Rediscovering Sushruta’s Bandaging Techniques: A Modern Analysis of Material Innovations and Non-invasive Healing Strategies for Chronic Wounds

Background: The ancient Ayurvedic text Sushruta Samhita has elaborate descriptions of wound care, including very advanced bandaging methods that are still relevant to modern medical practice. With a focus on infection prevention, pressure retention, and comfort for the patient, Sushruta described 14 bandaging methods, each tailored to regions and types of wounds. His insight into wound dynamics and healing was groundbreaking, using materials such as cotton, silk, and herbal infusions. Aim: The current study re-evaluates Sushruta’s bandaging methods and explores their potential applications in wound care, particularly treating chronic wounds, resource constraints, and antimicrobial resistance. Methods: By reviewing Sushruta’s principles and recent developments, such as antimicrobial nanofiber dressings, hydrogel-based wound care, and biodegradable polymers, this review explores how these ancient practices can be combined with current medical technologies to provide cost-effective, environmentally sustainable solutions. Results: Sushruta’s Kosha Bandha for fracture is similar to modern splint bandages, and Mandal Bandha for cylindrical body areas is identical to compression treatment for venous ulcers. Sushruta’s approach is highly adaptable, with the current focus on personalised and patient-centric care. Furthermore, materials such as drug-eluting dressings and Ayurveda-based smart bandages are opening avenues for targeted therapy and real-time monitoring of healing wounds. Conclusion: Combining Sushruta’s principles with current materials science can bridge healthcare gaps, especially in resource-poor environments. This integration can improve patient outcomes, providing sustainable and cost-effective solutions to wound care. Major Findings: Since ancient times, Sushruta’s principles of wound care are very relevant today, providing practical, cost-effective solutions when combined with contemporary innovations such as smart bandages and biodegradable polymers.