Madhumeha Diabetes Ayurvedic Management

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Madhumeha (Diabetes) - Ayurvedic
Management
Presentation for National Ayuveda Convention
Oct 30 - Nov 1, 2009

• Dr.(Vaidya) Ashlesha Raut
• M.D.(Ayurveda - India),
  N.C.(Nutritional Consultant-USA)
• Ayurvedic Practitioner
  Nutrition Health Educator

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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 worlds 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 Cause
• Sahaja Genetic Type I (IDDM)
• Apathya/Nimittaja Wrongful diet and lifestyle
  Type II (NIDDM)
• Based on Doshadhikya 20
• Kaphaja 10
• Pittaja 6
• Vataja 4
• Based on Body type
• Sthula (Obese) Pramehi
• Krisha (Lean) Pramehi

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Causative factors/Hetu

• "Aashyasukham swapnasukham dadhinigramyoodkanup
  rasaa 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/Samprapti

• Due 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 words
Hetu
Wrongful Diet (high glycemic food, lack of
exercise etc.)
Dosha Imbalance
High Blood glucose
Insulin secreted by the Pancreas
Dhatvagnimandhaya
Cells become resistant to insulin
Apachitdhatuvrudhi
More glucose present in the blood
Kleda vrudhi
Body tries to dilute this high blood glucose
Prabhoota mutrata
Polyuria
This happens for a long period of time then
actual disease manifest.
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Prodromal Symptoms/Purvarupa

• Excessive thirst
• Dryness of mouth
• Lethargy
• Abnormal and frequent urination
• Burning numbness in hands and feet
• Sweet taste in mouth
• Coated tongue teeth etc.
• Bad breath
• Entanglement of hair

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Management Principles/Chikitsa
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Aahar (Diet)
Recommended Food
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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 Herbs
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In a nutshell.

• Madhumeha
• Chronic and devastating disease
• Involvement of tridoshas, major dhatus organs
• Multiple complications
• Ayurvedic Approach
• Principles focus on Diet, Lifestyle, Panchakarma
  Herbal formulations.
• Control and slow down the disease progress
• No drug side effects
• Natural and Holistic

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Thank You