Introduction: Dushta Vrana is a common and often encountered problem faced in surgical
practice. If mistreated, it worsens the condition with different complications and may become
fatal. Local factors on wound like slough, infection, foreign body, etc. affect the normal process
of healing. Among the 60 Upakrama mentioned by Sushruta, application of Vikeshika has been
mentioned and a lot of references are available on use of Purana Madhu & Sarpi for Vrana
Shodhana and Vrana Ropana Karma. Here, a case of 49 years old male patient is discussed,
where, based on clinical examinations and findings, it was diagnosed as Dushta Vrana which
was treated with Vikeshika (ready-made dressing) of Madhu-Sarpi Malahara. Vrana Bandhana
was done on daily basis and assessment was done on every 7th day i.e. 7, 14, 21, and 28th day
for a period of 28 days. Intervention showed Shulahara, Shothahara, Kandughna, Daha
Prashamana, Varnya, Vrana Shodhana and Ropana Karma in Dusta Vrana in terms of pain,
itching, discharge and burning, with 70% of wound healing during the treatment period.
Keywords: Dushta Vrana, Shashti Upakrama, Shodhana karma, Vikeshika, Madhu-Sarpi Malahara, Ropana Karma
Publication date: 01/04/2026
https://www.ijbpas.com/pdf/2026/April/MS_IJBPAS_2026_10069.pdf
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https://doi.org/10.31032/IJBPAS/2026/15.4.10069
