An Open Comparative Clinical Study to Evaluate the Efficacy of Sukhoshna Yashtimadhu Ghrita Pichu in the Pain Management of Shastra Nipata Vrana W.S.R to Post-surgical Wounds
Keywords:
Agantuja, Pain, Surgical, Vaidyakrita, Vedana, VranaAbstract
The life of every individual starts with the healing of the wound of the cut umbilical cord. Hence, treatment for the healing of this wound is of prime importance. While explaining the scope of Shalya Tantra, Sushrutha has mentioned “vrana vinishchayaartam” as a major part of Shalya Tantra. The vrana should be protected from Dosha Dushti and microorganisms, which may delay the healing process. Hence, for the early and uncomplicated healing of vrana, treatment is necessary. The history of medical science starts with the art and skill of wound healing. Treatment of the wound was probably the first medical problem faced by human beings. Centuries ago, injury in the battlefield was one of the common problems, along with contamination of the wound from surrounding environmental factors. Fall from heights, crushing against stone or hard materials, and animal bites were the other causes for injury. Another important source of vrana is Shastra Karma (Surgical Wound). These wounds are referred to as Vaidyakrita Vrana by Acharya Sushruta and they possess features such as Samyakayata, Samyakvisala, Suvibhakta, Nirashrita, and Praptakalakrta. A Vaidyakrita Vrana or Surgical Wound is inevitably followed by pain due to the injury to the tissues and nerves in the operation site. Susuruta Acharya has mentioned the application of Sukhoshna Yashtimadhu Ghrita for vedana shamana in this type of Shastranipatavrana while explaining trividha karma. Nowadays, Vedana resulted by these vrana are managed by contemporary analgesics due to the lack of efficient analgesics in Ayurveda. To find a potent analgesic agent, the following study has been taken up. The present study was carried out as an Undergraduate Research Project sponsored by Rajiv Gandhi University of Health Sciences, Bengaluru, where Sukhoshna Yashtimadhu Ghrita Pichu will be applied to manage post-operative surgical wound pain in various surgeries.
References
1. Mersky H. Pain terms: A list with definitions and notes on usage. Recommended by the IASP subcommittee on taxonomy. Pain. 1979;6:249-52.
2. Cousins MJ. Introduction to acute and chronic pain: Neural blockade in clinical anesthesia and management of pain. Philadelphia, PA: JB Lippincott, Inc.; 1988.
3. Jorgen BD, Kehlet H. Postoperative pain and its management. In: McMohan SB, Koltzenburg M, editors. Wall and Melzack’s Textbook of Pain. 5th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2006.
4. Horn R, Hendrix JM, Kramer J. Postoperative pain control. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/nbk544298 [Last accessed on 2025 Dec 02].
5. Blichfeldt-Eckhardt MR. From acute to chronic postsurgical pain: The significance of the acute pain response. Dan Med J. 2018;65(3):B5326.
6. Suner ZC, Kalayci D, Sen O, Kaya M, Unver S, Oguz G. Postoperative analgesia after total abdominal hysterectomy: Is the transversus abdominis plane block effective? Niger J Clin Pract. 2019;22(4):478-84.
7. Lespasio MJ, Guarino AJ, Sodhi N, Mont MA. Pain management associated with total joint arthroplasty: A primer. Perm J. 2019;23:18-169.
8. Long Y, Feng X, Liu H, Shan X, Ji F, Peng K. Effects of anesthetic depth on postoperative pain and delirium: A meta-analysis of randomized controlled trials with trial sequential analysis. Chin Med J (Engl). 2022;135(23):2805-14.
9. Āchārya VJ, Kāvyatīrtha NR, editors. Suśruta. Suśruta saṁhitā. Nibandhasaṅgraha commentary of śrī Dalhanāchārya and nyāyachandrikā pañjikā of Śrī Gayadāsāchārya on Nidānasthāna. Sutra sthāna, 5th adhyāya, 42nd Shloka. Varanasi: Chaukhambha Surbharati Prakashan; 2012.
