Madhumeha (Diabetes) - Ayurvedic Management Dr.(Vaidya) Ashlesha Raut M.D.(Ayurveda - India), N.C. (Nutritional Consultant-USA) Ayurvedic Practitioner & Nutrition Health Educator Presentation for National Ayuveda Convention : Oct 30 - Nov 1, 2009
Mar 26, 2015
Madhumeha (Diabetes) - Ayurvedic Management
Dr.(Vaidya) Ashlesha Raut M.D.(Ayurveda - India), N.C.(Nutritional Consultant-USA) Ayurvedic Practitioner & Nutrition Health Educator
Presentation for National Ayuveda Convention : Oct 30 - Nov 1, 2009
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Lord Dhanvantari
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Diabetes – The Hidden Epidemic
5th Deadliest disease in USA
23.6 million people in USA or 8% of the USA population suffers from diabetes
The prevalence of diabetes increased by 13.5% (2005-2007)
India has world’s largest diabetes population with 25 million diabetic patients.
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Ayurvedic Samhita Madhumeha/Prameha References
Charak Nidan sthana : Ch.4
Charak Chikitsa sthana : Ch.6
Sushruta Nidan sthana : Ch.6
Sushruta Chikitsa sthana : Ch.11
Ashtangahridaya Nidan sthana : Ch.10
Ashtangahridaya Chikitsa sthana : Ch.12
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Classification…
Based on CauseSahaja = Genetic – Type I (IDDM) Apathya/Nimittaja =Wrongful diet and lifestyle – Type II (NIDDM)
Based on Doshadhikya 20Kaphaja 10Pittaja 6Vataja 4
Based on Body type Sthula (Obese) Pramehi Krisha (Lean) Pramehi
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Causative factors/Hetu
"Aashyasukham swapnasukham dadhinigramyoodkanuprasaa 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 unmatured/non-aged grains
Products of jaggery and sweets
All Kapha-promoting factors
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Pathogenesis/SampraptiDue 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
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Ayurveda in modern wordsHetu
Dosha Imbalance
Dhatvagnimandhaya
Apachitdhatuvrudhi
Kleda vrudhi
Prabhoota mutrata
Wrongful Diet (high glycemic food, lack of exercise etc.)
High Blood glucose
Cells become resistant to insulin
More glucose present in the blood
Body tries to dilute this high blood glucose
Polyuria
Insulin secreted by the Pancreas*
*This happens for a long period of time then actual disease manifest.
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Excessive thirstDryness of mouthLethargyAbnormal and frequent urinationBurning & numbness in hands and feetSweet taste in mouthCoated tongue & teeth etc.Bad breathEntanglement of hair
Prodromal Symptoms/Purvarupa
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Management Principles/Chikitsa
Management (Chikitsa)
Aahar (Diet) Vihar (Lifestyle)
Aushadhi (medicine)
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Aahar (Diet)Recommended Food:
Grains Yava (Barley),Wheat, Satheshalee rice (60 days),Ragi
Lentils Moong,Masoor,Kulitha,Chanak
Vegetables Bitter Melon, Guvar, Fenugreek, Onion, Snake gourd, Garlic, White Pumpkin
Fruits Apple, Pear, Jambun, all berries
Oil Mustard Oil, Flax Seed Oil
Sweets Honey, Stevia
Meat Jangal meat - Chicken
Beverages Treated Butter Milk, Green Tea
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Vihar (Lifestyle) Physical Exercise:
Workout daily for 30 to 45 minutes
Yoga:
Pashchimotanasan
Halasan
Dhanurasana
Shalabhasana
Tadasana
Stress Management:
Meditation / Dhyana dharana
Pranayama
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Aushadhi (Medication) 1. Samshodhan Chikitsa (Purificaiton –
Internal cleansing)
2. Apatarpana Chikitsa (Achieve weight loss by forced denourishment)
3. Samshamana Chikitsa (Pacification of doshas)
4. Santarpana Chikitsa (Replenishment treatment)
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Samshodhan Chikitsa
• Panchakarma• Snehan
• Snehapan – Mahatikta ghrita, Triphala ghrita, Dhanvantar ghrita
• Sneha (Massage oil) - Sarshapa oil, Til oil, Narayana oil
• Swedhan – Contraindicated
• Vamana – Madanphala, Vacha, Yashtimadhu
• Virechana – Aragwadha, Gandharvaharitaki
• Basti – Dashamula Kwatha & Til oil
• Shirodhara –Til oil, Ashwagandha oil
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Samshamana Chikitsa
Key herbal formulations:
Amalaki + Haridra + Honey.
Triphala + Daruharidra + Devdaru + Musta
Guduchi + Gurmar + Gokshura
Arjuna + Vijaysar + Haritaki
Shudhha Shilajit / Shilajatwadi Vati
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Multipharmacological actions of antidiabetic Ayurvedic HerbsHerb ActionHaridra (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.
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
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In a nutshell….
MadhumehaChronic and devastating diseaseInvolvement of tridoshas, major dhatus & organsMultiple complications
Ayurvedic ApproachPrinciples focus on Diet, Lifestyle, Panchakarma & Herbal formulations. Control and slow down the disease progressNo drug side effectsNatural and Holistic
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Thank You