Abstract:
A chronic wound ig a wound has does not heal in an orderly set Of Stages and in
predictable amount of time the Way. poor blood circulation is one Of the major
factors which hinder wound healing leading to chronic ulcers. Accumulation of
deoxygenated blood around the wound is responsible for giving rise to blackening
of the skin, itching and low temperature around the wound while decelerating the
healing process. The pulp of the unripe Carica papaya fruit is traditionally used
as a paste around the chronic wound as an aid to improve the skin condition. This
study was conducted to observe i*effect on circulation improvement taking two
cardinal signs of poor blood circulation which are discoloration of skin and itching
as indicators. This study was conducted at Shalya Clinic Of Gampaha
Wickramarachchi Ayurveda Hospital. A _ 54 years old female patient presented
with a non-healing wound in dorsum of the left lower limb for 2 years. First
cleaned the wound by using Pancha walkala quatha and applied a paste Of the
pulp of unripe Carica papaya fruit mixed with bee's honey around the wound.
Treatment was carried out for 6 weeks. The results were recorded weekly using a
scoring system based on the severity of symptoms. At the end of the period the
patient was relieved of itching considerably, replaced the wound base with healthy
granulation tissues and showed an improvement of skin color around the wound.
Reduction of these symptoms could be taken as indications of an improving blood
circulation around the affected area. In this study, it was seen that Carica papaya
pulp applied around wounds which are positive for the above 3 symptoms were
successful in reducing discoloration, itching and increasing healthy granulation
tissues. Therefore, it was concluded that the pulp of unripe Carica papaya has the
ability to improve the circulation around chronic wound.
