E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Metartx 25 01 27 Ara Mix Making Notes 2 Xxx 108 Link Jun 2026

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. metartx 25 01 27 ara mix making notes 2 xxx 108 link

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. How Search Engines and Parsers Process Alphanumeric Index

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna Block these bots using your site's

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: metartx 25 01 27 ara mix making notes 2 xxx 108 link
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
metartx 25 01 27 ara mix making notes 2 xxx 108 link

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%

metartx 25 01 27 ara mix making notes 2 xxx 108 linkmetartx 25 01 27 ara mix making notes 2 xxx 108 link © 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].

How Search Engines and Parsers Process Alphanumeric Index Strings

: This likely refers to a specific user, creator, community platform, or data archive.

Often released in high-definition formats (4K/1080p), matching your "108" (likely 1080p) reference. Content Summary

If you saw this keyword in your website's analytics or Google Search Console, it is likely "referrer spam." Malicious bots visit your site using these search terms to get you to investigate the query and click their links. Block these bots using your site's .htaccess file or firewalls like Cloudflare.

Without systematic alphanumeric naming, modern search algorithms struggle with context. A machine cannot inherently look at a raw video, audio mix, or image file and know when it was created or how it connects to other files. By embedding metadata directly into the filename string, databases can instantly parse, index, and retrieve precise assets without needing to scan the underlying data blocks.

The process of finalization relies heavily on organized feedback. Random text messages or ambiguous emails cause confusion and stall project momentum. A professional mix note must include a specific timecode, a clear instrument category, and an actionable instruction. General Mix Revision Template Instrument Group Direct Action Required Lead Vocals Apply a distinct, low-fi telephone effect filter. 1:54 Rhythm Guitar Raise the overall volume level by +1.5 dB. 2:32 Lead Guitar

Mute the channel entirely until the next arrangement marker at 2:55. Master Fader

The specific filters, color grading, and software used to achieve the final look.

The primary driver of this restructuring is the democratization of content creation. In previous decades, popular media was a top-down industry; major studios and record labels acted as gatekeepers, determining what became part of the cultural zeitgeist. However, the "Metartx" era illustrates the triumph of the creator economy. Platforms like TikTok, YouTube, and Twitch have displaced traditional media giants, allowing individuals to curate personal brands that rival corporate reach. This shift has led to an explosion of niche content, where micro-communities form around specific interests, from gaming to educational theory. While this democratization fosters diversity, it also fragments the shared cultural experience. There is no longer a singular "watercooler" moment where society collectively watches the same program; instead, popular media is an algorithmically curated feed unique to every individual.

Note: This overview focuses on the technical and artistic methodologies employed in professional photography productions.

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


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Final product

Figure 2: The method of Lakshadi Avachoornana

jaims_2093_04.JPG


jaims_2093_05.JPG

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0th Day

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Avachoornanam

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7th Day

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14th Day

jaims_2093_10.JPG21st Day


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40th Day

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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

Metartx 25 01 27 Ara Mix Making Notes 2 Xxx 108 Link Jun 2026

How Search Engines and Parsers Process Alphanumeric Index Strings

: This likely refers to a specific user, creator, community platform, or data archive.

Often released in high-definition formats (4K/1080p), matching your "108" (likely 1080p) reference. Content Summary

If you saw this keyword in your website's analytics or Google Search Console, it is likely "referrer spam." Malicious bots visit your site using these search terms to get you to investigate the query and click their links. Block these bots using your site's .htaccess file or firewalls like Cloudflare.

Without systematic alphanumeric naming, modern search algorithms struggle with context. A machine cannot inherently look at a raw video, audio mix, or image file and know when it was created or how it connects to other files. By embedding metadata directly into the filename string, databases can instantly parse, index, and retrieve precise assets without needing to scan the underlying data blocks.

The process of finalization relies heavily on organized feedback. Random text messages or ambiguous emails cause confusion and stall project momentum. A professional mix note must include a specific timecode, a clear instrument category, and an actionable instruction. General Mix Revision Template Instrument Group Direct Action Required Lead Vocals Apply a distinct, low-fi telephone effect filter. 1:54 Rhythm Guitar Raise the overall volume level by +1.5 dB. 2:32 Lead Guitar

Mute the channel entirely until the next arrangement marker at 2:55. Master Fader

The specific filters, color grading, and software used to achieve the final look.

The primary driver of this restructuring is the democratization of content creation. In previous decades, popular media was a top-down industry; major studios and record labels acted as gatekeepers, determining what became part of the cultural zeitgeist. However, the "Metartx" era illustrates the triumph of the creator economy. Platforms like TikTok, YouTube, and Twitch have displaced traditional media giants, allowing individuals to curate personal brands that rival corporate reach. This shift has led to an explosion of niche content, where micro-communities form around specific interests, from gaming to educational theory. While this democratization fosters diversity, it also fragments the shared cultural experience. There is no longer a singular "watercooler" moment where society collectively watches the same program; instead, popular media is an algorithmically curated feed unique to every individual.

Note: This overview focuses on the technical and artistic methodologies employed in professional photography productions.

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