Katkar Rahul, Aadithyaraj K T, Rana Usha
All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
Dept. of Shalyatantra, All India Institute of Ayurveda, New Delhi, 110076, India.
J Ayurveda Integr Med. 2025 Sep 1;16(5):101174. doi: 10.1016/j.jaim.2025.101174.
Diabetic foot ulcers (DFUs) occur in 15-25 % of diabetic patients at some point in their lifetime. The wide surgical debridement of the septic area is the cornerstone of diabetic foot ulcer treatment. There is a need to explore alternate therapies for DFU to reduce the risk of severe amputation. A 50-year-old male visited the Ayurveda OPD with a chronic ulcer on the plantar aspect of his right forefoot, which had persisted for two months. Ayurveda has considered Dushta vrana (∼septic nonhealing ulcer) and mentioned the Vrana upkrama (∼wound care measures) for its management. Among these Vrana upkrama, Jalauka avcharana (∼bloodletting using leech), Vrana Shodhana (∼wound cleansing measures) by Parisheka (∼therapeutic streaming of medicated decoction), Vrana ropana (∼wound-healing measures) are the three main wound care approaches along with Shamana (∼palliative therapy) for three months adopted in the present case for managing diabetic foot ulcers. DMIST tool was used to assess wound care at baseline and during follow-up. After three months of treatment, the integrated approach effectively shortens the healing time of DFUs, reduces the amputation rate and improves the standard of living of patients with DFUs with multiple Ayurvedic treatments.
糖尿病足溃疡（DFUs）在15%-25%的糖尿病患者一生中的某个阶段会出现。对感染区域进行广泛的手术清创是糖尿病足溃疡治疗的基石。有必要探索DFU的替代疗法以降低严重截肢的风险。一名50岁男性因右前足底慢性溃疡持续两个月就诊于阿育吠陀门诊。阿育吠陀将其视为Dushta vrana（约为感染性不愈合溃疡），并提及了Vrana upkrama（约为伤口护理措施）来进行管理。在这些Vrana upkrama中，Jalauka avcharana（约为使用水蛭放血）、通过Parisheka（约为药用煎剂的治疗性冲洗）进行的Vrana Shodhana（约为伤口清洁措施）、Vrana ropana（约为伤口愈合措施）是三种主要的伤口护理方法，本病例还采用了三个月的Shamana（约为姑息治疗）来管理糖尿病足溃疡。使用DMIST工具在基线和随访期间评估伤口护理情况。经过三个月的治疗，综合方法有效缩短了DFUs的愈合时间，降低了截肢率，并提高了接受多种阿育吠陀治疗的DFUs患者的生活水平。
