Management of diabetic peripheral neuropathy through Ayurveda

Diabetic neuropathies are one among the complications of diabetes. Over a period of time, the nerves of diabetes get affected, especially the peripheral nerves leading to Diabetic Peripheral Neuropathy (DPN). A 67-year-old male diabetic who was diagnosed with DPN was treated with a combination of Ayurvedic oral medication and external therapies. Considering the treatment protocol of Prameha upadrava and Vatavyadhi chikitsa, internally, Balaguduchi ksheera kashaya, Ksheerabala 101 Capsule, and Nishamalaki churna were used during the course of treatment. External therapies including Udvartana, Abhyanga, Patrapotala sveda, and Ksheera vasthi were done for a duration of 22 days. Assessment of the patient was done before and after treatment using the Diabetic Neuropathy Symptom Score, Michigan Neuropathy Screening Instrument, and Toronto Clinical Scoring System. Significant improvement was seen in all the scores after the treatment. This case study shows that DPN can be successfully managed by Ayurvedic treatment.