Changes

<ref>Vagbhata. Uttara Sthana, Cha.25 Vranapratishedha Adhyaya verse 45. In: Kaviraj Atrideva Gupta,Editors. Ashtanga Hridayam. Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan;2005.pp 542.</ref>. Purpose of fumigation is to make suitable conditions for better ulcer healing such as local sterilization, vasodilation, decreased discharge and removal of foul smell.  

<ref>Vagbhata. Uttara Sthana, Cha.25 Vranapratishedha Adhyaya verse 45. In: Kaviraj Atrideva Gupta,Editors. Ashtanga Hridayam. Reprint ed. Varanasi: Chaukhambha Sanskrit Sansthan;2005.pp 542.</ref>. Purpose of fumigation is to make suitable conditions for better ulcer healing such as local sterilization, vasodilation, decreased discharge and removal of foul smell.  

Fumigation also relieves pain, discharge and kills microorganisms due to ''vata, kapha'' alleviating property along with antiseptic property.<ref>Sushruta. Sutra Sthana, Cha.5 Agropaharaneeya Adhyaya verse 17. In: Kaviraja Ambikadutta Shastri, Editors. Sushruta Samhita. Reprint ed. Varanasi:Chaukhambha Sanskrit Sansthan ;2013. pp 24.</ref> Various types of preparations are  used to harden or soften the wounds as per condition of wound.

Fumigation also relieves pain, discharge and kills microorganisms due to ''vata, kapha'' alleviating property along with antiseptic property.Various types of preparations are  used to harden or soften the wounds as per condition of wound.

#Research studies on management of ulcers:  The physician observing inflammation as prodromal sign in the beginning should apply blood-letting to prevent the manifestation of wound. Sushruta also indicated blood letting in initial stage of abscess or inflammatory conditions and in ischemic condition of the wound. (SU. Su. ---)<ref>Dwivedi SP, Shukla DV. Role of Jalaukavacharana (leech therapy) in the management of ankle sprain: a pilot study. International journal of [[Ayurveda]] & Alternative Medicine. 2014; 2 (4): 92-95.</ref>,<ref>Pandey BB, Kumar A, Singh N, Bhatia. Efficacy of Jalaukavcharana (Leech Application) in Ischemic Ulcer with Pre-Gangrenous Changes - A Case Report, Journal of [[Ayurveda]] 2012 Jul-Sep ; 4 (3) :103-107.</ref>

#Research studies on management of ulcers:  The physician observing inflammation as prodromal sign in the beginning should apply blood-letting to prevent the manifestation of wound. Sushruta also indicated blood letting in initial stage of abscess or inflammatory conditions and in ischemic condition of the wound.<ref>Dwivedi SP, Shukla DV. Role of Jalaukavacharana (leech therapy) in the management of ankle sprain: a pilot study. International journal of [[Ayurveda]] & Alternative Medicine. 2014; 2 (4): 92-95.</ref>,<ref>Pandey BB, Kumar A, Singh N, Bhatia. Efficacy of Jalaukavcharana (Leech Application) in Ischemic Ulcer with Pre-Gangrenous Changes - A Case Report, Journal of [[Ayurveda]] 2012 Jul-Sep ; 4 (3) :103-107.</ref>

#The ''nagrodhyadi'' group is indicated in wound as cooling for wounds which is found healing potential in one research.<ref>Lad M, Bandgar S. Management of non healing wound with nyagrodhadi kwatha and jatyadi ghruta (classical ayurvedic preparations). Global Journal of Research on Medicinal Plants & Indigenous Medicine (GJRMI). 2012; 1 (7): 301-308.</ref>

#The ''nagrodhyadi'' group is indicated in wound as cooling for wounds which is found healing potential in one research.<ref>Lad M, Bandgar S. Management of non healing wound with nyagrodhadi kwatha and jatyadi ghruta (classical ayurvedic preparations). Global Journal of Research on Medicinal Plants & Indigenous Medicine (GJRMI). 2012; 1 (7): 301-308.</ref>

#The ''panchavakkal'' (Vata (Ficus bengalensis Linn), ''Udumbara'' (Ficus glomerata Roxb.), ''Ashvattha'' (Ficus religiosa Linn.), ''Parisha/Pāriśa'' (Thespesia populenoides L.) and ''Plaksha'' (Ficus lacor Buch Ham.),) is indicated for the healing of chronic wound. In resent studies ''panchavalkal'' has  anti-inflammatory,  cleaning and healing potential in some research studies carried out and published in reputed journals of [[Ayurveda]].<ref>Meena RK, Dudhamal T, Gupta SK, Mahanta V. Wound healing potential of Pañcavalkala formulations in a postfistulectomy wound. Ancient Sci Life (ASL) 2015;35 (2):118-21</ref>,<ref>Bhat KS, Vishwesh BN, Sahu M, Shukla VK. A clinical study on the efficacy of panchavalkala cream in vrana shodhana w.s.r to its action on microbial load and wound infection. AYU. 2014;35(2):135-140</ref>,<ref>K. Shobha Bhat, M. Sahu, V.K. Shukla. Efficacy of pancavalkala cream in the management of chronic non-healing wounds, Aryavaidyan 2013 May-July ; (26) :224-228</ref>, <ref>Khadkutkar DK, Prof. Kanthi Veena. Therapeutic uses of Panchvalkala in different forms-a review. Ayurlog; National Journal of Research in [[Ayurveda]] Science.  2014; 2(1): 1-5</ref>, <ref>Khadkutkar DK, Prof. Kanthi Veena G. A Brief Review of Research Studies Conducted on Panchavalkal. Indian Journal of Ancient Medicine and Yoga. 2015;8(2): 87-94</ref>,<ref>Khadkutkar DK, Kanthi VG, Dudhamal TS. Antimicrobial activity of Panchavalkal powder and ointment. International Journal of Medicinal Plants and Natural Products (IJMPNP). 2015; 1(3): 9-15</ref>

#The ''panchavakkal'' (Vata (Ficus bengalensis Linn), ''Udumbara'' (Ficus glomerata Roxb.), ''Ashvattha'' (Ficus religiosa Linn.), ''Parisha/Pāriśa'' (Thespesia populenoides L.) and ''Plaksha'' (Ficus lacor Buch Ham.),) is indicated for the healing of chronic wound. In resent studies ''panchavalkal'' has  anti-inflammatory,  cleaning and healing potential in some research studies carried out and published in reputed journals of [[Ayurveda]].<ref>Meena RK, Dudhamal T, Gupta SK, Mahanta V. Wound healing potential of Pañcavalkala formulations in a postfistulectomy wound. Ancient Sci Life (ASL) 2015;35 (2):118-21</ref>,<ref>Bhat KS, Vishwesh BN, Sahu M, Shukla VK. A clinical study on the efficacy of panchavalkala cream in vrana shodhana w.s.r to its action on microbial load and wound infection. AYU. 2014;35(2):135-140</ref>,<ref>K. Shobha Bhat, M. Sahu, V.K. Shukla. Efficacy of pancavalkala cream in the management of chronic non-healing wounds, Aryavaidyan 2013 May-July ; (26) :224-228</ref>, <ref>Khadkutkar DK, Prof. Kanthi Veena. Therapeutic uses of Panchvalkala in different forms-a review. Ayurlog; National Journal of Research in [[Ayurveda]] Science.  2014; 2(1): 1-5</ref>, <ref>Khadkutkar DK, Prof. Kanthi Veena G. A Brief Review of Research Studies Conducted on Panchavalkal. Indian Journal of Ancient Medicine and Yoga. 2015;8(2): 87-94</ref>,<ref>Khadkutkar DK, Kanthi VG, Dudhamal TS. Antimicrobial activity of Panchavalkal powder and ointment. International Journal of Medicinal Plants and Natural Products (IJMPNP). 2015; 1(3): 9-15</ref>