Ayurveda Approach in the Management of Madhumeha Janya Vrana (Diabetic Foot Ulcers): Case Series

Abstract

Due to increased chances of infections, diabetic Ulcer became a challenge to surgeons. Approximately 15% of patients with diabetes are suffering from neuropathic foot ulcers. Diabetes ulcer can be correlated with Madhumeha Pidaka described in Susruta Samhita. Shashti Upakrama are the procedures explained by Acharya Susruta for the management of Vrana (ulcers) which can be used for wound bed preparation. This paper discusses the management of diabetic foot ulcer patients who have been taking allopathic medicine for long time and have been suffering from chronic non healing ulcers in lower limbs managed by using combined Ayurveda treatment modalities including Shastra Karma (application of sharp instruments) and Kshara Karma (Application of caustic alkali). Considering outcome of the treatment line, it can be concluded that diabetic wound can be managed by using suitable procedures mentioned in Shashti Upakrama.