Dr. Ashish Goel Medical Officer, Govt. of Uttar Pradesh, Lucknow, Uttar Pradesh, India , Dr. Chandra Mukhi Gupta Professor and HOD, Department of Obstetrics & Gynaecology, Bakson Homoeopathic Medical College & Hospital; Greater Noida, Uttar Pradesh, India

Case report: Evidence based homoeopathic treatment of gangrene  https://doi.org/10.33545/26164485.2022.v6.i4c.651

Abstract

Introduction: Gangrene is one of the serious complications found mostly in people who have diabetes or blood vessel disease. Multidisciplinary management of gangrene is necessary to avoid complications like amputation and permanent disability. Homeopathy can prevent amputation by stimulating the immune response of the body. Homoeopathy through its unique holistic approach offers a cost effective treatment and management. It helps in healing of wound by increasing the blood circulation of the affected area.

Case Summary: The objective of this case here is that, without amputation of the gangrenous part homoeopathy can treat the Gangrene effectively. Homeopathic medicines boost the immune system and helps in wound healing by establishing the circulation on the affected part. Medicines are selected on individual basis and have an answer to this surgical problem. Keywords: Amputation, gangrene, homeopathic medicine, immune system 1. Introduction Gangrene is a form of necrosis of tissues with superadded putrefaction. Gangrene happens when tissues in body die after a loss of blood supply. Gangrene is usually common in people who have vascular disease. People with combination of risk factors (like Diabetes mellitus Type 2, smoking, F/H are at greater risk [2]. Diabetes is a serious condition. As per the IDF atlas -2021, it’s estimated that 537million people have diabetes, and this number is projected to reach 643 million by 2030[3]. Risk of amputation is high in diabetic’s. In India there are about 1lakh of amputations done every year due to diabetes. The treatment of amputation is costly for a common man. The mortality rate among people who undergo amputation is very high, especially if they have peripheral vascular disease [11] . Gangrene of lower extremities is one of the main complications of diabetics [13]. In dry gangrene there is a classical line of demarcation between necrotic and normal tissues with little or no discharge or pus. As tissues dry up it changes colour, may be from blue to black and tissues often falls up. Dry gangrene may lead to wet gangrene if the affected area is not cleaned and gets superadded with infections. Gas gangrene is caused by a specific infection from clostridium perfringens, which releases gas and produces toxins; this causes bubbling of tissues[1] . As a system of medicine, Homeopathic treatment can avoid amputation of the limb. A few case reports on homoeopathic treatment of Gangrene due to diabetes has been successfully documented [4] . Case report on Integrative management of diabetic foot ulcer with Homoeopathy and standard care by Perssis Gadde [9] . Five case studies on Gangrene by Vithoulkas G [8] and A case report on Management of Diabetic Foot Ulcer by Homoeopathy by Pal PP, Sadhukhan S [15] .

Case report On 19th December,2019, a 58 years old male patient who was a known diabetic for the past 15 years presented with an gangrene on the calf of the right leg for 1year which was very painful on slight walking even hanging of leg from bed.