Leg Infection and Ulceration in Type 2 Diabetes Mellitus (T2DM) Patient with Critical Limb Ischemia managed through an Ayurvedic Protocol- A Case Study

Abstract

Critical limb ischemia (CLI) is the chronic end-stage condition of lower extremity peripheral artery disease (PAD), which occurs as a complication of patients with chronic type 2 diabetes mellitus (T2DM). It can be associated with infection and ulcers in the extremities that may land up into amputation. In this case report, a 65-year-old female patient with type 2 DM presented with non-healing ulcer on the shin of the right leg associated with oedema, discolouration and rest pain. Case is clinically correlated to margavarodha vyadhi with vrana and was effectively managed through ayurvedic treatment protocol following, vatashonitha chikitsa, pramehahara chikitsa and dushtavrana chikitsa. After sixty days of treatment patient got complete relief from pain, edema and ulcer got completely healed. Treatment protocol showed curative effect by healing ulcer and improving circulation in this macrovascular complication of type 2 DM.