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Dusta Vrana- Case 2
A 43 year old female patient complaints of post debride, fresh, full thickness wound over the dorsum of left foot since 3 days. There is also tenderness over lower 1/4th of tibia and calf muscles since more than 7 years, aggravated since 2 weeks. Pain and tenderness is present over the central plantar surface of foot since 2 weeks. Patient is a known diabetic since 7 years, but not on regular medication. She was diagnosed with Diabetic foot ulcer based on the clinical examination and USG Colour Doppler of the left leg, by the allopathic doctor. Wound debridement on spinal anaesthesia was done followed by oral medications and injections. She was advised for a below knee amputation to save the limb. As the patient was not willing she approached Dr Jishnu Narayanan for ayurvedic management. The Ayurvedic diagnosis was Dusta Vrana. The line of treatment followed was Vrana, Shopha and Vidradhi hara. With Ayurvedic treatment, the wound healed completely and was covered with healthy skin in 5 months. This case report demonstrates the successful management of a non-healing diabetic foot ulcer, in a patient who was recommended amputation to save the limb.
