Ayurvedic Management of Diabetic Foot Ulcer - A Case Study

A Debilitating complication of Diabetes mellitus is diabetic ulcers, which leads to increased overall morbidity in patients. This complication may be prevented, as the inciting factor is most often minor trauma. Early identification of these cutaneous injuries also can lead to improved outcomes while decreasing the risk of progression. Patients with diabetes mellitus (type 1 or 2) have a total lifetime risk of a diabetic foot ulcer complication as high as 25%. Diabetes mellitus is correlated with Madhumeha and that of the diabetic foot ulcer is correlated with Madhumehjanya Pidika which comes under the category of Dusta Vrana, the sign and symptoms of this resembles with Dushta Vrana. Madhumehjanya Vrana are Kriccha Sadhya i.e. difficult to heal. Madhumeha is the last stage of Prameha which is Yapya type of disease. Madhumehjanya Vrana falls under the category of Dushta Vrana. Its management or treatment is also like that of the Dushta Vrana. There are so many ayurvedic formulations given orally to control blood sugar level and to enhance wound healing. In this case the patient is treated with oral medications and local application of Ayurvedic Kashaya, Taila and Jalauka Avacharana after wound debridement.