Line of treatment with its benefits in this case ofNaalavibathapunn
Purgation was given first to reduce deranged vatham to get normalized.
Internal medicines were given for wound healing by stopping the spread
of the ulcer, avoiding the super-added infections, and normalizing the
deranged udal kattuakal (saaram, senneer, and oon ).
External medicines were given for the symptomatic relief of pain and
itching and to promote wound healing. One of the external therapies,Attai vidal (leech therapy), was given to the patient to improve
blood circulation, which helps markedly in wound healing to attain the
normal colour of the skin.
The treatment given to the patient over 60 days at the IPD of Santhigiri
Siddha College and Hospital was documented and tabulated in Table 5. The
table revealed the time, duration of the treatment, internal treatment
with its adjuvant, and dosage. The pharmacological action of the given
external and internal medicines was noted in the reference articles from
standard journal publications and Siddha classical literature.