Non invasive method of Abscess drainage

SATHISH HS

Abstract


Background: Surgical management of abscess was undoubtedly incision and drainage and widely practiced. Invasive approach of has its own limitations in highly apprehended patients. An alternative to this procedure is screened from Ayurvedic treatises which have not surfaced till date.

Aim & Objective: Review of non-invasive method of abscess drainage.

Materials & Method: Available Ayurvedic treatises, texts of contemporary sciences and Clinical studies carried out at different Ayurvedic centre and published in indexed and referred [ISSN numbered journals] were included.

Observation & Discussion: The inimitable method of drainage of abscess without employing any surgical instruments is admirable. The Luke warm paste of herbs mixed with Kshara [alkali preparations] and dung of birds are applied on the abscess surface which is thin and friable. By virtue of its properties, spontaneous rupture of the surface aid in drainage of the contents. The method has noteworthy advantages of being able to drain abscess over vital areas and in surgically unfit patients. The pain scores both in intra operative and post operative is minimal in comparison. The major disadvantage and limitation of this method is, it cannot be employed in deep seated or internal abscess. 

Conclusion: Manifestation of abscess and its progress is diverse; similarly, the treatment should be based on the patient’s presentation and circumstances. A non invasive mode of drainage of superficial abscess in surgically apprehended patients is an exceptional contribution of Ayurvedic science.

Key word: Abscess, Drainage, Non invasive


Full Text:

PDF

References


Panja AK, Patra A, Choudhury S, Chattopadhyaya A. Clinical Consequences of Microbial Infections in Caraka Samhita. International Journal of Ayurvedic Medicine. 2011 Dec 22;2(3).

Murthy AR. A systematic approach to the classification of diseases. Ancient science of life. 1993 Jan;12(3-4):338.

Basumatary K, devi Loukrakpam V, Lekharu S. A study of the contribution on Shalya Tantra with special reference to Charak Samhita. AYUSHDHARA. 2017 Jun 24;3(6).

Meislin HW, McGehee MD, Rosen P. Management and microbiology of cutaneous abscesses. JACEP 1978;7(5):186-91.

Sabiston DC, Townsend CM. Soft tissue infections. In: Townsend CM, Beauchamp RD, Evers BM, Mattox K, editors. Sabiston textbook of surgery: the biological basis of modern surgical practice. 17th ed. Philadelphia, PA: Saunders; 2004. p. 263-8.

Derksen DJ. Incision and drainage of an abscess. In: Pfenninger JL, Fowler GC, editors. Pfenninger and Fowler’s procedures for primary care. 2nd ed. St Louis, MO: Mosby; 2003. p. 145-9.

Halvorson GD, Halvorson JE, Iserson KV. Abscess incision and drainage in the emergency department—part I. J Emerg Med 1985;3(3):227-32.

Sathish HS, Rashmi TM, Mithun B, Narmada MG. Sushruta’s Method not Hilton’s Method. Journal of Ayurveda Physicians and Surgeons. 2017 (July). Volume 4(3):52-54.

Gaur, R. D., Jyotsana Sharma, and R. M. Painuli. "Plants used in traditional healthcare of livestock by Gujjar community of Sub-Himalayan tracts, Uttarakhand, India." (2010).

Upadhye A, Kumbhojkar MS, Vartak VD. Observations on wild plants used in folk medicine in the rural areas of the Kolhapur district. Ancient science of life. 1986 Oct;6(2):119.

Chuakul W, Soonthornchareonnon N, Sappakun S. Medicinal plants used in Kungkrabaen royal development study center, Chanthaburi province. Thai Journal of Phytopharmacy. 2006;13(1):27-42.

Naher S, Ferdous B, Datta T, Rashid UF, Tasnim TN, Akter S, Mou SM, Rahmatullah M. Ayurvedic influences in folk medicine: a case study of a folk medicinal practitioner of Jhalokathi in Barisal district, Bangladesh. Am-Eur J Sustain Agr. 2013 Jul 1;7:295-305.

Kumara, G.U.A. and Pushpakumari, W.L.A.R.S. (2017). A comparative clinical study on Nishādi Lepa and Nirgundi Saptaparni Lepa in the management of Stana Vidradhi. Salakya Sandipani, Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka.p 118.

Sathish HS, Dudhamal TS, Gupta SK, Bhuyan C, Baghel MS. Overview of Academic Researches on Vranaropan (Tissue Healing) Properties of Ayurvedic Drugs. Indian Journal of Ancient Medicine and Yoga. 2014 Jan 1;7(1):33-47.

Korownyk C, Allan GM. Evidence-based approach to abscess management. Canadian Family Physician. 2007 Oct 1;53(10):1680-4.

Singer AJ, Richman PB, Kowalska A, Thode HC. Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures. Ann Emerg Med 1999;33(6):652-8.

Andrews E. The Incision, digital exploration and drainage of Lumbar Abscesses. 1. Journal of the American Medical Association. 1886 Oct 23;7(17):449-53.

Chaudhari TG, Sneha K, Mukund D, Pallavi J. Role of Lepakalpana for improving Beauty of Skin wsr to Mukhalepa. International Journal of Ayurveda and Pharma Research. 2017 May 24;5(5).

Sharma P, Sharma S, Pathak V, Mohapatra S. Drug Delivery System in Ayurvedic Treatment. WJAS volume II Issue 1 Jan 2017.

Angadi Ravindra, Textbook of Bhaishajya Kalpana Vijnana, 2nd Edition, Varanasi, Chaukhamba Surbharti Prakashan, 2016, p 349 – 359.

Chaudhari Tejaswini, Kubde Sneha, Dive Mukund, Jamnekar Pallavi. Role of Lepakalpana for Improving Beauty of Skin w. s. r. to Mukhalepa. International Journal of Ayurveda and Pharma Research. 2017;5(5):72-77

Patil S. Topical dosages forms (Lepa Kalpana) of Ayurveda: An unexplored treasure. International Journal of Green Pharmacy (IJGP). 2016 Feb 5;9(4).

Yogitha B. Lepa’s :Topical application of Ayurveda. International Research Journal of Pharmacy.2012, 3(7)

Bhishagratna KL, editor. An English translation of the Sushruta Samhita based on original Sanskrit text. Wilkin's Press; 1907. Vol 2,p.290.

Bhishagratna KL, editor. An English translation of the Sushruta Samhita based on original Sanskrit text. Wilkin's Press; 1907. Vol 2,p.290.

Johnston-Saint P. An outline of the history of medicine in India. Journal of the Royal Society of Arts. 1929 Jul 12;77(3999):843-70.

Bhishagratna KL, editor. An English translation of the Sushruta Samhita based on original Sanskrit text. Wilkin's Press; 1907. Vol 1,p.315

Satish HS, Rashmi TM, Thirunavukkarasu MS, Mithun B, Narmada MG. Sushruta’s eight pearls for Infective Ulcer. Journal of Ayurveda and Integrated Medical Sciences (ISSN 2456-3110). 2017 Nov 26;2(5):142-53.

Ghazala Hafeez Rizwani et al,Analgesic activity of various extracts of Holoptelea integrifolia

(Roxb.) Planch leaves, Pak. J. Pharm. Sci., July 2012, Vol.25, No.3, p.629-632.

Bhuvad SB, Nishteswar K, Acharya R, Nariya MB. Comparative anti-inflammatory and analgesic activities of leaf powder and decoction of Chirabilva [Holoptelea integrifolia (Roxb.) Planch]. Ayu. 2014 Jul;35(3):339.

Bhuvad Sushama B, Nishteswar K. Ayurvedic and Ethno–botanical perspectives of chirabilva (Holoptelea Integrifolia Planch). Int Ayurvedic Med J. 2013;1:1-8.

Ahmad I, Mehmood Z, Mohammad F. Screening of some Indian medicinal plants for their antimicrobial properties. Journal of ethnopharmacology. 1998 Sep 30;62(2):183-93.

Chetty KM. Pharmaceutical Studies and Therapeutic Uses of Plumbago Zeylanica L. Roots (Chitraka, Chitramulamu). Ethnobotanical Leaflets.;2006(1):33.

Muthuraja R, Nandagopalan V, Thomas B, Marimuthu C. An Ethno-botanical survey of medicinal plants used by Kolli Malayalis of Nammakkal district, Eastern Ghats, Tamil Nadu, India. European Journal of Environmental Ecology. 2014;1(1):33-43.

Dolui AK, Sharma HK, Marein TB, Lalhriatpuii TC. Folk herbal remedies from Meghalaya.

Omoyeni OA, Hussein AA, Iwuoha E, Green IR. A review of the ethnomedicinal uses, phytochemistry and pharmacology of the Pleiocarpa genus. Phytochemistry Reviews. 2017 Feb 1;16(1):97-115.

Keshri R, Dutta B. Ethnomedicinal Plants of Koderma District of Jharkhand. CAFET-Innova Technical Society. 2010:245.

Halder L, Ganguly S, Banerjee N, Mishra PK. Ethnomedical Plants of Purulia District of West Bengal. Cite this Volume as: J. Res. Dev. 8.:98.

Siba Prasad Rout et al. Danti (Baliospermum montanum Willd.) and its external applications reported in various Ayurvedic pharmacopoeia: An evidence based Review. Int. J. Res. Ayurveda Pharm. 2017;8(Suppl 3):52-59 http://dx.doi.org/10.7897/2277-4343.083169

Kumar S, Gupta P, Sharma S, Kumar D. A review on immunostimulatory plants. Journal of Chinese Integrative Medicine. 2011 Feb;9(2):117-28.

Srinivasulu B, Prasad GP, Narayana A. A critical review on Nutraceuticals in Madhumeha (Diabetes). International Journal of Ayurveda and Pharma Research. 2015 Dec 14;3(6).

Lolimbaraja. Chamatkara Chintamani. Nirmal Saxena.Editor. Krishnadas Academy, Varanasi; 2001.

Acharya R. Canvassing the external applications of Arka: A classical memoir. Journal of Ayurveda and Holistic Medicine (JAHM). 2015 Nov 13;3(5):54-81.

Yoshimitsu M, Mikage M, Nakagawa Y, Yamamoto K, Tazawa K. Studies of Kshara, an Ayurvedic medicine (2). Journal of Traditional Medicines. 2005;22(1):15-8.

Gupta, Leena, et al. "Use of Animals and Animal products in traditional health care systems in District Kachchh, Gujarat." (2003).

Sahani et al. Ethnomedicinal plants from bahraich (U.P.) India, Indian Journal of Science, 2013, 2(5), 112-120, http://www.discovery.org.in/ijs.htm


Refbacks

  • There are currently no refbacks.