Efficacy of Thumari oil in the management of Diabetic Ulcer – A case study

Abstract

Diabetic ulcer is a burning issue in contemporary surgical practice as it is difficult to heal and often prone to infection. The impaired healing might be due to glucose laden tissue, atherosclerotic changes and peripheral neuritis. In Indian system of medicine many medicinal plants were described for wound healing just like Jatayadi Taila, Apamarga Kshar Taila etc. In this case report, a case of Madhumehajanya Dushta Vrana (diabetic wound) has been treated with help of traditional medicine. A female diabetic patient aged 70 years was presented with a non-healing wound on her right ankle since 15 days with maggots, pus discharge and discolouration. Patient was known case of type -2 diabetes mellitus (T2DM), hypertension and IHD. In this case the wound was treated with local application of Thumari oil (Securinega leucopyrus (willd.) daily once up to complete wound healing i.e., 8 weeks. The conventional medicines for T2DM, HTN, and IHD were continued as prescribed by the physician and Amapachan vati 1 Tablet three time before meal with luke warm water simultaneously given with local management of wound. Significant reduction in the wound, slough, swelling and discoloration with granulation at base of the wound was observed. The wound healed completely by topical application of S. leucopyrus oil within 8 weeks. This case demonstrated that S. leucopyrus oil has potential to heal the diabetic wound.