Abstract

MANAGEMENT OF DIABETIC FOOT ULCER WITH EXTERNAL APPLICATION OF AYURVEDIC POLYHERBAL PREPARATION – A CASE STUDY

Vinod Kumar Banasia* and Lakshman Singh

Abstract

Diabetic foot is one of the most significant and devastating complications of diabetes, and is defined as a foot affected by ulceration that is associated with neuropathy and peripheral arterial disease of the lower limb in a patient with diabetes. The prevalence of diabetic foot ulceration in the diabetic population is 4–10%, the condition is more frequent in older patients. It is estimated that about 5% of all patients with diabetes present with a history of foot ulceration. The majority (60–80%) of foot ulcers will heal, while 10– 15% of them will remain active, and 5–24% of them will finally lead to limb amputation after the first evaluation. But early diagnosis, following proper guidelines and timely intervention could save the limb. Treatment of diabetic foot ulcer is the standard therapeutic modalities include debridement, pressure offloading, dressing regimens (Film, foam dressing, hydrogel, hydrocolloid, Alignate dressing etc.) Acharya Sushruta was also aware of the facts infected wounds and describe its various characters as Dushta Vrana. The Sushruta described many number of drugs and formulations for management of Dushtavrana classified in two processes Vranashodhana(debridement of unhealthy necrosis tissue from wound) and Vranaropana (promote wound healing). Hence an attempt was done to assess the effect of Tiktadighrita in Wound Healing which is very cost effective. Case Presentation: This is case study of 52 years old female patient complain of wound present over planter aspect of right foot involving right great toe with foul smelling purulent discharge for since last 04 month, with a past history of Diabetes mellitus & Hypertension since 05 yrs. She also had raised FBS & PPBS profile. Patient not given any previous history of amputation or ulceration. Management: Included controlling Diabetes and Hypertension following DFU guidelines and daily cleaning with Normal saline and dressing with application of Tiktadighrita for a period of 03 months. Result: There was a complete cure of the huge diabetic wound after 03 months of continuous care and treatment. Wound healing was assessed by Bates Jenson Wound assessment tool.

Keywords: Diabetic Foot Ulcer (DFU), Tiktadighrita, Dushtavrana, Vranashodhana, Vranaropana.