Meena Rakesh Kumar, Dudhamal Tukaram, Gupta Sanjay Kumar, Mahanta Vyasadeva
Department of Shalyatantra, I.P.G.T. and R.A., Gujarat Ayurved University, Jamnagar, Gujarat, India.
Anc Sci Life. 2015 Oct-Dec;35(2):118-21. doi: 10.4103/0257-7941.171673.
Sushruta mentioned sixty measures for management of wounds. Panchavalkal is the combination of five herbs having properties like Shodhana (cleaning) and Ropana (healing) of wounds. Individual drugs and in combination have Kashaya rasa (astringent) dominant and useful in the management of Vrana (wounds) as well as Shotha (inflammations). A 35 years old male patient consulted in Shalya OPD with complaints like discharge per anum, induration and intermittent pain at perianal region since last five years. On inspection external opening was observed at anterior portion 1 O' clock position which was four centimeter away from anal verge. That case was diagnosed as Bhagandara (fistula-in-ano) and was treated with partial fistulectomy and application of Guggulu based Ksharasutra in the remaining tract. The big fistulectomy wound was treated with local application of Panchavalkal ointment daily and simultaneous change of Ksharasutra. The wound was assessed daily for pain, swelling, discharge, size, and shape. The wound healed completely within two and half month with normal scar having good tissue strength. This case demonstrated that post fistulectomy wound can be treated with Panchavalkal ointment.
苏什鲁塔提到了六十种伤口处理方法。五根药糊是五种具有清洁伤口和愈合伤口等特性的草药的组合。这些草药单独使用或混合使用时，都以涩味为主，对伤口和炎症的治疗很有用。一名35岁男性患者因自五年前以来出现肛门排液、硬结和肛周间歇性疼痛等症状，前来外科门诊就诊。检查发现，在肛门1点位置前方有外口，距离肛缘4厘米。该病例被诊断为肛瘘，接受了部分瘘管切除术，并在剩余管道中应用了基于古古卢的药线。大的瘘管切除术后伤口每天局部应用五根药糊软膏，并同时更换药线。每天对伤口进行疼痛、肿胀、排液、大小和形状等方面的评估。伤口在两个半月内完全愈合，留下的疤痕正常，组织强度良好。该病例表明，肛瘘切除术后的伤口可以用五根药糊软膏治疗。
