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The wound healing is a natural process, but involvement of infection which will not allow wound to heal and convert it into DustaVrana (chronic wound). Bed sore is most commonly seen in bedridden Pakshaghata (paraplegia) patients. Most common site is sacrococcygeal, heel, elbow, shoulder and occipital region. Due to pressure, immobilization and poor nutrition wound healing will be hampered and turned into Dusta Vrana. Chronic wound can lead to osteomyelitis and sepsis which can become the cause of death. In such condition Vrana Shodhana (purification) and Ropana (healing) Chikitsa (treatment) is the ideal choice of treatment. Vrana Basti (oil pooling on wound) with Jatyadi Taila helps in managing the bed sore or pressure ulcer. A case of 62-year female presented with complains of non-healing ulcer at sacrococcygeal region with slough, discharge, foul smell, discoloration of skin has been presented here. Significant improvement seen in wound, in respect to height and breath of wound. In this case Jatyadi Taila shows its Shodhana, Ropana and Raktaprasadana (blood purifier) property.

Leeches have been liberally used throughout the ages and in the field of medicine, holds no exception. Right since the dawn of medicine, leeches have always held a major role in varying strata of treatment. The periorbital region on the face is a delicate area susceptible to oedema, discoloration and pain when subjected to any trauma which requires lengthy duration to retrieve back to normalcy. This period of time could be troublesome for the patient cosmetically, emotionally and socially. Hence in the present study, Leeches were employed in Peri orbital lacerations which were healed by primary intention. It was seen, that cases wherein leeches were used, showed faster resolution in edema, pain, discoloration as compared to not having any leech intervention.Â

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