Ayurvedic management of second-degree firecracker burn injury in a diabetic patient: A case report
DOI:
https://doi.org/10.70066/jahm.v13i6.1785Keywords:
Ayappana, Bates-Jensen wound assessment tool, Dagdha Vruna, Murivenna, Second-degree burn.Abstract
Background: Firecracker burn injuries are one of the common causes of thermal burns during festival time. Second-degree burn is common followed by first-degree burns. Burn wound management is challenging since healing is a complex slow-going process that needs timely care and timely management, which otherwise advances to the infectious stage especially in diabetic patients who are always at a high risk for delayed wound healing due to impaired immune response, neuropathy, infections etc. Ayurveda correlates burn wounds as Dagdha Vruna and is classified based on the degree of burns. Case report: This case report presents the successful Ayurvedic management of a 37-year-old diabetic male patient with a second-degree burn on the right wrist and fingers. The patient underwent Ayurvedic therapy, including Murivenna Dhara, JA ointment application (Ayapana and Jathyadi Taila formulation), and Triphala Guggulu oral administration. Results: The treatment resulted in significant wound healing within 10 days, as measured using the Bates-Jensen Wound Assessment Tool (BWAT), with scores improving from 24 (severe tissue damage) to 10 (near-complete healing). Conclusion: This case highlights the effectiveness of Ayurvedic therapies in treating burns, which may be beneficial, even in diabetic patients who typically experience delayed wound healing.
References
World Health Organization. Burns [Internet]. WHO. World Health Organization: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/burns.
Tandon R, Agrawal K, Narayan RP, Tiwari VK, Prakash V, Kumar S, et al. Firecracker injuries during Diwali festival: The epidemiology and impact of legislation in Delhi. Indian Journal of Plastic Surgery. 2012 Jan;45(01):097-101.
Warby R, Maani CV. Burns Classification [Internet]. Nih.gov. StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539773/
Tebby J, Lecky F, Edwards A, Jenks T, Bouamra O, Dimitriou R, et al. Outcomes of polytrauma patients with diabetes mellitus. BMC Medicine. 2014 Jul 16;12(1).
Brem H, Tomic-Canic M. Cellular and molecular basis of wound healing in diabetes. Journal of Clinical Investigation [Internet]. 2007 May 1;117(5):1219–22. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857239/
Jadadavji Trikamji (editor). Susrutha Samhita of Susrutha, Sutrasthana, chapter12, verseno.16. reprint 2009, Varanasi; Chowkhambha Sanskrit Sansthan;2012:53-824.
Sankalp Ramrao Humne. Ayurvedic Management of a Third Degree Burn Wound in a Patient with Diabetes Mellitus - A Case Report. International Journal of Ayurvedic Medicine [Internet]. 2025 Apr 9 [cited 2025 Jun 9];16(1):252–6. Available from: https://www.ijam.co.in/index.php/ijam/article/view/5162
Harris C, Bates-Jensen B, Parslow N, Raizman R, Singh M, Ketchen R. Bates-Jensen Wound Assessment Tool. Journal of Wound, Ostomy and Continence Nursing. 2010 May;37(3):253–9.
Markiewicz-Gospodarek A, Kozioł M, Tobiasz M, Baj J, Radzikowska-Büchner E, Przekora A. Burn Wound Healing: Clinical Complications, Medical Care, Treatment, and Dressing Types: The Current State of Knowledge for Clinical Practice. International Journal of Environmental Research and Public Health [Internet]. 2022 Jan 25;19(3):1338. Available from: https://pubmed.ncbi.nlm.nih.gov/35162360/
Anonymous. The Ayurveda Formulary of India. First edition, Government of India, Ministry of Health & Family Welfare, Department of Indian System of Medicine & Homoeopathy, Part 3. New Delhi. 2011.
Mugilmathi B, Kiran TU, Reddy KV, Menon AS. WOUND HEALING POTENTIAL OF MURIVENNA, AN INDIGENOUS FORMULATION: A REVIEW. International Journal of Research in Ayurveda and Pharmacy [Internet]. 2024 Apr 30 [cited 2025 Mar 18];15(2):107–11. Available from: https://ijrap.net/admin/php/uploads/3091_pdf.pdf
GS Pandey (editor). Bhavaprakasha of Bhavamishra , Amradi phala varga, verse no.38. reprint 2022, Varanasi; Chowkhambha Bharati Academy;547.
Fernezelian D, Gence L, Bringart M, Veeren B, Bedoui Y, Meilhac O, et al. Ayapana triplinervis Vahl: Potential toxicity and therapeutic effects assessed in a zebrafish model. Phytomedicine Plus. 2023 Feb;3(1):100384.
K.R.Srikantha Murthy(translator). Sarangadhar Samhita of Sarngadhara, , chapter 9, verse no.168-172. reprint 2012, Varanasi; Chowkhambha Bharati Academy ;132.
K.R.Srikantha Murthy(translator). Sarangadhar Samhita of Sarngadhara, , chapter 7, verse no.80-83. reprint 2012, Varanasi; Chowkhambha Bharati Academy ;109.
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