Diabetic foot ulcer and its homoeopathic management with Hepar sulphuris calcareum 1 m: An evidence-based case analysis

Abstract

A diabetic foot ulcer is a sore that develops as a result of the skin and occasionally deeper foot tissues breaking down. Peripheral sensory neuropathy, peripheral motor neuropathy, autonomic neuropathy, or peripheral arterial disease are common predisposing conditions caused by abnormal pressure or mechanical stress given to the foot over an extended period of time. It is a form of diabetic foot illness and a serious consequence of diabetes mellitus. Amputation is frequently the result of secondary ulcer complications, which include sepsis, gangrene, bone infections, and infections of the skin or subcutaneous tissue. DFU disrupt foot epidermis and dermis, breach the skin envelope, expose sterile structures, and finally form full-thickness lesions [2]. This is a case study of a 65-year-old woman with diabetic foot ulcer managed with homoeopathic similimum. She had a one-month-old severe ulcer over her right foot's second toe that extended to lateral aspect of the affected finger and had started spreading towards the middle toe. The surrounding tissue had a slight dark discolouration and an extremely foul purulent discharge. The ulcer was unclean with dirt and more slough tissue. The patient was receiving regular allopathic treatment for Type II Diabetes Mellitus, which had been uncontrolled for 30 years. She had previously been told to amputate the affected toe. The patient was brought into SKHMCH's inpatient department. Following thorough case taking, Boger Boenninghausen’s characteristics Repertory was used for Repertorial analysis, and Materia Medica was used to confirm the recommended remedy. Given the structural alterations, Hepar Sulphuris Calcareum with 1M potency was recommended. To encourage healing and avoid infection, local wound care included cleaning with frequent saline, removing slough tissue, and applying Echinacea angustifolia mother tincture a on a regular basis. The lesion totally healed in two months, and blood and urine values significantly improved. In addition to successfully preventing toe amputation, the treatment lessened the patient's pain. This example illustrates the potential value of customized homeopathic therapy in the treatment of diabetic foot ulcers as well as its applicability as a surgical adjuvant.