E-ISSN:2456-3110

Case Report

Diabetic Ulcer

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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. jiah khan sex video fix

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. Which Jiah Khan video or film scene do

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna The video highlighted her western dance training, vibrant

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.
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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
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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%

jiah khan sex video fixjiah khan sex video fix © 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].

Which Jiah Khan video or film scene do you find yourself revisiting most? Drop a comment below.

This track served as Jiah's promotional introduction to Bollywood. The video highlighted her western dance training, vibrant energy, and bold screen persona, making it a staple on music channels in 2007.

Several early internet archives erroneously state that Jiah Khan was cast in the 2004 film Tumsa Nahin Dekha . In reality, she was initially considered for the role by filmmaker Anurag Basu, but the role was ultimately played by Dia Mirza. Jiah did not appear in the final cut.

: Though part of an ensemble, Jiah appeared in the visual sequences for this popular track alongside the film's star-studded cast. or the specific investigation reports regarding her passing?

Jiah made a bold debut at age 18 in Ram Gopal Varma’s Nishabd , starring opposite legendary actor Amitabh Bachchan. Inspired by Vladimir Nabokov’s Lolita , she played Jia, a free-spirited teenager who becomes the object of affection for her friend’s father. Her performance earned her a Filmfare Best Female Debut nomination, with critics praising her confidence and expressive eyes while standing her ground against a veteran like Bachchan.

In her most commercially successful project, Jiah played Sunita, a medical student in Aamir Khan’s psychological action thriller Ghajini . While she wasn't the romantic lead, her character served as the narrative's detective, uncovering the protagonist’s past and driving the plot toward its climax. The film became the first Indian movie to cross the ₹100 crore mark, cementing her place in a blockbuster production.

Fixing Jiah Khan's filmography reveals a brief but exceptionally high-profile career. With only three major film releases, she managed to work alongside three of the industry's biggest titans: Amitabh Bachchan, Aamir Khan, and Akshay Kumar. Her popular videos serve as a digital archive of her vibrant talent, ensuring that her creative contributions to Bollywood continue to be recognized by new generations of cinema lovers.

She played the free-spirited, uninhibited Jiah with a startling confidence. Critics were divided on the film, but unanimous about her. She wasn’t just a seductress; she brought vulnerability to a role that could have been purely scandalous. Her scenes with Bachchan are electric, and the song Ruki Ruki Si Zindagi became an anthem of forbidden love.

When researching "Jiah Khan fix filmography," fans often encounter errors, unverified rumors, or incomplete film data across various online databases. Below are the corrections to the most common misconceptions regarding her movie credits:

Ghajini was a historic milestone, becoming the first Indian film to cross the ₹100 crore mark domestically. In this high-octane psychological action thriller, Jiah Khan played Sunita, an inquisitive medical student investigating the case of Sanjay Singhania (Aamir Khan), a man suffering from anterograde amnesia. Her character serves as the crucial narrative bridge that unravels the protagonist’s past and drives the film's climax. 3. Housefull (2010) Director: Sajid Khan

Her death sparked a decade-long legal battle involving her then-boyfriend, actor Sooraj Pancholi.

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

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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

Jiah Khan Sex Video Fix Fixed Jun 2026

Which Jiah Khan video or film scene do you find yourself revisiting most? Drop a comment below.

This track served as Jiah's promotional introduction to Bollywood. The video highlighted her western dance training, vibrant energy, and bold screen persona, making it a staple on music channels in 2007.

Several early internet archives erroneously state that Jiah Khan was cast in the 2004 film Tumsa Nahin Dekha . In reality, she was initially considered for the role by filmmaker Anurag Basu, but the role was ultimately played by Dia Mirza. Jiah did not appear in the final cut.

: Though part of an ensemble, Jiah appeared in the visual sequences for this popular track alongside the film's star-studded cast. or the specific investigation reports regarding her passing?

Jiah made a bold debut at age 18 in Ram Gopal Varma’s Nishabd , starring opposite legendary actor Amitabh Bachchan. Inspired by Vladimir Nabokov’s Lolita , she played Jia, a free-spirited teenager who becomes the object of affection for her friend’s father. Her performance earned her a Filmfare Best Female Debut nomination, with critics praising her confidence and expressive eyes while standing her ground against a veteran like Bachchan.

In her most commercially successful project, Jiah played Sunita, a medical student in Aamir Khan’s psychological action thriller Ghajini . While she wasn't the romantic lead, her character served as the narrative's detective, uncovering the protagonist’s past and driving the plot toward its climax. The film became the first Indian movie to cross the ₹100 crore mark, cementing her place in a blockbuster production.

Fixing Jiah Khan's filmography reveals a brief but exceptionally high-profile career. With only three major film releases, she managed to work alongside three of the industry's biggest titans: Amitabh Bachchan, Aamir Khan, and Akshay Kumar. Her popular videos serve as a digital archive of her vibrant talent, ensuring that her creative contributions to Bollywood continue to be recognized by new generations of cinema lovers.

She played the free-spirited, uninhibited Jiah with a startling confidence. Critics were divided on the film, but unanimous about her. She wasn’t just a seductress; she brought vulnerability to a role that could have been purely scandalous. Her scenes with Bachchan are electric, and the song Ruki Ruki Si Zindagi became an anthem of forbidden love.

When researching "Jiah Khan fix filmography," fans often encounter errors, unverified rumors, or incomplete film data across various online databases. Below are the corrections to the most common misconceptions regarding her movie credits:

Ghajini was a historic milestone, becoming the first Indian film to cross the ₹100 crore mark domestically. In this high-octane psychological action thriller, Jiah Khan played Sunita, an inquisitive medical student investigating the case of Sanjay Singhania (Aamir Khan), a man suffering from anterograde amnesia. Her character serves as the crucial narrative bridge that unravels the protagonist’s past and drives the film's climax. 3. Housefull (2010) Director: Sajid Khan

Her death sparked a decade-long legal battle involving her then-boyfriend, actor Sooraj Pancholi.

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