A DISEASE REVIEW ON MADHUMEHAJANYA DUṢṬA VRAṆA VIS-À-VIS DIABETIC FOOT ULCER

Abstract

Prameha is one of the Ashtamahagada occurring mainly due to Santarpana nidanas involving ten Dushyas, which eventually results into Madhumeha. On Deergakala, due to improper timely management, complications occur in the form of Prameha Pidakas which if further untreated results into Madhumehajanya dusta vrana. Based on etiology and clinical features, Prameha and Madhumehajanya dusta vrana can be correlated to Diabetes Mellitus (DM) and Diabetes Foot Ulcer (DFU) respectively in the contemporary science. As per the WHO, 2% of all deaths in India are due to Diabetes, which can be attributed to the complications of Diabetes Mellitus rather than to the disease alone. Among the DM complications, understanding the Diabetic Foot Ulcer, a complication which involves Neurological, Vascular and Musculoskeletal components of the foot plays a vital role as it affects approximately 15% of diabetic patients during their lifetime. Among them, between 0.03% and 1.5% of patients with diabetic foot, require an amputation. This results in deterioration of quality of life of an individual. To overcome this scenario, in Ayurvedic classical literatures, Nidana, Lakshana and Chikitsa of Madhumeha and Dusta vrana through Kāya Sodhana followed by Vraṇa śodhana and Vraṇa Ropaṇa Chikitsa is detailed with the preventive and curative measures. Hence, adoption of Ayurvedic principles to manage and prevent the Madhumehajanya dusta vrana with special reference to Diabetic foot ulcer holds a significant role and has become a challenging task. Thus, early diagnosis and maintenance of DM by required timely management, prevention of DFU plays a vital role to preserve the lower extremity and improve quality of life in an individual.