By Dr Raghuram Y.S. MD (Ayu) & Dr Manasa, B.A.M.S
Ropana means therapeutic. Shodhana i.e. cleaning and Ropana i.e. therapeutic are performed concurrently so far as ulcers and wounds are involved. The truth is, we will inform that therapeutic happens on the backdrop of cleaning. Shodhana and Ropana are two completely different therapies included within the Sapta Upakramas i.e. seven therapies whereby ropana has been talked about after shodhana within the chronology.
All of the above mentioned 13 sorts of therapy are primarily cleaning in nature however the identical therapies additionally result in therapeutic. Grasp Sushruta has defined Ropana in between avachurnana (dusting) and dhupana (fumigation) that are types of cleaning therapies. However the grasp has not thought-about it as one of many therapies amongst shashti upakrama i.e. 60 sorts of therapy. Even amongst the 13 kinds of cleaning therapies it isn’t clear in order to which therapies belong to shodhana and which belong to ropana. Most likely each these therapies are thought-about to be complimentary.
Learn – Sushruta’s 7 Types of Treatments Sapta Upakrama
Chronology of Shodhana, Ropana and Vaikrutapaha
Coming to the chronology, shodhana is finished first after which ropana is finished. The injuries / ulcers would get cleansed after shodhana. These wounds are comprehensively healed by administering ropana therapy.
After the injuries and ulcers have completely healed vaikrutapaha, the seventh therapy measure from amongst sapta upakrama (7th in chronology, after ropana) ought to be performed to take away deformities and sequels of ulcers and wounds if any, as an element and parcel of beauty rebuilding.
Learn – Shashti Upakrama Meaning, Classification, Clinical Significance
Why Ropana has not been included individually in shashti upakrama?
Shashti Upakrama consists of 60 therapy ideas in surgical faculty, defined by Grasp Sushruta in Chikitsa Sthana part, chapter 1. They’re magnified variations of Sapta Upakrama i.e. 7 therapies talked about by Sushruta in 17th chapter of Sutra Sthana part. This implies to inform that these 60 therapies are included below 7 main therapies. Ropana has been talked about as 6th main therapy within the chronology of seven therapies however has not been included amongst the 60 therapies. The place did ropana miss out?
Grasp Sushruta has in all probability thought-about shodhana and ropana as complementary therapies. So all 13 sorts of shodhana therapies additionally concurrently heal the ulcers and wounds i.e. act as ropana. Clarification of Ropana has been interposed in between the reason of penultimate and remaining therapy of shodhana therapies. It appears like pushed into the context with default however for Grasp Sushruta the aim and thought of explaining the ropana measures there was very clear. The unsaid perspective is that shodhana therapies will serve the aim of ropana a lot of the occasions. If shodhana therapies don’t cleanse or heal the ulcers and wounds comprehensively then ropana ought to be thought-about for higher and complete therapeutic. Even when the injuries are correctly cleansed by shodhana, ropana ought to be included because the fast subsequent measure to hasten the therapeutic course of.
Learn – Shashti Upakrama Meaning, Classification, Clinical Significance
Sorts of Ropana (therapeutic) therapies and circumstances for administering
Therapeutic Decoctions – administered in shuddha vranas i.e. the injuries / ulcers which have already been cleansed. Decoction of Vatadi group of herbs is used for this objective. Therapeutic medicines are administered after cleaning the ulcers for higher therapeutic of ulcers. So ropana is fortification of outcomes of shodhana.
Therapeutic suppositories / wicks – i.e. ulcer / wound therapeutic suppositories is used within the ulcers that are devoid of ache, that are cleansed and deep seated. The wicks are ready with therapeutic herbs like Tinospora cordifolia, Withania somnifera and many others.
Therapeutic medicinal pastes – utilized in ulcers devoid of foul smelling muscle tissues and the ulcers not getting healed regardless of being situated within the muscle tissues. Paste of sesame combined with honey is used for this objective.
The sesame paste being candy, sizzling and unctuous destroys vata. Being astringent, candy and bitter it combats pitta. Being sizzling, astringent and bitter it destroys kapha. When administered combined with cleaning and therapeutic herbs, this paste of sesame accomplishes the therapeutic actions of cleaning and therapeutic the ulcers / wounds.
Sesame paste administered combined with neem leaves and honey would cleanse the ulcers. The identical sesame paste administered combined with neem leaves, honey and ghee would trigger therapeutic of ulcers / wounds.
Barley Paste act in the same method as that of sesame paste. This pacifies immature ulcers and causes suppuration of partially suppurated ulcers.
Different advantages of Barley paste
Ulcers attributable to vitiated pitta, blood and poisons and from exterior causes and deep rooted ulcers ought to be healed by administration of ghee extracted from the milk ready with therapeutic herbs. The ulcers by vitiated kapha and vata is handled with oils ready utilizing therapeutic herbs.
Rasakriya – semisolid preparation ready utilizing Curcuma longa and Berberis aristata is run / utilized within the ulcers related to beneath talked about circumstances for the aim of therapeutic –
- Ulcers through which bandaging is contraindicated (ulcers fashioned by vitiated pitta, blood, poisons and harm)
- Ulcers situated on the joints of the physique
- Doshas which get contaminated regardless of getting cleansed
Within the ulcers / wounds that are even, surrounded by arduous muscle tissues and situated within the pores and skin is healed utilizing the natural powder prescribed in Sutra Sthana part (Su.Su.37).
Ropana Churna (Su.Su.37)
The powder of the beneath talked about is known as ropana churna as a result of it’s utilized in therapeutic the ulcers and wounds. The elements embrace –
- Kanguka – Panicum stalicum / Setaria italic (foxtail millet?)
- Triphala – Terminalia chebula, Terminalia bellirica, Emblica officinalis
- Rodhra – Symplocos racemosa
- Kasisa – inexperienced vitriol
- Shravanahvaya – Sphaeranthus indicus
- Dhava – Anogeissus latifolia
- Ashvakarna – Shorea robusta
Equally the powder of the beneath talked about shall be used for therapeutic the ulcers –
- Priyangu – Callicarpa macrophylla
- Sarjarasa – Vteria indica
- Pushpa Kasisa – Inexperienced vitriol
- Dhava Twak – Bark of Anogeissus latifolia
The shodhana and ropana therapies have to be performed with out giving a lot thought, similar to mantras are used for therapeutic functions.
The medicaments shall be utilized in one or the opposite kinds as per want and utility. These kinds embrace decoctions, suppositories / wicks, paste, ghee, oil, semisolids or powder.
For treating the ulcers by vitiated vata, Laghu panchamula and Brhat panchamula group of herbs have to be used within the above mentioned kinds.
Ulcers by vitiated pitta, Nyagrodhadi and Kakolyadi gana group of herbs have to be used within the above mentioned kinds.
Ulcers by vitiated kapha, Aragvadhadi and Surasadi Gana teams of herbs shall be used within the above mentioned kinds.
Ulcers by combined doshas, the above talked about completely different teams of herbs have to be skillfully combined and used within the above mentioned kinds.
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