Case Report
Year: 2019 | Month: November | Volume: 9 | Issue: 11 | Pages: 69-73
An Integrated Approach in the Treatment of Diabetic Hand Ulcer: A Case Report
Dr. Shivanarayan Prasad Gupta1, Dr. Santosh Y.M2
1Final year PG Scholar, 2Reader,
Department of Shalya Tantra, KAHER’s Shri BMK Ayurved Mahavidyalaya, Shahapur, Belgavi, Karnataka.
Corresponding Author: Dr. Shivanarayan Prasad Gupta
ABSTRACT
In Diabetes mellitus, multi organs are affected and which comes with complications such as diabetic retinopathy, nephropathy, and neuropathy in many cases. The cause of diabetic ulcer is due to glucose laden tissue, cell ischaemia polyneuropathy or peripheral neuritis. Hand complications of diabetes mellitus are rare compared to foot complications occurring in a ratio of 1:20. There is difficult for diabetic wound healing due to 3 causes, Diabetic neuropathy, diabetic vasculopathy and glucose laden cells vulnerable to infection. We present here a case study with a diabetic hand ulcer by applying wound healing methods mentioned in Ayurved text.
A 56 year old male patient presented with ulcer on right hand since 5 days. Patient was known case of Type-II Diabetes Mellitus since 12 to 15 years and hypertension since 8 years. Ulcer washed with panchavalkal kashaya (decoction) and wound was cleaned with dry gauge piece and vimalapana (gentle massage on edge of ulcer with thumbs of both hands) with jatyadi tail (oil) gently for 3 to 5 minutes and wound covered with pichu (oil soaked sterile gauge piece) soaked with jatyadi tail once a day for 60 days. Granulation tissues seen in wound from 14th day of treatment and Wound completely healed in 60 days. In present case Vimalapana and pichu with jatyadi tails is very good for healing the Diabetic ulcer and avoid the chance of skin grafting.
Key words: Panchavalkal kashaya, Vimalapana, Pichu, Jatyadi tail, Diabetic hand ulcer