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Ayurvedic management of madhumeha (diabetes mellitus) with samanya vishesh siddhant
1. Ayurvedic Management of Madhumeha
(Diabetes Mellitus) with Samanya vishesh
Siddhant
Presentation for Event of MEHA-2014 – National level
seminar
By Guide
Dr.Bhushan D. Mhaiskar Dr.Sachin S. Waghmare
PG Scholar Ayurved Samhita Dept. Reader , Ayurved Samhita Dept.
Yashawant Ayurvedic College PGT & RC , Yashawant Ayurvedic College PGT & RC
At- Kodoli, Tal-Panhala,Dist- Kolhapur At- Kodoli, Tal-Panhala,Dist- Kolhapur
Presentation for Event of MEHA-2014 – National level
seminar
2.
3. Diabetes – The Hidden Epidemic
• India has world’s largest diabetes
population with 25 million diabetic patients
• The prevalence of diabetes by age-groups
worldwide was estimated to be 2.8% in
2000 and 4.4% in 2030 more in mens than
women
• Across the world appears to be increase in
the proportion of people > 65% years of age
• India has world’s largest diabetes
population with 25 million diabetic patients
• The prevalence of diabetes by age-groups
worldwide was estimated to be 2.8% in
2000 and 4.4% in 2030 more in mens than
women
• Across the world appears to be increase in
the proportion of people > 65% years of age
5. Classification…
• Based on Cause
– Sahaja = Genetic – Type I (IDDM)
– Apathya/Nimittaja =Wrongful diet and lifestyle – Type II
(NIDDM)
• Based on Doshadhikya 20
– Kaphaja 10
– Pittaja 6
– Vataja 4
• Based on Body type
– Sthula (Obese) Pramehi
– Krisha (Lean) Pramehi
• Based on Cause
– Sahaja = Genetic – Type I (IDDM)
– Apathya/Nimittaja =Wrongful diet and lifestyle – Type II
(NIDDM)
• Based on Doshadhikya 20
– Kaphaja 10
– Pittaja 6
– Vataja 4
• Based on Body type
– Sthula (Obese) Pramehi
– Krisha (Lean) Pramehi
6. Causative factors/Hetu
"Aashyasukham swapnasukh dadhini gramyoodk
anuprasaa pyaamsi Navaaanpaanam gudvayikritam ch
prameha hetu kapahakrich swaramn.” c.chi.6
• Inactivity, laziness, lack of exercise
• Excessive sleep
• Excessive use of yogurt
• Meat and soup of domestic, aquatic and marshy land
animals
• Consumption of unripe /non-aged grains
• Products of jaggery and sweets
• All Kapha-promoting factors
"Aashyasukham swapnasukh dadhini gramyoodk
anuprasaa pyaamsi Navaaanpaanam gudvayikritam ch
prameha hetu kapahakrich swaramn.” c.chi.6
• Inactivity, laziness, lack of exercise
• Excessive sleep
• Excessive use of yogurt
• Meat and soup of domestic, aquatic and marshy land
animals
• Consumption of unripe /non-aged grains
• Products of jaggery and sweets
• All Kapha-promoting factors
7. Pathogenesis/Samprapti
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak kapha,pachak pitta, saman
vayu, apana vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically medodhatu)
↓
Kleda vrudhi (unnecessary excessive body fluid oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
↓
Polyuria
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak kapha,pachak pitta, saman
vayu, apana vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically medodhatu)
↓
Kleda vrudhi (unnecessary excessive body fluid oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
↓
Polyuria
8. Ayurveda in modern words
Hetu
Dosha Imbalance
DhatvagnimandhayaDhatvagnimandhaya
Wrongful Diet
(high glycemic food, lack of exercise etc.)
High Blood glucose
Cells become resistant to insulin
Insulin secreted
by the Pancreas*
8
ApachitdhatuvrudhiApachitdhatuvrudhi
Kleda vrudhiKleda vrudhi
Prabhoota mutrataPrabhoota mutrata
More glucose present in the blood
Body tries to dilute this high
blood glucose
Polyuria
*This happens for a long period of time
then actual disease manifest.
9. Prodromal Symptoms/Purvarupa
• Excessive thirst
• Dryness of mouth
• Lethargy
• Abnormal and frequent urination
• Burning & numbness in hands and feet
• Sweet taste in mouth
• Coated tongue & teeth etc.
• Bad breath
• Entanglement of hair
• Excessive growth of nails and Hairs
• Excessive thirst
• Dryness of mouth
• Lethargy
• Abnormal and frequent urination
• Burning & numbness in hands and feet
• Sweet taste in mouth
• Coated tongue & teeth etc.
• Bad breath
• Entanglement of hair
• Excessive growth of nails and Hairs
18. Multipharmacological actions of
Antidiabetic Ayurvedic Herbs
Herb Action
Haridra (Curma longa) Reduces oxidative stress & lipid levels,
has antimicrobial activity.
Amalki (Embelica officinalis) Arrests free radicals, regulates
pancreatic and liver functions.
Triphala (Amalaki (Emblica officinalis),
Bibhitaki (Terminalia Belerica), and Haritaki
(Terminalia Chebula),
Laxative, detoxifying, rejuvenator work
in treating Retinal ailments.
18
Triphala (Amalaki (Emblica officinalis),
Bibhitaki (Terminalia Belerica), and Haritaki
(Terminalia Chebula),
Laxative, detoxifying, rejuvenator work
in treating Retinal ailments.
Gurmar (Gymnema sylvestre) Reduces oral intake of calories by
altering sensation of the taste,
decreases craving for sweet.
Vijaysar (Pterocarpus
marsupium)
Regenerate functional pancreatic beta
cells.
Guduchi (Tinospora
cardifolia)
Immunomodulator, antipyretic,
hepatoprotective, cardiopro-tective,
adoptogenic activity
19. Madhumeha In a nutshell….
• Madhumeha
– Chronic and devastating disease
– Involvement of tridoshas, major dhatus & organs
– Multiple complications
• Ayurvedic Approach
– In Texts Principles focus on Diet, Lifestyle,
Panchakarma & Herbal formulations.
– Control and slow down the disease progress
– No drug side effects
– Natural and Holistic
19
• Madhumeha
– Chronic and devastating disease
– Involvement of tridoshas, major dhatus & organs
– Multiple complications
• Ayurvedic Approach
– In Texts Principles focus on Diet, Lifestyle,
Panchakarma & Herbal formulations.
– Control and slow down the disease progress
– No drug side effects
– Natural and Holistic