A Study on Herbal Finish to Prevent Bed Sore Using Mangifera indica and Triphala Dried Fruit

“Bed sores” owe their name to the observation that patients whowere bedridden and not properly repositionedwould often develop ulcerations or sores on their skin, typically over bony prominences.These bed sores, which result from prolonged pressure, are also called “decubitus ulcers,” “pressure sores,” “skin breakdown,” and “pressure ulcers.”They are associatedwith adverse health outcomes and high treatment costs.This study focuses on developing herbal finish to prevent bed sores. For this purpose, functional finishing was utilized to produce a bedsore preventing fabric. Plain weave cotton fabric was dyed by using herbal extracts, dried, and then cured. Two samples in different ratios (1 : 2 and 2 : 1) of twoherbal extracts (Mangifera indica andTriphala dried fruits) were prepared with and without binder (chitosan). Air permeability, wicking ability, Drop Test for absorbency, and antibacterial properties were examined for those samples. Based on the results, fabric dyed with Mangifera indica and Triphala dried fruits in the ratio of 2 : 1 with chitosan is determined as the most promising combination for the final product.


Introduction
The skin is a large barrier organ that protects the human body from environmental hazards (heat, cold, chemicals, mechanical forces, etc.) and maintains the integrity of the body, whereas the clothing system provides extra layer(s) of barrier to enhance the aesthetic, thermophysiological, and sensorial comfort of the wearer [1]. However, direct contact and interactions between textiles and skin may cause reactions, even damage or diseases [2] (see Figure 1).
Bed sores can result from one period of sustained pressure on the skin; however, most bed sores probably occur as a result of repeated incidents of blood flow interruption without adequate time for recovery. In fact, low pressure endured for long periods of time is believed to be more significant in producing pressure ulcers than higher pressure for shorter durations. The role that textiles play in the prevention and formation of these injuries is examined.

Methodology.
The selected herbs were dried in sunshade and grinded. Methanol extract of the herbs was obtained and tested for antibacterial and wound healing property. Chitosan was then diluted with citric acid. Scoured and bleached fabric was padded, dried, and cured with and without binder. Fabric was then tested for its antibacterial and wound healing property, washing fastness, air permeability, wicking ability, and water absorbency. Finally its results were discussed (see Figure 2).

Wickability.
Fabric specimen is cut into the size of 12 × 1 and hung over the stand. A beaker is filled with tinted distilled water. The lower end of the fabric strip is made to touch the water in such a way that half an inch height of the fabric is kept immersed inside the water. To keep the fabric strip in straight configuration a load of 10 g of weight is applied to the bottom of it. The rise of the water level in the fabric is measured after 10 minutes. The wickability of treated and untreated plain weave cotton fabric samples was assessed by time for wetting. The vertical wicking test results are shown the table. S a m p l e 3 -C 1 9 5 S a m p l e 4 -C 2 9 . 5

Wickability Test Results.
The wicking property of the finished fabric has been improved for all the samples when compared with the bleached fabric. Wickability of the samples treated with chitosan is highly increased (see Table 3 and Figure 3).

Drop Test.
It is used to measure the time taken for the fabric to absorb a drop of water. The absorption rate of fabric changes as per the thickness of the fabric, weave structure, and finishes applied to the fabric.

Drop Test Results.
The time taken to absorb a drop of water is decreased in the finished samples when compared with the bleached sample. This shows that the absorbency is increased after finishing. Comparing to all the four samples sample 3-C1 showed good absorbency (see Table 4 and Figure 4).

Air Permeability.
It is the volume of air measured in cubic cm passed per second through 1 cm 2 for the fabric at a pressure one cm head of water. It is measured by using air permeability tester. The air permeability of a fabric is a measure of how well it allows the passage of air through it.

Air Permeability Test
Results. Air permeability of the plain weave cotton fabric is high in all the treated samples compared to the untreated samples (see Table 5 and Figure 5).

Results of Antibacterial Activity of the Herbal Extracts (Kirby-Bauer Disk Diffusion Susceptibility Test). Mangifera indica and Triphala dried fruits have antibacterial activity
against Staphylococcus aureus (see Table 6 and Figure 6).

Results of Antibacterial Activity of Textile Fabric.
Only sample 1-M1 and sample 3-C1 have antibacterial activity against Staphylococcus aureus (see Table 7 and Figure 7).

Wound Healing Test: Angiogenic Activity of the Herbal
Extract and Herbal Based Textile Fabric. The herbal extract of Triphala dried fruits containing compounds with angiogenesis modulating properties showed strong angiogenic activity in CAM (chorioallantoic membrane) treated with herbal extract, by increasing the size and number of blood vessels as compared to the control. The herbal based treated cloth C1 showed better angiogenic activity in CAM. The size and number of blood   vessels were high compared to control egg treated with saline (see Table 8 and Figure 8).

Results of Washing Fastness Test for Its Antibacterial Property.
Only sample C1 has the washing fastness of antibacterial property for up to 3 washes, which shows that chitosan acts as a binder up to certain level (see Table 9).

Results of Washing Fastness Test for Its Wound Healing
Property. Only sample C1 has the washing fastness for wound  healing property for more than 10 washes, which shows that chitosan acts as a binder up to certain level (see Table 10).
Journal of Textiles 5  S a m p l e 3 -C 1 1 1 m m N i l 4 S a m p l e 4 -C 2 N i l N i l Control (chloramphenicol) 24 mm 10 mm

Conclusion
In this work, herbal based antibacterial finish was applied to the cotton fabric. Extracts of Mangifera indica and Triphala dried fruit were applied to the fabric in two different ratios with and without the binder chitosan. Based on the tests conducted, the obtained results were shown in the tables and figures. According to the results, the treated samples M1 and C1 showed good antibacterial property and sample C1 showed excellent wound healing property. The samples treated with chitosan have high wickability and water absorbency properties. Air permeability in the bleached fabric is low and it has been increased in all the treated samples. Washing fastness result shows that the fabric treated with chitosan shows antibacterial property for up to 3 washes and wound healing property for more than 10 washes. So it is concluded that sample C1 has much better properties for preventing bed sore. The herbal extract of Mangifera indica shows good antibacterial property when applied to the fabric compared to the Triphala dried fruits and chitosan has good binding property. And it is suggested that this fabric could be used for preventing bed sore and also for other applications where antibacterial finish is required. And also it gives cost-wise benefit to people. In addition, it is environment friendly.