Dagdha Vrana (burns), Shalya tantra
DAGDHA VRANA
Susruta has explained two major varities of burns viz an ideal therapeutic burn (created by the surgeon, as in agni karma, for releif from diseases) and accidental burns viz due to excesgive exposure to sun, extreme cold and other external factors.
Ideal therapeutic burn (samyak dagdha) is the burn which is created during therapeutic procedures, features of which are explained under the chapter of chemical & thermal cauterization.
Other type of burn. i.e. accidental burns. may be caused due to various external causes, or during therapeutic procedures due to carelessness on the part of the operating surgeon. These are of various kinds like-
(1) Plusta dagdha- A condition where there is discolouration (redness) and severe burning sensation in a burnt area, it is called plusta dagdha. (1st degree burns)
(2) Durdagdha- There is eruption of vesicles/blebs, associated with severe burning sensation, redness, inflammation, pain; the wound takes long time to heal. (2nd degree burns)
(3) Atidagdha- There is presence of excessively necrosed muscle etc. in the wound area, person's body is stiff (locomotor action is affected due to massive muscle damage), severe pain all over the body (due to massive destruction of vessels, nerves etc.), suffers from fever, excessive thirst and loses consciousness. (3rd degree burns).
Management of accidental burns-
(1) In plusta dagdhaIncreasing the body temperature and administration of medicines which are usha (agni pratipana and usna ousadha)
(2) In durdagdha- Both warm and cold medicaments, application of ghrta, poultices and irrigations which are cold.
(3) In atidagdhaNecrosed tissue are excised, followed by cold therapies, application of a paste of broken rice. tinduki bark with ghee, then wound is covered with leaves of aquatic plants like lotus etc. (to reduce inflammation and promote healing) and all other wound healing measures are subsequently adopted.
When a person is exposed to smoke and gets suffocated, the following features are observed (dhumopahata laksana) :
increased respiration, repeated sneezing, cough, flatulence, redness and burning sensation in eyes, because of inhaled smoke he is unable to sense any other smell, unable to recognise taste and is unable to comprehend sounds correctly, suffers from fever, thirst burning sensation and finally loses consciousness.
Management-
Sun-stroke
In case exposed to severe sun light or hot winds, the person gets burnt, then he has to be subjected to cold treatments.
Cold burns
When exposed to excess cold breeze, rain, hailstorm etc. the person has cold burns, then treatments which are snigdha and usna are adopted.
Lightning burns
Generally the person dies, if alive, is treated by sneha abhyanga, sneha pariseka, pradeha etc.
Susruta has explained two major varities of burns viz an ideal therapeutic burn (created by the surgeon, as in agni karma, for releif from diseases) and accidental burns viz due to excesgive exposure to sun, extreme cold and other external factors.
Ideal therapeutic burn (samyak dagdha) is the burn which is created during therapeutic procedures, features of which are explained under the chapter of chemical & thermal cauterization.
Other type of burn. i.e. accidental burns. may be caused due to various external causes, or during therapeutic procedures due to carelessness on the part of the operating surgeon. These are of various kinds like-
(1) Plusta dagdha- A condition where there is discolouration (redness) and severe burning sensation in a burnt area, it is called plusta dagdha. (1st degree burns)
(2) Durdagdha- There is eruption of vesicles/blebs, associated with severe burning sensation, redness, inflammation, pain; the wound takes long time to heal. (2nd degree burns)
(3) Atidagdha- There is presence of excessively necrosed muscle etc. in the wound area, person's body is stiff (locomotor action is affected due to massive muscle damage), severe pain all over the body (due to massive destruction of vessels, nerves etc.), suffers from fever, excessive thirst and loses consciousness. (3rd degree burns).
Management of accidental burns-
(1) In plusta dagdhaIncreasing the body temperature and administration of medicines which are usha (agni pratipana and usna ousadha)
(2) In durdagdha- Both warm and cold medicaments, application of ghrta, poultices and irrigations which are cold.
(3) In atidagdhaNecrosed tissue are excised, followed by cold therapies, application of a paste of broken rice. tinduki bark with ghee, then wound is covered with leaves of aquatic plants like lotus etc. (to reduce inflammation and promote healing) and all other wound healing measures are subsequently adopted.
When a person is exposed to smoke and gets suffocated, the following features are observed (dhumopahata laksana) :
increased respiration, repeated sneezing, cough, flatulence, redness and burning sensation in eyes, because of inhaled smoke he is unable to sense any other smell, unable to recognise taste and is unable to comprehend sounds correctly, suffers from fever, thirst burning sensation and finally loses consciousness.
Management-
- Person is evacuated from source of smoke.
- Administered sugarcane juice, milk, water etc. (if conscious) (foods etc. which are madhura and amla) -and then induced vomitting.
- This clears the passages and no more the person has the smell of smoke.
- This also reduces fever, sneezing, burning sensation etc.
- Gorgling with decoctions etc. made of ‘madhura, lavana and amla rasa improves taste perception etc.
- Administered sirovirecana
- Diet- which is light, nutritious and easily digestable.
Sun-stroke
In case exposed to severe sun light or hot winds, the person gets burnt, then he has to be subjected to cold treatments.
Cold burns
When exposed to excess cold breeze, rain, hailstorm etc. the person has cold burns, then treatments which are snigdha and usna are adopted.
Lightning burns
Generally the person dies, if alive, is treated by sneha abhyanga, sneha pariseka, pradeha etc.
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