What question did this study set out to answer?

To evaluate the effectiveness of Ayurvedic interventions in managing a diabetic foot ulcer.

March 1, 2026Open Access

Successful Ayurvedic Management of a Diabetic Foot Ulcer (Wagner Grade Ii): A Case Report

Key Points

To evaluate the effectiveness of Ayurvedic interventions in managing a diabetic foot ulcer.
Case report of a 59-year-old male with a Wagner Grade II diabetic foot ulcer.
Local wound care with daily cleansing using Panchavalkala Kwatha.
Dressing with Ropana Ghrita and systemic treatment with herbal formulations.
Management of diabetes alongside ulcer treatment over a 4-week period.
Complete healing of the ulcer within 30 days.
Reduction in pain, swelling, and discharge.
Patient resumed normal ambulation without complications.

Abstract

Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus, often leading to infection and amputation. Conventional treatments have limitations, prompting exploration of Ayurvedic approaches. A 59-year-old Indian male with a 30-year history of type 2 diabetes mellitus and hypertension presented with a painful, non-healing Wagner Grade II ulcer on the right plantar forefoot. Local wound care involved daily cleansing with Panchavalkala Kwatha and dressing with Ropana Ghrita. Systemic treatment included Aragwadadi Kashaya, Mehabhaya Kashaya, Nimbadi Guggulu, and a rejuvenative powder for 4 weeks, alongside diabetes management. The ulcer healed completely in 30 days, with resolution of pain, swelling, and discharge. The patient resumed normal ambulation without complications. This case highlights the efficacy of Sushruta's Shashti Upakrama principles (Shodhana and Ropana) in DFU management, offering a holistic alternative to antibiotics.

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