Management Of Dushta Vrana By Nimb Haridra Tail Pichu- A Case Study

Introduction- Wound management is a critical aspect of surgical and clinical care, directly influencingpatient recovery and overall prognosis. Improper wound care can lead to chronic wounds, termed asDushta Vrana in Ayurveda. While conventional treatments focus on antimicrobial agents and surgicaldebridement, there is growing interest in exploring traditional Ayurvedic therapies to enhance woundhealing. This study aims to evaluate the clinical efficacy of Nimb Haridra Tail Pichu (sterile gauzeimpregnated with medicated herbal oil) locally, in managing Dushta Vrana. This research seeks toprovide scientific validation for its therapeutic potential in chronic wound managementMethods- A total of 30 patients diagnosed with Dushta Vrana were enrolled in this study. Nimb HaridraTail (medicated oil by Sneh Siddhi method) was prepared and impregnated to sterile gauze (Pichu).Proper wound cleaning followed by sterile dressing was done on alternate day and the observations wererecorded respectively. Subjective (pain, itching) and objective (tenderness, size, smell, discharge,granulation) parameters were assessed for wound healing using Wilcoxon Signed Rank Test for statisticalanalysis.Results- Significant clinical improvement was observed, with 66.0% of patients completely cured, 23.0%markedly improved, 7 % moderately improved, while remaining 4% showed no improvement. The Pvaluefor all parameters was <0.001, indicated a highly significant effect of the treatment.Discussion- Nimb Haridra Tail Pichu demonstrated remarkable wound-healing properties, includingShodhana (cleansing), Ropana (healing), Vedana-sthapana (pain relief), and Shoth-har (antiinflammatory)effect. This study highlights the therapeutic potential of Nimba Haridra Tail Pichu inmanaging Dushta Vrana (infected non-healing wounds), demonstrating its efficacy, safety, and costeffectivenessas a treatment alternative.Keywords- Dushta Vrana, Nimb, Haridra, Wound Healing, Ayurvedic wound management