Unlocking the treasure of Ayurveda to treat Diabetes mellitus

Diabetes /Madhumeha

The basic Sanskrit term Madhumeha (Diabetes ) is composed of Madhu and Meha. The Madhumeha means sweet Or sweetness and Meha means excessive urination (Atipravrutti).

In shabdakalpadruma, meha Or prameha is defined as follows,

Prakrshena Mehati kshrati viryyadirane neti prameha:

The sansakrit term meha literally means to micturate. The verbal noun mehanam signifies urination as well as an act of passing any morbid urethral secretion. Hence the disease in which excessive sweet urination takes place is called Madhumeha.

In Madukosh the Nirukti of prameha is like that,

The state in which quantity, as well as the frequency of micturition, has increased is known as Prameha.

In Ayurvedic texts, the given characteristic features of Madhumeha show marked similarity with the syndrome of Type 2 diabetes. It is Tridoshaj in origin with the predominance of Kapha. According to Charaka major causative factors of Madhumeha are Madhura, Amla, Lavana Rasa dominant diet mentioned as ‘ Gramya Udaka Anupa Rasa Payansi Dadhini and lifestyle such as ‘Aasya Sukham Swana Sukham ‘ are similar to the causes quoted as, overeating, eating rich substances, dairy products, practicing sedentary lifestyle, overweight in modern medicine.

Acharya Sushruta has mentioned the Sahaj and Apathya Nimittaja varieties of Madumeha.

In Modern, Type 2 diabetes a multifaceted disease, is manifested by hyperglycemia that results from several dysregulated biological mechanisms. The excessive heavy diet, excessive use of sugar and jaggery and their products, Lack of physical exercise are considered to be predisposing factors of the disease.

Causative factors

D	Diet and Dietary habits/Dadhi
I	Insulin insufficiency or resistance/Inheritance/Ikshu Vikar
A	Antibiotics and other medicines like statins/Advanced Glycation End-products/Asyasukham/Anupa rasa payamsi
B	BMI high/blood pressure high
E	Endocrine Disorders mainly PCOS
T	Thyroid problem (Hypo and Hyper)
E	Environmental factors
S	Sedentary life/stress/smoking/Swapna sukham

Preclinical symptoms-

Acharya Sushruta explained typical symptomatology to evaluate the prediabetes status. They are

• Gamanath Sthanam(tends to stay while walking)
• Sthanath Aasanam (tends to sit while walking)
• Asanath Sayanam(tends to lie down while sitting) and
• Sayanath Swapnam (tends to sleep while lying down)

Classical symptoms  of diabetes mellitus are

 3 “polys”-Polyuria, Polydipsia, Polyphagia

                 -Unexplained weight loss

Hair-Fall/ Khalitya: An Easy Understanding In Ayurveda

Complications–

The complications resulting from the disease are a significant cause of morbidity and mortality and are associated with the damage or failure of various organs such as the eyes, kidneys, and nerves. Individuals with type 2 diabetes are also at a significantly higher risk for coronary heart disease, peripheral vascular disease, and stroke, and they have a greater likelihood of having hypertension, dyslipidemia, and obesity.

For Preventing Diabetes–

1) Daily exercise at least 30 min a day.

2) Take a healthy control sugar diet

3) Oral medications

4) In severe cases – Insulin medications

In the Ayurvedic way, certain home remedies by consumption of

1) Bitter Gourd

2) Amla

3) Tulsi and Neem leaves

4) fenugreek seeds with milk

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Refrences

1. Subbarayappa BV. The roots of ancient medicine: an historical outline. J Biosci. 2001; 26(2):135–143.
2. Sridharan K, Mohan R, Ramaratnam S, Panneerselvam D. Ayurvedic treatments for diabetes mellitus. Cochrane Database Syst Rev. 2011; 12:CD008288. 
3. Vasudevan R, buch Z. Ayurveda for Diabetes in India. The Lancet, Diabetes and Endocrinology, 2016. https://www.thelancet.com/journals/landia/article/PIIS2213-8587(16)30239-X/fulltext#articleInformation
4. Chaudhary A, Singh N. Contribution of World Health Organization in the global acceptance of Ayurveda. J Ayurveda Integr Med. 2011; 2(4):179–186. 
5. Hu FB, Manson JE, Stampfer MJ, et al. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med. 2001; 345(22):790–797. 
6. Kligler B. The role of the optimal healing environment in the care of patients with diabetes mellitus type II. J Altern Complement Med. 2004; 10(Supplement 1):223–229.