E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Surya Jyothika Kamapisachi Xxx Work Portable

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.

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.

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna

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.
Email: surya jyothika kamapisachi xxx work
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
surya jyothika kamapisachi xxx work

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%

surya jyothika kamapisachi xxx worksurya jyothika kamapisachi xxx work © 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].

Suriya and Jyothika are widely regarded as one of South Indian cinema’s most successful and stable power couples. Their journey from co-stars to a real-life couple is a favorite topic in Indian entertainment media. Relationship Evolution: The couple first met on the set of Poovellam Kettuppar

Surya Jyothika Kamapisachi's impact on the film industry extends beyond her own productions. She has been an inspiration to a new generation of actors, writers, and producers who are pushing the boundaries of storytelling. Her commitment to creating content that is both commercially viable and socially relevant has raised the bar for filmmakers.

In essence, Surya Jyothika Kamapisachi relates to the influence of the Sun's energy on an individual's life, often connected to their birth chart or horoscope. This concept is deeply rooted in Vedic astrology, which emphasizes the interplay between celestial bodies and their effects on human affairs.

Streaming platforms have blurred these lines. Audiences can watch a National Award-winning film by Suriya and immediately pivot to scrolling through hyper-targeted, algorithm-driven viral videos on their feeds. Both forms of media compete for the same finite screen time. 3. Cultural Reflection

Are you interested in a deeper look into digital for celebrities? Share public link

The digital landscape seamlessly hosts both the celebrated, socially conscious cinema of icons like Suriya and Jyothika and the decentralized, adult-oriented keywords of internet subcultures. Understanding the mechanics of search engine optimization, recognizing clickbait tactics, and utilizing platform safety features allows audiences to enjoy premium entertainment content securely while navigating the vast complexities of modern popular media.

In the fast-evolving landscape of South Indian cinema, few names resonate with the same blend of admiration, nostalgia, and contemporary relevance as and Jyothika . They are not merely actors; they are a brand, a power couple, and pioneers who have redefined entertainment content and their standing in popular media. From romantic classics to intense drama, and now to groundbreaking production, their journey, often discussed alongside their "Kamapisachi" (a colloquial nod to their enduring, sometimes "fiendishly" successful, screen presence) brand of content, has left an indelible mark.

By moving base partly to Mumbai and taking on multi-lingual roles, the duo has integrated South Indian cinematic sensibilities into the wider pan-Indian landscape.

Mainstream popular media (newspapers, TV interviews, sanctioned biographies) completely ignores the "Kamapisachi" label. To do otherwise would be scandalous. However, —the blogs, the reaction channels, the meme pages—is obsessed with it.

Suriya and Jyothika first shared screen space in Poovellam Kettuppar (1999). Their natural chemistry quickly became a benchmark for romantic cinema in South India, culminating in massive hits like Kaakha Kaakha (2003) and Sillunu Oru Kaadhal (2006). This cinematic synergy created a deeply loyal fanbase that actively archives their movies, public appearances, and collaborative history across contemporary digital spaces. 2. The Shift to Progressive Production

Surya rarely appears as a lead in mainstream Indian entertainment. However, in (e.g., Vikramaditya or Devon Ke Dev…Mahadev ) and mythological films like Surya: The Sun God (unreleased), he is portrayed as a chaste, powerful, and often distant father figure. More relevant to our inquiry: in B-grade horror-fantasy (e.g., Muni 2: Kanchana ), Surya’s graha dosha (planetary affliction) is used as a plot device to justify possession narratives. Here, Surya becomes a passive energy source—easily corrupted by darker forces like Kamapisachi.

Reaffirmed their production house's focus on high-quality, story-first content. Navigating the Dark Side of Digital Search Algorithms

Together, they shifted the archetype of the commercial Indian film couple toward more balanced, performance-driven dynamics where both actors commanded equal narrative weight. The Power of 2D Entertainment in Popular Media

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

Surya Jyothika Kamapisachi Xxx Work Portable

Suriya and Jyothika are widely regarded as one of South Indian cinema’s most successful and stable power couples. Their journey from co-stars to a real-life couple is a favorite topic in Indian entertainment media. Relationship Evolution: The couple first met on the set of Poovellam Kettuppar

Surya Jyothika Kamapisachi's impact on the film industry extends beyond her own productions. She has been an inspiration to a new generation of actors, writers, and producers who are pushing the boundaries of storytelling. Her commitment to creating content that is both commercially viable and socially relevant has raised the bar for filmmakers.

In essence, Surya Jyothika Kamapisachi relates to the influence of the Sun's energy on an individual's life, often connected to their birth chart or horoscope. This concept is deeply rooted in Vedic astrology, which emphasizes the interplay between celestial bodies and their effects on human affairs.

Streaming platforms have blurred these lines. Audiences can watch a National Award-winning film by Suriya and immediately pivot to scrolling through hyper-targeted, algorithm-driven viral videos on their feeds. Both forms of media compete for the same finite screen time. 3. Cultural Reflection surya jyothika kamapisachi xxx work

Are you interested in a deeper look into digital for celebrities? Share public link

The digital landscape seamlessly hosts both the celebrated, socially conscious cinema of icons like Suriya and Jyothika and the decentralized, adult-oriented keywords of internet subcultures. Understanding the mechanics of search engine optimization, recognizing clickbait tactics, and utilizing platform safety features allows audiences to enjoy premium entertainment content securely while navigating the vast complexities of modern popular media.

In the fast-evolving landscape of South Indian cinema, few names resonate with the same blend of admiration, nostalgia, and contemporary relevance as and Jyothika . They are not merely actors; they are a brand, a power couple, and pioneers who have redefined entertainment content and their standing in popular media. From romantic classics to intense drama, and now to groundbreaking production, their journey, often discussed alongside their "Kamapisachi" (a colloquial nod to their enduring, sometimes "fiendishly" successful, screen presence) brand of content, has left an indelible mark. Suriya and Jyothika are widely regarded as one

By moving base partly to Mumbai and taking on multi-lingual roles, the duo has integrated South Indian cinematic sensibilities into the wider pan-Indian landscape.

Mainstream popular media (newspapers, TV interviews, sanctioned biographies) completely ignores the "Kamapisachi" label. To do otherwise would be scandalous. However, —the blogs, the reaction channels, the meme pages—is obsessed with it.

Suriya and Jyothika first shared screen space in Poovellam Kettuppar (1999). Their natural chemistry quickly became a benchmark for romantic cinema in South India, culminating in massive hits like Kaakha Kaakha (2003) and Sillunu Oru Kaadhal (2006). This cinematic synergy created a deeply loyal fanbase that actively archives their movies, public appearances, and collaborative history across contemporary digital spaces. 2. The Shift to Progressive Production She has been an inspiration to a new

Surya rarely appears as a lead in mainstream Indian entertainment. However, in (e.g., Vikramaditya or Devon Ke Dev…Mahadev ) and mythological films like Surya: The Sun God (unreleased), he is portrayed as a chaste, powerful, and often distant father figure. More relevant to our inquiry: in B-grade horror-fantasy (e.g., Muni 2: Kanchana ), Surya’s graha dosha (planetary affliction) is used as a plot device to justify possession narratives. Here, Surya becomes a passive energy source—easily corrupted by darker forces like Kamapisachi.

Reaffirmed their production house's focus on high-quality, story-first content. Navigating the Dark Side of Digital Search Algorithms

Together, they shifted the archetype of the commercial Indian film couple toward more balanced, performance-driven dynamics where both actors commanded equal narrative weight. The Power of 2D Entertainment in Popular Media

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