Ayurvedic Management of Dushta Vrana (Non Healing Wound) in a Diabetic Foot: A Case Report

Vrana is the break or destruction, or discontinuity, of body tissue or part of the body. Acharya Sushruta has provided a detailed description of managing Dushta Vrana in Shasti Upkramas in his Shushrut Samhita. Here, we present a case of a 66-year-old male who visited the OPD with a chief complaint of a wound between his big toe and the second toe of his right foot, associated with a foul smell and severe pain. This case was treated with prakshalan (cleansing) of the wound using Panchvalkal Kwath (decoction), followed by the application of Nirgundi Tail and oral intake of Kishoreguggulu, Agrogyavardhanivati, and Mhamanjisthaikwath. These medications have vranashodhana, vranaropana, and raktashodhak properties. They were applied topically on a non-healing ulcer/dushta vrana once daily for one month, along with pathya-apathya (prescribed diet and regimen). The patient experienced relief, and the wound healed completely with minimal scarring. Additionally, this classical herbal formulation was well accepted by the patient and caused no side effects during the entire study period.