| CASE REPORT |
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| Year : 2020 | Volume
: 3
| Issue : 3 | Page : 95-98 |
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Efficacy of Ashwagandha [Withania somnifera (Linn.) dunal] leaf paste in the management of chronic non-healing wound: A case report
Sombir Sheoran1, Bushra Khanam2, Vyasadeva Mahanta1, Sanjay Kumar Gupta1
1 Department of Shalya Tantra, All India Institute of Ayurveda, New Delhi, India
2 Department of AYUSH, Uttar Pradesh, India
Correspondence Address:
Dr. Sombir Sheoran
V.P.O Fartia Bhima Teh, Loharu, Bhiwani - 127 201, Haryana
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jacr.jacr_46_20
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Since time immemorial, healing of wounds has been the central problem of surgical practices. If any wound does not heal in six weeks, it is considered chronic wound (~Dushta vrana) which presents with discharge, slough, pain, etc. Kalka (~paste) has been reported to be an effective form in the management of such Dushta vrana. It is used for Shodhana (~cleansing) as well as Ropana (~healing). A huge number of herbal interventions have been emphasized in classical literature for the management of chronic wound. In this case study, Panchavalkala kwatha and Ashwagandha patra kalka [~leaf paste of Withania somnifera (Linn.) Dunal] were used for the management of Dushta vrana. A 60-year-old male patient, having Vatapitta prakriti, presented with the complaints of a non-healing ulcer with severe pain at the right big toe associated with purulent discharge since about 45 days. On local examination, an ulcer was seen over the dorsum of the right big toe measuring about 2.5 cm × 2.0 cm × 1.0 cm in dimension with irregular margins. The floor was covered with slough and the edges were inflamed with surrounding indurations and raised local temperature. Tenderness was present. The surgeons advised for amputation, but the patient visited Shalya tantra outpatient department for possibility of management. The wound was managed with Ashwagandha patra kalka, where significant wound-healing activity was found.
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