Shodhana And Ropana That means, Medical Significance, Varieties

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Shodhana and Ropana are the fifth and sixth types of therapy classes included in ‘Sapta Upakrama’ i.e. 7 varieties of remedies defined by Grasp Sushruta. They goal at therapeutic and treating the ulcers, wounds and swelling associated to those situations and likewise to stop the problems of the identical.
Learn – Sushruta’s 7 Types of Treatments Sapta Upakrama

Shodhana and Ropana
“Fifth of all shodhna ought to be completed and the sixth measure could be ropana”
Shodhana means cleaning. Ropana means Therapeutic. Each these teams of remedies are mentioned collectively.

13 therapy strategies from amongst the checklist of 60 remedies talked about below shashti upakrama are included below shodhana and ropana measures. They need to be selectively utilized by the surgeon in treating the ulcers and wounds as per their situation, manifestation and presentation.

Anyhow shodhana and ropana, although defined collectively, they’re talked about as separate remedies amongst the sapta upakrama. Shodhana and Ropana serve comparable goal. Actually ropana occurs after shodhana. Even after cleaning the ulcers and wounds with shodhana if they don’t heal correctly, the subsequent measure i.e. ropana ought to be resorted to. Ropana shall be individually thought of in one other article.
Learn – Charaka Vrana Chikitsa – 25th Chapter – Wounds, Ulcers

Sanskrit Verses

Varieties

Primarily 13 remedies are included below shodhana and ropana from amongst the 60 remedies talked about in Shashti Upakrama.

Sl No	Title of the Upakrama (therapy)	That means
1	Sandhana	union of fractures
2	Peedana	compression
3	Shonita sthapana	stopping the bleeding, enabling correct circulation
4	Nirvapana	software and showering of chilly efficiency medicines
5	Utkarika	software of heat, semi-solid vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds
6	Kashaya	use of natural decoctions
7	Varti	use of suppositories
8	Kalka	software of natural pastes
9	Sarpi	use of medicated ghee
10	Taila	use of medicated oils
11	Rasakriya	administration of semi-solid medicinal extracts
12	Avachurnana	sprinkling of natural powders
13	Vrana Dhupana	fumigation of wounds

Learn – Shashti Upakrama Meaning, Classification, Clinical Significance

1. Sandhana – union of fractures

Situations by which union must be completed – The identical situations defined within the context of seevana included in Patana group of remedies are relevant for union of fractures additionally. They’re –

• Apaka upadruta – ulcers not related to problems of suppuration
• Mamsa sthita – ulcers localized within the muscular tissues
• Vivrta – open ulcers

2. Peedana – compression

Situations by which compression must be completed –

• Puya Garbha – having pus pockets (ulcers crammed and surrounded by pus)
• Anu dwaran – ulcers / wounds having small openings
• Marma gatan vranan – ulcers positioned on very important organs, tissues)

How you can compress the ulcers and wounds?
When these situations persist, paste of herbs used for compression is utilized over and across the ulcer in order that it’s compressed.

The natural paste utilized over the ulcer / wound is allowed to dry in place. When the opening of the ulcer / swelling are minute, the paste of herbs shouldn’t be utilized over the orifice. When the opening of the wound / ulcer / swelling will not be lined the doshas (pus and many others) amassed in them maintain draining because of the compression imparted on them by the medicinal paste.
Learn – Injury, Wound care Ayurvedic Remedies, Medicines

3. Shonita Sthapana – stopping the bleeding

When extreme and uncontrolled bleeding happens because of procedures like bloodletting or in any other case, the bleeding ought to be instantly checked by administering the shonita sthapana vidhi i.e. measures for controlling the bleeding as defined within the earlier contexts (Su.Su.Ch14).

4 efficient strategies of checking extreme bleeding from ulcers / wounds are –

4. Nirvapana – software and showering of chilly efficiency medicines

Situations by which chilly efficiency medicines ought to be showered on the ulcers – As a result of extreme aggravation of pitta when the ulcer / wound will get related and stricken with burning sensation, suppuration and fever and vitiation of blood, the ulcers ought to be washed / showered / utilized with medicines having chilly efficiency.

‘The medicines used to pacify the ache and different signs related to the ulcers brought on by vitiated pitta and blood, which is within the means of getting suppurated, and related to fever are referred to as as nirvapana’.

Sorts of Nirvapana – Nirvapana is of two varieties. They’re

• Seka – showering the ulcers and wounds with medicinal liquids
• Lepa – anointment of the ulcers and wounds with medicinal paste

How you can do?
The herbs of chilly efficiency ought to be floor in milk, blended with ghee and utilized on the ulcer within the type of skinny paste. The identical medication is used for showering the ulcer.

5. Utkarika – software of heat, semi-solid, vata assuaging medicinal pastes to deal with wound irritation and necrosis of wounds

Situations by which heat pastes is utilized on the ulcers / wounds –

• Kshina Mamsa – depleted and thinned out muscular tissues within the neighborhood of ulcers
• Tanu srava – ulcers with skinny exudates
• Apaka vrana – ulcers which aren’t suppurating
• Toda – ulcers related to pricking ache
• Kathinya – hardness across the ulcers
• Parushya – roughness across the ulcers
• Shula – ulcers related to ache
• Vepathu – ulcers related to tremors

How you can do?
Bhadradarvadi group of herbs (herbs which treatment vitiated vata), Amla gana (bitter group of issues), Kakolyadi Gana group of herbs and oily seeds is processed to organize heat paste which is semisolid and utilized on the stricken web site in order to supply sudation. Sudation ought to be completed over the motionless, painful, foul smelling, decaying and slimy ulcers.
Learn – 4 Types Of Swedana As Per Sushruta And Vagbhata

6. Kashaya – use of natural decoctions

Shodhana Kashaya – Natural decoctions having ‘cleaning motion’ solely shall be used for this goal. The aim is to result in cleaning the injuries and ulcers.

The under talked about herbs could also be thought of for making ready the cleaning decoctions –

Situations by which cleaning natural decoctions ought to be administered in treating the ulcers and wounds –

• Antah shalyan, anu mukhan – ulcers having overseas object inside them and now have minute opening
• Gambhiran – deep seated ulcers
• Mamsa samshritan – ulcers positioned within the muscular tissues

7, 8 Varti – suppositories and Kalka – natural pastes

Situations by which suppositories and natural pastes are administered for cleaning the injuries – The suppositories (wicks) and natural pastes are utilized in the identical situations and are ready with the identical herbs. Beneath talked about are the situations for his or her utilization –

• Puti mamsa pratichchannan – ulcers lined with decayed muscular tissues
• Mahadosha – in extreme aggravation of doshas

Herbs that are used for cleaning functions are utilized in each these remedies.

Kalka – The natural pastes must also be ready utilizing the identical herbs with which the suppositories are ready. As many herbs accessible shall be used. When utilizing the suppositories the skinny, thick, thicker and thickest varieties of wicks shall be utilized in that order in line with the ulcer being handled. The doctor / surgeon shall choose in order to by which situation the suppositories / wicks ought to be used and by which situations the pastes must be utilized.
Learn – Pakwashaya Shodhana Basti: Medicated Enemas For Colon Cleanse

9. Sarpi – use of medicated ghee

Situations by which medicated ghee ought to be used –

• Pitta pradushtan – ulcers contaminated by vitiated pitta
• Gambhiran – ulcers that are deep seated
• Daha paka prapiditan – ulcers troubled by (affiliation of) burning sensation and suppuration

When the above talked about situations prevail within the ulcers / wounds, cleaning ghee ready with cotton seeds (Gossypium herbaceum Linn) ought to be used.

10. Taila – use of medicated oil

Situations by which medicated oil must be used –

• Utsanna mamsan – elevated muscular tissues across the wounds and ulcers
• Asnigdhan – dried out ulcers / wounds
• Alpa sravan – ulcers / wounds having much less (scanty) discharges

Ulcers related to the above talked about situations shall be cleansed utilizing sesame / mustard oil ready with herbs having cleaning property.

11. Rasakriya – semi-solid medicinal extracts

Situations by which semi stable natural extracts must be used –

• Tailena ashuddhyamananam – these ulcers / wounds which can’t be cleansed by administering cleaning oils
• Sthira mamsanam – stiff / unmovable muscular tissues across the ulcers

Within the above situations of ulcers cleaning rasakriya (rasakriya ready with cleansing herbs).

How you can put together Rasakriya?
The herbs having cleansing properties are taken and their decoction is ready. This decoction is as soon as once more processed and added with alum, inexperienced vitriol, realgar and orpiment. Later this ought to be totally blended with juice of Citrus medica and honey. The resultant semi-solid preparation is named rasakriya. This ought to be administered / utilized for cleaning the injuries related to above talked about situations. This shall be used as soon as in three days.
Learn – Rasanjan Uses, Remedies, Dose, Side Effects, Research

12. Avachurnana – sprinkling / dusting of natural powders

Situations by which dusting of natural powders must be completed –

• Medo jushtan – ulcers brought on by vitiated fats (ulcers having fats)
• Agambhiran – ulcers which aren’t deep (superficial ulcers and wounds)
• Durgandhan – ulcers having foul scent

How you can do?
The nice powder ready from herbs having cleaning property (identical as these used to organize varti – suppositories) is sprinkled / dusted on the ulcers and wounds with above talked about situations. 

13. Vrana Dhupana – fumigation of ulcers

Situations by which fumigation of ulcers must be completed

• Vatatmakan – ulcers stricken by vitiated vata
• Ugra rujan – ulcers related to extreme ache
• Saasravan – ulcers related to discharges

For fumigation linen, barley, ghee and fumigation herbs Pinus roxburghii, Vateria indica and many others are used.

Abstract

The above talked about measures of shodhana and ropana are helpful in cleaning and therapeutic the injuries and ulcers. Shodhana ought to be completed first and after the injuries have been cleansed correctly ropana ought to be resorted to for intensive and complete therapeutic of ulcers and wounds.

Shodhana, following the chronology ought to be completed after patana (excision and different set of surgical strategies). Following Ropana we’ve got Vaikrutapaha – the seventh amongst the Sapta Upakrama which includes of 26 remedies geared toward eradicating the deformities, problems and sequels of ulcers and wounds, a type of beauty rebuilding.

Ropana, as already talked about are defined within the stream by Grasp Sushruta instantly after having defined the measures of shodhana. He has not included it amongst the 60 remedies and therefore doesn’t get a quantity from amidst 1 to 60.

Shodhana measures defined above too are therapeutic in nature however since ropana measures have individually been highlighted by grasp Sushruta with out numbering it, we have to contemplate it as a separate therapy process. Anyhow it will get a quantity amongst the shad upakramas i.e. 6^th among the many seven remedies which the identical writer has defined in sutra sthana chapter 17.
Click to Consult Dr Raghuram Y.S. MD (Ayu)