BED SORES

Dear friends,
As per the request of Dr Deepak Bhanotji...I would like to discuss some points regarding bed sores...I am sure you are all well versed with theory…here I want to discuss about my practical experiences…this topic needs space..so I will give you some practical outlines…most them you know…and some of them …I tried myself…which you won’t find in our text books(exception…Dr manish Dr pravin and Dr pareshji)Bed sores are nothing but pressure sores…so its management varies according to the condition of the wound… its blood supply…area…local infection..associated diseases…general condition of the patient etc..For any type of wound first approximation is necessary for perfect wound closureFirst if the wound is irregular in shape (dushta vrana) you have to make it regular by cutting unwanted edges…Debridement of slough is the essential part of ulcer management for this technique you need patience ….you have remove slough on every day basis But I would suggest you to go for jalouka prayog for this…it has an excellent results…When I was in BHU …I used MAGGOTS for this..(But you have to collect the maggots first ...at universities it is very much available..But if you want it for your personal use…the better place would be agricultural institutions)Third one is use of moist foams (you can impregnate foams with karanja tel (seeed oil) nimba tel (seed oil) etc… gel foams are available in the market..Look out wound edges…1. If there is a silver or white line along the wound edges..You have to remove it…2. If the edge is undermined…you have to cut its underneath to enhance blood supply…3. If it looks dry…you have to apply moist dressings with vrana sodhan aushadhis…4. If it doesn’t grow…trimming the edges is the best method Base of the wound1. Always it should look pale red or red in colour…2. It shouldn’t have any slough…. (If you look tendons or muscles as a base…it’s very difficult to cure...You need a skin flap or skin graft for proper healing)In Vrana ropana period…As I earlier said never apply chemicals once you think it is free from infection…Vrana kshaalan with hot water is the best method… (You can add vrana ropan dravyas) Triphala kashaaya, pancha valkal kwath are the best…One patient of mine didn’t get relief with conventional method…Once I used OXYGEN 70%...AND SPRAYED on the surface of the wound daily for 4 weeks..I got excellent results…the wound miraculously started healing…The second method I used was (don’t tell anybody)…I had simply put veinflon on the patients wrist…and used to draw patients own blood (every day less than 1 ml) and used to smear it on the wound surface got an excellent results….But for conventional methods….nobody can compete with our own susruta…he was at his best…describing ulcer management…This actually a rough idea about bed sore management..I think its incomplete...Try to adapt my techniques if you think they are worth trying……thank you