Wound healing activity of Thumari oil (Securinega leucopyrus) in the management of Stanagatvrana (Breast wound) – A single case study

Abstract

Stana Vidradhi is described by Aacharya Sushruta in Nidana sthana 10^th chapter and Bhedan Chikitsa. Stana Vidradhi can be co-related with breast abscess which is commonly seen in lactating women. Bacteria enter the breast during baby sucking through the cracked nipple and breast abscess occurs. Thumari is used in rural area for boils, wound and cuts which is mentioned in textbook plants of Saurashtra. In this case study, a 21 years lactating female patient was diagnosed as a left side breast abscess. So under short GA incision, drainage and debridement of necrosed tissue was done. A big post operative wound (12cm x 13cm x 6cm) was created due to excision of involved large breast tissue. Wound was painful (VAS-6) pus discharge with unhealthy tissue. So it was treated with local application of conventional medicament but not responding. So regular dressing was started with innovative Ayurved formulation Thumari oil once in day for 2 months. In first week after of dressing started with Thumari oil patient reported relief in pain (VAS-2) was found without analgesics. So dressing continue with Thumari oil and on 2^nd week all slough and necrosed tissue was slough out and wound became clean with healthy granulation tissue. Wound contraction was started after 3^rd week and wound reduced remarkable (4cm x 5cm x 1cm) on sixth week. Finally wound was healed completely after 2 month with minimum scar. The additional property of this oil is Savarnikaran (normal skin texture). Study concluded that post operative big breast wound can be managed with local application of Thumari oil (Securinega leucopyrus).