Management of Diabetic Foot Ulcer with Nirgundi Taila

The diabetic foot ulcer is an infection caused in the feets or lower limbs of patients suffering from diabeties, it may be due to any injury or sometimes ulceration appears by itself. In this destruction of deep tissues are associated with neurological abnormalities and various degrees of peripheral vascular disease in the lower limb. Foot ulcers are a serious diabetic complication, and are a major cause of morbidity. It has been seen that about fifteen percent of Diabetics experience foot ulcers with major health-related decreases which hampers quality of life. A quarter of the Diabetic population is at increased risk of foot injuries as a result of the presence of Diabetic neuropathy or an arterial circulatory disorder. The healing duration for diabetic foot lesions takes months. It has been seen that fifteen percent of all foot ulcers in Diabetics do not heal before the patient's death. In modern medicine, its management is done by drainage of pus, debridement of dead tissues, use of appropriate dressings, medical and surgical treatment of infection and vascular reconstruction and or amputation or reconstructive foot surgery whenever necessary. However, the disease can be better treated in Ayurveda. This article aims to summarize the presentation, examination, work up, and Ayurvedic management of the patient with Diabetic foot. REFERENCES: 1. Gayle Reiber. The burden of diabetic foot ulcers, 1998;176(2) sup 1:5-10 2. Schaper NC. Diabetic foot ulcer classification system for research purposes: a progress report on criteria for including Reviews 2004;20 (Suppl 1):S90-5. 3. Boulton AJ, Armstrong DG, Albert SF, et al. Comprehensive foot examination and risk assessment. Diabetes Care. 2008;31:1679-1685. 4. Ibid, SushrutaSamhitaChikitsasthana2/86&88. 5. Ibid, SushrutaSamhitaChikitsasthana21/26. 6. Mason J, O’Keeffe C, Hutchinson A,McIntosh A, Young R, Booth A. A systematic review of foot ulcer in patients with Type 2 diabetes mellitus. II: treatment. Diabetic Medicine 1999;16(11):889-909. 7. Weerasekera KR, Dhammarathana I, Tissera AHM, et al. Anti- inflammatory activity of an ayurvedic herbomineral formulation: chandraprabha vati. International Journal of Recent Advances in Multidisciplinary Research.2015;2(6):0471-0475. 8. Sushruta, Sushruta Samhita with Nibandha sangraha commentary of Sri Dalhana Acharya and Nyayachandrika Panjika of Sri Gayadasa Acharya Vaidya Jadavji, Trikamji Acharya (Ed.), Vol. 822, Chaukambha Sanskrit Sansthan, Varanasi (2010). 9. Shekhar Reddy P. Aushadhi Yoga Gyanam. A Textbook of Rasashastra. Chaukhambha Orientalia. 2017. 10. Robbins JM, Strauss G, Aron D, Long J,Kuba J, Kaplan Y. Mortality rates and diabetic foot ulcers: is it time to communicate mortality risk to patients with diabetic foot ulceration? J Am Podiatr Med Assoc 2008. 11. Chakradutta:P.V.Sharma Sanskrit text with English translation published by: Chaukhambha orientalia delhi forth edition2007. 12. Govinda Dasa, Bhaishajya Ratnavali, Varanasi, Chaukambha Sanskrit Samsthana, Uttar Pradesh, 2002. 13. Singh N, Armstrong DG, Lipsky BA: Preventing foot ulcers in patients with diabetes. JAMA 293:217-228, 2005. 14. Sri Sadanand Sharma, Rasa Tarangini, Delhi, Motilal Banarasidas,1994. Sharangdhar Samhita, Bramhanand Tripathi, Chaukhamba Surbharti Prakashan, Varanasi, 2007, PP 488, Page number 153.