Diabetes Mellitus Madhumeha An Ayurvedic approach

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Diabetes Mellitus (Madhumeha) - An Ayurvedic
approach
Presentation for AAPNA Academic
Conference Jul 20, 2009

• -By Ashlesha Raut
• M.D.(Ayurveda),
  N.C.(Nutritional Consultant)
• Ayurvedic
  Practitioner Health Educator

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Lord Dhanvantari
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Diabetes The Hidden Epidemic

• 5th Deadliest disease in the US
• 23.6 million people in the US or 8 of the US
  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.
• Every 5th diabetic in the world is an Indian

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Types

• Based on cause
• Sahaja (Genetic) Type I IDDM
• Apathya/Nimittaja Type II NIDDM
• (Wrongful diet and lifestyle)
• Based on Doshadhikya 20
• Kaphaja 10
• Pittaja 6
• Vataja 4

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Causative factors/Hetu

• "Aashyasukham swapnasukham dadhinigramyoodkanup
  rasaa pyaamsi Navaaanpaanam gudvayikritam ch
  prameha hetu kapahakrich swaramn. c.chi.7
• Inactivity, laziness, lack of exercise
• Excessive sleep
• Excessive use of curd
• Meat and soup of the domestic, aquatic and marshy
  land
• animals
• New cereals and drinks
• Products of jaggery
• All other kapha-promoting things.

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Pathogenesis/Samprapti

• Due to Causative factors
• ?
• Doshas get imbalanced(specifically kledak
  kapha,pachak pitta, saman 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
• Kleda Wasting away of tissues (dhatu)

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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 long period of time then actual
disease manifest.
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Prodromodal 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)

• Selective Food (e.g.Low GI Food)
• Small meals
• Frequent intake

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Vihar (Lifestyle)

• Exercise Daily for 30 to 45 minutes
• Yogasanas e.g. Pashchimotanasan, halasan
• Meditation for stress management

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Aushadhi
Shodhan
Shaman
Popular effective Herbs- Amalki,
Gurmar Haridra, Neem Triphala, Guduchi Daruharidra
Devadaru Shilajatu
Panchakarma
Vaman
Virechan
Basti
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• Case Presentation
• Questions
• Discussion

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Thank You