Ayurvedic management of prameha w.s.r to diabetes mellitus: a case series

Abstract

Introduction: Diabetes Mellitus (DM) refers to a group of common metabolic disorders sharing the phenotype of hyperglycemia. Depending on the etiology of DM factors contributing to hyperglycemia includes reduced insulin secretion, decreased glucose utilization and increased glucose production. Globally the number of people with diabetes mellitus has quadrupled in the past three decades, and DM is the ninth major cause of death. India had 64.5 million people with DM as per 2015 data. In year 2019 estimated 1.5 million deaths were directly caused by DM. Prevalence rate of DM in the adult population is 12.10%. In Ayurveda DM can be corelated etio-pathologicaly to Prameha which is described as one of the mahagada. An estimated 12% of the global health expenditure is spent on treating diabetes federation. The current medications used in DM are metformin, OHA and alpha glucosides etc which controls only sugar levels but does not treat a root cause. Material and method: In present study 3 cases diagnosed as DM with symptoms like polyurea, profuse sweating and general weakness are treated with ayurvedic treatment protocol. Starting with deepana-pachana followed by Virechana with Abhayadi modaka, Yogabasti of Dashmula-triphala and Shamana Chikitsa were done. Assessment were done on HBA1C prior and after treatment. Result and Discussion: significant results were found in symptoms like polyurea, general weakness as well as reduction in HBA1C. Conclusion:  panchakarma treatment like virechana, Basti along with shamana chikitsa is effective in DM.