Reference:
C.Chi.25, S.Su.5,17,18; Chi.1,2, A.H.U.25, N.R. Vran`a
Introduction:
Vran`as`hotha is local elevation or swelling caused due to accumulation of the Dosha. It may lead to prodromalsymptom of the Vran`a.
Chikitsaa
- Apatarpan`a
- Aalepa
- Parisheka
- Abhyanga
- Vimlaapana
- Upanaaha (Svedana)
- Paachana (Svedana)
- Raktamokshan`a (Visraavan`a)
- Snehana
- Vamana
- Virechana
General aim of Vran`as`hotha to induce either alleviation or suppuration. Vran`as`hotha may lead to Nija Vran`a. Hence Vran`as`hotha should be treated according to principles of Vran`a Chikitsaa.
- Apatarpan`a:
Apatarpan`a is fasting or Langhana. It isprimary treatment of Vran`as`hotha. It is indicated in all types except Aagantu Vran`as`hotha. - Aalepa:
Lepa of S`hothahara drugs should be applied locally. Drugs should selected as per dominance of Dosha. - Parisheka:
It is S`hothahara, S`hoolahara, Vran`s`hodhana, Vran`aropan`a
Vaataja S`hotha
Ghrita, Taila, Dhaanyaamla Ushn`a Parisheka
Pittaja / Raktaja / Vishaja / Abhighaataja S`hotha
Ksheera, Madhu, Ghrita, Ksheera Vriksha Kvaatha Anushn`a Parisheka
Kaphaja S`hotha
Taila, Mootra, Kshaarodaka Ushn`a Parisheka - Abhyanga:
Abhyanga is indicated prior to all above treatments. It reduces hardness and accumulation of Dosha. - Vimlaapana
Vimlaapana is liquefaction of local Dosha. It is indicated in hard swelling with mild pain. Vimlaapana should be done with finger tip or Ven`unaad`ee (probe) by applying gentle pressure over it. External Oleation and sudation over tender area should be done before Vimlaapana. - Upanaaha
Upanaaha is indicated in Vaataja and Kaphaja S`hotha. It helps for Paachana or alleviation of swelling. Thus it helps in Aama and Pakva Avasthaa. - Paachana
If S`hotha is not alleviated with above treatments, then Utkaarika with Snigdha, Ushn`a, Amla and Lavan`a drugs should be applied. - Raktamokshan`a
Raktamokshan`a is indicated immediately after S`hotha formation. It helps in alleviating pain and suppuration.
Hard, red black coloured swelling, swelling with large induration or swelling should be treated with Prachchhaana.
S`hotha due to Visha should be treated with Jalaukaa. - Snehana
Upadravayukta, Rooksha S`hotha, Krisha Rugn`a should be treated with Snehana. - Vamana
Kaphaja S`hotha, Rakta Dusht`ee should be treated with Vamana. - Virechana
Virechana should be advised for Vaata-Pittaja Vran`as`hotha andchronic wounds.
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Last updated on March 5th, 2021 at 06:04 am