Ayurvedic Treatment Principles in the Management of Madhumehajanya Vrana – A Case Study

Abstract

Diabetic foot ulcer (DFU) is the most typical and devastating complication of diabetes mellitus, with a poor prognosis, which affects 15% of diabetic patients during their lifetime. Diabetic ulcer has been a challenge to be tackled since there is deficiency of growth factors and impaired immunity, which can lead to amputation if timely intervention is not done. In Susrutha Samhita, most scientific approach for the management of Vrana with Shashti Upakrama with specific indication to Madhumehaja Vrana has been described.  Here a 60 year old male with a known history of Diabetes mellitus (Type2), developed a Non healing ulcer in the plantar aspect of left great toe (hallux) and was suggested for amputation. Within 2 months into treatment, Patient reported clinically relevant improvement and the ulcer was resolved completely with Ayurvedic line of management.