Management of a madhu-mehajanya vrana by using udubmbhara kshira and b

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Erappa A et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-51 2017 201-203 201 IJAMSCR |Volume 5 | Issue 1 | Jan - Mar - 2017 Case report Medical research Management of a madhu-mehajanya vrana by using udubmbhara kshira and bakuchi churna lepa – A case study Erappa Arvi 1 Srikant Kashikar 2 Sanjeev Yadav 3 1 PG Scholar Dept. of Shalya Tantra YMT Ayurvedic medical college Khargar Navi Mumbai 2 Professor Guide HOD Department of Shalya Tantra YMT Ayurvedic medical college Khargar Navi Mumbai 3 Professor Dean YMT Ayurvedic Medical College Khargar Navi Mumbai Corresponding Author: Dr Erappa Arvi Email id: ABSTRACT Prevalence of diabetes and its complications have been a burden to the society from the ancient times in the present and will be in the future unless proper measures are taken to prevent its manifestation. In present scenario sedentary life style a lot of stress and over nutrition are important aetiology of diabetes as one of the most prevalent diseases in the world. Foot complication and amputations represent one of the most important among all the long-term problems of diabetes medically socially and economically. Diabetic person has complication on many systems as on eye renal system cardiovascular system and Central nervous system but foot lesions are responsible for more hospitalizations than any other complication of diabetes. Diabetes is the leading cause of non-traumatic lower extremity amputations in India with approximately 5 of diabetics developing foot ulcers each year and 1 requiring amputation. Acharya Sushruta explained 60 measures for the management of Vranawhich shows unique therapeutic approach for management of wounds. A 55-year-old female patient was came in Shalya Tantra opd for the treatment of non healing wound with known case of Diabetes and she was treated with local application of Udubmbhara kshira and Bakuchi churna lepa for duration of one month succesfully with no any adverse effects. Keywords: Madhumeha Non healing wound Udubmbhara kshira Bakuchi churna Vrana shodhana Vrana ropana. INTRODUCTION Diabetes is one of the pandemic diseases particularly in developing countries. Diabetes is the fourth leading cause of death. Each year 3.8 million deaths are caused because of diabetes 1. Approximately 50 of all people with diabetes are unaware of their condition that’s why diabetes is the single most important metabolic disease and widely recognised as one of the cause of death and disability worldwide 2. Presently over 170 million individuals are affected with diabetes and these numbers are predicted to increase further in future and most dramatic increase is expected to occur in India 3. ISSN:2347-6567 International Journal of Allied Medical Sciences and Clinical Research IJAMSCR

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Erappa A et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-51 2017 201-203 202 According to who by the end of 2030 India will have around 80 million diabetes patients contribute 20 of world diabetic population 4. NIDHANA According to Ayurveda excessive intake guru snigdha madhura rasa ahara. Nava annapana. Ati madhyapana mithya ahara vihara and sedentary lifestyle and not indulging in any kind of physical or mental exercise and not undergoing any kind of body purification shodhana are said to be the aetiological factor 5-7. STUDY DESIGN There are several synthetic drugs which are prescribed for type 2 diabetes mellites such as Oral Hypoglycemic agents and in case of wound different local applications which are having side effects do not restore the normalcy of body. Here in this study lepa prepared from Udubmbhara kshira and Bakuchi churna proved to be beneficial in diabetic wound. A case study of 55 yrs female patient having chief complaints of non healing wound over left foot with mild serous discharge with intermediate pain since 20 days with known case of diabetes since 5 yrs and on regular OHA treated successfully by local application of Udubmbhara kshira and Bakuchi churna lepa. Reference is from Baisajya Ratnavali 38/8 After taking proper history patient was subjected to undergo some routine investigations such as CBC FBS PPBS FUS PPUS. After seeing reports we reached to a conclusion that see was suffering from non healing diabetic wound. A treatment was planned keeping the disease symptoms in mind. The Udubmbhara kshira and Bakuchi churna lepa was applied locally over wound and Vrana karma performed daily for 30 days along with pathya-apathya and with proper wound care. The wound showed remarkable improvement after local application of taila. The imajes are displayed below of pre and post treatment. MATERIALS AND METHODS Drug Rasa Guna Virya Vipaka Karmukta Udumbhara kashaya Guru ruksha sheeta katu Kapha-pitta shamak shothharavranaropana Bakuchi Katu tikta Laghu ruksha ushna katu Kapha-vata shamak vrana shodhana vrana ropana DISCUSSION Non healing diabetic wounds is a condition where early and immediate care must be taken for not to get it converted into ulcer and later which complication requires amputation. Here Udubmbhara kshira and Bakuchi churna lepa does kapha shamana and vata shamana which helps in Madhumeha as Madhumeha is kapha-vata janya disease hence it proved to be beneficial in wound healing. Here Udubmbhara kshira is having Kashaya rasa which is beneficial prameha and kshira also has the properties of kriminashaka which acts as a anti microbial agent. where as Bakuchi is having Vrana shodhana and Vropana properties simulatenously.

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Erappa A et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-51 2017 201-203 203 BEFORE TREATMENT AFTER TREATMENT CONCLUSION Since diabetic wound is the leading disorder world wide for death so early dignosis and treatment is must. It can be very well managed with Ayurvedic medicines depending upon the symptoms and carefull selection of drugs. Here Udubmbhara kshira and Bakuchi churna lepa simultaneously performs the Ksharana as well as Ropana karma whereas modern medicines fails to do so. During the coarse of treatment no side effects and no any complications were seen. Patient well tolerated for the treatment. REFERENCES 1. Bhavmishra.Bhavaprakash Nighantu edited by Chunekar KC and Pandey CS. 6th edition Chaukhambha Bharat Academy Varanasi.1982 2. Caraka Samhita of Agnivesa elaborated by Caraka and Dridhabala Edited with ‘Caraka-Candrika’ Hindi commentary along with special deliberation by Dr. Brahmanand Tripathi Chaukambha Surbharati Prakashan Varanasi 3 1994. 3. Charaka Chikitsa sthanam By Agnivesha Translated into English by Dr. Ram Karan Vaidya Bhagwan Das Chaukamba Sanskrit Series Varanasi Krishnadas Academy 2001 4. Sushruta Samhita Edited with Ayurveda Tattva-Sandipika by Kaviraja Ambika Dutta Shastri Chaukambha Sanskrit Sansthan Varanasi 5 1982. 5. Harrison. Principles of Internal Medicine Vol. 2. Eugene Braun Wald Anthony S. Fauci et al. editors. New York: McGraw-Hill 15 2005 2122-2123. 6. Davidsons Clinical Medicine: Edited by John Macleod 1984 Reprint - 1985 1986 Endocrine Metabolic Diseases 12 1986 457-465 Diabetes Mellitus. 7. Annonymous.Indian Herbal PharmacopoeiaRevised new edition Indian Drug Manufacturers association Mumbai. 129 2002. How to cite this article: Erappa Arvi1 Srikant Kashikar Sanjeev Yadav. Management of a madhu- mehajanya vrana by using udubmbhara kshira and bakuchi churna lepa – A case study. Int J of Allied Med Sci and Clin Res 2017 51: 201-203. Source of Support: Nil. Conflict of Interest: None declared.

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