World Journal of
Pharmaceutical and Life Sciences

EXPLORING THE WOUND-HEALING EFFICACY OF TILAKALKADI LEPA: A COMPREHENSIVE CASE STUDY

Nirmala Bidari* and Srinivas Masalekar

ABSTRACT

A wound is the disruption of tissue continuity caused by physical, chemical, thermal, microbial, or immunological damage. Wound healing, a key aspect of clinical surgery, aims to restore tissue integrity. Factors such as wound site, contamination, vascular insufficiency, malnutrition, diseases like diabetes, immune deficiencies, and medications can affect healing.[1] In Ayurveda, Sushrutacharya has quotted sixty procedures (Shasti Upakrama) for the management of various ulcers. kalka (Application of paste) is one among the Shasti Upakrama.[2] In this case study, a 62year old male patients, presented with a large ulcer measuring7x9cm over dorsum of the Left foot with tendons exposed, pus discharge, foul smelling and also inflicted with maggots. Maggots were removed manually and with turpentine oil, followed by ulcer debridement. Daily dressing with Tilakalkadi Lepa (containing Tilakalka, Jatyadi Ghrita, Madhu, and Arjuna Churna) and sterile bandaging was performed, along with internal medications like Triphala Guggulu, Gandhaka Vati, and Varunadi Kashaya. The wound fully healed with scarring by day 130. Tila Kalka is effective in wound healing by reducing pain, discharge, and tenderness.

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