A CASE STUDY ON THE PRE-GANGRENOUS STAGE FOLLOWED BY LEECH THERAPY AND AYURVEDA INTERVENTION OF KAISHORE GUGGULU

Around the world, a lower leg is amputated every 30 seconds due to gangrene. The mortality rate from diabetic foot gangrene is almost precisely the same as the mortality rate from cancer. When gangrene becomes severe, the only alternative treatments are surgical debridement of the injured tissue (which cannot be reversed) or amputation of the affected limb. The current case study provides an alternative to conventional medical care for chronic wounds & the gangrenous stage that is not healing correctly: Ayurvedic medicine (blood purifier and oxygen-sufficiency enhancer). A 60-year-old woman who had developed a chronic wound which was eventually converting into dry gangrene alongside intense pain was in danger as she was advised to have her left foot amputated below the knee underwent this trial. The patient's gangrenous great toe was extremely painful (80 mm on a 100 mm visual analogue scale) and had necrosed modifications that smelled bad. Aragvadhadi kashaya & Shatdhaut Ghrita were used as wound dressing since it is particularly effective at removing necrotizing areas. Leech Therapy or Hirudotherapy, along with Kishore Guggulu, were used for pain management together to promote healing, oxygen sufficiency & rejuvenation of the skin. Within 25 days, the pain score on a 100 mm visual analogue scale dropped to 0-10 mm, and no more painkillers were needed. Necrotic patches vanished, and the wound healed entirely over almost eight weeks (2 months)