Case presentation : Management of Diabetic gangrenous foot ulcer by Prof. M. B. Gururaja.

[10/6, 2:58 PM] Prof MB Gururaja:

 *I would like to share a success story*

A male aged 70+ having  uncontrollable blood sugar landed with diabetic foot ulcer gangrenous advised amputation  of foot ......But patient was not interested for that surgery wanted to explore Ayurveda modality of treatment ....So I examined the case , explained the complication and prognosis, took necessary consent for treatment...then Started Ayurveda treatment ....

My objective in this case was to reduce blood sugar, improve blood circulation and oxygen supply to affected area, avoid as much as possible necrosis of tissues, and septicemia.

Initially it was very tough ...

Almost 30 days up and down in symptoms and of course gangrene of distal phalanx of second toe...

But by the end of 130 days he recovered very well ....Wound healed without any complications and even with out skin graft surgery...

Here by I am posting the pictures in a sequence 

Jai Ayurveda ,

Dr. M B Gururaja

[10/6, 3:08 PM] Prof. Surendra A. Soni: 

Many many thanks to Acharya Gururaja Sir !!

Please give details of case.

🙏🌹😊

[10/6, 3:11 PM] Prof Hariom Gupta, Vadodara: 

Well done Sir....

[10/6, 3:11 PM] Prof MB Gururaja: 

In this case ...

I used ...

Guggulu tiktaka kashaya 

Syp. Cardorium plus 

Cap. Viscovas 

To achieve optimum blood supply and avoid necrosis.

Cap. Diapent to controll blood sugar as his blood sugar was above 400 mgs...

Externally Murivenna dhara and dressing with jatyadi ghrita.

[10/6, 3:12 PM] Prof. Surendra A. Soni: 

What a systematic presentation of images. If you could add date then it would be great.

🙏🌹

[10/6, 3:14 PM] Prof. Satish Panda K. C: 

Please give details regarding dressing Sir.🙏🏻

[10/6, 3:15 PM] Prof MB Gururaja: 

I have used full dose of cap. Diapent 3-3-3 and strict diet control to reduce blood sugars and I could able to achieve it by 20 to 25 days of treatment...

Regularly washed the wound with hydrogen peroxide and betadine in the first month of treatment and followed by warm murivenna dhara for 30 minutes then bandage with jatyadi ghrita ...

Internally all those medicines mentioned earlier ..

This started to show some hope after one month of treatment ...By the completion of nearly 130 days ...This stage reached ...

But one sad part of it is,  (in the first month of the treatment itself ) distal phalanx of second toe turned gangrenous and that portion could not be survived ...

[10/6, 3:18 PM] Prof MB Gururaja: 

Warm Murivenna dhara and jatyadi ghrita bandaging done almost 120+ days...

[10/6, 3:20 PM] Shivam Sinwar Gngangr: 

contents of syp cardorium plus,cap Viscovas and  cap Diapent ?

[10/6, 3:28 PM] Dr Praveen Madikonda Ji: 

Great work sir 🙏💐

A challenging case, wonderful result. It needs great confidence excellent clinical knowledge and patience 🙏🙏🙏👏👏👏

[10/6, 3:30 PM] Dr. R S. Soni, Delhi:

 बहुत शानदार गुरुराजा सर🙏👏👏🌹

आपने रोगी को विकलांग होन से बचा लिया।👌👌👏👏🌹🌹

[10/6, 3:32 PM] Prof MB Gururaja: 

Syp. Cordorium plus is from Alakananda pharma... It has all regular raktavaha srotos supportive drugs  Arjuna, gokshura, pushkaramoola, vrikshamla, with two extra drugs like Rhododendron arboreum, and Hippophae rhamnoides..

Cap. Viscovas is from Atrimed pharma

Contains pippali, guggulu, manjista, shigru etc

Cap. Diapent is from Pentacare ayurpharma , Bangalore..

Contains Guduchi, Madhunashini, trikatu, triphala, devadaru, karanja, lodhra, karavellaka, punarnava, patra, saptarangi, nimba, vidanga, kataka, jambu etc ..

[10/6, 3:33 PM] Shivam Sinwar Gngangr: 

Thank you sir 🙏🏻

[10/6, 3:38 PM] Prof MB Gururaja: 

I have still another 25 pictures of this patient ,.....But thing is meanwhile I changed my mobile so dates of photography altered while transferring them to laptop then retransfer to new mobile ....

Next onwards I will make settings in such a way that photo will bear date of picturization .....

😊🙏🏻

[10/6, 3:50 PM] Prof. Surendra A. Soni: 🙏🌹

[10/6, 3:51 PM] Dr. Rituraj Verma:

 अतिउत्तम सर जी !

[10/6, 3:57 PM] Dr Ramanuj Soni New Delhi: 

Very nice sir🙏🙏

[10/6, 4:27 PM] Dr. Arun Rathi, Akola: 

In one Word *Fabulous*

*Excellent Work With Great Patience , Dear*

*आपने ध्यर्य, शास्त्रज्ञान और व्यवहारिक उपयोगिता से अद्भुत सिध्दी प्राप्त की है।*

🌹🌹🌹😊😊😊🌹🌹🌹

[10/6, 4:43 PM] Dr Sameer Shinde: 

Very nice management sir

You can also use panchvalkal kwath dhavan and vacha ,guggul dhupan it increase rate of wound healing

Rest excellent work sir 👌👌

[10/6, 4:44 PM] Dr. Mrityunjay Tripathi, Gorakhpur: 

Nice principal  sir great achievement .... pranam sir  🙏🙏🙏 ji 💐💐🙏🙏🙏

[10/6, 5:25 PM] Dr Ankur Sharma, Delhi: 

Excellent clinical work 👌👍🙏

[10/6, 5:36 PM] Prof MB Gururaja: 

In this case I didn't opt for panchavalkala dhavan because already there is hampered blood circulation to the affected area and gangrene was setting in ....panchavalkala is sthambhak .....In this case what was required was opening up of capillaries to improve blood circulation ...So warm murivenna taila was selected ..

[10/6, 5:39 PM] Dr. Arun Rathi, Akola: 

*That's Wonderful Clinical Applied Aspect.*

👍🏻👌🏻🌹🌹🌹

[10/6, 5:48 PM] Prof MB Gururaja: 🙏🏻😊

[10/6, 5:50 PM] Vd V. B. Pandey Basti U. P: 

Beauty.

[10/6, 5:54 PM] Prof. Satish Panda K. C: 

All quality of a surgeon you have. Marvelous Patience you have.

A great work.

Salute  Sir🙏🏻💐

[10/6, 6:03 PM] Dr. Mrityunjay Tripathi, Gorakhpur:

 Sahi sir ji🙏🙏💐💐🙏🙏

[10/6, 6:03 PM] Prof MB Gururaja: 🙏🏻😊

[10/6, 6:12 PM] Prof. Surendra A. Soni: 

Namo namah Gururaja Bose especially because being a professor as well as H. O. D. of Dept. Of D.G.  in Ayurveda college you are regularly contributing and guiding to all of us.

Thank you very much Sir !

🙏🙏🌹🌹😌😌

[10/6, 6:16 PM] Prof MB Gururaja: 🙏🏻😊

[10/6, 6:33 PM] Dr Naresh Garg, Jaipur: 

🙏🙏 very nice case management sir.

[10/6, 6:36 PM] Dr Shekhar Singh Rathoud: 

Excellent sir 👍🏻👍🏻

I hv seen almost same pt. some 10 years ago, was treated by some other vaidhya from Bhopal. He used Jalauka also, initially.

for dressing kajjali with jatyadi tail. and other oral medicine.

Surgeon from my college, (MS - BHU)

made him frighten by saying same words of western surgeon.

I kept their hope high, by Santvna.

The pt. is still in satisfactory condition.

Vaidhya who treated, was known to me. he said,  it took weeks to get rid of the foul smell of the wound, from his clinic.

**************************************************************************

Above case presentation & discussion held in 'Kaysampraday" a Famous WhatsApp group  of  well known Vaidyas from all over the India. 

Presented by

Dr. M. B. Gururaja
Ex Principal 
Professor & Head
Dept. of Dravyaguna
Bapuji Ayurveda Medical College & Hospital, Shimoga, Karnataka. India.


Chief consultant
Dhavala Pentacare Ayurveda Treatment CentreN, o. 29, 2nd cross
Jayadeva layout, Alkola,
Shimoga - 577204, Karnataka, India.
Mobile No.:  +91 94482 44239
Email:gururaja41@gmail.com