INTRODUCTION

Prameha is one of the common and is one of the chronic diseases.Diabetes is classified as a Maha Rog (major disease) in Ayurveda. This is because it is a chronic metabolic disorder that can affect the entire body if not treated in time. It is also one of the diseases that develops over a period of time. This means that the pathophysiology of diabetes mellitus would take at least 3-5 years to manifest completely. It is extremely uncommon for it to see marked symptoms between 1-6 months; the only time you can see immediate evidence is in exceptional cases like pregnancy, injury, surgery, psychological conditions, infections, etc.

TYPES OF PREMEHA (DIABETES)
  • 20 TYPES MENTIONED IN AYURVEDA
  • TYPES MENTIONED IN DIFFERENT TEXTS CAN BE CLASSIFIED
  1. According to Dosha
  • Kaphaja (10)
  • Pittaja (6)
  • Vataja (4)
  1. According to prognosis
  • Sadhya(Kaphaja)-easy to treat
  • Yapya(Pittaja)-difficult to treat
  • Asadhya(Vataja)-nontreatable
  1. According to body constitution
  • Sthula (obese) and Krisha (thin)
  1. According to nidana
  • Sahaja(Diabetes type 1) and Apathayanimittaja
  • Prakarutiprabhava (by default nature of the person) and
  • Swakrit (lifestyle originated)
Causes
  1. Ayusukham (Addiction to the pleasure of sedantary habits)
  2. Day sleep
  3. Consuming heavy food like curds,
  4. Overeating and consequent obesity
  5. Excessive intake of sugar and refined carbohydrates
  6. Overloading of proteins and fats which get converted into sugar if taken in excess
  7. Excessive tension, worry, anxiety and grief
  8. Hereditary factors
  9. Sedentary lifestyle
  10. Pregnancy
  11. Another major cause of diabetes mellitus is impaired digestion. When digestive toxins start to accumulate in the system due to poor digestion, they might start to damage pancreatic cells and hamper the production of insulin. Therefore, the body is not able to use glucose correctly resulting in high blood sugar (hyperglycemia) and sugar in urine (glycosuria).
Symptoms

Common Symptoms of Diabetes Mellitus (Prameha)

  • Constant feeling of hunger and thirst
  • Weight loss
  • Quick exhaustion and drowsiness
  • Low sexual urge
  • Possible anemia
  • Constipation
  • Itching around genital organs
  • Palpitation
  • Slow healing of wounds
  • Blurry vision
  • Frequent urination, in large amounts and recurring UTIs
  • Sweet taste in the mouth
  • Bad body odour
Complications of Prameha (Daibetes)

Now this plays an important role in the management of diabetes as disease

  • Diabetic retinopathy
  • Diabetes is among the leading causes of kidney failure
  • Heart disease accounts for approximately 50% of all deaths among people with diabetes in industrialized countries
  • Diabetic neuropathy
  • Diabetic foot disease, due to changes in blood vessels and nerves, often leads to ulceration and subsequent limb amputation.
  • Skin ailments etc etc
Treatment in Ayurveda

Ayurvedic treatment of diabetes is based on the fact that it is a metabolic disorder and hence, merely controlling sugar levels is just correcting a symptom. This is where Ayurveda differs from conventional medicine in its treatment as it does not concentrate on solely balancing sugar level, but also ensuring that no further complications arise.So can be treated very well compared to any other medicines.

Therefore, the Ayurvedic approach to treating diabetes asks for a change in the lifestyle of the person. With medication and diet, the patient is also advised an active and healthy lifestyle. Here are the various factors that are considered in treating diabetes by Ayurveda:

  1. Prakruti of the patient
  2. Dosha dominance in disease
  3. Dosha vitiation
  4. Obstruction in srotha
  5. Manasika Prakriti
  6. Ahara and Vihara
  7. Hereditary factors…so depending on all these factors

Treatment can be done by two folds

1)PREVENTION PART

2) DIABETES MANAGEMENT THROUGH

  • Cleansing by panchkarma
  • Medicines
  • Diet
  • Yoga-Asana
  • Pranayama
  • Meditation
CONCLUSION

The Ayurveda treatment regimen has often proved successful with a multi-modality approach.The Ayurvedic regimen presents a different treatment approach from the biomedical practice with an arrangement of ways. In addition to prescribing Ayurvedic drugs, Ayurveda also prefers changes in lifestyle accompanied with proper diet..which plays maximum role in reversing the disease. More importantly, it takes a holistic perspective by addressing the person as a whole, not just the disorder and all the associated complications as we know complication need to check of the disorder in the treatment plan. This is the distinctive feature of Ayurvedic therapy.Hence can be well managed and reversed .

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