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Diabetic Neuropathy
A 46 year old male of Indian origin, a known case of Diabetes Mellitus since 16 years been on allopathic medications, came to AyurVAID Hospitals with several associated problems
Present Complaints:
- Sleeplessness
- Numbness in the palm
- Pain in calf muscles
- Pigmentation of skin
- Increased uric Acid and creatinine levels
First consultaion AVHD:4/10/14
Patient is a known case of Diabetes for past 16 yrs and has been on allopathic medications.He has pai n inthe calf muscles since about 6 yrs and increased blood pressure levels since 5 yrs.He also has elevated serum creatinine and uric acid levels.He occasionally has pain in the cervical region .
Past history:K/C/O DM,HTN,Neuropathy,Nephropathy,Maculopathy,Elevated Serum Creatinine and Uric Acid levels.Laser treatment for eye 3 yrs back
H/O:Cholelithiasis in 2010
Family History:HTN,CVA,DM
Current medication:Tab Cardace (Ramipril)OID, Tab Nemicard or Nebicard (Nebivolol) 2.5 g, Tab Ecospirin Gold (Atorvastatin) OID, Tab Trigenta 5 (Linagliptin) OID 1-0-0,Digtore 10 BID, Reminyl-D (Galantaine) OID,Insulin (Humaloy (Insulin Pump)160-165 IU
Clinical Status
Allopathy | Ayurveda | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Vital Parameters
| Asta Sthana Pariksha
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Examinations
| Dasa Vidha Pariksha
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Lab Tests:
| Rogi Bala- Madhyamam | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Roga Bala- Balwan | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DSQ findings Rating
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Nidana Panchaka
Roga Samprapti Flow Chart: Nidana Sevana | Kapha aggravation | Vitiates Moothrasaya gata kleda,mamsa,lasika. | Vitiates Mutra vaha srotas | Further vitiates with involment of vatha leads to Angasada, Angamarda,Suptata,Sthoulya,Prabhuta Mutrata. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Differential Diagnosis with reasoning DM Insomnia | Differential Diagnosis with reasoning Prameha Madhumeha | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Evidence Based Diagnosis with References DM+Insomnia | Evidence Based Diagnosis with References Madhu meha + Nidra nasha | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Details of Allopathy medicine if continued Tab. Cardace 1-0-0, TabNebicard 2.5 g, Tab Ecospirin Gold 0-0-1 , Tab Trigenta 5 1-0-0, Tab Digtore 10 1-0-1, Tab Reminyl-D 1-0-0, Insulin (Humalog (Insulin Pump)160-165uts • Tab Cardace reduced 1/2 tab from 8/`10/14 onwards. • Insulin dose was reduced from 165 units to approximately 120 units per day. Details of Insulin Pump:Medtronic minimed Paradigm MMT-715 Pump Humalog Lispro 100 u/mL | Chikitsa Vivechana:
Type – IPT Duration – 4/10/14 to 18/10/14 Primary Treatments:Snehapana Udwarthanam+Bashpa sweda,Seka Main Treatments:Virechanam,Yogavasthy, Post Treatments:Thalam Internal medications | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Chikitsa Paddhati with details of dose of medicine
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- | Medications: From 4/10/14 to 18/10/14 and after the treatment also.
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Referral Opinion Sought if anyNot required.
Integrated View
Ayurveda approach of Ahara, Vihara, Aushadh and Kriya effectively managed the disease of diabetes and corrects the metabolism to maintain sugar levels.
- Samyak Lakshanas achieved
- Samyak Snigdha Lakshanas achieved on 9/10/14.He got 15 vegas for virechanam,Samyak Shudhi lakshanas were achieved.
- Other outcomes
Outcome Parameters | BT | AT | Follow-up |
---|---|---|---|
Sleep (Nidra) | Disturbed (duration ~ 3 hrs) | Sleep quality improved (duration ~ 6-7 hrs) | Improved and sound |
Appetite (Agni) | Vishama | Sama | Sama |
Bowels (Mala) | Regular | Regular | Regular |
Urination (Mutra) | Prabhuta | Prabhuta | Normal |
Stress (Manas) | Restless | Moderate | Mild |
Pulse | 76 | 72 | 72 |
Weight, Kg | 74.3 kg | 70.6 | 70.1 |
BMI | 31.2 | 29.4 | 29.1 |
Pain in calf region | 2 | 1 | 1 |
Tiredness | Yes | No | No |
Desire to sit down or lie down | Yes | No | No |
Numbness in palms | Present | Reduced | Absent |
Condition during IP stay:
4/10 | 5/10 | 6/10 | 7/10 | 8/10 | 9/10 | 10/10 | 11/10 | 12/10 | 13/10 | 14/10 | 15/10 | 16/10 | 17/10 | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FBS mg/dl | 90 | 181 | 196 | 81 | 131 | 155 | 154 | 137 | 100 | 165 | 101 | 144 | 91 | |
Urin output | D >6 N 1-2 | D 4-5 N 1-2 | D 4-5 N 1 | D 4-5 N 1 | D 5-6 N 1 | D 4-5 N 1 | D 5-6 N 1 | D 4-5 N 1-2 | D 3 N 1 | D 4-5 N 1-2 | D 4-5 N 1-2 | D 4-5 N 1-2 | D 4-5 N 1-2 | D 4-5 N 1-2 |
BP | 130/90 | 110/70 | 110/70 | 110/70 | 110/70 | 110/60 | 100/80 | 110/70 | 130/90 | 140/90 | 110/70 | 130/90 | 120/80 | 140/90 |
Standardised Outcome Scales
Standard Outcome scale | 4/10/14 | 17/10/14 |
S-LANSS Pain Score | 6 | |
Pittsburgh Insomnia Rating Scale | 67 | 74 |
Ayurveda effectively treats diabetes and its complications by improving body’s metabolism and addressing the root cause to maintain the normal sugar levels and prevent further complications.
* Outcomes may vary from person to person
Disclaimer: * Outcomes may vary from person to person