Abstract:
Diabetes foot ulcer are a consequence of many factors including loss of protective
sensation due to peripheral neuropathy when the feet become numb and the injury goes
unnoticed. Also arterial insufficiency complicates the neuropathic ulcer which leads to
poor wound healing. Infection further deteriorates the diabetic foot resulting in a non-
healing chronic wound. The primary goal in the treatment of diabetes foot ulcer is to
obtain wound closure. Main stay of treatment includes antibiotics, detriments and local
wound and foot wear improvisation. In spite of all advances in health sciences. Statistic
reveals that about 3% patients yet have to undergo lower limb amputation. In Sushruta
Samhita, we get the most scientific descriptions of wound and their management.
Similarly, Sushruta has given the utmost importance to Kshara application in Diabetes
foot ulcer. Patient with Diabetes foot ulcer was advised to continue anti diabetes
medicines along with weekly application of Achyrenthus aspera alkali powder. This
Kshara application proved very effective and the ulcer healed completely with 40 days.
With Kshara application the wound completely healed within 40 days. Whereas statistic
reveals that about 30% of Diabetes Mellitus neuropathic ulcer receiving standard care
requires around 20 weeks for healing. Thus Kshara application proves to be effective,
time saving affordable and acceptable treatment. Though treating Diabetes foot is a
difficult task, we have managed to treat with Kshara application along with conventional
(Ayulwedic) methods of wound care. However, further evaluation is required to be done
by taking a large sample size to prove its significance in healing Diabetes foot ulcer and
avoiding lower limb amputation.
