Case Report
Year: 2020 | Month: January | Volume: 10 | Issue: 1 | Pages: 206-209
Treatment of a Patient with Diabetic Peripheral Neuropathy Focusing the Role of Panchakarma – A Case Report
Ramadas Maganti1, P. Yadaiah2
1Principal, Professor & H.O.D Dept. Of Kayachikitsa, Sri Jayendra Saraswathi Ayurveda College & Hospital, Nazarathpet, Chennai-600123
(A Unit of Sri Chandrasekharendra Saraswathi Vishwa Maha Vidyalaya)
University is established Under 3. UGC Act. 1956
2Professor & HOD, Dept. Of Kayachikitsa, Sapta Shringi Ayurveda College, Nashik, Maharasthra State
Corresponding Author: P. Yadaiah
ABSTRACT
Objective: To describe the role of panchakarma for the management of diabetic peripheral neuropathy (DPN).
Background: Interventions of Panchakarma for the management of diabetic peripheral neuropathy(DPN). Panchakarma is intended to relieve the burning sensation and numbness in diabetic peripheral neuropathy(DPN) which is responsible for the involvement of cranial nerves and nerves of upper and lower limb, thoracic nerve.
Case description: The patient was a 38 year old male professionally car mechanic with type 2 DM presented with pain and burning sensation over the both upper and lower limbs and posterior thigh pain with occasional cramps, muscle weakness for a period of 6 months and pain increases on standing. Symptoms are typically worse when the patient is standing and walking for a short duration of 1 hour. Patient was having tingling sensation in the both upper and lower limb. There were other neurological deficits associated with other attributable symptoms like paraesthesia, numbness and hypoesthesia.
DPN is a mixture of neurological symptoms and muscular symptoms. It is very often overlooked in clinical practice. The typical presentation may be related to multitude of chronic disorders like diabetes. The diagnosis of DPN requires a good clinical skill like understanding in detail about the anatomy and physiology of pancreas and carbohydrate metabolism. Sometimes it is also known as Pani Pada daha in madhumeha in the context of prameha.
A holistic approach for the diagnosis requires a detail history of Diabetes in relation to neuropathic pain syndrome. Distal symmetrical peripheral neuropathy is the commonest accounting for 75% of diabetic neuropathy.
Key words: Diabetes, Prameha, Hyperglycemia, Panipada Daha, Hyperglycemia, Peripheral Neuropathy.