A Case Report on Integrated Approach for the Management of Dushta Vrana With Special Reference to Diabetic Foot Ulcer

Vrana (wound/ulcer) presents as a break in the integrity of skin and deeper tissues with pain and discharge. Chronic non-healing wound remain a clinical challenge. Ayurvedic principles of Shodhana (cleansing) and Ropana (healing) are applied for management. To report the assessment and management of a chronic wound using Ayurvedic wound care techniques. A 46 year old male with type 2 diabetes mellitus presented with 20 days old irregular non healing ulcer in the plantar aspect of right foot characterised by foul smell, pus discharge, covered with necrotic tissue, and slough, tenderness are noted at the site of ulcer. Under aseptic precautions wound debridement done under SA and cleaning of the ulcer done, he received IV antibiotics for 5 days and oral medications for healing of the wound with daily dressing. Treatment included wound cleaning with betadine solution followed by panchavalkala kashaya prakshalana followed by daily dressing with jatyadi taila were applied for 14weeks to promote the healing. The clinical signs of dushta vrana improved, all achieved through external dressing and internal medications given for 14weeks without amputation of the part. Non healing diabetic foot ulcer of a diabetic patient is almost healed successfully by integrated approach.