The Comparative clinical study of efficacy of Rohni Sikhta Taila, Rohni Sarjarasa Malahara & Rohni Ointment in the management of Agantuja Vranashotha with special reference to superficial thrombophlebitis

Abstract

Superficial thrombophlebitis is inflammation of the vein which is common complication of intravenous administration of drugs as by IV Cannulation. This inflammatory condition arises due tolocal injury and microbial contamination. Local treatment seems better than systemic drugs and if not treated timely can cause cellulitis and even suppuration. Hence immediate treatment needed which includes topical ointment, Hand Elevation, Use of Antibiotics etc.

Acharya Sushruta has mentioned a detail description of inflammatory swelling under the heading of Vranashotha. IV Cannulation induced Superficial Thrombophlebitis can be correlated with Aagantuja Vranashotha. There are many modalities for treating this condition amongst which Lepa is one of the important measures.  For this purpose, we had hypothesized a drug, which could reduce local signs and symptoms of Vranashotha as mentioned in various Ayurvedictext.

In this study we had prepared Rohni iSiddha Taila with 3 Kalka dravya like Rohitak, Haridra & Nirgundi which was further divided into Rohnii Sikhta Taila by mixing Sikhta (i.e beewax),Rohni Sarjarasa Malahara by mixing Sarjarasa (i.e ShalaNiryasa resin extract) & Rohni Ointment(i.e  with Alcohol extract + Petroleum Jelly). Considering the Initials of the Contents the Name Rohni is derived as By Rohitak+Haridra+Nirgundi. 15 patients of AgantujaVranashotha i.e. superficial thrombophlebitis for each group were selected and treated with local application of Rohni SikhtaTaila, Rohni Sarjarasa Malahara & Rohni ointment respectively. It was found that all 3 i.e Rohni Sikhta Taila, RohniSarjarasa Malahara & Rohni ointment are effective in reducing the signs and symptoms of Vranashotha with less or more varying degree.

So,it would be concluded that Rohni ointment is most suitable to be used in large scale for treatment of Vranshotha with special reference to superficial thrombophlebitis.