Abstract

AYURVEDIC MANAGEMENT OF DIABETIC FOOT ULCER – A SINGLE CASE STUDY

Dr. Priyanka M. Babar* and Dr. Mahesh H. Pandey

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Abstract

The present era is full of chaos, stress and strain. Lifestyle modifications, change in dietary habits, urbanization and industrialization leads to upsurge of various metabolic disorders. Diabetes mellitus is one of the metabolic disorder of multiple etiologies, characterised by escalated Glycemic Index. This chronic hyperglycemia gives rise to different microvascular and macrovascular complications. Diabetic foot ulcer is one of them where chronic hyperglycemia damages the blood vessels leading to reduced blood flow to the foot. This poor blood circulation contributes to the formation of ulcers and impairs wound healing. Diabetic patients have up to 25% lifetime risk of developing a foot ulcer. In Ayurveda Prameha has been described as a Mahavyadhi by all Acharyas. And Vrana may be considered as an upadrava of Prameha. Pramehajanya vranas mostly fall into category of dustha vrana. A 68years/male patient having complaints of wound at right foot since 2 months, pus discharge from wound site and patient was taking modern medicines for the DM since 8 years with moderate glycemic control. Patient took allopathic treatment for wound but had no relief. Patient was treated with Ayurvedic kalpa like Amrutadi Guggul, Kinshuktwagadi gutika and Sarivadyaasava along with daily dressing of wound with Panchavalkal kwath and some Ayurvedic antiseptics. After 15 days of Ayurvedic treatment diabetic foot got healed with good glycemic control. So it can be concluded that Ayurvedic management with diet modifications give significant results in non-healing diabetic foot.

Keywords: Diabetes Mellitus, Prameha, Dustha Vrana, Diabetic foot ulcer, Mahavyadhi.