Abstract

ROLE OF NIMBA KALKA IN DIABETIC WOUND HEALING

*Dr. Swatika, Dr. Om Prakash Sharma, Dr. Naresh Kumar Garg, Dr. Nikita Panwar, Dr. Monika

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Abstract

One of the most dangerous complications of diabetes mellitus is the loss of lower limb by amputation as a consequence to diabetic foot ulcer (DFU). The estimated global prevalence of DFU is around 6.3%. The DFU is a type of nonhealing ulcer. Ayurveda explains it as Dusta Vrana (chronic non- healing ulcer). In Ayurveda, Vrana (wound) has stated as tissue destruction and discoloration of viable tissue due to various etiology. Depending on its etiological factor, it can also be termed as Pramehajanya Dusta Vrana (non-healing ulcer due to diabetes). The general line of management of Pramehajanya Vrana (diabetic wound/ulcer) mentioned by Acharya Sushuta says that one should adopt the principle and protocol of Dusta Vrana management. While describing the Sasti Upakrama (60 modalities of ulcer management), Nimbadi Kalka (a paste where neem leaves are the main ingredient) is mentioned, having both Vrana Sodhana (cleansing) and Vrana Ropana (healing) properties and beneficial for non-healing ulcer.

Keywords: Anti-inflammatory, anti-microbial, anti-oxidant, Nimbadi Kalka, Pramehajanya Vra?a.