Wound is discontinuity or break in the surface epithelium. A wound is simple when only skin is involved. It is complex when it involves underlying nerves, vessels, tendons.
Types of wounds
Can be minor and soft tissue injury without break in the skin or sometimes it can be major due to run over by a vehicle. Generally it produces discoloration of the skin due to collection of blood underneath.
In this wound, epidermis of the skin is scraped away thus exposing dermis. They are painful as dermal nerve endings are exposed.
They are caused by sharp objects like blade, knife, glass etc. this type of wound has a sharp edge and is less contaminated.
They are caused by blunt objects like fall on the stone or due to road traffic accidents. Edges are jagged. The injury may involve only skin and subcutaneous tissue and sometimes deeper structures also.
They are not uncommon now a day. It my look like an innocent injury with small, one or two cm. long cut but internal organs like intestines, liver, spleen or mesenteric blood vessels might have been damaged.
This refers to collection of blood. It follows injury or spontaneously as in patients who have bleeding tendencies such as hemophilia. Depending upon the site, it can be subcutaneous, intramuscular or even subperiosteal.
Wound care with homeopathy – Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat wound but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for wound treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some important remedies are given below for wound treatment:
It is a well known remedy for wound due to mechanical injuries as blunt trauma or due to fall or blunt hit to muscles or abdominal viscera or spines; spinal cord etc. where the relevant nerves are involved. Sensation of pain is not carried by the afferent nerve to brain matter. Thus the patient complaints of neuritis or loss of sensation or numbness. Neuritis or inflammatory condition of nerves with severe shooting burning and tearing pain radiating along the course of nerves. The affected part is swollen inflamed and red and has dry shiny edge with burning tearing shining and shooting pain and it has very poor tendency to heal. These injuries generally heal by secondary intention. Acts well on the injuries caused by sharp instruments, where the nerve roots are exposed. Injuries to spine and coccyx results in the sprain or tingling sensation in extremities.
Associated with mechanical injury and injury to spine radiating to the other parts of the body as extremities, back, limbs etc. old cicatrix or old scars reopen with severe stinging burning and shooting pains. Inflammatory condition of nerves due to injury especially on finger nails, tip of fingers. There the nerves are inflamed with great pain.
Modalities – aggravation (<) cold, damp, foggy weather, in closed room with least exposure, touch.
Amelioration (>) bending head backward, rest warm application, immobility of parts.
It is one of the most commonly indicated remedy for wound due to injury especially blunt injuries. It is useful to prevent suppuration and septic condition and to promote absorption. Injuries to head lead to meningitis and apoplexy and resulting in left sided paralysis. The wound or injured area looks bluish or blackish.
The bad effects of injuries received years ago are well treated with it. There are sore lame and bruised feeling as if, beaten all over the body. He has got great tenderness. He is over sensitive to touch and also afraid of being touched. He has internal heat in the upper parts of the body and coldness in lower parts.
Modalities – < rest, lying down
There are injuries with or without loss of soft parts. The wounds appear jagged. There are injuries which lead to neuritis especially from lacerated wounds. There may be rupture of muscle or tendon. There is penetration of articulation with loss of synovial fluid. The clean cut of lacerated wounds is well treated.
The wound may lead to ulceration. The ulcer is irritable and inflamed. He has pains as if bitten. He has tendency for excessive secretion of pus. The gangrenes are from neglected offensive wounds.
It is useful in for wounds which are caused by injuries due to sharp pointed objects as nails, rat bite, mosquito bite, stings of insects and punctured wounds. The wounded parts characteristically feel cold to touch but not to patient. There is contusion and echymosis of the parts changing from blue to black and to green.
It is used for greatly sensitive wounds. There is laceration of tissue. The sphincters in the body are lacerated and stretched. There are lacerated and incised wounds of cornea due to foreign bodies. There is severe pain following abdominal operations. It is used in incised or clean cut wounds to improve the healing.
Excellent medicine for wound with tendency to ulceration, injuries with aching and soreness. The patient is marked by restlessness and prostration. Injuries of fibrous tissue of osseous tissue muscle sheeths. The injuries may lead to tetanus. Pain fly from one part to another part like an electric shock.
Remarkable remedy for wounds, pains in the injured parts with numbness of the region. The regional muscle go in to spasms due to which the patient is unable to move the parts. Due to trauma, the blood vessels are ruptured and there is regional hematoma. With the traumatic pain the patient has also got the numbness of brain and profuse sweating of face. When there is trauma patient is unable to visualize the objects.
Complications of wound healing
Infection – it is the most important complication which is responsible for delay in wound healing.