Concluded Case

Diabetic wound

56year female patient having H/O DM Since 5 year..Now blood sugar is in well control.. please suggest me the management protocol of this case.

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Dx Diabetic ulcer due to Avascular necrosis-decreased peripheral circulation,pool of impure venous blood causes this. Rx Jalukavacharana Raktamokshana Vrana prakshalana with Panchavalkala kwatha Vranasodhana taila/Jatyadighrita Tab Gandhaka rasayan 1 BD Tab Triphala guggulu 1 BD

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Prior to wound care or any other intervention, history of onset, symptoms and duration of wound should be taken to consideration. This gives an idea about nature of wound. D/D 1. Eczema 2. Diabetic foot ulcer 3. Venous ulcer 4. Squamous cell carcinoma from Marjolin's ulcer Experts advice will be fruitful.

Dx Diabetic ulcer due to Avascular necrosis-decreased peripheral circulation,pool of impure venous blood causes this. Rx Jalukavacharana Raktamokshana Vrana prakshalana with Panchavalkala kwatha Vranasodhana taila/Jatyadighrita Tab Gandhaka rasayan 1 BD Tab Triphala guggulu 1 BD

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cap K Q MIN 1-0-1 for 1 month then after OD LOCAL CUPPING ON AFFECTED AREA OR RAKTA MOKHSHAN (leech therapy) local application : jatyadi grutam (nagarjuna)

Dear Dr. Vinayaka Pattanshetty, Advice for the case. Tab. Gandhak Rasayan . Dressing with Marichyadi tail. Wash with Panch Valkal quatha.

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Rx 1. Triphala kwath prakshalan 2. Murivenna Tail picchu 3. Mahatiktam Kashayam 4. Septilin Sy. 5. Keep an eye on glucose levels.

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मधुमेह जनित पीड़िका से पीड़ित है। चिकित्सा संबंधी योग,,,, सोमराजी तैल लगाने से लाभ होगा।

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Are you sure Blood Sugar is well controlled? Have a look of HbA1c.... Start with Jalokavacharan sittings on alternative days

Yes sir,now her Rbs is about 180 mg/dl..but previously it is high.
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Duration of the foot complaint. Cleaning of the wound, monitoring and achieving strict glycemic control.

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Merc sol, apis, lach canth like medicine can work... U may give after differentiating it

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Triphala dhawan Raktadoshnashak Haridra Chandrap

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