Panchakarma management of Diabetic Peripheral Neuropathy - A Case Report

Background: Diabetic peripheral neuropathy is a type of nerve damage that can occur with uncontrolled diabetes. It affects 50% to 90% of patients and out of these 15-30% will have painful diabetic neuropathy. Conventional medicine has less than satisfactory result, hence there is need to find out safer & effective treatment from the sources other than the conventional medicine. Aim: The aim was to evaluate the role of Panchakarma treatment modalities in Diabetic peripheral neuropathy. Method: A 60-year-old female patient suffering from Type 2 Diabetes mellitus for 5 years, then she gradually developed Tingling sensation over bilateral lower limb, burning sensation, pain, sense of numbness, constipation for 3 years. There was no any Straightforward correlation with Ayurveda so treatment was done as per associated Dosha condition. Panchakarma procedure such as Nitya Virechana with Castor oil and Milk was given as per Agni and Kostha of the patient, Utsadana with Triphala-Nimba Churna with Nimba Taila and Dashamoola Ksheera Parisheka was done for 15 days. Assessment was done with Fasting and post-prandial blood sugar level, MTCNS (Modified Toronto clinical neuropathy score), Vibration perception threshold, Hot threshold, Cold threshold, Mono filament test was done by Neuropathy analyzer machine before and after completion of treatment. Result & Conclusion: Significant improvement was seen in subjective as well as objective parameters after the treatment. The study suggested that Nitya Virechana along with Bahirparimarjana Chikitsa can be useful to relieve the symptoms of Diabetic peripheral neuropathy.