Diabetic foot gangrene cure by carbon veg

Obviating surgical amputation of diabetic foot gangrene through homeopathic, medicine and
management, control, blood glucose level, a case report

Abstract

Introduction -

Gangrene is defined as the decay or death of an organ or Tissue due to compromise blood supply. It is a
perilous and fatal condition occurring most commonly due to diabetes. In general, people with diabetes
have a significantly increased risk of lower extremity, leading to amputation.

Case summary

Of 54 year old man presented with diabetic gangrene of his both. Great since 15 years.

Facing complain with black discretion of discharge and swelling. Also on the both leg right toe

He was diagnosed with dramatic food gangrene and advised to undergo surgical imputation of the top by
a local surgeon to stop the spread of gangrene

His blood glucose level is 423. After taking insulin, uncontrolled blood glucose, the pain and treated to
homeopathic to avoid imputation.

After detailed case, taking analysis and repatriation carbon with prescribed within 34 months, there was
a improvement in the limb without any surgical intervention. Office analysis. Q was used for the cleaning
wounds and regular dressing.

INTRODUCTION

Gangrene is the localized death of tissue caused by in adequate blood supply which may result from
injury, infection and diabetes mellitus, diabetes process, three distinct factors, which make their limbs to
gangrene formation.

First sugar-laden tissues lower their resistance infection.

The secondary factor is liability to formation of atheroma in the arteries. in the lower limbs, the arterial
occlusive disease involve the popliteal artery and its branch down to the pedal arches.

The third factor is diabetic neuropathy, which impairs sensation and lower limbs get more prone to
injuries and infections. As a result of this, the pressure area of the food become complicated by tropical
ulcers.

both dry and wet gangrene are seen in diabetes. In dry

gangrene, there is a classic line of demarcation between the necrotic and normal tissue with little or no
discharge. Infection plays a major role in wet gangrene, which spreads rapidly and is often lethal. In wet
gangrene, trophic ulcers are seen at the pressure sites usually at the metatarsal heads, particularly over the first
or third metatarsal head.
according to international diabetes Federation Diabetes
around the world in 2021 537
million Approximately 537 million adults (20-79 years) are living with
diabetes. 643 million by 2030The total number of people living with
diabetes is projected to rise to 643 million by 2030 and 783 million by
2045. 3 in 4 adults with diabetes live in low- and middle-income
countries

globally, 1 million amputations occur every

year; approximately one amputation every 30 s. It is estimated
that the total number of amputees will reach 435 million by
2030; of these, over 54% will be affected only by peripheral
vascular diseases, especially diabetes mellitus. Moreover, the
mortalities among people who undergo amputation are very
high.[4] In India, 69.2 million people are affected with diabetes,
showing an overall prevalence of 9.3% with the loss of a lower
extremity. A community-based study states for every 20 people,
a lower limb is lost due to diabetes and around 45,000 lower
limbs are amputated each year

Homoeopathic literature provides a good scope for trading case of gangrene and preventing surgical
imputation here with present a case of diabetes wet gangrene treated with homoeopathic approach.
Calendar office a Q was used to cleaning the wound and regular dressing was done. No anti septic or
external application were used to dressing this report Adds to the existing evidence of formic
management of diabetic gangrene.

CASE REPORT

Patient history-

54 year old man presented with diabetic gangrene of the both grade 2 since 15 year. She was a known
case of diabetes since 25 years and was on oral hypoglycaemic medicines. The patient complained
swelling and black. This conversion with offensive discharges on both great toe . He was advised to
undergo surgical imputation of grade 2 by local surgeon within 4 to 5 days to stop the spread of
gangrene. There was a putrid watery offensive discharge from the ulcer.

Past history

He suffers from pneumonia at the age of two years, epistaxis occurs every summer season colour of
blood dark . he suffer from prolong constipation with absent urging of stool.

Physical general

Offensive foot sweat

Very offensive and sticky discharge from toes

Coldness of extremities. Blueness due to venous stasis, profuse perspiration like fanning on face.

Mental general
Weakness of memory and slowness of thought , Confused minded confusion of well known street. Very
angry person, fault finder he sys its ok if you don’t like me .not every one has good taste ( sarcastic)
Indifference about anything Timidity Anticipation

clinical finding

On an inspection, the skin appear black of and sticky, discharges swelling

Diagnostic assessment

Blood glucose is 425

Haemoglobin 9.8

HB, a1C 12.6

Totality of symptom

Swelling and black decoration of toe

Water tree is sticky, offensive charges from ulcer

Sensation of burning

Chilli

Anticipation

Sarcastic

Selection of remedy

Carbo veg 200

Prescription and follow up

On the day of the visit cargo veg, 200 was prescribed to be taken two days and followed by a placebo for
15 days. During this period the wound is steadily healed and no other alternative treatment was given
except calendula Q for cleaning the wound. Patient withdraw from ……..

Discussion-

This case report describe the effectiveness of homoeopathic treatment in diabetic. The patient has South
homoeopathic treatment to avoid amputation. See continued her regular oral hypoglycaemic medicine
during treatment. She was advised to stop all other tropical and oral medications before treatment and
to avoid carbohydrate with food. Based on the totality of symptoms, the case was analysed carbon beds
was selected as similar based on his totality of symptom stasis( may long time) , sarcastic, offensive,
direct fanning liking etc

The gangrene was healed within three months and improvement. In other general symptom was also also
observed during the course of treatment after assessing the case with the modified Naranjo criteria the
total score was 8. It was suggestive of definite association with the medicine and outcome.

Table
Assessment of outcome with Modified Naranjo criteria
Scoring parameters Yes No Not sure or N/A
Was there an improvement in the main symptom or condition for which the homeopathic medicine was prescribed? +2
Did the clinical improvement occur within a plausible time frame relative to the medicine intake? +1
Was there homoeopathic aggravation of symptoms? 0
Did the effect encompass more than the main symptom or condition (i.e., were other symptoms not related to the main
presenting complaint ultimately improved or changed)?
+1
Did overall well-being improve? +1
Direction of cure: Did some symptoms improve in the opposite order of the development of symptoms of the
disease?
0
Direction of cure: Did at least one of the following aspects apply to the order of improvement of symptoms
From organs of more importance to those of less importance
From deeper to more superficial aspects of the individual
From the top downwards
0
Did ‘old symptoms’ (defined as non-seasonal and non-cyclical symptoms that were previously thought to have resolved)
reappear temporarily during the course of improvement?
0
Are there alternatives (other than the medicine) that with a high probability could have produced the
improvement? (consider known course of disease, other forms of treatment and other clinically relevant
interventions)
+1
Was the health improvement confirmed by any objective evidence? (e.g., investigations and clinical examination) +2
Did repeat dosing, if conducted, create similar clinical improvement? 0
Total score – 08

The above case show the usefulness of homeopathic treatment in the

management of diabetes, weight cane and prevention of the limb from
amputation.

Conclusion

The case report shows that the surgical case of diabetic gangrene can be
managed well with homeopathic treatment. We can see the potential
homeopathic remedy in the treating such different difficult cases. In this case
the gang part was saved from within a short period. Good control of blood
glucose level was noted along with improvement of general condition in the
patient. Thus, homoeopathy maybe useful in treating lifestyle disease like
diabetes, colitis, specially when surgical intervention like amputation become
the primary choice of t, in the future, large sample, size base and and control
history would be confirm the effectiveness of homeopathy in such cases

Declaration of patient

The patient has given her con for reporting his clinical information in the
journal the patient understand that his name and initials will not be published
and due offer will be made to conceal his identity but anonymity can be
guaranteed.
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Ira6lgACQ5WK3rkEbgb0C0osxZNHAINv_R9YvC5A01gaAqyXEALw_wcB