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.