Efficacy of Jatyadi, Madhughrita and honey tulle in wound management: a three-arm randomized controlled clinical trial

Dhrushnu Prasannan; Pradeep S Shindhe; Prashant G Jadar; Ramesh S Killedar; Priyanka K

doi:10.1016/j.jaim.2023.100719

Efficacy of Jatyadi, Madhughrita and honey tulle in wound management: a three-arm randomized controlled clinical trial

J Ayurveda Integr Med. 2023 May-Jun;14(3):100719. doi: 10.1016/j.jaim.2023.100719. Epub 2023 Jun 2.

Authors

Dhrushnu Prasannan¹, Pradeep S Shindhe², Prashant G Jadar³, Ramesh S Killedar², Priyanka K²

Affiliations

¹ Department of Shalyatantra, KAHER's Shri B M Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India. Electronic address: dhrushnu@gmail.com.
² Department of Shalyatantra, KAHER's Shri B M Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India.
³ Department of Rasashastra and Bhaishajya kalpana, KAHER's Shri B M Kankanawadi Ayurveda Mahavidyalaya, Shahapur, Belagavi, Karnataka, India.

Abstract

Background: Ayurveda underlines the significance of wounds and wound healing. Acharya Susruta has highlighted the need for shastiupakramas in the management of the wound. Even with a multitude of therapeutic concepts and formulations in Ayurveda, wound management has yet to gain acceptance.

Objective: To evaluate the effect of Jatyadi tulle, Madhughrita tulle, and honey tulle in the management of Shuddhavrana (clean wound).

Materials and methods: A three-arm randomized, parallel group, active-controlled, open-label clinical trial. Randomization was done through online random number generator software to allocate 45 patients treatment into three groups. Trial groups were treated with Jatyadi tulle (JT), Madhughrita tulle (MG), and control group was treated with Honey tulle (HT) for 10 days, and assessment was done on the 5th and 10th day. The wound was assessed using the Bates Jensen wound assessment tool, and the efficacy of the dressing material was assessed using the Worcestershire tissue viability team dressing assessment form. The study outcomes were early wound healing and clinical cure.

Results: Within-group results were assessed using the Wilcoxon matched pairs test, and between-group results were assessed by Kruskal-Wallis ANOVA and Mann-Whitney U test. Significant results were obtained within-group (p value < 0.05) from day 0 and at various time points. The results between groups were found to be comparable; JT and MG were found to be significant in ease of application, removal, and patient comfort. No adverse drug events were identified throughout the study.

Conclusion: JT and MG tulle have shown significant results in the management of shuddhavrana.

Keywords: Honey tulle; Jatyadi tulle; Madhughrita tulle; Vrana; Wound healing.