Jaloukavacharana in diabetic foot ulcer - A Case Study

  • Dr. Nivedita Rampure Post Graduate Scholar, Department of Panchakarma, N.K. Jabshetty Ayurvedic Medical College and Post Graduate Center, Bidar, Karnataka, India.
  • Channabasavanna BM Associate Professor, Department of Panchakarma, N.K. Jabshetty Ayurvedic Medical College and Post Graduate Center, Bidar, Karnataka, India.
  • Mallikarjun Lecturer, Department of Panchakarma, N.K. Jabshetty Ayurvedic Medical College and Post Graduate Center, Bidar, Karnataka, India.
Keywords: Diabetic foot ulcer, Sushruta Samhita, Jalauka, Vrana, Leech therapy

Abstract

Diabetic foot is the one of the commonest chronic complications of diabetes. It is leading indication for hospital admission and prolonged stay. A classical triad of neuropathy, ischemia and infection characterizes the diabetic foot. The presence of infection rapidly worsens the clinical picture, often requiring limb amputation. Diabetic foot ulcers are common and estimated to effect 15% of all diabetics. Mainstay of treatment includes antibiotics, debridement. and local wound care and footwear improvisation. In spite of all advances in health sciences, statistics reveals that about 3% patients yet have to undergo lower limb amputation. In Sushruta Samhita. we get the most scientific description of wound and its management. Similarly, Sushruta has given the importance to Bloodletting therapy and considered Leech as the most unique and effective method of bloodletting even in infected wounds and abscesses. Patient with Diabetic foot ulcer was advised to continue anti diabetic medicine along with weekly application of Leech around the ulcer which was followed by washing the wound with Panchavalkala Kashaya and dressing with Jatyadi Ghrita. This Leech therapy proved very effective and the ulcer healed completely within 30 days. However, further evaluation is required to be done by taking a large sample size to prove its significance in treating Diabetic foot ulcer and avoiding lower limb amputation.

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References

Gayle Reiber. The burden of diabetic foot ulcers, 1998;176(2) sup 1:5-10

AJM Boulton. Diabetologia, The diabetic foot: from art to science2004; 47: 1343-1353.

Ambika Datta shastri, editor , Sushruta Samhita of Sushruta vol-1, Sutra sthana, chapter 23 verse no.7reedtion Varanasi chaukhambha Sanskrit sansthan pg no 98.

Ambika Datta shastri, editor , Sushruta Samhita of Sushruta vol-2, chikitsa sthana, chapter 12 verse no.4 re-edtion Varanasi chaukhambha Sanskrit sansthan pg no 62.

Ambika Datta shastri, editor , Sushruta Samhita of Sushruta vol-1, Sutra sthana, chapter 23 verse no.6 reedtion Varanasi chaukhambha Sanskrit sansthan pg no 97.
CITATION
DOI: 10.21760/jaims.v2i03.223
Published: 2017-06-30
How to Cite
Dr. Nivedita Rampure, Channabasavanna BM, & Mallikarjun. (2017). Jaloukavacharana in diabetic foot ulcer - A Case Study. Journal of Ayurveda and Integrated Medical Sciences, 2(03), 274-278. https://doi.org/10.21760/jaims.v2i03.223
Section
Case Report