alpa Pravartana) Pichchhila Avalambee (Avalambanas`heela) S`hyaava Avas`hyaaya
4 Snaayu   Snigdha, Ghana Singhaan`aka Pratima (Raktamis`hra Ghaneebhoota S`hleshmaa) Sarakta
5 Asthi Asthi Abhighaata, Sphut`ita, Bhinna, Doshaavadaran`a Asthnah Doshabhakshan`a Nihsaara Asthi S`hikti Dhautam Iva Majjamis`hrita Sarakta Snigdha
6 Sandhi Peed`yamaanah Na Pravartate Aakunchana, Prasaaran`a, Unnamana (Baahujanghaadeenaam Oordhvam Gamanam), Vinamana (Gaatraan`aam Adhah Praapan`am), Pradhaavana, Ukaasana, Pravaahan`aih (Kunthanam) Sravati Pichchhila Avalambee, Sarakta Unmathita
7 Kosht`ha   Rakta Mootra Pureesha Pooya Udaka
8 मर्म Same as all other व्रण Vastu; therefore not elaborated in the text  

व्रण Sraava and Dosha dominance

Vaataja Sraava Pittaja Sraava Kaphaja Sraava Saannipaataja Sraava
Paarushya Gomedaka Sadris`ha Navaneeta Sadris`ha Naalikerodaka Sadrisha
S`hyaava Gomootra Sadris`ha Kaaseesa Sadris`ha Ervaaruka Rasa Sadrisha
Avas`hyaaya Bhasma Sadris`ha Majja Sadris`ha Kaanjikaprasaada Sadrisha
Dadhimastu Sadris`ha S`hamkha Sadris`ha Pisht`a Sadris`ha Aarukodaka Sadrisha  
Kshaarodaka Sadris`ha Kashaayodaka Sadris`ha Tila Sadris`ha Priyanguphala Sadrisha
Maamsadhaavana Sadris`ha Maadhveeka Sadris`ha Naalikeraodaka Sadris`ha Yakrit Sadrisha  
Pulaakodaka Sadris`ha Taila Sadris`ha Varaaha Sadris`ha Mudgayoosha Savarn`a
  Ativisravatva    

व्रण Gandha

व्रण Gandha is smell of व्रण. generally those are 8.

  1. Sarpi Gandha
  2. Taila Gandha
  3. Vasaa Gandha
  4. Pooya Gandha
  5. Rakta Gandha
  6. S`hyaava Gandha – Smell generated after triturating curd in the copper vessel
  7. Amla Gandha
  8. Pootika Gandha

Vikrita Gandha of व्रण (Arisht`a Soochaka / Asaadhya)

  1. Madya Gandha
  2. Aguru Gandha
  3. Aajya Gandha
  4. Sumana Gandha
  5. Padma Gandha
  6. Chandana Gandha
  7. Champaka Gandha
  8. Divya Gandha
  9. S`hva Gandha
  10. Vaaji Gandha
  11. Mooshika Gandha
  12. Kaaka Gandha
  13. Pootivallora Gandha
  14. Mtkun`a Gandha
  15. Panka Gandha
  16. Bhoomi Gandha

व्रण Vedanaa

Vran`a Vedanaa and Dosha

Pittaja and Raktaja Vran`a:

Osha, Chosha, Paridaaha, Dhoomaayana, Gaatra Angaara Avakeern`a Iva Pachyate

Ushmaabhivriddhi, Kshaaraavasiktavat Vedanaa.

Saannipaatika: All types of Vedanaa due to all the Dosha

Kaphaja Vran`a:

Kan`d`oo, Gurutva, Suptatva, Upadeha, Alpavedanatva, Stambha, S`haityai.

Vaataja Vran`a:

Todana, Bhedana, Taad`ana, Chchhedana, Aayaamana, Manthana, Vikshepan`a, Chumuchumaayana, Nirdahana, Aabhanjana, Sphot`ana, Vidaaran`a, Utpaat`ana, Kampana, Vividha S`hoola, Vis`hleshan`a Vikiran`a, Stambhana, Pooran`a, Svapana, Aakunchana, Ankus`hikaa, Animitta, Vividha Vedanaa Praadurbhaava, Muhurmuhu Vedanaa

व्रण Varn`a

Vaata Pitta & Rakta Kapha Saannipaatika
Bhasma Varn`a Neela Varn`a S`hveta Sarva Varn`a
Kapota Varn`a Peeta Varn`a Snigdha  
Asthi Varn`a Harita Varn`a पाण्डु  
Parusha S`hyaava Varn`a    
Arun`a Varn`a Krishn`a Varn`a    
Krishn`a Rakta Varn`a    
  Pingala Varn`a    
  Kapila Varn`a    

व्रण Upadrava

  1. विसर्प
  2. Pakshaghaata
  3. Siraastambha
  4. Apataanaka
  5. Moha
  6. उन्माद
  7. व्रण Rujaa
  8. ज्वर
  9. तृष्णा
  10. Hanugraha
  11. कास
  12. छर्दि
  13. Ateesaara
  14. हिक्का
  15. श्वास
  16. Vepathu

Saadhyaasaadhyatva:

  • Sukhasaadhya Criteria
  • Tvaksthitha Vran`a
  • Maamsaja Vran`a
  • Sukhe Des`he
  • Tarun`a Purushe
  • Anupadravee
  • Dheemaan Rugn`a
  • Nava (Abhinava)
  • Anukoola Kaala
  • Aadya Ekavastu Sannives`hee (Tvak Gata Varn`a)
  • Aatmavaan Rugn`a
  • Subhishagbhih Upakraanta
  • Sattvavaan Rugn`a
  • Maasabalavaan Rugn`a
  • Agnibalavaan Rign`a
  • Vayobalavaan Rugn`a
  • Vritta Vran`a
  • Deergha Vran`a
  • Triput`aka Vran`a
  • Chaturasra Vran`a
  • Sphiggata Vran`a
  • Paayugata Vran`a
  • Med`hragata Vran`a
  • Prisht`hagata Vran`a
  • Antarvaktra Vran`a
  • Gan`d`aga Vran`a
  • Krichchhrasaadhya Vran`a
  • Parisraavee Vran`a
  • Gandhayukta Vran`a
  • Doshayukta Vran`a
  • Upadravayukta Vran`a
  • Bahudoshee Vran`a
  • Akshigata Vran`a
  • Das`hanagata Vran`a
  • Naasikaagata Vran`a
  • Apaangagata Vran`a
  • Naabhigata Vran`a
  • Sevaneegata Vran`a
  • Jat`haragata Vran`a
  • S`hrotragata Vran`a
  • Paars`hvagata Vran`a
  • Kashaagata Vran`a
  • Stanagata Vran`a
  • Phena Sraavee Vran`a
  • Pooya Sraavee Vran`a
  • Anilavaha Vran`a
  • Shalyavaan Vran`a
  • Oordhvanirvamee Vran`a
  • भगन्दर
  • Antarvadana Vran`a
  • Kat`eesthita Vran`a
  • Asthisthita Vran`a
  • Vran`a in Kusht`ha
  • Vran`a in Vishajusht`a
  • Vran`a in S`hosha
  • Vran`a in Madhumeha
  • Vran`e Vran`a (Vran`a on Vran`a)
  • Vriddha Rign`a
  • Atvaksthita Vran`a
  • Amaamsaja Vran`a
  • Upadravayukta Vran`a
  • Buddhiheena Rugn`a
  • Jeern`a Vran`a
  • Pratikoola Kaala
  • Svayam Avadeeryamaan`a
  • Anaatmavaan Rugn`a
  • Adnyaih Upakraanta

Tvaksthita – Maamsasthita – Siraasthita – Snaayusthita – Sandhisthita – Asthisthita – Aas`hayasthita – Kosht`hasthita – Marmasthita Vran`a are successively difficult to cure.

  1. Asaadhya Criteria
  • When all the criteriaof Sukhasaadhyatva are absent then व्रण is Asaadhya.
  • Pakvaas`hayaja Vran`a
  • Pulakodakasannibha (Gavedhukodaka Jalagodhooma vat ) Sraavee Vran`a
  • Kshaarodakasannibha Sraavee Vran`a
  • Raktaas`haya Vran`a
  • Aamaas`haya Vran`a
  • Kalaayaambha Sadris`ha Sraavee Vran`a
  • Trikasandhija Vran`a (Trika Baahu Greevaa Asthi Traya Sanghaata)
  • Vran`a in Veesarpa
  • Vran`a in Jvara
  • Vran`a in Ateesaara
  • Vran`a in Kaasa
  • Vran`a in Trishn`aa
  • Vran`a in Anidraa
  • Vran`a in S`hvaasa
  • Vran`a in Avipaaka (Ajeern`a)
  • Bhinna S`hirahkapaala
  • Mastulungadars`hee Vran`a
  • Vasaa Sraavee Aagantuja Vran`a
  • Medo Sraavee Aagantuja Vran`a
  • Majjaa Sraavee Aagantuja Vran`a
  • Mastulunga Sraavee Aagantuja Vran`a
  • Doshaih Atidooshita Vran`a
  • व्रण Dosha

These are the conditions due to which व्रण though it is curable, becomes incurable.

  • Snaayu Kleda
  • Siraa Kleda
  • Gaambheerya
  • Krimi Bhakshan`a
  • Asthi Bheda
  • Vran`a Sas`halyatva
  • Vran`a Savishatva
  • Vran`a Sarpan`a
  • Nakha Bheda
  • Kaasht`ha Bheda
  • Charma Loma
  • Atighat`t`ana – some have counted these two as single Upadrava.
  • Vran`a Mithya Bandha
  • Ati Snehana of Vran`a
  • Ati Bhaishajya Karshan`a
  • अजीर्ण
  • Ati Bhukta
  • Viruddha Bhojana
  • Asaatmya Bhojana
  • S`hoka
  • Krodha
  • Divaasvapna
  • Vyaayaama
  • Maithuna
  • Nishkriyatva (Chikitsaa Varjana)
  • Ati Raukshya
  • Kshobha
  • As`huddha Kosht`ha
  • Sauhitya
  • Atikars`hana
  • Madyapaana
  • Raatrijaagaran`a
  • Mithyaa Upachaara
  1. Arisht`a Lakshan`a:
  • Pittaja Kumkuma Varn`ee Varn`a
  • Pittaja Dhyaamaka Varn`ee Varn`a
  • Pittaja Kankusht`ha Varn`ee Varn`a
  • Pittaja Daaha Rahita Varn`a
  • Pittaja Chosha Rahita Varn`a
  • Kaphaja Kan`d`oomaan Vran`a
  • Kaphaja Sthira Vran`a
  • Kaphaja S`hveta Vran`a
  • Kaphaja Snigha Vran`a
  • Kaphaja Dooyamaana Vran`a
  • Kaphaja Dahyamaan Vran`a
  • Vaataja Krishn`a Varn`ee Varn`a
  • Vaataja Tanusraavee Vran`a
  • Vaataja Marmataapee Vran`a
  • Vaataja Svalpa Api Rujaa Akriyamaan`a Vran`a
  • Kshved`amaana Varn`a
  • Ghurghuraayamaana Varn`a
  • Jvalishyamaana Varn`a
  • Tvakstha Sas`habda Visrijyamaan`a Varn`a
  • Maamsatha Sas`habda Visrijyamaan`a Varn`a
  • Amarmastha Ati Vedanaavaan Varn`a
  • Antah Dahyamaana, Bahih S`heeta Vran`a
  • Bahih Dahyamaana, Antah S`heeta Vran`a
  • Vran`eshu S`hakti Avabhaasyamaan`a Vran`a
  • Vran`eshu Dhvaja Avabhaasyamaan`a Vran`a
  • Vran`eshu Ratha Avabhaasyamaan`a Vran`a
  • Vran`eshu Kunta Avabhaasyamaan`a Vran`a
  • Vran`eshu Vaaji Avabhaasyamaan`a Vran`a
  • Vran`eshu Vaaran`a Avabhaasyamaan`a Vran`a
  • Vran`eshu Go Avabhaasyamaan`a Vran`a
  • Vran`eshu Vrisha Avabhaasyamaan`a Vran`a
  • Vran`eshu Praasaadaakriti Avabhaasyamaan`a Vran`a
  • Anvachoorn`itaa Api Choorn`akirn`aavabhaasee Vran`a
  • Praan`a Kshaya
  • Maamsa Kshaya
  • S`hvaasa Peed`ita
  • Kaasa Peed`ita
  • Arochaka Peed`ika
  • Pravriddha Pooya Vran`a
  • Pravriddha Rudhira Vran`a
  • Marmasthita Vran`a
  • Samyag Chikitsaa Aarabdhaa Api Ye Vran`aah Na Sidhyanti
  • Madya Gandha Vran`a
  • Dusht`a व्रण

व्रण which has vitiated Dosha is called as Dusht`a. It may be Nija or Aagantu. Nija व्रण forms due to vitiated Dosha. Aagantu व्रण may be initially Shuddha later may become Dusht`a. Although normal (Prakruta) Dosha are essential also present in case of S`huddha व्रण but in Dusht`a व्रण, Dosha are abnormal hence require व्रण सौषधं as treatment. Features of Dusht`a Vran`a are:

  1. Pooti Vran`a व्रण with pus
  2. Pooya Sraavee Pus secretions
  3. Ati Dusht`a Rakta Sraavee infected bloody secretions
  4. Utsangee having cavity inside (Kot`aravaan)
  5. Chirasthiti Associatedwith Dosha reveals the non healinginfected condition of wound
  6. Ati Gandha Yukta with different smells / odor
  7. S`hveta (white)
  8. Avsannavartma
  9. Atisthoola Vartma
  10. Atipinjara
  11. Neela
  12. S`hyaava
  13. Atipid`aka
  14. Rakta
  15. Krishn`a
  16. Atipootika
  17. Ropya
  18. Kumbheemukha

Dusht`a व्रण Lakshan`a

  1. Atisamvrita Ati Samkuchita – constricted wound – due to Vaata
  2. Ativivrita Vyaattamukha – due to Pitta and S`hon`ita
  3. Atikat`hina hardness – due to Vaata
  4. Ati Mridu soft wound – due to Kapha (or due to Pitta and S`hon`ita)
  5. Utsanna Unnatamaamsa – due to Rakta and Pitta
  6. Avasanna Heena Maamsa Nimnaakaara – due to Rakta and Pitta
  7. Ati S`heeta due to Kapha and Vaata
  8. Ati Ushn`a due to Rakta and Pitta
  9. Krishn`a Varn`a
  10. Rakta Varn`a
  11. Peeta Varn`a
  12. S`hukla Varn`a –
  13. Bhairava Anavadhaarita Linga
  14. Pooti – Pooya Maamsa Siraa Snaayubhih Poorn`ah व्रण
  15. Pooti Pooya Sraavee –
  16. Unmaargee Tiryag Gatih
  17. Utsangee Oordhvagatih
  18. Amanodnya Dars`hana Gandha ugly look and smell of wound
  19. Atyartha Vedanaavaan with severe pain
  20. दाह due to Pitta and Rakta
  21. Paaka due to Pitta and Rakta
  22. Raaga due to Pitta and Rakta
  23. Kan`d`oo due to Kapha
  24. S`hopha due to Vaata
  25. Pid`akaa due to Rakta and Pitta
  26. Dusht`a S`hon`ita Sraava due to Rakt and Pitta
  27. Deerghakaalaanubandhee due to all the three Dosha

S`huddha Vran`a

Wound free from signs of vitiated Dosha, painless without discharge and with healthy granulation tissue, is called as S`huddha Vran`a. signs and symptoms are as follows:

  • Suvyavasthita (व्रण of regular shape)
  • Samatva (व्रण at skin level)
  • Jivhatalabha (Pinkish and soft like a tongue)
  • Mrudu (Soft)
  • Snigdha (Oily texture)
  • Shava Vranoutha (Blackish edges)
  • Unnata Madhya (Centrally elevated)
  • Sravarahita (Without any discharge)
  • Pidikayukta (Presence of healthy granulation tissue)
  • Dosharahita (Without vitiated Dosha)
  • Anupadravi (Without any complications)
  • Shlakshn`a (Smooth)
  • Vigata Vedana (Painless)

Ruhyamaan`a व्रण (Healing wound)

It is a stage where ulcer is in the healing process .The word Ruhyamaana shows process towards complete healing.

  • Kapota Varn`a व्रण
  • Kledavrjita Anta व्रण
  • Sthira Vran`a
  • Chipit`ikaavaan Vran`a (Charmacheleeyukta Vran`a)

Rood`ha व्रण

Rood`ha means complete healed wound. Its signs and symptoms are:

  • Rood`ha Vartma where व्रण Vastu is healed
  • Granthirahita Vran`a without any glandular growth
  • As`hoona Vran`a without any edema
  • Aruja Vran`a without any pain
  • Tvak Savarn`a resembling with the colorof skin
  • Samatala whose surface is plane at the level of skin.

Comparative study of व्रण types

व्रण type Varn`a Sraava Vedanaa Gandha Lakshan`a
Vaataja S`hyaava Arun`a S`hyaava Krishn`a Arun`a Bhasmanibha Kapotaasthinibha Pichchhila Alpa Sraavee Mastutulya Maamsatulya Pulaakaambutulya Tanu Sraava Alpa Sraava Chat`achat`aayanas`heela Sphuran`a Aayaama Toda Bheda Vedanaa Bahula Todaad`hya Bhedaad`hya Chat`achat`aayamaana   Tanu S`heeta Rooksha Nirmaamsa Nirmaamsa Rooksha  
Pittaja Peeta Neelaabha Peeta Neela Kapila Pingala Kims`hukodakaabha Ushn`a Sraavee Mootrasama Kims`hukabhasmaambuvat Tailaabha Ushn`a Bahu Sraava दाह Kshaarokshitakshatasama Vyathaa   Kshipraja Paaka Raaga Peeta Pid`akaa Jusht`a Kshipraja Raagavaan Ushmaavaan Paakavaan
Kaphaja पाण्डु Bhaasee पाण्डु S`hukla S`heeta Saandra Pichchhila Bahu Sraava S`hveta Sraava Ghana Sraava Pratata Chan`d`a Kan`d`oo Bahula Mandavedanaa Kan`d`oomaan Alparuk   Sthoolausht`ha Stabdha Siraa Snaayu – Jaalaavatata Kat`hina Guru Sthoolausht`ha Kat`hina Snaayusiraajaalatata
Raktaja Pravaaladalanichaya Prakaas`ha Pravaalarakta Rakta Sraavee Sarakta Pooya Savedanaa Dhoomaayanas`heela Turangasthaana Gandhi (Teekshn`akshaara Gandhi D`alhan`a) Vaajisthaanasama Gandha (Turagasthaana Tulya Gandha) Krishn`a sphot`apid`ikaa jaalopachita Pitta Lakshan`ayukta Pitta Lakshan`a Yukta
Vaata Pittaja   Peeta Arun`aabha Peeta Sraavee Arun`a Sraavee Toda दाह Dhoomaayana    
Vaata Kaphaja     Muhurmuhu S`heeta Alpa Pichchhila Sraavee Kan`d`ooyanas`heela Nistoda   Rooksha Guru Daarun`a  
Pitta Kaphaja     Ushn`a Sraava Peeta Sraava पाण्डु Sraava दाह   Guru  
Vaata Raktaja   Raktaabha Arun`aabha Rakta Sraava Arun`a Sraava Todabahula Supta Iva Cha     Rooksha Tanu
Pitta Raktaja   Ghritaman`d`aabha Krishn`a Sraavee   Meenadhaavana Toyagandhee Mridu Visarpee  
Kapha Raktaja Lakshan`a Rakta Sarakta Paan`d`u Sraava Kan`d`oopraaya   Guru Snigdha Pichchhila Sthira
Pitta Raktaja     Peeta Sraava Tanu Sraava Rakta Sraava Sphuran`a Toda Daaha Dhoomaayana    
Vaata Kapha Raktaja     पाण्डु Ghana Rakta Sraava Kan`d`oo Sphuran`a Chumachumaayana    
Pitta Kapha Raktaja     पाण्डु Ghana Rakta Sraava दाह Kan`d`oo   Paaka Raaga
Vaata Pitta Kaphaja   Trividha Varn`a Trividha Sraava Trividha Vedanaa    
Vaata Pitta Kapha Raktaja   Vividha Varn`a Vividha Sraava Nirdahana Nirmathana Sphuran`a Toda Daaha Kan`d`oo Svaapa Vividha Vedanaa   Paaka Raaga  
S`huddha Vran`a Jihvaatalaabha Jihvaaprabha S`hyaava Osht`ha Niraasraava Niraasraava Vigata Vedanaa Alpavedanaa   Mridu Snigdha Kshlakshn`a Suvyavasthita Mridu S`hlakshn`a Kinchit Unnata Madhya Upadravarahita Ati Mridu Suvyavasthita Vran`a

Last updated on April 23rd, 2021 at 11:23 am

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