Dr. Varsha Saxena
Vol. 6, Jul-Dec 2018
Abstract:
Lifestyle diseases are defined as diseases based on day to day habits of people.The incidence of lifestyle diseases like hypertension, diabetes mellitus, dyslipidemia, and overweight/obesity associated with cardiovascular diseases in society. Type 2 diabetes mellitus is most common among all lifestyle disease and this is associated with obesity, dyslipidemia and high blood pressure (hypertension). This is more common in people who don't do enough physical activity, and who are overweight or obese.A survey 2015, an estimated 415 million people had diabetes worldwide, with type 2 DM making up about 90% of the cases overall. Diabeticfoot ulcer is most common complication of diabetes mellitus.Diabeticneuropathy, structural foot deformity and peripheral arterial occlusive disease result in ulcer formation. Diabetic person have complications on different systems as on eye, renal system, cardiovascular system and central nervous system but foot lesions are responsible for more hospitalizations than any other complication of diabetes.Foot complication and amputations represent the most important among all the long term problems of diabetes medically, socially and economically. In most of the cases diabetic ulcers are the result of underlying neuropathy characterized by neurogenic ulcer. The diabetic foot ulcer can be correlated toDushtavrana in Ayurvedic. AcharyaSusruta who is the father of surgery mentioned many surgical and parasurgical procedures for treatment of diabetic foot ulcer (DFU). In surgical intervention debridement (Lekhana karma), shodhana (cleaning) with Kashaya, drainage of necrotic tissue and pus are described. In parasurgical intervention, Jaloukavacarana (leech therapy), Kshara karma, Kshara Pichu and Agnikarmaare described for the treatment of Diabetic foot ulcer (Dushtavrana).