E-ISSN:2456-3110

Case Report

Diabetic Ulcer

Www.1tamilblasters.mov - Justice League -2017- ... [better] 〈LATEST × 2024〉

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. www.1TamilBlasters.mov - Justice League -2017- ...

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. According to reports by the Federation of Indian

Keywords: Dushta Vrana, Avachoornana, Diabetic Ulcer, Lakshadi Choorna While online piracy may seem like a trivial

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: www.1TamilBlasters.mov - Justice League -2017- ...		 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.
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https://www.jaims.in/jaims/article/view/2093		 www.1TamilBlasters.mov - Justice League -2017- ...

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%

www.1TamilBlasters.mov - Justice League -2017- ...www.1TamilBlasters.mov - Justice League -2017- ... © 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].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)196

According to reports by the Federation of Indian Chambers of Commerce & Industry (FICCI), India loses over to piracy, encompassing films and digital content. A study by the Internet and Mobile Association of India (IAMAI) and Ernst & Young (EY) revealed that the size of India’s piracy economy was approximately INR 224 billion (about USD 2.5 billion) in 2023 .

The controversy surrounding www.1TamilBlasters.mov and its alleged involvement in the online piracy of Justice League (2017) highlights the complex and multifaceted nature of this issue. While online piracy may seem like a trivial concern, it has significant consequences for the creative industries, consumers, and the broader economy.

The racket's operations included , a 32-year-old computer science graduate who masterminded the site from his home and was earning up to $10,000 per month in cryptocurrency. Also part of the operation was Ashwani Kumar , a 21-year-old hacker from Bihar who broke into digital studio servers to steal pristine, high-definition copies of films before release—often selling them for a flat rate of $800 each. The network also included Jana Kiran Kumar , who used iPhones to camcord films in theaters, and Arslan Ahmed , who handled technical logistics, crypto wallets, and Telegram distribution channels. The entire operation was monetized via cryptocurrency, with the site generating revenue by hosting ads for online betting and gaming apps.

The 2017 "Justice League" film marks an important chapter in the DCEU, showcasing both the potential and the challenges of bringing together some of the world's most iconic superheroes on the big screen. While it faced its share of controversies and mixed reviews, it laid the groundwork for future projects and continued the exploration of DC's rich universe of characters.

Instead of providing the "article" you requested (which would be an illegal guide to piracy), I have written a long, SEO-optimized article about , the risks of 1TamilBlasters , and the legal alternatives to watch Justice League (2017).

Security researchers have identified that domains like 1tamilblasters.mov serve malvertising. A single click can redirect you to fake "Your iPhone is hacked" alerts, leading to subscription scams that cost users $50-$300 per month.

www.1TamilBlasters.mov is a website that has gained a reputation for leaking movies, TV shows, and other digital content, often before their official release dates. The website primarily focuses on Tamil cinema, but it also provides access to movies and shows from other languages, including Hollywood films like "Justice League." The site's user interface is simple, allowing users to browse and download content with ease.

Pro-piracy arguments note that 1TamilBlasters often provides subtitles and compressed versions for low-bandwidth regions. However, this convenience comes at the cost of devaluing artistic labor. For Justice League , thousands of VFX artists, sound designers, and crew members rely on legal distribution for residuals. Piracy creates a free-rider problem where infrastructure (cinemas, streaming servers) is funded by paying customers while pirates enjoy the same product.

Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

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


Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)198
Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

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jaims_2093_06.JPG

0th Day

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Avachoornanam

jaims_2093_08.JPG

7th Day

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14th Day

jaims_2093_10.JPG21st Day


Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)199
Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

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

Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)200

Www.1tamilblasters.mov - Justice League -2017- ... [better] 〈LATEST × 2024〉

According to reports by the Federation of Indian Chambers of Commerce & Industry (FICCI), India loses over to piracy, encompassing films and digital content. A study by the Internet and Mobile Association of India (IAMAI) and Ernst & Young (EY) revealed that the size of India’s piracy economy was approximately INR 224 billion (about USD 2.5 billion) in 2023 .

The controversy surrounding www.1TamilBlasters.mov and its alleged involvement in the online piracy of Justice League (2017) highlights the complex and multifaceted nature of this issue. While online piracy may seem like a trivial concern, it has significant consequences for the creative industries, consumers, and the broader economy.

The racket's operations included , a 32-year-old computer science graduate who masterminded the site from his home and was earning up to $10,000 per month in cryptocurrency. Also part of the operation was Ashwani Kumar , a 21-year-old hacker from Bihar who broke into digital studio servers to steal pristine, high-definition copies of films before release—often selling them for a flat rate of $800 each. The network also included Jana Kiran Kumar , who used iPhones to camcord films in theaters, and Arslan Ahmed , who handled technical logistics, crypto wallets, and Telegram distribution channels. The entire operation was monetized via cryptocurrency, with the site generating revenue by hosting ads for online betting and gaming apps.

The 2017 "Justice League" film marks an important chapter in the DCEU, showcasing both the potential and the challenges of bringing together some of the world's most iconic superheroes on the big screen. While it faced its share of controversies and mixed reviews, it laid the groundwork for future projects and continued the exploration of DC's rich universe of characters.

Instead of providing the "article" you requested (which would be an illegal guide to piracy), I have written a long, SEO-optimized article about , the risks of 1TamilBlasters , and the legal alternatives to watch Justice League (2017).

Security researchers have identified that domains like 1tamilblasters.mov serve malvertising. A single click can redirect you to fake "Your iPhone is hacked" alerts, leading to subscription scams that cost users $50-$300 per month.

www.1TamilBlasters.mov is a website that has gained a reputation for leaking movies, TV shows, and other digital content, often before their official release dates. The website primarily focuses on Tamil cinema, but it also provides access to movies and shows from other languages, including Hollywood films like "Justice League." The site's user interface is simple, allowing users to browse and download content with ease.

Pro-piracy arguments note that 1TamilBlasters often provides subtitles and compressed versions for low-bandwidth regions. However, this convenience comes at the cost of devaluing artistic labor. For Justice League , thousands of VFX artists, sound designers, and crew members rely on legal distribution for residuals. Piracy creates a free-rider problem where infrastructure (cinemas, streaming servers) is funded by paying customers while pirates enjoy the same product.

Nair S et al: Lakshadi Avachoornana in management of Dushta Vrana Diabetic Ulcer

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Journal of Ayurveda and Integrated Medical Sciences 2022;7(9)202