“ROLE OF NYAGRODHADI KASHAYA PICHU IN THE MANAGEMENT OF BAHYA-BHEDYA VIDRADHI”

Abstract

Abscess and wound healing is being a major problem from ages in surgical practice. Most of the abscesses are caused by infection and even though the drained abscess cavity is influenced by the both systemic and local factors like micro-organism, growth factors, vascularties and debris, A clean drained abscess cavity in normal body heals earlier with a minimum scar compare to the contaminated, therefore the present study carried out to enhance the wound healing in drained abscess cavity. To evaluate the effect of Nyagrodadhi Kashaya pichu in the management of Bahya Bhedya Vidradhi (post I&D of external Abscess). Thirty diagnosed cases of Pakva or Bhedya Vidradhi are selected for study and recorded through proforma divided in to two groups for comparative study. It was assessed by washing the cavity by kashaya and keeping pichu soaked in kashaya in the drained cavity according assessment criteria as explained detail further. Results obtained by considering the overall response of the patients to the therapy with Nygrodhadi Kashaya Picchu showed that in this series 6.6 % patients had complete remission, 13.3 % of patients got maximum improvement and 40% patients showed Moderate improvement and 40% showed Mild Improvement. Aragvadhadi kwatha drugs are having Kashaya Rasa predominance thus had action of Amapachaka, Kapha Shamana, Pitta Shamana, Rukshata, Kledashoshaka and Lekhana Guna which helps in reduction of Srava. Thus this help for Shodhana of Bhedya Vidradhi. Proper management with timely Picchu with Nyagrodhadi Kwatha and dressings gradually reduces infection and facilitate wound healing. Nyagrodhadi Kvatha Picchu in Bhedya Vidradhi cavity is more effective than Povodine Iodine on reducing Vedana, Daha, Kandu, Srava, and enhance healthy Granulation and healing. Nyagrodhadi Kvatha Picchu on the post-operative wound care in Vidradhi is recommended for the better management.