Abstract

Dr. Varnika Ghildiyal* Dr. Lalit Mohan Tewari, Dr. Devesh Shukla

ABSTRACT

Wounds represent a significant global health concern, contributing substantially to morbidity and mortality. According to Wong et al. (2015), an estimated 10,000 out of every one million wound patients worldwide succumb to microbial infections. Wound management continues to impose a heavy burden on patients, their families, and healthcare systems. The prevalence of chronic wounds is notably higher in developing and underdeveloped nations, whereas in developed countries, only 1–2% of the total population experience chronic wounds during their lifetime. Such wounds are associated with profound socioeconomic implications, including impaired mobility, unemployment, and diminished quality of life (Pieper, 2005). Traumatic wounds, known as Saddhyo Vrana, depend on the type of weapon, the nature of injury, and the condition of the victim, and generally remain Shuddha (clean or uncontaminated) for up to seven days. However, when vitiation of Doshas (biological humours) occurs, these clean wounds may progress into Dushta Vrana, characterized by infection and poor healing. This article offers a comprehensive review of the existing literature related to Dushta Vrana, emphasizing its Ayurvedic pathophysiology, clinical features, and contemporary management approaches.