Wound which heal very slowly or do not heal despite best efforts are known as dust vrana. Since the time surgery has
evolved as a speciality, infection and hemorrhage have been recognized as two well known enemies of surgeon over a period.
Nowadays many antibiotics have come into existence, However infection still dominates, and it is one of the major causes of
mortality and morbidity in a patient. Acharya Sushruta a pioneer surgeon has mentioned various types of wound and Shasthi
Upkrama for its management. Without debridement wound is not heal. So for adequate debridement and healing Panchvalkala
kwath and Madhukadi Tail has been used for shodhana and Ropana of dustha vrana.
