Diabetes means to pass something abnormal with urine and mellitus means honey and this is the exact translation of term Madhumeh which was first mentioned by Sushrut in 200 AD. Term Diabetes Mellitus is invented in last century only so it is evident that Ayurvedic Seers were already knowing about all the details about disease. Sushrut despite dealing with Surgery wrote a full chapter on Madhumeh viz Diabetes Mellitus in Nidan Sthan and then in Chikitsa Sthan. Sushrut emphasised on Diabetes Mellitus may be coz he was counteracting the complications during surgeries.

1. DIABETES MELLITUS
PREVENTION & AYURVEDIC
TREATMENT
DR. SANJEEV SOOD
M.D. KAYA CHIKITSA
IN CHARGE – DEPART. OF PANCHKARMA
READER – DEPART. OF KAYA – CHIKITSA
DAYANAND AYURVEDIC COLLEGE, JAL

2. DIABETES MELLITUS
•BETWEEN 120 AND 140 MILLION PEOPLE SUFFER FROM
DIABETES MELLITUS WORLDWIDE
•THIS NUMBER MAY WELL DOUBLE BY THE YEAR 2025
•MUCH OF THIS INCREASE WILL OCCUR IN DEVELOPING
COUNTRIES
•DUE TO POPULATION AGEING , UNHEALTHY DIETS, OBESITY
AND A SEDENTARY LIFESTYLE
W.H.O.

3. DIABETES MELLITUS
CAUSED BY
INHERITED AND/OR ACQUIRED DEFICIENCY IN PRODUCTION OF
INSULIN BY THE PANCREAS
OR
BY INEFFECTIVENESS OF THE INSULIN PRODUCED
• RESULTS IN INCREASED CONCENTRATIONS OF GLUCOSE IN
BLOOD
• LEADS TO DAMAGE OF MANY OF THE BODY'S SYSTEMS,
ESPECIALLY THE BLOOD VESSELS AND NERVES
W.H.O.

4. DIABETES MELLITUS
TWO PRINCIPAL FORMS OF DIABETES
TYPE 1 DIABETES (IDDM)
THE PANCREAS FAILS TO PRODUCE THE INSULIN WHICH IS ESSENTIAL
FOR SURVIVAL
• THIS FORM DEVELOPS MOST FREQUENTLY IN CHILDREN AND ADOLESCENTS,
BUT IS BEING INCREASINGLY NOTED LATER IN LIFE
TYPE 2 DIABETES (NIDDM)
RESULTS FROM THE BODY'S INABILITY TO RESPOND PROPERLY TO THE
ACTION OF INSULIN PRODUCED BY THE PANCREAS
• THIS IS MUCH MORE COMMON AND ACCOUNTS FOR ABOUT 90-95% OF ALL
DIABETES CASES WORLDWIDE
• THIS FORM OF DIABETES OCCURS ALMOST ENTIRELY IN ADULTS
W.H.O.

5. DIABETES MELLITUS Vs MADHUMEH
AYURVEDIC CLASSIFICATION TWO TYPES
TYPE 1
SAHAJ MATRI-PITRI BEEJ DOSH KRIT
KRISHO
PIPASU BHRISHAM PARISARAN SHEEL
TYPE 2
APATHYA NIMITAJ AHIT AHAR-VIHARJO STHULO
BAHU ASHI SHAYYA-ASAN SWAPANSHEEL
SUSHRUT CHI.11/3

6. DIABETES MELLITUS - AETIOLOGY
-AYURVEDIC VIEW
ASYA SUKHAM SWAPAN SUKHAM SEDENTARY LIFESTYLE
GRAMYODAK ANUP RASA NON. VEG. DIET
DADHINI/PAYANSI MILK & MILK PRODUCT
GUDVAIKRITAM SWEETS
KAPHAKRIT OVER EATING
CHARAK CHI. 6/4
MODERN VIEW
• GENETIC SUSCEPTIBILITY
• UNDER ACTIVITY
• OVER EATING
• OBESITY
• VARIOUS NITROSAMINES (FOUND IN MEAT)
• STRESS
• VIRUSES
• BOVINE SERUM ALBUMIN (BSA) FOUND IN COW’S MILK – TRIGGERS
TYPE-1
DAVIDSON’S MEDICINE

7. DIABETES MELLITUS
DIABETIC NEUROPATHY
• THE MOST COMMON COMPLICATION OF DIABETES.
• 50%, OR MORE, OF PEOPLE WITH DIABETES ARE AFFECTED
TO SOME DEGREE.
• CAN LEAD TO SENSORY LOSS AND DAMAGE TO THE LIMBS.
• MAJOR CAUSE OF IMPOTENCE IN DIABETIC MEN
FACT IS OFTEN UNDER-RECOGNIZED

8. DIABETES MELLITUS
DIABETIC NEUROPATHY
BACKGROUND
PERSONS WITH DIABETES WHO DEVELOP NEUROPATHY MAY
HAVE
• NO SYMPTOMS OR
• MAY EXPERIENCE PAIN
• SENSORY LOSS
• WEAKNESS
• AUTONOMIC DYSFUNCTION
• NEUROPATHY MAY RESULT IN SIGNIFICANT MORBIDITY
• MAY CONTRIBUTE TO OTHER MAJOR COMPLICATIONS,
SUCH AS LOWER EXTREMITY AMPUTATION

9. DIABETES MELLITUS
DIABETIC NEUROPATHY
THERE ARE THREE MAJOR TYPES OF DIABETIC NEUROPATHY:
• DISTAL SYMMETRICAL POLYNEUROPATHY.
• FOCAL NEUROPATHY.
• AUTONOMIC NEUROPATHY.
DISTAL SYMMETRICAL POLYNEUROPATHY.
MOST COMMON OF THE DIABETIC NEUROPATHIES IS
CHARACTERIZED BY
1. INSIDIOUS ONSET,
2. SYMMETRICAL DISTRIBUTION,
3. PROGRESSIVE COURSE.
( BELIEVED TO RESULT FROM ABNORMAL NEURAL METABOLISM &
GENERALIZED NEURAL ISCHEMIA)

10. DIABETES MELLITUS
DISTAL SYMMETRICAL POLYNEUROPATHY.
RISK FACTORS
• INCREASING AGE,
• MALE SEX,
• INCREASING HEIGHT,
• LONGER DURATION OF DIABETES,
• POORER GLUCOSE CONTROL,
• HYPERTENSION,
• ALCOHOL CONSUMPTION,
• SMOKING
APPROXIMATELY 12% OF PATIENTS HAVE THIS CONDITION WHEN
DIABETES IS DIAGNOSED, AND NEARLY 60% HAVE IT AFTER 25
YEARS.

11. DIABETES MELLITUS
PREVENTION
YASATVA AHARAM SHARIRASYA DHATU SAMYAKARAM NAR:!
SEVATE VIVIDHASHCHA ANYA CHESHTA SA SUKHAMSHNUTE !!
CHARAK NIDAN 4/52
1. BALANCED DIET
2. IMMUNO MODULATION
3. ACTIVE LIFE STYLE
4. BALANCED BODY WEIGHT
KEEPS THE METABOLISM CORRECT & PREVENTS DIABETES
MANDOUTSAHAM ATI STHULAM ATI SNIGDHAM MAHA ASHNAM !
MRITYU PRAMEH RUPEN KSHIPRAM ADAYA GACHATI !!
CHARAK NIDAN 4/51

12. DIABETES MELLITUS
NON PHARMACOLOGICAL
TREATMENT
DIET
LIFE STYLE
– EXERCISE & YOGA
– PRANAYAM
– MEDITATION
PHARMACOLOGICAL TREATMENT
SANSHODHAN Rx
SANSHAMAN Rx
– SINGLE HERBS
– HERBAL FORMULATIONS
– MINERALS
– HERBO MINERAL
FORMULATIONS
MANAGEMENT
TREATMENT AIMS
• TO RESTORE NORMAL WELL BEING
• TO ACHIEVE OPTIMAL GLYCAEMIC CONTROL
• TO PREVENT COMPLICATIONS

13. DIABETES MELLITUS MANAGEMENT
DIET
50% OF NEW CASES OF D.M. CAN BE CONTROLLED ADEQUATELY BY DIET ALONE
OBJECTIVES
1. TO PROVIDE ENERGY FOR ROUTINE NORMALACTIVITIES
2. TO MAINTAIN OPTIMUM BODY WT. FOR PATIENTS AGE, SEX & HEIGHT
3. TO STABILIZE BLOOD GLUCOSE VALUES WITHIN PERMISSIBLE LIMITS
4. TO MAINTAIN NEARLY NORMAL BLOOD LIPID LEVELS
REQUIREMENTS
» 25-30 CALORIES/KG/DAY
» HIGH IN UNREFINED CARBOHYDRATES
» LOW IN SIMPLE SUGAR
» HIGH IN FIBER
» SPREAD THROUGH DAY
ABSTINENCE FROM ALCOHOL SHOULD BE ENCOURAGED IF OBESITY,
HYPERTENSION OR HYPERTRIGLYCERIDAEMIA IS PRESENT

14. DIABETES MELLITUS MANAGEMENT
EXERCISE
EXERCISE IS INTEGRAL PART OF THERAPEUTIC APPROACH IN MANAGEMENT OF
DIABETES
REGULAR EXERCISE a)TONES UP CVS
b)HELPS IN WEIGHT REDUCTION
YOGA
1. REDUCTION IN BLOOD SUGAR & CHOLESTEROL LEVEL HAS BEEN
OBSERVED IN D.M. WITH YOGA (UDUP & SINGH,1972) (MELKOTE 1973)
2. PATANJALI YOGA CENTER HYDERABAD TREATED 600 DIABETIC PATIENTS
WITH 10 SELECTED ASANAS (MELKOTE 1973A)
3. IN SOME CASES JUVENILE DIABETICS COULD ALSO REDUCE THEIR
INSULIN DOSE (MELKOTE 1973B)

15. DIABETES MELLITUS MANAGEMENT
1. SURYA NAMASKAR
2. PADAMASAN
3. YOG MUDRA
4. PASHIMOUTHAN ASAN
5. HALASAN
6. MATSYASAN
7. BHUJANG ASAN
8. DHANUR ASAN
9. ARDH MATSENDAR ASAN
10. SARVANG ASAN
MEDITATION
TRANSCENDENTAL MEDITATION RESULTS IN DECREASE OF BLOOD
LACTATE CONCENTRATION & IMPROVEMENT IN H.T.
(BENSON & WALLACE 1972)
PRANAYAM
PRANAYAM WHICH COMPRISES CERTAIN COMPLEX TYPES OF BREATHING
EXERCISES HAS ALSO BEEN CLAIMED TO BE USEFUL IN D.M.
RECOMMENDED ASANAS

16. DIABETES MELLITUS MANAGEMENT
SANSHODHAN TREATMENT
PROCEDURES INDICATED – VIRECHAN & VASTI ( IN TYPE – 2)
SANSHAMAN TREATMENT
SINGLE HERBS
HERBS LATIN NAME PART & DOSE
• BIMBI COCCINIA INDICA LF./RT. JUICE 10-20 ML
• VIJAY SAR PTEROCARPUS MARSIPIUM HT. WD. DECOC. 50-100 ML
• KARELA MOMORDICA CHARANTIA FRUIT SKIN 3-4 GM
• SAPATCHAKRA SALACIA CHINESIS RT. DECOC. 40-60 ML
• MESH SHRINGI GYNEMA SYLVESTRA LF. POWDER 3-6 GM
• BILAV AEGLE MARMELOS LF. JUICE 10-20 ML
• MAMEJAK ENICOSTEMA LITTORALE WHOLE PL. POWDER 1-3 GM

17. DIABETES MELLITUS MANAGEMENT
SANSHAMAN TREATMENT
HERBS LATIN NAME PART & DOSE
• PLANDU ALLIUM CEPA BULB 5 – 15 GM
• SADA BAHAR LOCHNERA ROSEA LF./PL . JUICE 10-20 ML
• NEEM AZADIRACHITA INDICA LF. POWDER 3-5 GM
• HALDI CURCUMA LONGA RZM. JUICE 10-20 ML
• AMLA EMBLICA OFFICINALIS FR. JUICE 10-20 ML
• GILOY TINOSPORA CORDIFOLIA ST. JUICE 10-20 ML
• BHUMI AMLAKI PHYLLANTHUS NIRURI SD. POWDER 3-5 GM
• TULASI OCIMUM SANCTUM SD. POWDER 3-6 GM
• JAMUN SYZYGIUM CUMINI SD. POWDER 2-4 GM
• METHI TRIGONELLA FOENUM SD. POWDER 1-3 GM

18. DIABETES MELLITUS MANAGEMENT
HERBAL FORMULATIONS
MADHUMEHANTAK POWDER
HERBS KUTAKI, METHI, BEL, JAMUN, BABUL, MESH SHRINGI
MADHUMEH ARI YOG
HERBS KARELA, BEL, JAMUN, NEEM, SHILA
SALSARADI KWATH
HERBS SHAL, SARJ, KHADIR, MESH SHRINGI, KARANJ ETC. 22 HERBS
NIMBADI POWDER
HERBS NEEM, AMRITA, HAIRTAKI, AMLAKI, BAKUCHI ETC 21 HERBS
KARIRADI POWDER
HERBS KARIR, HALDI, METHI, MAMEJAK, VIJAY SAR, JAMUN, DARVI

19. DIABETES MELLITUS MANAGEMENT
MINERALS
• SHILAJEET
• SWARAN MAKSHIK
• YASHAD
HERBO MINERAL FORMULATIONS
• SALSARADI BHAVIT SHILAJEET
• AROGYA VARDHINI VATI
• CHANDER PRABHA VATI
• SHIVA GUTIKA
• VASANT KUSUMAKAR RAS

20. THANKS A LOT FOR
THE PATIENCE &
ATTENTION GIVEN
TO MY
PRESENTATION