Extraction of Krimi (maggots) in Dushtavrana (Non-healing ulcer) by Susrutha’s concept of Mamsaachadana: A Rare Case Report
A case report
An ulcer is a break in the continuity of epithelium-skin or mucous membrane. It may either follow molecular death of surface epithelium or its traumatic removal and a non-healing ulcer is unresponsive to dressings and treatments and it can be correlated with dushtavrana. Contamination by bacteria and foreign bodies were said to be one cause of delayed healing of wounds. This is a case report of 64 year old male with a chronic ulcer since six months on dorsum of left foot containing numerous maggots which was also affected with severe pain and tenderness. The extraction of maggots was done by mamsaachadana (aja mamsa/ meat of goat) technique explained by acharya susrutha in shashtirupakrama .The ulcer was clean and without maggots in five days. Cleaning and dressing was done with triphla kashaya and jathyadi grutha and the complete remission of ulcer occurred within two months. This case study highlighted that sushruta concept can be adopted with positive outcome in the management of dushtavrana with krimi.