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