A Case Study on the Role of Ayurveda in the Management of Diabetic Foot Ulcer (Madhumehajanya Dushta Vrana)

Abstract

In Ayurveda, this condition is correlated with Madhumehajanya Vrana, where principles of Shodhana (cleansing) and Ropana (healing) are emphasized. Objective: To evaluate the effectiveness of Ayurvedic treatment in a patient presenting with a diabetic foot ulcer (Madhumehajanya Vrana). Materials and Methods: A 76-year-old male patient was admitted to the Ayurvedic hospital with complaints of Pada Vrana (foot ulcer), Padashotha (pedal edema), and Agnimandya (loss of appetite) for one and a half months. The patient was diagnosed with Madhumehajanya Vrana (diabetic ulcer) based on clinical findings and history. Given treatment was Brihat Manjisthadi Kwatha – 40ml twice daily, Triphala Guggulu – 3 tablets twice daily, Punarnavadi Mandoor (1gm), Madhumehari Churna (3gm), and Gokshur Churna (2gm)– combined and administered twice daily. Haritaki Churna– 5gm with lukewarm water at bedtime for 1 month. Clinical assessments were performed at regular intervals to evaluate wound healing, pedal edema, appetite, and laboratory parameters. Complete wound healing was achieved after a treatment period of six months. Results: During the initial weeks, the patient experienced a reduction in Padashotha (pedal edema) and improvement in Agnimandya (loss of appetite). The ulcer gradually decreased in size with reduced discharge and the formation of healthy granulation tissue. Conclusion: This case demonstrates that a comprehensive Ayurvedic management approach- combining local Shodhana and Ropana measures with systemic formulations- can effectively promote wound healing in Madhumehajanya Vrana (diabetic foot ulcer). Along with complete ulcer closure, associated systemic improvements such as reduced edema, improved appetite, and better glycemic regulation were achieved.