IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-10-22897 Original Research Paper Extensive Effect of Gomutra, Dhupana & Jatyadi Taila on Chronic Non–healing Diabetic Ulcer – Laxmikant S. D Dr. October 2019 8 10 01 02 ABSTRACT

Ulcer (Vrana) is an injury to the body that typically involves laceration or breaking of a membrane of the skin and usually damage to underlying tissues. Presence of infection and diabetes are important factors which impair wound healing and attains chronicity which is called chronic nonhealing diabetic ulcer. Classics of Ayurveda especially Sushruta while explaining ulcer & its management has quoted Dushta Vrana (chronic ulcer) which is difficult to heal. Dushta Vrana is a long standing ulcer where removing debris enabling drug to reach healthy tissue is more important. A fifty four year male patient, milk maid by occupation visited to KLE Ayurveda hospital, Belagavi having non–healing ulcer at lateral aspect of right leg from knee to heel of since 3 months. Classical ayurvedic intervention which include Pariseka (Pouring liquid) with Gomutra (Cow‘s urine) and Sphatika Jala (alum water) were planned. Subsequently, Dhupana (Fumigation) with ayurveda drugs and dressing was done with Jatyadi taila for a period of 1 month. Local treatment along with anti–diabetic medication showed higher efficacy in vrana shodhana (Wound cleansing) and vrana ropana (wound healing) with fine scarring without producing any adverse events and there is relief in signs and symptoms of Vrana.