18Nov 2019

HEALING OF WOUND WITH SPECIAL REFERENCE TO UTSADANA - A CRITICAL REVIEW

  • PhD Scholar, Dept. of Shalya - Tantra, Govt. Ayurved College, Nagpur
  • PhD Guide, Professor & HOD, Dept. of Shalya - Tantra, Govt. Ayurved College, Nagpur
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Aim and Objective: To define the term ?Utsadana? described under Shasthi-Upakrama of Vrana in Sushrut Samhita.To explore the basic principle of wound healing in context to Utsadana. Methodology: References regarding the term Utsadana are collected from Sushruta Samahita and other Ayuvedic classics. Modern textbooks of surgery were also referred to understand the wound healing process in detail. An attempt is made to define the term Utsadana and discuss Utsadana karma on the basis of modern medical sciences. A very limited conceptual work has been carried out on Shasti-Upakrama for Vrana, mentioned by Sushruta. It is the need of hour to explore and elaborate the knowledge of wound and its management at different stages of wound healing stated in Sushrut Samhita. Utsadana karma is one of the Shasthi-Upakrama stated by Sushruta for the management of Vrana. Dalhana described Utsadana karma as an important karma for enhancing wound healing. In the chapter Dvivraniya, he has described Utsadana as an elevation of the floor of the wound, causing a wound to fill up and any application applied to a wound producing granulation is termed as ?Utsadaneeya. Utsadana karma is an intermediate procedure between Shodhana and Ropana karma. An attempt is made to correlate the term Utsadana with granulation formation in modern surgery. Conclusion: It is concluded that Utsadana is a stage in process of wound healing and may be identical to the stage of granulation formation.


  1. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Su. 1/8, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page- 8
  2. Courteny M. Townsend,R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox,Sabiston Text Book of Surgery, 17th edition, Elsevier India, page 184-184
  3. Guo S, Di Pietro LA.Factors affecting wound healing. J Dent Res 2010; 89:29- 21
  4. Velnar T, Bailey T, Smrkoi JV. The wound healing process: an overview of the cellular and molecular mechanism.Int Med Res 2009; 37:1528-42.
  5. Kumar V. Abbas AK, Fausto N, Aster JC.Inflammation and repair. Robbins and Cotran Pathologic Basis of Disease.9th edition.Philadelphia:Elsevier Saunders;2014.p69-110
  6. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Su. 22/8,P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-241
  7. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Su. 23/18,P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-250
  8. Sushruta, Sushrut Samhita, Dalhana?s Commentary,Su. Su. 23/19, P.V.Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-251
  9. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Su. 23/20, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-251
  10. Sushruta, Sushrut Samhita, Dalhana?s Commentary,Su.Chi.1/81-82,Jadhavji Trikamji Acharya,Chaukhambha Sanskrit Sansthan, Varanasi,2017,page 404
  11. Sushruta, Sushrut Samhita, Dalhana?s Commentary,Su.Chi.8/40,Jadhavji Trikamji Acharya,Chaukhambha Sanskrit Sansthan, Varanasi,2017,page 441
  12. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su.Su. 37/30,Jadhavji Trikamji Acharya,Chaukhambha Sanskrit Sansthan, Varanasi,2017,page 163
  13. Charaka, Charak Samhita, Chakrapanidatta:s Commentary Ayurved Dipika, Cha. Chi. 25/37
  14. Vagbhata, Ashtang Hriday, Arundatta?s commentary ? Sarvangasundar, Uttar Tantra Chi.25/46, page 864
  15. Sushruta, Sushrut Samhita, Dalhana?s Commentary,Su. Su. 37/30, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page 163
  16. Vagbhata, Ashtang Hriday, Arundatta?s commentary ? Sarvangasundar, Uttar Tantra Chi. 25/46, page 864
  17. Vagbhata, Ashtang Hriday, Arundatta?s commentary ? Sarvangasundar, Uttar Tantra Chi. 25/46, page 864
  18. Charaka, Charak Samhita, Chakrapanidatta:s Commentary?Ayurved Dipika, Cha. Chi. 25/99
  19. Sushruta, Sushrut Samhita, Dalhana?s Commentary,Su.Chi.8/40,Jadhavji Trikamji Acharya,Chaukhambha Sanskrit Sansthan, Varanasi,2017,page 441
  20. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Su. 1/82, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page 404
  21. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Chi. 1/16, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page 398
  22. Vagbhata, Ashtang Hriday, Arundatta?s commentary ? Sarvangasundar, Uttar Tantra 25/46-47,page 864
  23. Charaka, Charak Samhita, Chakrapanidatta?s Commentary?Ayurved Dipika, Cha. Chi. 25/42,
  24. Sushruta, Sushrut Samhita, Dalhana?s Commentary, P.V. Sharma, Su. Su.21/40,Chaukhambha Vishvabharati,Varanasi,2018, page-239
  25. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Chi. 8/54, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-357
  26. Sushruta, Sushrut Samhita, Dalhana?s Commentary, Su. Chi. 1/8, P.V. Sharma, Chaukhambha Vishvabharati,Varanasi,2018, page-24
  27. Sushruta, Sushrut Samhita, Dalhana Commentary, ,chi.8/39,e-Samhita-National Institute of Indian Medical Heritage, niimh.nic.in/ebooks/esushruta/?mod=read
  28. S .Edwin, E.Edwin, K.R.Dutt, L.Deb, Wound Healing and Antioxidant Activity of Achyranthus aspera.20-01-2009.
  29. ?Evaluation of in vivo wound healing activity of methanol extract of Achyranthesaspera L.? www.sciencedirect.com/science/article/pii/s0378874112004497; journal of Ethnopharmacology volume 143,issue 2,28 September 2012,pages 469-474
  30. Edwin et al; E.Edwin, K.R.Dutt et al; ?Wound healing and antioxidant activity of Achyranthes aspera?18 April, 2008, 2009,https://doi.org/10.1080/13880200802366645publishedonline:20 Jan.

[Jyoti Shinde and Subhash Raut (2019); HEALING OF WOUND WITH SPECIAL REFERENCE TO UTSADANA - A CRITICAL REVIEW Int. J. of Adv. Res. 7 (Nov). 1071-1075] (ISSN 2320-5407). www.journalijar.com


Dr Jyoti Shinde
Govt. Ayurved College, Nagpur,

DOI:


Article DOI: 10.21474/IJAR01/10114      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10114