Rishi Ayurveda Hospital and Research Centre
Monday, 2 July 2012
Sunday, 1 July 2012
Management of Prameha:
According to Ayurveda the line of treatment of prameha is strictly on individuals
constitution. A special case sheet to analyse diabetes is developed as follows
1) The prakrithi of the patient
2) Dosha predominance of disease
3) Dooshya vitiation
4) Obstruction in srothus
5) Manasika prakrithi
6) Ahara & Vihara
7) Hereditary factors etc...
This case sheet gives the profile of the patient & the pathology of the disease in
accordance based with classical diagnostic skills in accordance with the classical way of
diagnosis. After grouping the patient into different prakrithi, we were able to fix the line of
treatment according to the types of the disease.
In general Type 1 Diabetes Mellitus {Vathaja prameha}Patients are advised to have
Bhrimhana medication & diet which increases dhathus in the body
accordance based with classical diagnostic skills in accordance with the classical way of
diagnosis. After grouping the patient into different prakrithi, we were able to fix the line of
treatment according to the types of the disease.
In general Type 1 Diabetes Mellitus {Vathaja prameha}Patients are advised to have
Bhrimhana medication & diet which increases dhathus in the body
Rishi Ayurveda
Hospital & Research Centre
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Saturday, 30 June 2012
Kabhaja
Avipakam – indigestion
Aruchi - Loss of appetite
Chardi - Vomiting tendency
Athinidra - Excessive sleep
Kasam - Cough
Peenasam - Cold with running nose
Pittaja
Vasthimehanyotoda - Pain in Bladder & urinary path
Mushkavatharanam - Pain in testes
Jwara - Fever
Daham - Burning sensation
Trishna - Thirst
Amlika - Acidity
Moorcha - Giddiness
Vitbhedanam - Loose Motion
Hridayashoola - Pain in heart region
Nidranasam - Loss of sleep
Vathaja
Udavartham Upward movement of vatha.
Kambam Tremor
Hridgraham Gripping pain in chest region
Lolatha Affinity
Soolam Pain
6
Anidratha Insomnia
Sosha Wasting
Kasam Cough
Swasam Difficulty to breath
Badhapureeshathwa Constipation
Prameha upadravas {Complications of Prameha}
Doshas which are involved in pathogenesis of the disease. This may further complicate
the problem and must be considered in the management of the original disease, that is called
upadrava. Individual suffering from prameha usually seeks to doctor’s help when the
complications have developed. Fatigue, excessive thirst and excessive urination are some of the
symptoms for which the diseased person approaches physician. Susrutha has described
prameha complications according to dosha pridominance. Briha Thrayees have described
prameha pidaka as a major complication of prameha. Sussrutha has mentioned
“Malabandhata” (constipation) as a commonly observed complication as the body of the
diseased person is loaded with meda hence they do not respond to common purgatives in usual
doses. Modern Physiological theories attribute this complication to the involvement of
autonomous nervous system.
The following symptoms under each category of kaphaja, pithaja and vathaja describes
the dominant element in each diabetic patient. Doshas which are involved in the pathogenesis of
the disease may further complicate the problem and must be critically considered in the
management of the original disease. This element in the treatment is called upadrava. In most 5
cases it is only after the complication have developed, individuals suffering form prameha seek a
physician’s advise.
Sustrutha notes that Dosha predominance is a primary factor in prameha complication.
Susrutha documents that ‘malabandhata’(constipation) is a complication of this disease, because
the individual has a concentration of meda. The average doses of laxatives are not effective in
these cases.
Brihathrayees (Susrutha is one of the Brihathrayee writers) have described prameha as
pidika (diabetic carbuncle) as a major complication of prameha.
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