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Madhumeha. Our texts has described various causes of Madhumeha as excessive consumption of curd (milk roducts), flesh and oily products along with sitting and sleeping for hours together on soft and comfortable

mattresses which indicates sedentary life styles as per modern scenario which is major contributory factor inhe pathogenesis and hazardous complications of DM.

How is it diagnosed in Ayurveda?

he most important symptom to diagnose Madhumeha , is excessive and dirty urination. Along with thischarya Caraka has described few prodromal symptoms which help to diagnose Prameha / Madhumeha

hey areLaziness,Foul smell from body,Lethargy,Coated tongue,Ear wax,Fat deposition in the thoracic region,Enlargement or thickening of hair and nails,Dryness of throat and palate,The feeling of sweetness in the mouth,Burning sensation in the hands and feet andCollection of ants on urine when collected and left out.

How can Ayurveda help treat diabetes?

he treatment of any disease including Prameha / Madhumeha , aims at restoring the balance of doshas nd the normal function of Dhatu. If Doshas slightly increase, restriction of diet along with increased activitys sufficient as a therapeutic measure. If the doshas are moderately increased, one should administer

medicines to neutralize the doshas along with dietetic restrictions and increased activity. If the Doshas aremarkedly increased, apart from dietetic restriction, exercise and medicines, one should also advise

anhcakarma i.e. emetics, purgatives, etc. so that the increased Doshas are eliminated from the body. Aser Ayurvedic parlance the patients of Prameha / Madhumeha are of two types- Sthula (obese) and Krisean). From the view of management, Sthula Pramehi is given Shodhana (purification method) therapy,

while the Krisha pramehi has first to be given Brimhana (nutrition) therapy to provide him strength.

What do the specific treatments entail?

n Sthula pramehi with adequate body strength having intense increase of doshas, purification of theody is advocated depending on the doshas predominance i.e. people with Kapha are advised to havemetics, and those with elevated Pitta levels are advised to have purgatives. In krisha pramehi and weak atients are advised to have Brimhana i.e. medications and diet which increase dhatus in the body.

Qualitative medications depending on the symptoms and pre-dominance of doshas are advocated, and inase of weak patients Acharya Caraka advises Santarpana chikitsa (a form of treatment that is meant tonergise the body).

Main treatment options for Prameha / Madhumeha are Ahara, Vihara and Aushadh . The type of Aharafood) mainly indicated for a Pramehi / Madhumehi is Yava (barley), bitter and astringent vegetables, meatf animal residing in hot climate and pulses like Adhaki, Kulattha, Chanaka and Mudga.

Vihara refers to exercise and physical activities. Acharya Caraka says that the symptoms of Prameha /Madhumeha are immediately relieved by different types of strenuous exercises, taking bath with medicatedwater prepared with the help of vijyasara and khadir and application of paste over body prepared with

has, dalchini, agar, elaichi and chandana. In Ayurvedic texts it is also mentioned that the lack of exercises one of the main reasons for the onset of diabetes. It is very clear that exercise plays a key role inarbohydrate metabolism and diminishes the blood glucose level by burning peripheral glucose.

ushadh (herbal drugs) used in the management of Prameha / Madhumeha are bitter, astringent and

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ungent in taste. Some of the importance drugs mentioned in Ayurvedic classics for the management forhe Prameha / Madhumeha are Darvyadi Kwatha, Phalatrikadi Kwatha, Amrita Swaras, Nisha Triphalaoga, Triphala Churna, Sphatika Churna, Gokshuradi Vati, Chandraprabha Vati, Arogya Vardhini Vati,hilajeet Vati, Basanta Kusmakar rasa, Vangeswar rasa, Chandrakala rasa, Trivnga Bhasma, Loha Bhasma,

Roupya Bhasma, Naga bhasma, Vanga Bhasma, Madhvasava and Lodhrasava.

an a person having diabetes be completely reversed?

No, as Prameha / Madhumeha (DM) is a hyperglycemic state which can be controlled by using any of the

yurveda or Allopathic medication. Hence there is no question of complete reversal; the only thing is goodontrol of glycemic state.

s Ayurveda treatment is safe for everyone? Are there people who should not take thesemedicine?

es, there are certain drugs (Rasaushadhi) prepared with heavy metals. Which should be prescribed onlyfter evaluating renal and cardiac functions in a diabetic patient. So before prescribing such medicine wehould thoroughly examine the patient in each and every aspect. If we are prescribing such medicine afterhorough examination, no any major or hazardous side effect is noted till now. But this is our responsibilityhat if patient is under treatment, we should screen the patient time to time for any related complication.

he conclusion is if someone wants to prevent himself from diabetes or a diabetic patient wants to preventazardous complications of diabetes, he or she should be follow dietary restriction as described in ayurvedas well as in the modern medicine. Along with dietary restriction one should take medication (Ayurveda /llopathy) whatever he wants according to the glycemic status.

he author is Ayurvedic physician and botanist. He is also the co-founder of Patanjali Yogpeeth.

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