World Journal of Pharmaceutical and Life Sciences: A Review On Granthi W.S.R To Cystic Swellings
World Journal of Pharmaceutical and Life Sciences: A Review On Granthi W.S.R To Cystic Swellings
World Journal of Pharmaceutical and Life Sciences: A Review On Granthi W.S.R To Cystic Swellings
Sri. Kalabhyraveshwaraswamy Ayurvedic Medical College Hospital and Research Center Bangalore Karnataka India.
ABSTRACT
In Ayurveda Granthi is nothing but pathological condition of vitiated Doshas in Mamsa, Rakta, Meda and other
structures which results into a knot like elevated abnormal growth.[1] Granthi means a cyst or a cystic swelling. A
cyst is a sac or cavity that contains fluid or semisolid matter and surrounded by a wall often lined by epithelial or
endothelial cells. The main line of treatment of cyst is surgical excison along with the sac in contemporary science,
which is also highlighted in Ayurveda by Acharya Charaka.[2] Granthi as explained by Acharya Sushruta is of 5
types and by Acharya Vagbhata is of 9 types. A cyst can be congenital eg- Dermoid cyst or acquired eg- Sebaceous
cyst. It can also be of True which is lined by epithelium/endothelium and False which is formed from anatomical
space i.e., endothelium varieties.[3] The cyst is usually painless, only when it gets infected it becomes painful.[4]
The treatment of cyst is always surgical i.e., excision along with the sac. Only when it gets infected one should go
for conservative management. Both Ayurveda and Contemporary science highlight the Importance of excision of
cyst along with sac. There are high chances of reoccurrance when the sac is not completely removed. In Ayurveda
there is reference of Granthi attaining Paka after which Bhedana is done and treated like a Vrana.
KEYWORDS: Granthi, Tridoshaja, Mamsa, Rakta, Meda, Dermoid cyst, Sebaceous cyst, Paka, Bhedana, Vrana.
Asthija - + - + - -
Vranaja - + - + - -
Bursitis which will present as a swelling, pain and Asadhya Granthi- Sthula, khara, Chala, Marama kantha
restricted movements can be considered under Asthija Udarasthita.
Granthi.
Management of Granthi
Vrana Granthi The treatment adopted for Vranashopha has to be
Person indulging in Sarvashana when the Vrana is in adopted from Apatarpana to Virechana in Amavastha.
Arudha or Rudhamana Avastha, Not doin Bandha when Bala of the patient should be conserved as it controls the
the Vrana is Ardra or due to Ashmabhihata, Prakupita Vyadhibala. Dosha Samshodhana. Snehana using Ghrita
Vata causes samshoshana and Grathana of Vrana with made of drugs like Brihati Chitraka, Vyaghri. Lepa with
Daha, Kandu which is considered as Vrana Granthi.[26] teekshna drugs. Snehana followed by Vimlapana of
This can be considered as hypertrophied scar or keloid. Apakva Granthi. Once Pakva, Bhedana is to be done
after that it should be treated like a Vrana.[28]
Sadhya-Asadhyata of Granthi[27]
Sadhya Granthi- Vataja, Pittaja Kaphaja, Raktaja and
Medoja.
According to Bhavaprakasha
Vishesha Chikitsa
Table 3: Vataja Granthi Chikitsa.
Apakva Pakva
Snehana using Taila, Ghrita, combination of
Bhedana and Visravana of contents
two or three Snehas.
Prakshalana with Bilva, Arka or Panchavalkala Kwatha.
Lepa with drugs like Himsra, Katuki, Amruta
Vrana Shodhana with Tila, Erandapatra, Saindhava etc
Bharangi etc
Ropana with Taila made of Rasna, Sarala Vidanga, Yashti
Swedana by means of Upanaha with Vatahara
etc drugs along with milk.
drugs
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