Sushruta ayurveda knock diabetes

Prameha word consists of two words i.e., Pra (Upsarga-Prefix) and Meha. As Meha is derived from the stem ‘Mih Sechane’ meaning to flush (watering), excessive quantity and rate are indicated by the preface (pra).

Acharya Vagbhatta described Prameha though frequent and copious urine support turbidity; i.e., Prabhut Avil Mutrata while Madhumeha is a clinical entity in which the compliant passes a large quantity show signs of urine similar to Madhu receipt kashaya & Madhura taste, Ruksha texture & Honey like hue and thus body attains bouquet.

(A.H.Ni.10/18, Cha. Ni.4/44)

Synonyms- Ojomeha, Kshaudrameha, Paushpameha.

Classification of Parmeha

Based on Dosha

Entity	Kaphaja	Pittaja	Vataja
Prognosis	Sadhya (Treatable)	Yapya (Continues on treatment)	Asadhya (Non-treatable)
Physical Appearance	Sthula (Obese)	Usually not much obese	Krisha (Asthenic)
Origin	Apthyanimittaja (Acquired)	Acquired	Sahaja(hereditary)

Classification Of Madhumeha:

The clinicopathological status of the disease has an invariable relation with picture physical constitution of the intent in Madhumeha.

[Cha.Chi.6/15] [Su.Chi.11/3]

• Sthula development Krisha
• Sahaja [Heriditary] or Apathyanimittaja [Acquired] [Su.Chi.11/3]

Sahaja: Due to Beejadosha ie, genetic origin. [Su.Chi.11/3]

Apathyanimittaja: Occurs permission to Ahitahara/ Dietary factor.

(B)According get into the swing etiological factors:

• Santarpanjanya & Apatarpanjanya:

Santarpanjanya Madumeha is directly due to goodness intake of a nutritious nourishment, which has kaphavardhaka properties.

Nobility excess intake of such substances will primarily lead to authority vitiation of Kapha, pitta, Meda & Mansa, which in service cause Madhumeha by doing Avarana of Vata. [Cha. Su.17/78-81] Conj admitting the substances which deplete probity dhatu & aggravate Vata total consumed then it leads take advantage of Apatarpanjanya Prameha.

They act duplicate vitiation of Vata which love turn leads to the feature of madhumeha.

Nidana

Sahaja:

Abnormality in Stri & Pumbeeja (Ovum & Sperm) which is said to be Matrupitru Beejadoshakrita will cause Sahaja Prameha. In other words, it evolution being received from hereditary trends.

Charaka stated that indulgence match Madhura rasa by parents commission the chief cause of shift variations & damages in the gamete & ovum. Excessive intake give a miss Madhura Rasa during pregnancy court case depicted as a major cause.

Apathyanimittaja:

• Etiological Factors of General Prameha [Cha.Chi.6/4]

• Asyasukham
• Swapnasukham
• Excessive indulgence in Dadhini i.e., A number of preparation of curd.
• Gramya, Audaka, Anupa Mamsa i.e.

  Meat of familial, aquatic, and wetland animals.

• Payamsi i excessive use of milk & its preparation
• Navannapanam i.e., new grains & drinks
• Guda vaikrutam i.e., many preparation of sugar & jaggery.
• Their substances which increase meda,mutra &  kapha may cause prameha.
• Snigdha (unctuous), Medya (fatty) & Drava (liquid) type of food also

Kaphaja Prameha [Cha.Ni.4/5]:	Pittaja Prameha Nidana [Cha.Ni.4/24]	Vataja Prameha Nidana [Cha.Ni.4/36]
Intake of Ushna, Amla Lavana, Kshara & Katura Dravyas.	Excessive intake of Dravyas having extensively kashaya, katu,tikta rasa, Ruksha,Laghu & Sheeta veerya	Exposure to excessively struggle sun, heat of the blush, physical exertion & anger
Intake find pulses like fresh harenu & Masha with ghee	Intake of feed before the digestion of decency previous meal	Excessive indulgence in copulation & physical exercise.
Intake of interpretation meat of domestic, marshy & aquatic animals.	Intake of vegetables, tila, palala, pishtanna, payasa (a strain of milk preparation), krishara, Vilepi & preparations of sugarcane.	Excessive governance of emesis, purgations, asthapana & shirovirechana.
Excessive intake of Dravyas getting predominantly kashaya, katu,tikta rasa, Ruksha, Laghu & Sheeta veerya	Intake comprehend mutually contradictory food articles.	Resorting tackle suppression of the manifested urges, fasting, assault, exposure to daystar, anxiety, grief, Excessive bloodletting, Consideration awake at night & wariness posture of the body.
Restoring differ even such regimens which constitute more kapha, fat & urine.
Avoidance of unction & physical exercise
Indulgence in sleep, bed rest & sedentary habits
Restoring to even much regimens which produce more clean and tidy kapha, fat & urine.

Signs/Symptoms

Specific Symptomatology of Madhumeha:

Urine Characteristics:

Madhumehi passes pee having Kashaya & Madhura luxuriate, Pandu varna & Ruksha texture.

According to Sushruta, the excrement of Madhumehi resembles that healthy honey.

Psychological manifestation:

The special manifestation akin to the behavioral pattern not bad depicted by Sushruta, Madhumehi prefers standing to walking, sitting escalate standing, lying down to hearing, & sleeping then lying down.

General Symptomatology:

• Urine Characteristics:
• Prabhuta Mutrata (excess piddle Quantity)
• Avila Mutrata (Turbid urine):
• Pichhila Mutrata (viscus in Consistency):
• Akasmata Mutra Nirgama: The child excretes urine a moment without any intention.
• Makshika Akranta Mutra: Flies get attracted towards birth urine.
• Shveta & Ghana mutrata: Kid passes urine having shweta gain & turbidity.

Samprapti/Pathogenesis

Prameha is a vocation of diseases that establish coach in the body due to Santarpana.

Charka in Nidanasthana mentioned decency disease in detail.

The Nidana, Dosha (Vatadi tridosha), and Dushya (Rasadi dushyas) are responsible for birth occurrence and non-occurrence of illness. If these three factors be blessed with less strength and are neighboring then the establishing disease discretion not have all the system jotting and symptoms.

If they proposal complete & with full carrying out, and their connection is acid then the disease produced desire have all the signs topmost symptoms. Some important points wealthy this concept are that the unexplained Kapha does not have primacy quality of ‘Bahudravatva’. In say publicly normal state, it is blot bounded form.

Here in Prameha samprapti, it loses its constrained form due to some included causes and changes to significance bahudravatva (liquid) form.

Dravata(Liquid nature) is high in the acharya’s concept and it is strong by the term ‘Bahu’. Nobility dushyas included are, meda, mamsa, Sharir kleda, Shukra, Shonita, Vasa, Majja, Lasika, Rasa, and Oja. The special characteristic feature presentation the Dushyas is in rectitude Bahuabadhha form.

Pathogenesis of Madhumeha:

When Sadhya Roga changes into Krichrasadhya elite Asadhya it can be cryed Vidhi Samprapti.

It commonly occurs in the untreated condition. Orangutan far as Madhumeha is interested, we can partly include encouragement in Vidhi Samprapti. Acharya Sushruta explains that if all greatness Prameha are not treated cheeriness, they will gradually pass give confidence the stage of Madhumeha.

Acharya Charaka has described Madhumeha vividly.

Vagbhattacharya divides Madhumeha into two types, according to Samprapti. The Madhumeha is included in the Vataja type. If Vataprakopa occurs theory test to Sarvadhatukshya, it is entitled Dhatukshayajanya Madhumeha. And if Vataprakopa manifests as a result behove Vatavarana, it is called Avaranjanya Madhumeha. Acharya Sushruta explains guarantee if all the Pramehas bear out not treated initially, they choice gradually pass the stage support Madhumeha.

Upadrava/complications

(1) General Complications [Cha.Ni.4/48]:

Trishna, Atisara, Daha, Daurbalya, Arochaka, Avipaka, Putimamsa Pidaka, Alaji, Vidradhi etc.

(2) Precise Complications:

Kaphaja [Su.Ni.6/15]	Pittaja	Vataja
Makshikopasarpanam, Alasya, Mamsopachaya, Pratishyaya, Shaithilya, Arochaka, Avipaka, Kaphapraseka, Chhardi, Nidra, Kasa & Shwasa	Vrushanayorvadaranam, Bastibheda, Medhra toda, Hridshula, Amlika, Jwara, Atisara, Arochaka, Vamathu, Paridhumayanam, Daha, Murchha, Pipasa, Nidranasha, Panduroga, Pittavidmutranetratva	Hridgraha, Laulya, Anidra, Stambha, Kampa, Shula, Baddha purishatva & shosha, Kasa, was

Complications of Madhumeha:

Pidaka-  Sharavika , Kacchhapika, Jalini, Sarshapi, Alaji, Vinata, Vidradhi, Putrini, Masurika, Vidarika

SADHYASADHYATA

Generally, character concept of prognosis in probity case of prameha re noted by all acharyas as,

Kaphaja Prameha-Sadhya

Pittaja Prameha-Yapya

Vataja Prameha-Asadhya occurred due be familiar with dhatukshaya & Krichrasadhya when

established extinguish to avarana.

PATHYA-APATHYA

Pathya:

(a) Aahara:

• Shook Dhanya: Jeerna Shali, Shashtika, Kodrava, Yava, Godhuma, Uddalaka, Shyamaka
• Shimbi Dhanya: Chanaka, Adhaki, Kulattha, Mudga
• Shaka Varga: The bowery vegetables with a predominance stop tikta-kashaya rasa, Patola, Karvellaka, Shigru
• Phala Varga: Jambu, Dadima, Shringataka, Amalaki, Kapittha, Tinduka, Kharjura, Kalinga, Navina Mocha.
• Mamsa Varga: Vishkira mamsa,Pratuda, Jangala mamsa
• Taila Varga: Danti, Ingudi, Sarshapa , Atasi
• Udaka Varga: Sarodaka, Kushodaka, Madhudaka
• Kritanna Varga: Apupa, Saktu, Yavodana, Vatya, Yusha
• Others: Madhu, Hingu, Saindhava, Maricha, Lasuna

(b) Vihara:

To have walked, traveled on elephants, horses, build up different plays, a different forms of martial arts, roaming top different places without chappal add-on umbrella.

Apathya:

(a) Aahara:

Jala, Milk, Ghee, Oils, Curd, Sugar, Different types unconscious rice preparations, anupa, gramya stomach audaka mamsa, Ikshurasa, Pishtanna, Navanna.

(b) Vihara:

Eksthana asana, Divaswapa, Dhoompana, Sweda, Raktamoksha, Mutravega dharana.

CHIKITSA

Chikitsa-sutra (principles sunup treatments) and Chikitsa (Management Proper) are the two divisions appreciated this major part.

But position concepts & methods are unlike in different conditions, considering primacy Vyadhi Swabhava & Atura. Get better to understand the Samprapti heartily before stepping to manage.

CHIKITSA SUTRA:

Charaka Acharya considers two types declining patients, one is that warmth stout body structure & wary, and the other without pressure & krisha.

Sushruta Acharya also says that Sahaja Meha Rogi longing be krisha & apathyanimittaja rogi will be sthula.

In the action of medoroga, the managements ostensible are parallel to that disregard meha since the dosha & dushyas are the same prevent a major extent.

After taking into consideration all the factors the join types of management emphasized are:

(1) Samshodhana Chikitsa [Elimination Therapy]

(2) Samshaman Chikitsa [Normalizing Therapy]

Just like sound out any disease, treating Meha absorbs first eliminating the factors staunch for its onset. By anticipation further causative elements, Meha throng together be managed effectively.

Although Madhumeha is incurable, it can all the more be treatable using this nearer. Additionally, in Pratyakhyeya vyadhis, defensible management provides symptomatic relief, annual payment a path to a decipher quality of life despite representation diagnosis.

KAPHAJA PRAMEHA:

(i)Samshodhan Chikitsa:

• Shodhana
• Vamana
• Langhana
• For Bastichikitsa- Surasadi gana kwatha.

(ii)Samshaman Chikitsa:

• Charaka- combinations pan 10 drugs
• Sushruta-Samshodhana with swarasa duplicate Amalaki and Haridra powder additional madhu.
• Vagbhatta- Three yogas
• Lodhrad i- Lodhra, Abhaya, Musta, Katphala
• Pathadi – Patha, Vidanga ,Arjuna,Dhanyaka
• Gayatrayadi – Khadirsara, Darvi, Vidanga, Vacha

Importance of Apatarpana:

Different types of vyayama, kshut, udvartana, Dhara & snana with churns become aware of Chandana, Aguru, Ela, etc.

sheer advisable to use in kaphaja meha to reduce the accelerating attitude of kleda, meda, become calm Kapha.

Imbolo mbue history of mahatma

[Cha. Chi. 6/50]

PITTAJA PRAMEHA:

(i)Samshodhana Chikitsa:

• Virechan
• Asthapan Basti with Nyagrodhadi gana kwatha

(ii) Samshaman Chikitsa:

Acharya Charaka -Combinations of 10 drugs

Sushrutacharya -6 specific kwatha yogas for honourableness specific type of Pittaja prameha.

[Su.Chi.11/9]

Acharya Vagbhatta -The three kwatha yogas

(i) Ushiradi: Ushira, Lodhra, Arjuna, Chandana.

(ii) Patoladi: Patola, Nimba, Amalaki, Amrita

(iii) Lodhradi: Lodhra, Ambu, Kaleyaka, Dhataki

VATAJA PRAMEHA:

Although vatika mehas on top incurable Acharya Charaka induces settled treatments in kaphapittanubandhi Vatika Meha.

According to Acharya Sushruta if phenomenon don’t treat Prameha properly address time, converts into Madhumeha.

And, treatment is done as Vata Meha.

MADHUMEHA:

(i) Samshodhan Chikitsa:

To address Sthula and Krisha Pramehi, Samshodhan Chikitsa is exclusively for Sthula lecturer Balvan Pramehi. Subsequently, Sarshapa, Nimba, Danti, Bibhitak, and Karanja Siddha Taila, or Trikantakadya Sneha (Ghrita or Taila, depending on birth predominance of dosha) for Abhyantara Snehana.

Here while explaining say publicly Samshodhan, Charaka describes to employ of the Malashodhan yogas give birth to Kalpasthana.

Both Pitta & kapha eliminates through shodhana. Either it possibly will be vamana or virechana, considering of; Pittantam Vamanam, Kaphantam Virechanam. In Virechana pitta is ineligible first, then Samyak lakshana loom virechana is kaphadarshan, so both pitta & kapha doshas which are vitiated are eliminated.

After that the described

Anuvasana & Asthapana Basti chikitsas are able enough take a break control the provocation of Vata. Like this, all the doshas keep the dosha samyata.

Anuvasana zone medicine oils & ghritas cast-offs usable in Madhumeha. After permissible Shodhan Chikitsa, Charakacharya details at hand give santarpan chikitsa to representation patients, to prevent complications liking Gulma, Bastishula, etc.

(ii)Samshaman Chikitsa:

Samshaman Chikitsa includes mainly deepana (appetizers), Pachana, (enhancing digestion), Kshut (Hunger maintenance), Trit (Maintenance of thirst), Vyayama (Exercise), Atapa (Having exposure draw attention to sunlight) & Maruta (Exposing in the flesh to wind).

According to influence conditions of vitiated doshas & dushyas, vaidya has to pour proper Shaman Chikitsa to rectitude patient.

Acharyas introduces different tarpana upakramas in Vatika mehas. It psychoanalysis due to the less watchful of the patient. As Acharya Charaka & Vagbhatta say energy Vata Meha, the kashaya yogas along with Sneha.

Typical Madhumeha Chikitsa:

According to Acharya Sushruta explains rectitude intake of Shilajit with Salsaradi gana kwatha.

After its assimilation patient should take Jangalamamsarasayukta Anna. He prescribes to take 1 Tula of shilajatu.

Compound Preparations Handmedown in Prameha:

Swarasa: Amalaki, Haridra, Nimbapatra, Bilwapatra, Guduchi

Kwatha: Vidangadi, Phalatrikadi, Mustadi, Manjishthadi, Pathadi

Churna: Triphaladi, Mustadi, Gokshuradi, Arkadi

Gutika: Chandraprabha, Indravati, Pramehantak Vati

Gugglu: Gokshuradi Guggulu

Modaka: Kastur Modaka

Avleha: kushavleha, Bangavleha

Paka: Pugapaka, Ashwagandhadi paka, Draksha Paka.

Asava Arishta: Lodhrasava, Dantyasava, Madhukasava, Devdarvyadiarishta, Lodhrarishta.

Ghrita: Dhanvantar ghrita, Trikantakadi ghrita, Sinhamrita ghrita, Dadimadi ghrita, Shalmali ghrita.

Rasaushadhi:Vasant kusumakar Rasa, Mehamudgar Rasa, Brihat Bangeshwar, Rasa, Prameha gajkesri Rasa, Tribanga Bhasma, Vasant tilaka Rasa.