A wound has six root causes, and eight primary locations, characterized by signs of five, prescribed with sixty therapeutic measures and management by four limbs of treatment. The aesthetic management of wounds and scars has been an extensive concept from ancient days to the current surgical practice. Ayurveda is elemental in boundless cosmetic measures for people spanning centuries, with the idea of vaikritapaham commending wound management in the branch of Shalya Tantra. This study aimed to explore the concept of vaikritapaham, managing scar and granulation issues in Ayurveda. The method followed for this review was a thorough analysis of brihatrayees and their commentaries and reference from various research articles on scar management in Ayurveda. It was found that in Sushruta Samhita, the concept of vaikritapaham as the anti-scar measure is mentioned in sapta upakrama of vrana-sopha and various concepts like Utsadana and avasadana for stimulating and depressing granulation, mrdukarma and darunakarma for hardening and softening the woundksarakarma for improper granulation, krsnakarma, pandukarma and pratisarana for discolouration of the skin, romasanjanana and lomapaharana for repilatory and depilatory measures respectively have been mentioned in shasti upakrama of Vrana. Charaka and Vagbatta have described lepas for discolouration issues in managing Vrana. The research thoroughly reviewed the concept of vaikritapaham, scar management and measures for granulation issues in Ayurveda.

Right from ancient years to contemporary times, trauma care has been an important goal of emergency management. Orthopedic injuries have a high incidence and remain a significant challenge for trauma care. Sushruta Samhita has an extensive description of the management of orthopedic injuries like fractures and dislocations. According to Ayurvedic scriptures, a fracture is the loss of the bone's continuity due to pressure. The fundamental principles of fracture therapy, such as Reduction, Immobilization, and Rehabilitation, are used to treat long bone fractures. Many indigenous substances that can aid in fracture healing are documented in ancient treatises. This study aimed to explore the types and management protocol of fracture Acharya Sushruta. The method was followed to analyze Sushruta Samhita, its commentaries, and Internet surfing from various research articles. In Sushruta Samhita, the maximum information about the disease fracture, its classification, and symptoms are elaborated in the fifteenth chapter of nidan sthan and its management was described in the third chapter of chikitsa sthan along with extensive details of surgical and non-surgical management, dietetic indications and local applications. Ancient surgeons prioritized fractures of the pelvic area, spines, long bone shafts, and thighs, among various fractures. The rules established by Acharya Sushruta are so authentic that even today's orthopedic surgeons follow them. Traction and retention were used after Unnamana (elevation of the depressed fragment) and Vinamana (depression of elevated fragment) while managing shattered bones. Sudha varga dravyas were used in compound fractures, multiple fractures, and irregular fractures when the broken section is completely separated or missed in certain circumstances. As a graft material, a paste made from the decoction of Rubia cordifolia, Sudhavarga dravya, and latex of Ficus Benghalensis was applied. The research provided a thorough literature review on fracture and fundamental principles, which are valid even in today's orthopedics.