ROLE OF SAPTOPAKRAMA IN THE MANAGEMENT OF VRANA SOPHA - A CLASSICAL AYURVEDIC LITERATURE REVIEW

Vrana Sopha represents the inflammatory stage preceeding wound formation and is considered a crucial, reversible phase in Ayurvedic surgical pathology. Suśruta described Saptopakrama, the seven-fold therapeutic approach, for stage-wise and management of Vrana and its associated conditions.[1] To critically review classical Ayurvedic literature regarding the role of Saptopakrama—especially Vimlāpana, Avasecana, Upanāha, and other therapeutic measures—in the management of Vraṇa Śopha. A comprehensive literary review of classical Ayurvedic texts was conducted. Descriptions related to Vraṇa Śopha[2], its pathogenesis, and therapeutic interventions under Saptopakrama were systematically analyzed and interpreted. Vimlāpana, Avasecana, and Upanāha are found to be most effective in the early, non-suppurative stage of Vraṇa Śopha. These measures help in Doṣa śamana, reduction of inflammation, and prevention of suppuration. Patana, Shodhana, Ropana and Vikruthapaha are remaining saptopakramas which are used in suppurated stage of Vranashopha. Saptopakrama provides a rational, stage-specific, and holistic approach to the management of Vraṇa Śopha. Early application of appropriate Upakrama can arrest disease progression and reduce the need for surgical intervention.