Gopika G, Rajeshwari P N
Department of Shalya Tantra (Surgery), Amrita School of Ayurveda, Amritapuri, Amrita Vishwa Vidyapeetham, India.
Department of Shalya Tantra (Surgery), Amrita School of Ayurveda, Amritapuri, Amrita Vishwa Vidyapeetham, India.
J Ayurveda Integr Med. 2025 Jul 11;16(4):101167. doi: 10.1016/j.jaim.2025.101167.
Diabetes mellitus is a group of metabolic disorders with chronic hyperglycemia, and Diabetic Pressure Ulcer (DPU) is one of the major complications. DPU develops due to the effect of continuous forces on the distal pulp, causing progressive skin ischemia occurring above bony prominence. 62 million people are affected with diabetes in India, and among that 25 % develop DPU. Neuropathic and ischemic components account for 45 %-60 % of ulcers, which, if untreated, can lead to the risk of amputation. According to Ayurveda, characteristic features of DPU can be correlated with the features of Dushta vrana and treatment can be planned based on Dushta vrana and Madhumehaja vranas. Acharya Susruta highlighted the importance of kshara for wound debridement in treatment of non-healing ulcers. A 63-year-old male with known case of diabetes mellitus for 15 years presented with a wound over the big toe of his right foot. The wound is 9-month-old. It was associated with loss of sensation, swelling, and discoloration. Treatment was given with the external application of Apamarga kshara taila with internal medications for 2 months. The size of the ulcer measuring 1.5cm in length, 1cm in breadth, and 4 cm in depth completely healed by 2 months of treatment. The utilization of Apamarga kshara taila, along with internal medications, has demonstrated significant efficacy in the management of DPU.
糖尿病是一组伴有慢性高血糖的代谢紊乱疾病，糖尿病性压疮（DPU）是主要并发症之一。DPU是由于持续外力作用于远端指腹，导致骨隆突上方皮肤进行性缺血而形成的。印度有6200万人患有糖尿病，其中25%会发生DPU。神经病变和缺血因素占溃疡的45%-60%，若不治疗，可导致截肢风险。根据阿育吠陀医学，DPU的特征可与“Dushta vrana”的特征相关联，治疗可基于“Dushta vrana”和“Madhumehaja vranas”进行规划。妙闻阿阇梨强调了“kshara”在治疗难愈合溃疡时进行伤口清创的重要性。一名63岁男性，患糖尿病15年，右足大脚趾处有一伤口。该伤口已存在9个月，伴有感觉丧失、肿胀和变色。给予外用“Apamarga kshara taila”并结合内服药治疗2个月。经过2个月的治疗，溃疡尺寸为长1.5厘米、宽1厘米、深4厘米，完全愈合。外用“Apamarga kshara taila”并结合内服药在DPU的治疗中显示出显著疗效。
