Article: MANAGEMENT OF DIABETIC PERIPHERAL NEUROPATHY WITH SPECIAL REFERENCE TO PRAMEHA UPADRAVA: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.110482

Pages: 25-27

Author: Seetha Devi P *, Anisha M. S

Abstract: Diabetic Peripheral Neuropathy (DPN) is one of the most common micro vascular complications of Diabetes Mellitus. It is characterized by paraesthesia, significant deficits in tactile sensitivity, vibration sense, lower limb proprioception and Kinaesthesia. In Ayurveda the symptoms pertaining to Diabetic Peripheral Neuropathy is explained in the Poorva Roopa and Upadrava of Prameha. A 66 Year old male patient, consulted OPD of JSS Ayurveda College and Hospital presented with the complaints of Daha in Ubhaya Pada associated with Suptata and Chimachimayana since 2 years, aggravated since 1 month .He was a K/C/O DM since 20 years and was under medication for the same. He was diagnosed with Diabetic Neuropathy. Examination revealed, the muscle sensory system examination, Light touch, Superficial sensation, Deep sensation were Present, Temperature was normal, Joint position sense was intact, Two-point discrimination was intact, Point localization was intact, Stereognosis was intact, Touch and pressure sensation screening was intact, Test for vibration loss-patient could feel the vibration on distal Hallux joint, Test for temperature sensation-patient could differentiate cold and hot. The condition was treated considering it as Madhumeha Upadrava; the condition was managed with Sarvanga Udvartana, Sarvanga Abhyanga, Ardhamatrika Basti, Takra Dhara and Shamana Aushadhi. Remarkable improvement was seen in the symptoms and blood sugar level too.

Keyword: Diabetes Mellitus, Diabetic Peripheral Neuropathy, Panchakarma, Shamana Aushadhi.