diabetes

Ayurvedic Tips – Madhumeha(Diabetes)

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Ayurveda tips and cure for Madhumeha(Diabetes)

Ayurvedic remedies for Madhumeha (diabetes mellitus) are the oldest among all the available therapies, which includes in the prameha category. The word Prameha is derived from, Pra – means excess, Meha – ksharane – passing of urine. So Prameha is passing excessive urine and turbid in colour Pramehas are a list of urinary disorders, especially characterized by profuse urination with several abnormal qualities due to doshic imbalances. The main causes of prameha are lack of exercise and improper food habits in excess food intake which falls in the category of ushna, snigdha and guru are the primal cause of this disease – Foods that increase kapha, medhas and moothra are the etiological factors for prameha.
Kapha undergoing increase by the etiological factors, reaches various dooshyas like rasa (plasma), rakta (blood) etc., As there is a shaithilyata (looseness) in the body and it being fluid predominant, spreads all over the body and gets vitiated, while spreading it gets mixed with medas (fat – adipose tissue), mamsa (muscle) and kleda (body fluids). Body fluids which got vitiated draw them to the urinary bladder and produces prameha; similarly the Pitta affects them, Vata also brings about vitiation in them and produce prameh emonitory symptoms.

Symptoms
In Ayurveda we can find the described of early symptoms of the Disease. They are accumulation of dirt on the teeth (mouth, eyes, nose, and ears), a feeling of burning sensation in the palms and soles, stickiness of the skin all over the body, thirst and a sweet taste in the mouth etc., .
1. Malina danta : Tartar in teeth
2. Hasta pada daha : Burning sensation of hands and feet.
3. Deha chikkanata : Excess glossy/ oily skin
4. Trishna : Excessive thirst
5. Madhuryamasya : Feeling sweetness in mouth
6. Prabhuta mutrata : Excessive urination
7. Avila mutrata : Turbid urination
8. Madhu samana varna : Urine having colour of honey
9. Sweda : Excess perspiration
10. Anga gandha : Bad body odour
11. Shithilangata : Flaccidity of muscles
12. Shayana asana Swapna sukha : Desire for sedentary life
13. Shitapriyatwa : Desire for cold food & environment
14. Gala talu shosha : Dryness of palate & throat

The classic symptoms of untreated diabetes are loss of weight, polyuria , polydipsia and polyphagia.
Main symptoms (Modern science)
1 Polyuria (Excessive Urine)
2 Polyphagia (Excessive Hunger)
3 Polydipsia (Excessive Thirst)
4 Exhaustion/Tiredness
5 Body ache
6 Giddiness
7 Polyneuritis (Numbness / Tingling)
8 Visual disturbance

Prognosis:
Charaka describes the prognosis in three categories
1. Sadhya – Curable: Patients who have diagnosed early in the onset, those who are sthoola (obese) and the origin of their disease in apathyaja.
2. Yapya – Palliable : Pittaja prameha and certain types of kaphaja pramehas are however helps control with treatment (palliative management).
3. Asadhya Incurable: Vataja describes the incurable version of prameha and inherited diabetes, a krisha (lean) patient who is suffering with Sahaja variety.

Treatment:
According to Ayurveda the line of treatment of prameha is strictly on individual’s constitution. It is based on an entire change in the lifestyle of the person, along with medication and diet, the patient is also advised to lead a healthy lifestyle and live an active life. Even mental aspects of the disease are stressed.
There are two types of diabetics:
1. Sthulya (Obese)
2. Krusha (Asthenic)

1. Sthulya (Obese) – The treatment must be mainly based on proper utilization of excess fat i.e. he should be given:
a). Shodhana (purification process)
b). Apatarpana – reduction in body weight by way of diet control or drugs, Vyayama (exercise) etc.
• Fasting
• Diet control
• Cleansing therapies
• Vamana – (induction of emesis)
• Virecana (induction of purgation)
• Basti (application of medicine through the anal route – in specific conditions)
• Physical exercise

2. krusha (For Lean patient):

Asthenic type the treatment should be mainly based on the line of increasing stamina and vitality by way of tonics (brumhana) diet, drugs etc., and the patient should never be given excessive Langhana or Apatarpana i.e. he should not be starved.
Note: The patient, whether obese or Asthenic, suffers from the complications like gulma (tumours), Kshaya (Tuberculosis), pain in abdomen etc., he should always be given some food.
A diabetic and an obese person generally suffer from excessive appetite and thirst and so some type of nutrition should always be given to them.
patarpana – reduction in body weight by way of diet control or drugs, Vyayama (exercise) etc.

Diet:
The following are the articles of food which can be given to the
The role of ahara and vihara are equally or even more important in diabetes to control blood sugar level as well as to prevent complications of this disease. In all classics, ahara dravyas are described in detail and they cover all the food groups are : –

1. Cereals: Yava (Hordeum vulgare – Barley) are the best, different preparations of food, prepared from Barley can be given e.g. Mantha, Odana, Appopa, bread, Roti etc. This is the subject of pharmaceutics and food stuffs. So the method of preparations of barley is not dealt with here. Wheat (Godooma) can also be given. Rice: – Ayurveda prescribed old rice (purana shali), as one of the cereals, which can be prescribed to the diabetic patients.

2. Pulses: Mudga (Vignaradiata Greengram), Chanaka (Cicer arietinum Linn. ? Bengal gram), Kulattha (Dolichos biflorus) , Adhaki (Cajanus cajan – Pigeon pea) etc, can be taken.

3. Vegetables: All types of bitter vegetables (Tikta shaka) e.g. Karela (Momordica charantia – Bitter gourd), Methi (Trigonella foenum-graecum – Fenugreek), Patola (Vietnamese luffa, Vietnamese gourd, or Chinese okra), Rasona (Allium sativum Linn. – Garlic), Udumbara (Ficus racemosa – Cluster Fig Tree, Indian Fig Treeor Goolar (Gular) Fig), etc. should be given.

4. Fruits: Jambu (Syzygium cuini – Black berry), Amalaki (Phyllanthus emblica – Nepalese/Indian gooseberry,or Dhatrik (in Maithili) or amla), Kapitta (Limonia acidissima – Wood Apple, Elephant Apple, Monkey Fruit or Curd Fruit ) , Tala phala (Borassus flabellifer – the Asian Palmyra palm, Toddy palm, Sugar palm, or Cambodian palm), Kharjura (Phoenix sylvestris ?Date Sugar Palm ), Kamala (Nelumbo nucifera Indian lotus, sacred lotus, bean of India, or simply lotus,), Utpala (Nymphoea Stellata) etc., can be allowed to take.

5. Seeds: Kamala, Utpala seeds can be allowed to take.

6. Oils: Mustard oil (Sarshapa taila) is best. Ingudi (Balanitis aegypotiaca) Ghritha may be used in pitthaja prameha. But according to Ayurveda one should start with light diet (laghu bhaksha, laghu ahara) and then gradually increase the quantity of food. It is a rule that one should keep complete attention on the condition of Agni i.e. digestion. Diabetes being a disease of deranged

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