A Study on Pathachakkaram

Krishna Ganthan, V (2008) A Study on Pathachakkaram. Masters thesis, Government Siddha Medical College, Palayamkottai.

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Abstract

“Pathachakkaram” is a complication of Madhumegam (Diabetes mellitus). The diabetes mellitus is an outstanding problem facing the world nowadays affecting the both rich and poor societies. The rate, of complication like diabetic foot is a guilt dread, of disability, long stretches of hospitalization, mounting impossible expenses, with the ever changing end result of on amputation. This makes the diabetic foot the most feared and devastating complication of diabetes. AIM OF THE STUDY: To study the disease on the basis of Siddha physiology and Siddha pathology, emphasizing more importance to Mukkutram, Suvaigal, Panja bootha theory, Udal thathukkal and diagnose the patient on the basis of envagai thervugal and confirm the prognosis on the basis of “Neikuri” OBJECTIVES: • To fullfil the aim the following objectives has been drawn. • To collect all Literary evidences about Patha rogangal diseses in detail. • Aetiology, and Clinical presentation of the disease • Pathology of the disease. • Changes in the Mukkutram. • To study in detail about the incidence of the disease with age, sex, socio – economic status, habits and prevalence. • To bring forth the high lights of Siddha system of diagnosis, Envagai thervu and modern aspects. • To confirm the diagnosis in Siddha system with the help of modern parameters. • The complication of the diseases is also dealt with. Patha Chakkaram comes under the patha rogangal in Thanvanthri vaithiyam – II part. According to Siddha Literatures, “Patha – Chakkaram” means – A kind of festering sore in the foot the important and major aetiological factors of Patha Chakkaram is Madhu Megam (Diabetes mellitus) so, in this disorder all the mukkuttrangal, major subdivisions of vayu, and their function, and all the seven Udal kattugal are simultaneously affected. The disease is characterized by the presence of Numbness of the foot, Burning sensation of the foot, heaviness of the foot, pain in the foot, followed by callus formation in the foot, fissure in the foot, itching, whoozing, and erythematous ulcer in the plantar aspect of the foot. The underlying pathogenesis for the Pathachakkaram is the Peripheral Nerve damage resulting in increased foot pressure and its leading to (erythematous) ulcer in the plantar aspect of the foot as seen in “Diabetes Mellitus”. CONCLUSION: The clinical study on Pathachakkaram mainly based on siddha diagnostic methods said by siddhars. The study on Pathachakkaram was carried out in this dissertation giving importance to the changes in Udal Thathukkal, Uyir thathukkal etc. The changes in the Udal Thathukkal and Uyir thathukkal were assessed by siddha parameters like Envagai thervugal, Poriyaal arithal, Pulanaal arithal, and Vinaathal and prognosis was assessed by Nei-kuri. A parallel modern diagnosis was arrived through routine blood tests, Urine tests, Stool examination, Biothesio-meter and Doppler study. The aetiological factors for Patha Chakkaram are mainly due to altered food habits and improper life style and improper foot care. This is also stressed in modern aspects, Peripheral Neuropathy with foot ulcer. Paraesthesia is a frequent feature in peripheral neuropathy. These are usually tingling in nature, but may involve thermal sensation, most often with a burning quality. The neuropathy causes, increased foot pressure, and callous formation, fissure in the callus, itching and whoozing from the fissure, and then develops into ulcer the ulcer, become reddish in appearance. The author has seen various types of Neuropathic foot ulcers such as Diabetic - reddish and punched out ulcer Leprosy - pale colour – dry ulcer Syphilis - Washleather slough appearance. Out of these the Diabetic foot ulcer which was taken as dissertation topic has shown typical erythematous appearance, Which coincides with symptoms in Thanvanthri vaithyam for “Patha Chakkaram.” So, the study on Pathachakkaram concludes that, Pathachakkaram, is an Neuropathic foot ulcer as a complication of Diabetes mellitus. The Pathogenesis of Patha Chakkaram involves the vitiation of Azhal, Vali, Iyam in various degrees. The signs of the disease are clearly depicted by the Udal Thathukkal. It is essential to know the Pathogenesis of the disease for proper diagnosis and treatment, to save the leg from amputation and also to advice the patient to control the blood sugar level, proper foot care like callus removal, eradication and redistribution of the weight bearing forces, and prevent infection of foot ulcers.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pathachakkaram ; Madhumegam ; Diabetic Foot ; Diabetic Neuropathy.
Subjects: AYUSH > Noi-naadal
Depositing User: Subramani R
Date Deposited: 18 Jan 2019 01:05
Last Modified: 19 Jan 2019 14:24
URI: http://repository-tnmgrmu.ac.in/id/eprint/10395

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