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Vran`as`hotha Chikitsaa

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

  1. Apatarpan`a
  2. Aalepa
  3. Parisheka
  4. Abhyanga
  5. Vimlaapana
  6. Upanaaha (Svedana)
  7. Paachana (Svedana)
  8. Raktamokshan`a (Visraavan`a)
  9. Snehana
  10. Vamana
  11. 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.

  1. 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.
  2. Aalepa:
    Lepa of S`hothahara drugs should be applied locally. Drugs should selected as per dominance of Dosha.
  3. 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
  4. Abhyanga:
    Abhyanga is indicated prior to all above treatments. It reduces hardness and accumulation of Dosha.
  5. 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.
  6. 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.
  7. Paachana
    If S`hotha is not alleviated with above treatments, then Utkaarika with Snigdha, Ushn`a, Amla and Lavan`a drugs should be applied.
  8. 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.
  9. Snehana
    Upadravayukta, Rooksha S`hothaKrisha Rugn`a should be treated with Snehana.
  10. Vamana
    Kaphaja S`hotha, Rakta Dusht`ee should be treated with Vamana.
  11. 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

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