Response Of Diabetic Wound to Pachai Ennai in Siddha System --A Single Case Study Report

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A. Lazha, S. Mathukumar, Govindarajan Sumathy

Abstract

People with diabetes mellitus can develop many different complications. Diabetic wounds are the most dreaded complication of diabetes mellitus due to peripheral neuropathy and peripheral arterial insufficiency. Diabetic foot disease is associated with major morbidity, mortality, and also a reduction in a person’s quality of life. In Siddha literature, a diabetic foot ulcer (DFU) is referred to as a Madumega pun (a diabetic wound). A 55-year old female, post-menopausal woman, house wife was admitted to the Inpatient department of Sairam Siddha medical college & research center and hospital with complaints of an ulcer present in the big toe (plantar surface) of her right foot with pain. Pain, mild to moderate oozing, and mild swelling in the peri-wound area have changed gait for the past year, related to a known case of diabetes for 5 years. While examining the wound, which is unhealthy, no significant granulations seem to be covered with necrotic tissues that show a predominantly black color, which measures about 1.5*2.5*1cm in size. The severity of the ulcer was measured by the diabetic ulcer severity score (DUSS), classification of the ulcer by the ‘Wagner Ulcer Classification system, and prognosis by the ’Leg Ulcer Measurement Tool. To draw special attention to DFU and to focus on siddha medication internally and externally with Madumega Chooranam-Anti diabetic siddha drug and Pachai Ennai (matthan thylam-wound healing external oil) respectively, The use of siddha medicine has the potential to heal nearly 90% of diabetic wounds (diabetic foot ulcers) and result in lower blood sugar levels.They may perhaps have a huge impact on the healing process, falling infection rates, amputations, plastic surgeries, and humanising the overall quality of life, reducing the monetary burden of treating DFU.

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