Success Case of Infective Wound and treatment by Ayurvedic Medicines

Very Poor Poor Fair Good Very Good
 10 years exp 
August 12, 2019
68 YearsMaleAsian

Medical Condition:




Type of Outcome:

Very Poor Poor Fair Good Very Good

Medical History:

68-year-old male artist patient came to our clinic with a chief complaint of swelling of the left leg with watery discharge from the small and medium-sized wounds over the calf muscles and tibial shin since 8 days. He had severe itching and pain at the site of the wound with general malaise as well since 8 days.

On examination:

P/R: 90/min

BP: 110/70mm Hg

RR: 20/min

Eyes: No pallor/icterus/cyanosis

Urine: Pale yellow color

Bowel Movement: Satisfactory bowels

Appetite: Moderate

Tongue: Saam(coated)

Built: Thin

Sparsha: Afebrile

RS: Clear air entry on both sides


PA: Soft

Vrana Parikshan

Vrana tala: Yellowish colour

Strava: Jalavat (watery)

Gandha: Puti gandha (foul smell)

Pitting oedema with peeling of peripheral skin

Sparsha: Ushna sparsha (local warmth)

Investigations: Haemogram, KFT, LFT, Lipid profile within normal limits, Urine routine and microscopic- NAD

Nidana: Kapha - Vataj Vrana

Case Management:

Treatment:  Vrana karma for first 7 days; Shodhan with Panchavalkala Kashayam Parisheka: Lukewarm decoction

Vrana Dhupana: Vacha+Nimba+Haridra Churna Hartala (AS2S3)

Nimba Patra Kalka (paste of Neem leaves freshly prepared with cow’s urine) was applied on the wound for Shodhan (purificatory) purpose.

Internal medicine

  • Panchatikta Kashayam 20ml Vyanodana Kaal (after meals two times)

  • Punarnavasav 20ml apan kaal (before meals)

  • Gandhak rasayan 250mg tab- 2-2-2 after meals

  • Sukshma triphala 250mg tab 2-2-2

  • Swayambhu guggulu 250mg 2-2-2 apan kaal

  • Nimba+Vidanga+Sariva+Manjistha Churna 200mg each + Rasamanikya 200mg with Panchatikta Kashayam

Diet: Steamed rice (rice from the old stock around 6 months old), moong curry, mudga yusha, saariva+ arjun siddha dugdha in the morning.

For drinking water: Shadanga Paan (mentioned in jwara chikitsa Charak Samhita) instead of chandan churna, Rakta chandan was used (cost-effective).

After 7 days once it attained Shuddha vrana avastha, it was dressed with panchavalkal lepa with ghritakumari (ready-made ointment is available).

Post 2 weeks followup:

  • Swelling of the leg subsided

  • Secretion from the wound got dried

  • Color of skin changed from red to normal skin color

  • Foul smell disappeared

  • Ulcer floor color changed from yellow slough to red granulation; shuddha vrana lakshan mentioned by Acharya Sushruta- jivha talabho (color of the tongue), mrudu (soft), shlakshna (smooth), snigdha (unctuous), vigata vedna (pain subsided).

Conclusion: An infected wound can be effectively managed without antibiotics purely on Ayurvediya nidan and Chikitsa.