Author(s): Soni Ashish, Gupta S J
Acharya Sushruta was well aware about importance of vranashopha (stages of abscess formation), vrana (wound) and their management in surgical practice. The vranashopha is described as earlier phase of vrana. Sushruta has mentioned detail description of inflammatory swelling under the heading of vranashopha which has 3 progressive stages. These are amawastha (just early stage of inflammatory process), pachyamanawastha (true inflammatory stage) and pakwawastha (suppurative stage) respectively. Further acharya described six types of vranashopha as; vattika, paittika, kaphaja, shonita, sannipattaja, agantuja. He described their description according to color, consistency, pain and other symptoms. Acharya Sushruta perceived that the process of the pathogenesis has a definite sequential pattern, distributed over six occasions for treatment called shatkriyakala. Sixty procedures for management of vranashopha (inflammatory swellings) and vrana (abscess or wound) was told by Sushruta. Out of these first eleven from apatarpana to virechana were mentioned for vranashopha specially and rest of other forty eight procedures were truly for vrana only. It is very important to know all about vranashopha as treatment in this stage can prevent hazardous complications occur by infected wound.