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Year : 2022  |  Volume : 1  |  Issue : 2  |  Page : 70-78

Vipareeta Vrana Vijnaaneeyam chapter of Sushruta Sutra Sthana: An explorative study

Department of Kaya Chikitsa, R. B. Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh, India

Correspondence Address:
Dr. Kshama Gupta
Department of Kaya Chikitsa, R. B. Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh 283126
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jahas.jahas_22_22

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Sushruta Samhita, written by Maharshi Sushruta, is one of the oldest Ayurvedic texts dedicated to surgical procedures along with other medical disciplines. Prognostic knowledge is documented in the 28th to 33rd chapters of Sutra Sthana of Sushruta Samhita (SSS). Vipareeta Vrana Vijnaaneeyam (VVV) is the 28th chapter of SSS, and it consists of 21 verses that deal with the prognostic assessment of wounds. The present work is aimed to provide a comprehensive and critical analysis of the contents of VVV chapter with the help of contemporary prognostic literature available on the wounds. Elaborate description is available regarding the prognostic assessment of wounds based on various parameters such as wound odor, color, pain, temperature, shape, size, location, granulation tissue, associated complications, underlying systemic diseases, etc., in VVV chapter. Gas chromatography-ion trap mass spectrometry or e-nose could be used to analyze various wound odors (Vrana Gandha). Red, Yellow & Black classification tool could be incorporated to standardize Vrana Varna (wound color). Various wound microenvironment indices, such as local pH, uric acid, glucose, lactic acid, etc., could be incorporated in standardizing Vrana Rasa (taste-related indices of wound). Wound, wound bed, and periwound temperatures can be used for understanding Vrana Sparsha (touch-related indices of wounds). Smartphones and digital wound measurements could be used to standardize Vrana Aakriti (shape and size of the wound). Most of the conditions described in VVV chapter denote various infectious, ischemic, chronic, and nonhealing ulcers associated with complications and underlying systemic diseases.

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