Ubhayparimarjan Chikitsa in the management of Madhumehjanya Dustavrana (Diabetic Foot Ulcer): Case Study

Abstract

Diabetic foot ulcer is the most common complication of diabetes mellitus with a poor prognosis due to micro and macro vascular change as a result of an uncontrolled sugar level. According to Ayurveda, diabetic foot ulcers are known as Dusht Vran because they do not heal and have unpleasant-smelling wounds.  In this case study, A 70-year-old male patient newly diagnosed case of diabetes mellitus with complaints of severe itching, swelling and scaling, cracks, with mild bleeding, pus and watery discharge on bilateral lower limb with associated complaints Pada Daha (burning sensation in feet). He was accidentally diagnosed with type-2 Diabetes mellitus after investigation, FBS (212.4 mg/dl) and HbA1c (10.5 %). The management of diabetic foot ulcers includes multimodal approaches like blood sugar level control, infection control, debridement of wound, vascular assessment and proper wound care. The patient was treated on the line of Ubhayparimarjan Chikitsa. Bahirparimarjana Chikitsa: - Nimba Patra Kashay for Padaprakshalana Aragwadha Patra Kalka for Lepa. Anthaparimarjana Chikitsa: Shodhana Chikitsa: Panchatiktapancha Prasritika Basti for 16 days. Shaman Chikitsa: Phalatrikadi Kwatha, Kaishore Guggulu, Madhumehari Churna etc. for three months. The wound was effectively managed through Ayurvedic intervention, resulting in significant improvement in clinical signs, symptoms, and normalization of laboratory parameters.