Need for the study 

Prasutaa yonikshata can be co-related with Episiotomy Wound which is chinna vrana a type of sadhyovrana. In classics it is mentioned that Sadhyovrana should be treated with Kashaya, Madhura Rasa, Sheeta Virya,  Snigdha Gunayukta Dravyas for a period of 1 week¹ . Prasutaa Yoni Kshata Chikitsa has been explained byAacharya Bhaavamishra in Bhaavaprakash²andAchrayaYogaratnakar³.

Episiotomy is one of the most commonly performed procedures in obstetrics. It is a surgically planned incision on the perineum and the posterior vaginal wall during the second stage of labour. It is performed to enlarge the vaginal introitus so as to facilitate easy and safe delivery of the fetus spontaneously or manipulative and to minimize overstretching and rupture of the perineal muscle and fascia to reduce the stress and strain on the fetal head⁴.

In developed countries efforts have been made to restrict episiotomy practice. However in developing countries the episiotomy rates continue to be high⁵.

The rate of episiotomy was found to be 93.3% in primipara women and 30.2% in multipara women⁶.

As the perineum is highly susceptible to infection due to different secretions like vaginal discharges, faeces, and urine. Episiotomy wound requires a proper intervention which could otherwise be self–limiting due to high vascularity of the perineal area. If not taken proper care of episiotomy wound may lead to immediate complications like bleeding, infection, vulval hematoma and wound dehiscence remote complications like dyspareunia, scar endometriosis or chances of perineal laceration in subsequent labour⁷.

Episiotomy wound care should be started immediately after suturing the wound to reduce pain and inflammation. The surgical wound of episiotomy can be considered as Sadyo Vrana⁸.

In Bhavaprakash  SamhitaVrana Shothadhikar Adhyaya they have mentioned about VranaRopana drugs.As mentioned earlier these drugs also having  property of Kashaya, Tikta, Madhur Rasa, Sheeta Virya and Ruksha,Laghu Guna ⁹.

Episiotomy wound if left untreated, it may land up in Dushta Vrana. To overcome this problem, I have selected this topic as the properties of this Kukubhadi Malahar is Vranaropak,Vrana Shodhana,Vedanasthapak, Shothaghna, Kledashoshak, Krumighna etc. and the contents are easily available and also easy to prepare, effective and cost-effective to patient.

Hence the present study undertaken to evaluate the efficacy Kukubhadi  Malaharin the management of Prasutaa Yoni Kshata (Sadyovrana). Also effect of Kukubhadi Malahar will be compared with Betadine ointment.