CLINICAL EVALUATION OF THE EFFECT OF KATUPILADI OINTMENT (ANUBHUTA YOGA) IN THE MANAGEMENT OF POST-OPERATIVE FISTULOTOMY WOUND- A CASE STUDY

Abstract

A fistulotomy is a surgical procedure for treating the fistula1 and leaves the patient with secondary healing of post-surgical wounds. Treating these wounds has been a challenging task, as these wounds are very much prone to secondary infection by the contamination of faces. Due to contamination, delayed wound healing may persist. For that, these wounds are classified under the contaminated wound category.2 Securinega leucopyrus (Willd.) Muell. is known as Katupila in Sri Lanka, Humari in India, and Spinous fluggea in English.3 It is a climatic de-sert plant which used topically as a Kalka form for managing acute, chronic, and non-healing wounds.4 This drug is wildly prescribed and easily available in Sri Lanka. Chemical constituents (Pharmacognostical study) of Katupila have crystals of calcium oxalate, tannins, and oil globules.5 These constituents are responsible for wound healing.6 In an Ayurvedic prospective, Acharya Sushruta has described Shashti Upakramas for managing the Vrana (wound).7 It shows the necessity of different forms of drugs as local applications. Acharya Sushruta also described Amruta or Guduchi [Tinospora cordifolia (Thunb.) Miers] as Ropana8 and Triphala [Amalaki- Emblica officinalis Gaertn., Haritaki- Terminalia chebula Retz., Bibhitaki- Terminalia bellirica (Gaertn.) Roxb.] as Sodhana (Cleaning) and Ropana (Healing) dravya.9 Hence, this case study was undertaken to evaluate the effect of Katupiladi ointment in post-operative fistulotomy wound management. For the study, the drug was pre-pared in the ayurvedic pharmacy with the standard trituration method, and after that, it was stored in a sterilized glass container.