E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Vakya Panchangam 1998 -

2022 Volume 7 Number 9 October
Publisherwww.maharshicharaka.in

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study

C Nair S.1*, M Sweta K.2
DOI:

1* Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.

2 K M Sweta, Professor & HOD, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India. Vakya Panchangam 1998

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer. Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study. : The lunar day, which determines the phases

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna Sri Rama Navami: Celebrated on April 5, 1998

Corresponding Author How to Cite this Article To Browse
Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.
Email: Vakya Panchangam 1998
Swathi C Nair, K M Sweta, To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study. J Ayu Int Med Sci. 2022;7(9):196-205.
Available From
https://www.jaims.in/jaims/article/view/2093
Vakya Panchangam 1998

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-08-29 2022-08-31 2022-09-07 2022-09-14 2022-09-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

Vakya Panchangam 1998Vakya Panchangam 1998 © 2022by Swathi C Nair, K M Swetaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

: The lunar day, which determines the phases of the moon and religious fasting windows. Vara : The day of the week (from Sunday to Saturday).

According to traditional calendars, Tamil New Year 1998 fell on April 14, 1998. Sri Rama Navami: Celebrated on April 5, 1998 .

The year 1998 (corresponding to the Hindu Kaliyuga years 5100–5101 and the Tamil years and Pramadhutha ) witnessed major planetary shifts. Astrologers tracking the 1998 almanac focus heavily on the slower-moving outer planets, which dictate generational shifts and major life events. 1. Jupiter Transits (Guru Peyarchi) 1998

The Vakya system has not existed without controversy. The primary alternative is the , which relies on direct astronomical observation ( Drik meaning "sight") and modern mathematical formulas for real-time planetary positions .

For researchers and astrology enthusiasts, obtaining a scan of a 1998 Vakya Panchangam is like holding a cultural fossil. It tells us not only when the eclipses occurred but also how a Tamil village priest interpreted the sky for a farmer, a bride, or a king.

To understand why certain life events (positive or negative) occurred in 1998, people review the planetary alignments of that specific year against their ruling astrological periods ( Mahadashas ).

Calculated precisely using the Tithi element, occurring during the Amavasya (new moon) of the Tamil month of Aippasi.

Jupiter, the planet of wisdom and expansion, moved through Aquarius ( Kumbha ) and into Pisces ( Meena ) over the course of 1998. The Vakya calculations scheduled these movements slightly differently than modern Drik systems, dictating when communities celebrated Guru Peyarchi (Jupiter Transit) rituals in major South Indian temples. 3. Rahu and Ketu Changes

The Vakya Panchangam of 1998 remains a foundational reference point for anyone analyzing the life paths of individuals born in the late 90s, preserving a timeless system of calculation that links humanity to the rhythmic movements of the cosmos.

Why the difference? The Vakya system uses mean motion of planets, while Drik uses true motion (including perturbations). For some years, their divergence is minimal; for 1998, it was moderate, causing a one-day shift for about 30% of festivals.

Case Study

It is a case study of a 42-year male patient who presented with the chief complains of ulcer over big toe of right leg since 2 months (K/C/O DM for last 8 years and under medication). He was being treated with oral medications and dressings. Study was done after obtaining an informed consent from the patient. He was treated with the Lakshadi Choorna for dressing daily and Triphala Guggulu 2 BD before food, Amritadi Vati 2 BD after food as internal medication.

Intervention: Lakshadi Choorna was prepared with all aseptic measures, as per the classical reference of Choorna Kalpana. After proper cleaning the drugs, it made into small pieces by chopping. Using pulveriser it was made into fine powder with mesh size of 80 to 120 range. Packing done under aseptic precaution and sterilization done under UV for 20 minutes.

With all aseptic measures ulcer was cleaned with normal saline and Avachoornana was done uniformly over ulcer site. Dressing was done with sterile gauze and pad. Avachoornana was done with the Lakshadi Choorna once daily and observations were done on 7th, 14th, 21st and 40th day of the treatment.

Figure 1: The method of Lakshadi Choorna preparation.

jaims_2093_01.JPGRaw drugs for Lakshadi Avachoornana


jaims_2093_02.JPG

jaims_2093_03.JPG

Final product

Figure 2: The method of Lakshadi Avachoornana

jaims_2093_04.JPG


jaims_2093_05.JPG

jaims_2093_06.JPG

0th Day

jaims_2093_07.JPG

Avachoornanam

jaims_2093_08.JPG

7th Day

jaims_2093_09.JPG

14th Day

jaims_2093_10.JPG21st Day


jaims_2093_11.JPG
40th Day

jaims_2093_12.JPG
Follow-up

Table 2: Subjective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Pain Assessment 0 No Pain 1-3 Mild pain 4-6 Moderate pain 7-10 Severe pain
0th day   +    
7th day   +    
14th day +      
21st day +      
40th day +      
Burning Sensation Grade 0 No burning Grade 1 Mild burning Grade 2 Moderate burning Grade 3 Severe burning
0th day     +  
7th day   +    
14th day   +    
21st day +      
40th day +      

Table 3: Objective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Item Assessment 0th day Score 7th day Score 14th day Score 21st day Score 40th day Score
1. Size  1 = Length x width <4 sq. cm 2 = Length x width 4--<16 sq. cm 3 = Length x width 16.1--<36 sq. cm 4 = Length x width 36.1--<80 sq. cm 5 = Length x width >80 sq. cm 3 3 3 3 2
2. Depth  1 = non-blanchable erythema on intact skin 2 = Partial thickness skin loss involving epidermis &/or dermis 3 = Full thickness skin loss involving damage or necrosis of subcutaneous tissue; may extend down to but not through underlying fascia; &/or mixed partial & full thickness &/or tissue layers obscured by granulation tissue 4 = Obscured by necrosis 5 = Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures 3 3 3 3 3
3. Edges  1 = Indistinct, diffuse, none clearly visible 2 = Distinct, outline clearly visible, attached, even with wound base 3 = Well-defined, not attached to wound base 4 = Well-defined, not attached to base, rolled under, thickened 5= Well-defined, fibrotic, scarred or hyperkeratotic 2 2 2 1 1
4.Undermining   1 = None present 2 = Undermining < 2 cm in any area 3 = Undermining 2-4 cm involving < 50% wound margins 4 = Undermining 2-4 cm involving > 50% wound margins 5 = Undermining > 4 cm or Tunnelling in any area 1 1 1 1 1
5.Necrotic Tissue Type   1 = None visible 2 = White/grey non-viable tissue &/or non-adherent yellow slough 3 = Loosely adherent yellow slough 4 = Adherent, soft, black eschar 5 = Firmly adherent, hard, black eschar 3 3 2 2 1
6.Necrotic Tissue Amount   1 = None visible 2 = < 25% of wound bed covered 3 = 25% to 50% of wound covered 4 = > 50% and < 75% of wound covered 5 = 75% to 100% of wound covered 2 2 2 2 1
7.Exudate Type   1 = None 2 = Bloody 3 = Serosanguineous: thin, watery, pale red/pink 4 = Serous: thin, watery, clear 5 = Purulent: thin or thick, opaque, tan/yellow, with or without odour 3 3 1 1 1
8.Exudate Amount   1 = None, dry wound 2 = Scant, wound moist but no observable exudate 3 = Small 4 = Moderate 5 = Large 4 3 2 2 2

Vakya Panchangam 1998 -

: The lunar day, which determines the phases of the moon and religious fasting windows. Vara : The day of the week (from Sunday to Saturday).

According to traditional calendars, Tamil New Year 1998 fell on April 14, 1998. Sri Rama Navami: Celebrated on April 5, 1998 .

The year 1998 (corresponding to the Hindu Kaliyuga years 5100–5101 and the Tamil years and Pramadhutha ) witnessed major planetary shifts. Astrologers tracking the 1998 almanac focus heavily on the slower-moving outer planets, which dictate generational shifts and major life events. 1. Jupiter Transits (Guru Peyarchi) 1998

The Vakya system has not existed without controversy. The primary alternative is the , which relies on direct astronomical observation ( Drik meaning "sight") and modern mathematical formulas for real-time planetary positions .

For researchers and astrology enthusiasts, obtaining a scan of a 1998 Vakya Panchangam is like holding a cultural fossil. It tells us not only when the eclipses occurred but also how a Tamil village priest interpreted the sky for a farmer, a bride, or a king.

To understand why certain life events (positive or negative) occurred in 1998, people review the planetary alignments of that specific year against their ruling astrological periods ( Mahadashas ).

Calculated precisely using the Tithi element, occurring during the Amavasya (new moon) of the Tamil month of Aippasi.

Jupiter, the planet of wisdom and expansion, moved through Aquarius ( Kumbha ) and into Pisces ( Meena ) over the course of 1998. The Vakya calculations scheduled these movements slightly differently than modern Drik systems, dictating when communities celebrated Guru Peyarchi (Jupiter Transit) rituals in major South Indian temples. 3. Rahu and Ketu Changes

The Vakya Panchangam of 1998 remains a foundational reference point for anyone analyzing the life paths of individuals born in the late 90s, preserving a timeless system of calculation that links humanity to the rhythmic movements of the cosmos.

Why the difference? The Vakya system uses mean motion of planets, while Drik uses true motion (including perturbations). For some years, their divergence is minimal; for 1998, it was moderate, causing a one-day shift for about 30% of festivals.

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