E-ISSN:2456-3110

Case Report

Diabetic Ulcer

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2022 Volume 7 Number 9 October
Publisherwww.maharshicharaka.in

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study

C Nair S.1*, M Sweta K.2
DOI:

1* Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.

2 K M Sweta, Professor & HOD, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India. descargar el planeta de ver los simios nuevo reino utorrent

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer. Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study. El Planeta de los Simios: Nuevo Reino Para

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna Actualmente, puedes disfrutar de la película en las

Corresponding Author How to Cite this Article To Browse
Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.
Email: descargar el planeta de ver los simios nuevo reino utorrent		 Swathi C Nair, K M Sweta, To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study. J Ayu Int Med Sci. 2022;7(9):196-205.
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https://www.jaims.in/jaims/article/view/2093		 descargar el planeta de ver los simios nuevo reino utorrent

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-08-29 2022-08-31 2022-09-07 2022-09-14 2022-09-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

descargar el planeta de ver los simios nuevo reino utorrentdescargar el planeta de ver los simios nuevo reino utorrent © 2022by Swathi C Nair, K M Swetaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)196

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    The neon glow of the Cyber-Cafe "La Red" flickered against Lucas’s tired face. It was 3:00 AM, and the digital underground was the only place still awake. He leaned into the cracked leather chair, his fingers hovering over the mechanical keyboard.

    Para descargar o ver El Reino del Planeta de los Simios Kingdom of the Planet of the Apes

    • Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

    Case Study

    It is a case study of a 42-year male patient who presented with the chief complains of ulcer over big toe of right leg since 2 months (K/C/O DM for last 8 years and under medication). He was being treated with oral medications and dressings. Study was done after obtaining an informed consent from the patient. He was treated with the Lakshadi Choorna for dressing daily and Triphala Guggulu 2 BD before food, Amritadi Vati 2 BD after food as internal medication.

    Intervention: Lakshadi Choorna was prepared with all aseptic measures, as per the classical reference of Choorna Kalpana. After proper cleaning the drugs, it made into small pieces by chopping. Using pulveriser it was made into fine powder with mesh size of 80 to 120 range. Packing done under aseptic precaution and sterilization done under UV for 20 minutes.

    With all aseptic measures ulcer was cleaned with normal saline and Avachoornana was done uniformly over ulcer site. Dressing was done with sterile gauze and pad. Avachoornana was done with the Lakshadi Choorna once daily and observations were done on 7th, 14th, 21st and 40th day of the treatment.

    Figure 1: The method of Lakshadi Choorna preparation.

    jaims_2093_01.JPGRaw drugs for Lakshadi Avachoornana


    jaims_2093_02.JPG

    jaims_2093_03.JPG

    Final product

    Figure 2: The method of Lakshadi Avachoornana

    jaims_2093_04.JPG


    Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)198
    Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

    jaims_2093_05.JPG

    jaims_2093_06.JPG

    0th Day

    jaims_2093_07.JPG

    Avachoornanam

    jaims_2093_08.JPG

    7th Day

    jaims_2093_09.JPG

    14th Day

    jaims_2093_10.JPG21st Day


    Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)199
    Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

    jaims_2093_11.JPG
    40th Day

    jaims_2093_12.JPG
    Follow-up

    Table 2: Subjective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

    Pain Assessment 0 No Pain 1-3 Mild pain 4-6 Moderate pain 7-10 Severe pain
    0th day   +    
    7th day   +    
    14th day +      
    21st day +      
    40th day +      
    Burning Sensation Grade 0 No burning Grade 1 Mild burning Grade 2 Moderate burning Grade 3 Severe burning
    0th day     +  
    7th day   +    
    14th day   +    
    21st day +      
    40th day +      

    Table 3: Objective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

    Item Assessment 0th day Score 7th day Score 14th day Score 21st day Score 40th day Score
    1. Size  1 = Length x width <4 sq. cm 2 = Length x width 4--<16 sq. cm 3 = Length x width 16.1--<36 sq. cm 4 = Length x width 36.1--<80 sq. cm 5 = Length x width >80 sq. cm 3 3 3 3 2
    2. Depth  1 = non-blanchable erythema on intact skin 2 = Partial thickness skin loss involving epidermis &/or dermis 3 = Full thickness skin loss involving damage or necrosis of subcutaneous tissue; may extend down to but not through underlying fascia; &/or mixed partial & full thickness &/or tissue layers obscured by granulation tissue 4 = Obscured by necrosis 5 = Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures 3 3 3 3 3
    3. Edges  1 = Indistinct, diffuse, none clearly visible 2 = Distinct, outline clearly visible, attached, even with wound base 3 = Well-defined, not attached to wound base 4 = Well-defined, not attached to base, rolled under, thickened 5= Well-defined, fibrotic, scarred or hyperkeratotic 2 2 2 1 1
    4.Undermining   1 = None present 2 = Undermining < 2 cm in any area 3 = Undermining 2-4 cm involving < 50% wound margins 4 = Undermining 2-4 cm involving > 50% wound margins 5 = Undermining > 4 cm or Tunnelling in any area 1 1 1 1 1
    5.Necrotic Tissue Type   1 = None visible 2 = White/grey non-viable tissue &/or non-adherent yellow slough 3 = Loosely adherent yellow slough 4 = Adherent, soft, black eschar 5 = Firmly adherent, hard, black eschar 3 3 2 2 1
    6.Necrotic Tissue Amount   1 = None visible 2 = < 25% of wound bed covered 3 = 25% to 50% of wound covered 4 = > 50% and < 75% of wound covered 5 = 75% to 100% of wound covered 2 2 2 2 1
    7.Exudate Type   1 = None 2 = Bloody 3 = Serosanguineous: thin, watery, pale red/pink 4 = Serous: thin, watery, clear 5 = Purulent: thin or thick, opaque, tan/yellow, with or without odour 3 3 1 1 1
    8.Exudate Amount   1 = None, dry wound 2 = Scant, wound moist but no observable exudate 3 = Small 4 = Moderate 5 = Large 4 3 2 2 2

    Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)200

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    El Planeta de los Simios: Nuevo Reino

    Para descargar ( Kingdom of the Planet of the Apes ) utilizando un cliente de torrent como uTorrent , es fundamental entender los tiempos de lanzamiento oficial, ya que de esto depende la calidad del archivo disponible en la red. Disponibilidad y Calidad del Contenido

    Comienza la Descarga

    : Haz clic en "Aplicar" o "Aceptar" para comenzar la descarga. uTorrent empezará a descargar "El Planeta de los Simios: Nuevo Reino".

    Si estás interesado en "El planeta de los simios", te recomiendo explorar las opciones legales disponibles. Muchas de estas plataformas ofrecen períodos de prueba gratuitos o suscripciones mensuales que te permiten acceder a una amplia biblioteca de contenido.

  • Actualmente, puedes disfrutar de la película en las siguientes plataformas digitales en Estados Unidos: Suscripción: : Incluida con tu suscripción mensual. : Disponible para suscriptores. Alquiler y Compra (desde $3.99 USD): Amazon Prime Video Google Play Movies & TV Fandango at Home Información sobre Torrents

    El Reino del Planeta de los Simios

    Para ver (2024), lo más recomendable es utilizar las plataformas oficiales donde ya está disponible, ya que la descarga de contenido con derechos de autor mediante uTorrent puede presentar riesgos legales y de seguridad (como malware).

    The neon glow of the Cyber-Cafe "La Red" flickered against Lucas’s tired face. It was 3:00 AM, and the digital underground was the only place still awake. He leaned into the cracked leather chair, his fingers hovering over the mechanical keyboard.

    Para descargar o ver El Reino del Planeta de los Simios Kingdom of the Planet of the Apes

    • Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

    9. Singh J. Laksha (Lac) - LacciferLacca [Internet]. Ayurtimes.com. 2015 [cited 2021 Jul 4]. Available from: https://www.ayurtimes.com/lac-laccifer-lacca-health-benefits-uses-side-effects.[accessed on 2021-7-1]

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    Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)202