E-ISSN:2456-3110

Case Report

Diabetic Ulcer

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2022 Volume 7 Number 9 October
Publisherwww.maharshicharaka.in

To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study

C Nair S.1*, M Sweta K.2
DOI:

1* Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.

2 K M Sweta, Professor & HOD, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India. anushka sex videos 420 wap com link

The global prevalence of diabetics is estimated to increase from 4.0% in 1995 to 5.5% by the year 2025. The chances of secondary infection are more in diabetics as the immunity of the patients is compromised and needs prolonged hospitalization, psychological and social problem for the patients and family. In Madhumehi the vessels of lower limb become weak and is unable to expel the Doshas (along with other Dushyas) leading to Prameha Pidakas more in lower extremities, which eventually burst open precipitating an ulcer. Avachoornana is one among the Shashti Upakrama, explained by Acharya Sushrutha for management of Vrana. Numerous studies are done in the management of Dushta Vrana with the internal medication and external therapies. Here a preliminary attempt to study the effect of Avachoornana with Lakshadi Choorna in the management of the same was taken for the study. I’m unable to provide a deep story or

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna She is one of the highest-paid actresses in

Corresponding Author How to Cite this Article To Browse
Swathi C Nair, Post Graduate Scholar, Dept. of Shalya Tantra, Sri Sri College of Ayurvedic Science and Research, Bangalore, Karnataka, India.
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Swathi C Nair, K M Sweta, To evaluate the role of Lakshadi Avachoornana in the management of Dushta Vrana with special reference to Diabetic Ulcer: A Case Study. J Ayu Int Med Sci. 2022;7(9):196-205.
Available From
https://www.jaims.in/jaims/article/view/2093
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Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-08-29 2022-08-31 2022-09-07 2022-09-14 2022-09-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

anushka sex videos 420 wap com linkanushka sex videos 420 wap com link © 2022by Swathi C Nair, K M Swetaand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Anushka Shetty, born Sweety Shetty, is a leading Indian actress who primarily works in Telugu and Tamil cinema. She is one of the highest-paid actresses in India and is popularly known as the "Lady Superstar" of South Indian cinema for her powerful and often female-centric roles.

: Through her company, she produced the critically acclaimed series Paatal Lok and film Bulbbul . 2. Anushka Shetty (South Indian/Telugu & Tamil)

Online searches for Anushka Shetty's popular videos generally point to massive YouTube compilations, including: Anushka Shetty Movies and Shows - ‎Apple TV

When searching for specific digital video libraries or specific creator filmographies under legacy terms like "Wap," users frequently encounter security risks. Many legacy download domains have transitioned into ad-heavy networks or malicious redirects. Common Risks on Legacy Video Sites

While modern 5G networks have made standard WAP protocols obsolete, the naming convention survives. Current third-party aggregators continue to use "wap" in their domain names or metadata tags to target users looking for quick, mobile-optimized, or easily downloadable video directories. Analyzing Popular Video Categories and Search Trends

Given her track record, Anushka is positioned to experiment with these emerging formats, potentially expanding into interactive storytelling or virtual‑reality experiences.

Her official acting debut alongside Nagarjuna, which instantly put her on the map and earned her a Filmfare nomination.

What truly propelled Anushka to digital stardom were her viral clips. Her "popular videos" usually fall into three categories:

Anushka Sharma has received several awards and nominations for her performances. Some of her notable awards include:

| Year | Title | Notes | | :--- | :--- | :--- | | 2005 | Super | Debut film | | 2005 | Mahanandi | | | 2006 | Vikramarkudu | | | 2006 | Stalin | Cameo | | 2007 | Lakshyam | | | 2008 | Okka Magadu | | | 2008 | Swagatam | | | 2008 | Souryam | | | 2008 | Chintakayala Ravi | | | 2008 | King | Cameo | | 2009 | Billa | | | 2009 | Arundhati | Breakthrough role | | 2010 | Vedam | Critically acclaimed | | 2010 | Singam | Tamil debut | | 2010 | Kedi | Cameo | | 2010 | Panchakshari | | | 2010 | Khaleja | | | 2010 | Nagavalli | | | 2011 | Vaanam | Tamil | | 2011 | Deiva Thirumagal | Tamil | | 2012 | Saguni | Cameo | | 2012 | Thaandavam | Tamil | | 2012 | Damarukam | | | 2013 | Mirchi | Blockbuster | | 2013 | Alex Pandian | Tamil | | 2013 | Singam II | Tamil | | 2015 | Baahubali: The Beginning | Blockbuster | | 2015 | Rudramadevi | Warrior queen role | | 2016 | Size Zero | | | 2016 | Soggade Chinni Nayana | Cameo | | 2016 | Oopiri | Cameo | | 2017 | Baahubali 2: The Conclusion | Blockbuster | | 2017 | Si3 | Cameo | | 2017 | Om Namo Venkatesaya | | | 2018 | Bhaagamathie | Blockbuster | | 2019 | Sye Raa Narasimha Reddy | Cameo | | 2020 | Nishabdham | | | 2023 | Miss Shetty Mr Polishetty | | | 2025 | Ghaati | Upcoming | | TBA | Kathanar: The Wild Sorcerer | Malayalam debut |

Anushka's filmography is diverse and impressive, with a range of films that showcase her versatility as an actress. Here are some of her notable films:

Please note: It is important to be aware of online safety and avoid searching for potentially misleading or inappropriate content. This article focuses on celebrating the legitimate and successful careers of Indian film actresses named Anushka.

Case Study

It is a case study of a 42-year male patient who presented with the chief complains of ulcer over big toe of right leg since 2 months (K/C/O DM for last 8 years and under medication). He was being treated with oral medications and dressings. Study was done after obtaining an informed consent from the patient. He was treated with the Lakshadi Choorna for dressing daily and Triphala Guggulu 2 BD before food, Amritadi Vati 2 BD after food as internal medication.

Intervention: Lakshadi Choorna was prepared with all aseptic measures, as per the classical reference of Choorna Kalpana. After proper cleaning the drugs, it made into small pieces by chopping. Using pulveriser it was made into fine powder with mesh size of 80 to 120 range. Packing done under aseptic precaution and sterilization done under UV for 20 minutes.

With all aseptic measures ulcer was cleaned with normal saline and Avachoornana was done uniformly over ulcer site. Dressing was done with sterile gauze and pad. Avachoornana was done with the Lakshadi Choorna once daily and observations were done on 7th, 14th, 21st and 40th day of the treatment.

Figure 1: The method of Lakshadi Choorna preparation.

jaims_2093_01.JPGRaw drugs for Lakshadi Avachoornana


jaims_2093_02.JPG

jaims_2093_03.JPG

Final product

Figure 2: The method of Lakshadi Avachoornana

jaims_2093_04.JPG


jaims_2093_05.JPG

jaims_2093_06.JPG

0th Day

jaims_2093_07.JPG

Avachoornanam

jaims_2093_08.JPG

7th Day

jaims_2093_09.JPG

14th Day

jaims_2093_10.JPG21st Day


jaims_2093_11.JPG
40th Day

jaims_2093_12.JPG
Follow-up

Table 2: Subjective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Pain Assessment 0 No Pain 1-3 Mild pain 4-6 Moderate pain 7-10 Severe pain
0th day   +    
7th day   +    
14th day +      
21st day +      
40th day +      
Burning Sensation Grade 0 No burning Grade 1 Mild burning Grade 2 Moderate burning Grade 3 Severe burning
0th day     +  
7th day   +    
14th day   +    
21st day +      
40th day +      

Table 3: Objective symptoms assessed on 0th, 7th, 14th, 21st, 40th day.

Item Assessment 0th day Score 7th day Score 14th day Score 21st day Score 40th day Score
1. Size  1 = Length x width <4 sq. cm 2 = Length x width 4--<16 sq. cm 3 = Length x width 16.1--<36 sq. cm 4 = Length x width 36.1--<80 sq. cm 5 = Length x width >80 sq. cm 3 3 3 3 2
2. Depth  1 = non-blanchable erythema on intact skin 2 = Partial thickness skin loss involving epidermis &/or dermis 3 = Full thickness skin loss involving damage or necrosis of subcutaneous tissue; may extend down to but not through underlying fascia; &/or mixed partial & full thickness &/or tissue layers obscured by granulation tissue 4 = Obscured by necrosis 5 = Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures 3 3 3 3 3
3. Edges  1 = Indistinct, diffuse, none clearly visible 2 = Distinct, outline clearly visible, attached, even with wound base 3 = Well-defined, not attached to wound base 4 = Well-defined, not attached to base, rolled under, thickened 5= Well-defined, fibrotic, scarred or hyperkeratotic 2 2 2 1 1
4.Undermining   1 = None present 2 = Undermining < 2 cm in any area 3 = Undermining 2-4 cm involving < 50% wound margins 4 = Undermining 2-4 cm involving > 50% wound margins 5 = Undermining > 4 cm or Tunnelling in any area 1 1 1 1 1
5.Necrotic Tissue Type   1 = None visible 2 = White/grey non-viable tissue &/or non-adherent yellow slough 3 = Loosely adherent yellow slough 4 = Adherent, soft, black eschar 5 = Firmly adherent, hard, black eschar 3 3 2 2 1
6.Necrotic Tissue Amount   1 = None visible 2 = < 25% of wound bed covered 3 = 25% to 50% of wound covered 4 = > 50% and < 75% of wound covered 5 = 75% to 100% of wound covered 2 2 2 2 1
7.Exudate Type   1 = None 2 = Bloody 3 = Serosanguineous: thin, watery, pale red/pink 4 = Serous: thin, watery, clear 5 = Purulent: thin or thick, opaque, tan/yellow, with or without odour 3 3 1 1 1
8.Exudate Amount   1 = None, dry wound 2 = Scant, wound moist but no observable exudate 3 = Small 4 = Moderate 5 = Large 4 3 2 2 2

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I’m unable to provide a deep story or analysis on “Anushka 420 wap filmography and popular videos” because that phrase appears to refer to explicit or adult content, likely involving leaked or unauthorized material. My guidelines prevent me from generating, narrating, or analyzing adult entertainment, especially when associated with “wap” (which often indicates mobile-optimized adult or pirated content).

Anushka Shetty, born Sweety Shetty, is a leading Indian actress who primarily works in Telugu and Tamil cinema. She is one of the highest-paid actresses in India and is popularly known as the "Lady Superstar" of South Indian cinema for her powerful and often female-centric roles.

: Through her company, she produced the critically acclaimed series Paatal Lok and film Bulbbul . 2. Anushka Shetty (South Indian/Telugu & Tamil)

Online searches for Anushka Shetty's popular videos generally point to massive YouTube compilations, including: Anushka Shetty Movies and Shows - ‎Apple TV

When searching for specific digital video libraries or specific creator filmographies under legacy terms like "Wap," users frequently encounter security risks. Many legacy download domains have transitioned into ad-heavy networks or malicious redirects. Common Risks on Legacy Video Sites

While modern 5G networks have made standard WAP protocols obsolete, the naming convention survives. Current third-party aggregators continue to use "wap" in their domain names or metadata tags to target users looking for quick, mobile-optimized, or easily downloadable video directories. Analyzing Popular Video Categories and Search Trends

Given her track record, Anushka is positioned to experiment with these emerging formats, potentially expanding into interactive storytelling or virtual‑reality experiences.

Her official acting debut alongside Nagarjuna, which instantly put her on the map and earned her a Filmfare nomination.

What truly propelled Anushka to digital stardom were her viral clips. Her "popular videos" usually fall into three categories:

Anushka Sharma has received several awards and nominations for her performances. Some of her notable awards include:

| Year | Title | Notes | | :--- | :--- | :--- | | 2005 | Super | Debut film | | 2005 | Mahanandi | | | 2006 | Vikramarkudu | | | 2006 | Stalin | Cameo | | 2007 | Lakshyam | | | 2008 | Okka Magadu | | | 2008 | Swagatam | | | 2008 | Souryam | | | 2008 | Chintakayala Ravi | | | 2008 | King | Cameo | | 2009 | Billa | | | 2009 | Arundhati | Breakthrough role | | 2010 | Vedam | Critically acclaimed | | 2010 | Singam | Tamil debut | | 2010 | Kedi | Cameo | | 2010 | Panchakshari | | | 2010 | Khaleja | | | 2010 | Nagavalli | | | 2011 | Vaanam | Tamil | | 2011 | Deiva Thirumagal | Tamil | | 2012 | Saguni | Cameo | | 2012 | Thaandavam | Tamil | | 2012 | Damarukam | | | 2013 | Mirchi | Blockbuster | | 2013 | Alex Pandian | Tamil | | 2013 | Singam II | Tamil | | 2015 | Baahubali: The Beginning | Blockbuster | | 2015 | Rudramadevi | Warrior queen role | | 2016 | Size Zero | | | 2016 | Soggade Chinni Nayana | Cameo | | 2016 | Oopiri | Cameo | | 2017 | Baahubali 2: The Conclusion | Blockbuster | | 2017 | Si3 | Cameo | | 2017 | Om Namo Venkatesaya | | | 2018 | Bhaagamathie | Blockbuster | | 2019 | Sye Raa Narasimha Reddy | Cameo | | 2020 | Nishabdham | | | 2023 | Miss Shetty Mr Polishetty | | | 2025 | Ghaati | Upcoming | | TBA | Kathanar: The Wild Sorcerer | Malayalam debut |

Anushka's filmography is diverse and impressive, with a range of films that showcase her versatility as an actress. Here are some of her notable films:

Please note: It is important to be aware of online safety and avoid searching for potentially misleading or inappropriate content. This article focuses on celebrating the legitimate and successful careers of Indian film actresses named Anushka.

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