E D I T O R I A L

Wound and its management is a highly essential aspect of surgical practice. In both surgery and trauma, the wound is the primary pathological condition. In elective surgery, wound serves as the access point for addressing the underlying pathology. In both situations, the surgeon’s task is to minimize the adverse effects of the wound, repair or remove damaged structures, and facilitate the process of wound healing to restore normal function. Thus, surgical practice and surgical procedures are directly or indirectly linked with wound healing and its management.

Vrana, referred to as a wound in Ayurveda, is one of the challenges in the surgical practice. The management of wound is extensively described in Sushrut Samhita. Sushrut has advocated Shashti Upakram (60 measures) to treat wound or ulcerative lesions. In this review article, an attempt has been made to discuss the concept of these Shashti Upakramas.

Autoimmune disorders are a complex group of conditions characterized by the immune system’s attack on the body tissues, causing chronic inflammation and dysfunction. This paper examines autoimmune disorders from both modern medical and Ayurvedic perspectives, with a focus on pathogenesis, diagnosis, and management strategies. Modern medicine attributes these disorders to genetic predisposition, environmental triggers, and immune dysregulation, with management primarily involving immunosuppressive therapies. Ayurveda views autoimmune disorders a result of Ama (toxins), Ojas Kshaya (immune depletion), and imbalances in the Doshas (Vata, Pitta, and Kapha), due to impaired Agni (digestive fire). Ayurvedic interventions emphasize detoxification (Shodhana), rejuvenation (Rasayana), dietary regulation, and lifestyle modifications to restore balance and enhance immunity. This integrative review highlights the potential synergy between modern and Ayurvedic approaches, advocating for holistic and sustainable management of autoimmune conditions.

Shodhana therapy is aimed at purifying the body by expelling the accumulated morbid humours through the nearest route, thereby creating an ideal environment for the proper functioning of the body. Today, due to changed lifestyle, people are encountering more diseases as more toxins get accumulated. Also, the awareness, curiosity, and demand about the Shodhana therapy is rising. Proper administration of Shodhana therapy to indicated individuals yields beneficial effects while avoiding untoward effects. Therefore, it is important to understand the indicative parameters that should be considered for Shodhana therapy.

Adoption serves as a crucial solution for abandoned, orphaned, or destitute children, offering them the opportunity to grow in a safe, loving environment. In India, adoption is governed by strict legal frameworks such as the Juvenile Justice Act of 2000 and monitored by the Central Adoption Resource Authority (CARA), ensuring the welfare and rights of both children and adoptive parents. Pediatricians play an essential role in this process, providing medical expertise, counseling, and support to prospective adoptive families. Methodology: A substantial survey of the existing literature on the adoption of children, the Juvenile Justice Act and sources including the text books, published journals, periodicals, and dissertations. Results and conclusion: Pediatricians’ responsibilities include medical evaluations, guidance on adoption procedures, and emotional support to foster a smooth transition for both children and families. Through collaboration with social workers and adoption agencies, pediatricians contribute to the well-being of adopted children by ensuring that their physical, emotional, and psychological needs are met. This comprehensive approach to adoption, rooted in legal and ethical protocols, is fundamental to upholding children’s rights to a family and securing their well-being in a stable family environment.

Athisamharaka is one of the most widely used drugs in the Ayurvedic system of medicine. In Ayurveda, it is used as Deepan, Pachan, Anuloman, Krimighna, and Arshahar. The stem juice of the plant is used to treat scurvy and menstrual disorders. In modern medicine, it is also known as a bone setter. There is an increased possibility of adulteration in many plant parts. To prevent this, proper identification of plants is essential, which can be achieved through various methods of standardization.

Ayurveda is an Indian system of medicine that has been in practice for thousands of years. Ayurvedic medicines are effective in managing chronic diseases such as liver cirrhosis, hepatitis, and hepatic encephalopathy. A 58-year male patient was admitted with complaints of irrelevant talk, abdominal distension, anorexia, drowsiness, partial obedience to verbal commands, yellowish discoloration of the sclera, and bipedal edema. The patient was managed with Ayurvedic medicines. Hepatic encephalopathy (HE), the neuropsychiatric presentation of liver disease, is associated with high morbidity and mortality.

Charmakila (~warts) are a common skin problem with cosmetic concerns, widely prevalent worldwide. Warts are estimated to affect 10-13% or more of the general population. They are more common in children and young adults and occur in both males and females. Charmakila is a common skin condition mentioned under Kshudraroga in our Samhita texts. There are many treatments in other medical systems; however, the rate of recurrence is more. Case: A 38-year-old male had common warts on the left lower eyelid for the past 3 months. Initially very small, the wart had suddenly started increasing in size over the last 1 month. Intervention: As  Charmakila was on face and near the eye, special care was taken during treatment. Ayurvedic Ropana Dravya application was prescribed along with Agnikarma, which effectively healed the wart without leaving a scar. Result and outcome: There was marked improvement and the case  outcome demonstrated that the Charmakila can be successfully managed with Agnikarma Chikitsa and Ayurvedic medication.

Globally, approximately 15.4 million people are living with spinal injuries. Among the total neurological disorders and disease burden in India, the percentage of spinal injuries is 1.9 %. The following is a case managed in the Department of Panchakarma, SV Ayurvedic Hospital, Tirupati. A 66-yearold male patient presented with a chief complaint of loss of sensation below the neck and weakness in both upper and lower limbs. He had a history of a road traffic accident in the year 2015 and underwent microscopic anterior cervical C3–C4 discectomy and fusion surgery after the accident. He was treated with Sarvāṅga Abhyaṅga and Nāḍī Sweda for 3 days, Mātrā Basti with Balā Tailam for 7 days, followed by Madhu Ghṛtādi Yāpana Basti for 16 days. The ASIA scale score recorded at the outset was 106/324, which got improved to 307/324 after the completion of therapies in the span of 26 days. The patient completely regained his sensations with moderate improvement in motor power of muscles, which reflected in ASIA scale. Sarvāṅga Abhyaṅga and Nāḍī Sweda administered initially, were considered first-line therapies in the management of vitiated Vāta. The Mātrā Basti administered afterward exhibited tremendous Vātahara property. Madhu Ghṛtādi Yāpana Basti, explained in Charaka Samhita for the management of Trika Jānu Ūru Nikuncana was tried here. The above-stated Panchakarma therapies have shown significant amelioration in both sensory and motor deficits. Moreover, they were proven safe during the entire course of treatment.