Wound healing potential of three forms of Panchavalkala in post-operative fistula wounds- Case Series

Abstract

Wound healing has been defined as a complex dynamic process results in restoration of anatomical continuity and function of particular part of body. In ayurveda many herbal drugs have been described for wound healing. In Sushruta Samhita, Bhagandara (fistula in ano) has been described as one of the Ashtamahagadas (eight major diseases) due to its recurrent nature. Due to contamination of ano rectal wound with feeces the healing of ano-rectal wound take more time as compare towards at other parts of body. After fistula surgery wound healing takes few weeks to months.   In this case series 8 patients of fistula in ano were treated with partial fistulectomy plus Ksharsutra. Panchavalkala ointment and Panchavalkala decoction was prepared in Department of RSBK by adopting standard manufacturing procedure of classic. Adjuvant drugs Eranda bhrista Haritaki was also used during treatment.  Three forms of Panchavalkala were used to treat post operative fistulotomy/fistulectomy wounds. The sign and symptoms of infection were graded before and during the course of treatment. The clinical symptoms like mal odor, color of margin and surrounding skin, discharge, pain and size and shape of wound showed significant result after the treatment. Panchavalkala forms are effective in wound healing in case of post operative fistulectomy wound and least recurrence.