Medhumeha is the most common medical problem in the world. The prevalence of Madhumeha is increasing more in urban population of our country. It's a global problem affecting 2-6% population of the world. It was known to the Ayurvedic physician for more than 2500 years ago as can be seen from medical tests such as Charak and Sushruta Samhita (400 BC). Charak and Sushruta have described a condition Madhumeha in which a person passes urine resembling honey.
Historical Background:
400 BC Sushruta in Ayurveda described honey urine in Madhumeha. In 1674 AD Thomas Willes rediscovered sweet test of urine diabetic urine. In 1867 AD Paul Langherns described islets of langherhns in pancreas. In 1921 Fred Banting (surgoen) and Charles (medical student) best isolated insulin and got Nobel Prize. But very soon it was observed that many cases may be insensitive of resistant to insulin thereby. Further the introduction of oral hypoglycemic agent improved the condition of management of diabetes. But the recent studies have revealed newer facts that cell modulated immunity is disturber by treatment if insulin and insulin promoter (Mackaness, 1971, Fained etal 1973) which may lead to any new complication of diabetes. On the basis it is being inferred that the administration of insulin and insulin promoters is not the only approach to correct the hyperglycemia, the real and correct approach may be some thing other than this. Ayurvedic system of medicine sources provided the information that the Madhuneha (Diabetes) were long treated with various herbs (Jadibuti) and herb-mineral drugs.
Material and Method:
About 25 cases of Madhumeha (Diabetes Mellitus) patients were selected for studying Madhumeha at Sri Sundrial Hospital Institute of Medical Sciences BHU, india. All the patients were subjected to detailed history taking through clinical examination and biochemical investigation of the patient. Patients were both Male and female of 40-70 years age. A family history of diabetes was present in 5 patients. Other 15 patients were taken under medical diagnosis and another 5 patients were selected and were treated with the test drug and modern anti-diabetic drugs.
These patients were classified into three different groups.
Group I Patients belonging to this group were given Shilajit only.
Group II Patients were given a combined therapy of Shilajit and oral hypoglycemic drugs.
Group III patients were given a combined therapy of Shilajit along with insulin therapy
Drug and Administration (supervision for Direction of its uses):
The trial drugs were
1) Shilajit with Triphala purification
2) Shilajit with Shalsaradigan purification.
The drugs were given in a dose of 250mg to 500mg twice a day for 2-6 weeks. The patients with complains and associated diseases were given modern treatment side by side and patients were supplemented with oral hypoglycemic and insulin respectively.
Diet and Other Advice:
During the period of treatment the patients were advised to take 1800 calories diet for male and active female with optimum weight.
Food value:
Carbohydrate 250gm
Protein 75gm
Fats 50gm
-Sugar should be totally restricted.
-Rice and potato diet were also restricted.
-To reduce weight (obese patients) patients should reduce the amount of food and should take morning walk regularly.
- Regular physical exercise is beneficial.
Parameters of Assessment:
For the assessment of result symptomatic improvement of fasting blood sugar and past parricidal blood sugar was noted before and after 6 weeks treatment with these herbal drugs in all the 25 cases of diabetes and different has been statistically analysis to establish the efficiency.
Result and observation:
Genaral survey of the patients.
Tabel showing the data of clinical study.
Total number of cases 25
Age Group 40-70 yrs
Sexes m-20/f-5
Weight 40-80 kgs
Religion Hindu
Hereditary 5 +ve/20 –ve
Urban 20
Rural 5
Clinical improvement:
Symptomatic improvement was observed in all the cases. Frequency and quantity of urine was reduced general feeling of well being was reported ay all the patients. The tingling and numbness, burning of hands and feet was reduced considerably and generalized itching almost vanished. Similarly the improvement in other symptoms was also observed.
The detailed data
SN Symptoms Before Treatment After Treatment %Cured
1 tiredness 25 25 100
2 polyurea 25 22 88
3 digestive problem 18 15 88.33
4 Polydypsia (ext. thrust) 24 21 87.5
5 Tingling 18 10 55
6 Numbness 10 6 60
7 Sleep 12 9 75
8 Pain in lower limb 12 9 75
9 Itching 4 4 100
10 Abd. Distalion 5 5 100
11 Pain in chest 4 1 25
12 Visual Disturbance 5 1 20
13 Repeated absortion 1 1 100
14 Gynocological leucorhea 3 3 100
Biochemical Improvement:
For the purpose of statistical comparison of the results differences in mgs % before and after treatment in blood sugar readings have been calculated.
Showing the mean blood sugar reading in level in three group patients before and after treatment in table.
Drug Group Before Treatment After Treatment
F PP F PP
Shilajit 140mg 195mg 120mg 160mg
Shilajit + oral 150mg 235mg 130mg 190mg
Hypoglycemic + Shilajit + oral 300mg 350mg 130mg 210mg
All these patients who continued treatment for 1-2 week reported with improvement. Some patient reported with improvement for one month. The foremost complaint like tiredness, polyurea, tingling, polydypsia, polyphagia were well relieved. This was reported by more than 75% of the patients which encouraged them to continue the treatment further. All the treatment patients reported a seance of well-being.
Conclusion:
The problem of Madhumeha (Diabetes Mellitus) is as old as humanity. New discoveries pave the way for the newer adventures in the field of research and Insulin turned the course of the history of diabetes. The oral hypoglycemic drugs help the patient to forego needle and syringe while insulin is only a replacement therapy, the action of new oral hypoglycemic compound are still to be understood beyond doubt. Therefore a research to find out better oral hypoglycemic agent is continued where blood sugar level was observed low.
It is better marked in I group and the combined therapy of subjected. Those patients who received shilajit (with Shalsaradigan Dravya purified) along with oral hypoglycemic drug, including insulin therapy have the resistance power within. The Ayurvedic compound appeared to be a good oral hypoglycemic drug without any untoward action.
References:
Charak Samhita: commentary by Prof. Dr. G.N. Chaturvedi & Dr. K.N. Shastri. 1980
Sushruta Samhita: commentary by Dr. Ambika Dutta Shastri 1979
Astanga Hridaya: commentary by Dr. Adunandan Upadhya 1984
Dhanwanrari Nighantu: commentary by Prof. Dr. J. Ojha
Rasamirt: commentary by Prof. Dr. D. Joshi 1998
Ayurvedya Rasashastra: Prof. Dr. P.V. Sharma
Ayurvedya Aushadi Nirman Vigayan: Dr C.R. Sapkota 2057 BS
Ayurmedline-chief editor: Dr. Brahmanand Nayak 2000
Diabetes Mellitus Second edition By Prof. Dr. P.G. Raman 2000
Studies on Shilajit Paper present, BHU India : Dr. C.R. Sapkota, 1992.
Monday, December 10, 2007
Sunday, December 9, 2007
new research
Sassoon General Hospital’s six-month trial on the use of ayurvedic treatment to control diabetes has provided a ray of hope. In what can be termed as a breakthrough of sorts, a majority of diabetic patients in the clinical trial showed relief of symptoms in just two months of ayurvedic treatment, while one diabetic patient successfully managed on ayurvedic treatment without insulin.
The clinical trial on 63 patients was undertaken to find out the effect of ayurvedic treatment on diabetic patients. Around 46 patients (73 per cent) responded to ayurvedic diabetic treatment, where a statistically significant difference was found in the blood sugar levels. One out of 14 Type 1 diabetic patient successfully managed on ayurvedic treatment without insulin, while nine patients of Type 1 diabetes (those requiring insulin) showed reduction in the dosage of insulin from 35 units to 21.6 units.
Dr Sarita Gaikwad, Head of the Department of Ayurved, Sassoon General Hospital, told The Indian Express that a majority of patients showed relief. The effect of the ayurvedic diabetic therapy was more pronounced in patients with Type 2 diabetes (those not requiring insulin). Allopathic drugs were completely stopped in 19 patients, whereas in 14 patients the dosage was reduced after 180 days of treatment. While 43 participants in the study were males, there were two children below 10 years. The average age group was 31 and above.
Co-researchers of the study included Dr D B Kadam, professor of medicine at SGH and Dr P S Pawar, Medical Superintendent of SGH. Patients were given Madhusar granules of 5 gms twice a day and half the dose was given to children, said Pawar. We wanted to clinically test the role of ayurvedic treatment for diabetes and develop an alternate line of therapy, the researchers said, adding that the six-month period will be extended to more than a year to explore the full benefits of the therapy.
The clinical trial on 63 patients was undertaken to find out the effect of ayurvedic treatment on diabetic patients. Around 46 patients (73 per cent) responded to ayurvedic diabetic treatment, where a statistically significant difference was found in the blood sugar levels. One out of 14 Type 1 diabetic patient successfully managed on ayurvedic treatment without insulin, while nine patients of Type 1 diabetes (those requiring insulin) showed reduction in the dosage of insulin from 35 units to 21.6 units.
Dr Sarita Gaikwad, Head of the Department of Ayurved, Sassoon General Hospital, told The Indian Express that a majority of patients showed relief. The effect of the ayurvedic diabetic therapy was more pronounced in patients with Type 2 diabetes (those not requiring insulin). Allopathic drugs were completely stopped in 19 patients, whereas in 14 patients the dosage was reduced after 180 days of treatment. While 43 participants in the study were males, there were two children below 10 years. The average age group was 31 and above.
Co-researchers of the study included Dr D B Kadam, professor of medicine at SGH and Dr P S Pawar, Medical Superintendent of SGH. Patients were given Madhusar granules of 5 gms twice a day and half the dose was given to children, said Pawar. We wanted to clinically test the role of ayurvedic treatment for diabetes and develop an alternate line of therapy, the researchers said, adding that the six-month period will be extended to more than a year to explore the full benefits of the therapy.
Sunday, November 25, 2007
what is ayurveda ?
What is Ayurveda?
A system of self-care that originated in India more than 5000 years ago, Ayurveda is becoming very popular all over the world, with hundreds of healers incorporating it into their practices and thousands of people using its well-tried principles and therapies to improve their well-being.
The Vedic word ayurveda has two root words--ayu and veda. Every root word in the Vedic tradition has its own definition--thus, ayu has its own definition and so does veda. Literally and concisely, ayu means "life" and ved means "science." According to this translation, ayurveda means "the science of life." But the Vedic texts expand on these definitions to offer us a more complete understanding, and our ayurvedic expert Vaidya Rama Kant Mishra has explained some of these expanded statements.
Ayu explained
What is the real meaning of ayu or life according to the fundamental principles of ayurveda? Sharirendriya sattwa atma samyogo ayuhu, goes one verse. Sharir means physical body; indriya means senses. Sattwa refers to the combination of mind and heart-overall psychological strength, and atma means soul or spirit. When all of these-body, senses, heart, mind and spirit-are in proper balance and function in a harmonious, coordinated manner, that is true life-"the living body."
Veda explained
Veda means science-not a science that changes its theories and its findings every few years but ageless, eternal knowledge built on siddhantas, fundamental unchanging principles. Veda refers to guided knowledge: it is not just theory, but also a roadmap for how to derive practical benefit from the knowledge.
A longer definition of ayurveda
Another longer definition of ayurveda goes: ayurhitahitamvyadhe nidaanamshamanam thathaa vidyate yatra vidhwadhihi tatra ayurveda uchyate. This verse takes us to a deeper level to understand what ayurveda is.
Ayurveda provides us with a complete understanding of what is life-sustaining and what is not, not just for the physical body, but also our mind, heart, senses and spirit. This includes descriptions of the kind of diet, lifestyle and behavior that is optimal for well-being, the ideal environment, and the herbal rasayanas that are good or bad for each of these aspects of health. There is great detail on each of these modalities-what to eat, when to eat and how to eat are a part of dietary recommendations, for example. The texts also include recommendations for nurturing relationships and living as part of the human community.
If an individual does not have this knowledge or has the knowledge but does not implement the knowledge, then, say the texts, the person becomes susceptible to imbalance and disorders.
A system of self-care that originated in India more than 5000 years ago, Ayurveda is becoming very popular all over the world, with hundreds of healers incorporating it into their practices and thousands of people using its well-tried principles and therapies to improve their well-being.
The Vedic word ayurveda has two root words--ayu and veda. Every root word in the Vedic tradition has its own definition--thus, ayu has its own definition and so does veda. Literally and concisely, ayu means "life" and ved means "science." According to this translation, ayurveda means "the science of life." But the Vedic texts expand on these definitions to offer us a more complete understanding, and our ayurvedic expert Vaidya Rama Kant Mishra has explained some of these expanded statements.
Ayu explained
What is the real meaning of ayu or life according to the fundamental principles of ayurveda? Sharirendriya sattwa atma samyogo ayuhu, goes one verse. Sharir means physical body; indriya means senses. Sattwa refers to the combination of mind and heart-overall psychological strength, and atma means soul or spirit. When all of these-body, senses, heart, mind and spirit-are in proper balance and function in a harmonious, coordinated manner, that is true life-"the living body."
Veda explained
Veda means science-not a science that changes its theories and its findings every few years but ageless, eternal knowledge built on siddhantas, fundamental unchanging principles. Veda refers to guided knowledge: it is not just theory, but also a roadmap for how to derive practical benefit from the knowledge.
A longer definition of ayurveda
Another longer definition of ayurveda goes: ayurhitahitamvyadhe nidaanamshamanam thathaa vidyate yatra vidhwadhihi tatra ayurveda uchyate. This verse takes us to a deeper level to understand what ayurveda is.
Ayurveda provides us with a complete understanding of what is life-sustaining and what is not, not just for the physical body, but also our mind, heart, senses and spirit. This includes descriptions of the kind of diet, lifestyle and behavior that is optimal for well-being, the ideal environment, and the herbal rasayanas that are good or bad for each of these aspects of health. There is great detail on each of these modalities-what to eat, when to eat and how to eat are a part of dietary recommendations, for example. The texts also include recommendations for nurturing relationships and living as part of the human community.
If an individual does not have this knowledge or has the knowledge but does not implement the knowledge, then, say the texts, the person becomes susceptible to imbalance and disorders.
Wednesday, September 19, 2007
FAQ
Is diabetes completely curable with ayurvedic medicine?
No. you have to be on medication and continuous monitoring. But it always does not mean you have to pop pills,many ayurvedic medicines can be integrated with our diet ,and a good regimen of yoga can virtually keep one off medicines. It requires a good balanced diet with less starch and planned according to our daily activities. so as to keep calories under check.
What is the difference between ayurvedic and allopathic medicine?
Ayurveda keeps a patient as a normal man ,where as allopathy aims at keeping the parameters which define health within in limits. the basic difference between patients on allopathic and ayurvedic management is patient feels more energetic ,and sexual energy remains in tact and is not hampered as in allopathic management, and the onset of diabetic complications is delayed by a decade and their progression will also be very slow and can be considered negligible in most cases,
Can blood sugar be contained within the optimal level with ayurvedic medicine,?
Yes .it can be maintained provided due care is given for diet and yoga.
Can both treatments allopathic and ayurveda be combined?yes.ayurvedic medicines will not interact with allopathic medicine.
Is there a chance of hypoglycemia when combined?
The chances are very less and cannot be ruled out completely.
Can a patient taking insulin undergo ayurvedic treatment?
Yes .it is very effective in terms of avoiding diabetic complications , most common in diabetic patients taking insulin.
Is panchakarma effective in diabetes,?yes,panchakarma is very effective and few procedures act at hormonal levels thus helping the endocrine system on the whole and pancreas in particular ,but it should be done under strict medical supervision
Is there e chances of un controlled diabetes , even while taking ayurvedic treatment ?
Yes some patients doesn’t respond to ayurvedic treatment and insulin should be supplemented after consulting the physician.
Most men with diabetes in their forties experience some sort of sexual weakness, can that be addressed in ayurvedic treatment?
Of course ayurvedic has most potent medicine for sexual weakness associated with diabetes, but a lot depends on patients psychology ,physical condition ,and ailments involving other organ systems.
No. you have to be on medication and continuous monitoring. But it always does not mean you have to pop pills,many ayurvedic medicines can be integrated with our diet ,and a good regimen of yoga can virtually keep one off medicines. It requires a good balanced diet with less starch and planned according to our daily activities. so as to keep calories under check.
What is the difference between ayurvedic and allopathic medicine?
Ayurveda keeps a patient as a normal man ,where as allopathy aims at keeping the parameters which define health within in limits. the basic difference between patients on allopathic and ayurvedic management is patient feels more energetic ,and sexual energy remains in tact and is not hampered as in allopathic management, and the onset of diabetic complications is delayed by a decade and their progression will also be very slow and can be considered negligible in most cases,
Can blood sugar be contained within the optimal level with ayurvedic medicine,?
Yes .it can be maintained provided due care is given for diet and yoga.
Can both treatments allopathic and ayurveda be combined?yes.ayurvedic medicines will not interact with allopathic medicine.
Is there a chance of hypoglycemia when combined?
The chances are very less and cannot be ruled out completely.
Can a patient taking insulin undergo ayurvedic treatment?
Yes .it is very effective in terms of avoiding diabetic complications , most common in diabetic patients taking insulin.
Is panchakarma effective in diabetes,?yes,panchakarma is very effective and few procedures act at hormonal levels thus helping the endocrine system on the whole and pancreas in particular ,but it should be done under strict medical supervision
Is there e chances of un controlled diabetes , even while taking ayurvedic treatment ?
Yes some patients doesn’t respond to ayurvedic treatment and insulin should be supplemented after consulting the physician.
Most men with diabetes in their forties experience some sort of sexual weakness, can that be addressed in ayurvedic treatment?
Of course ayurvedic has most potent medicine for sexual weakness associated with diabetes, but a lot depends on patients psychology ,physical condition ,and ailments involving other organ systems.
Monday, September 17, 2007
basics
For the disease characterized by excretion of large amounts of very dilute urine, see diabetes insipidus. For diabetes mellitus in pets, see diabetes in cats and dogs.
Diabetes mellitus (IPA pronunciation: [daɪəˈbitiz], sometimes [ˌdaɪəˈbitəs]), often simply diabetes, is a metabolic disorder characterized by hyperglycemia (high blood sugar). The characteristic symptoms are polyuria (excessive urine production), polydipsia (thirst and increased fluid intake) and blurred vision; these symptoms may be absent if the blood sugar is only mildly elevated.
The World Health Organization recognizes three main forms of diabetes mellitus: type 1, type 2, and gestational diabetes (occurring during pregnancy),[1] which have similar signs, symptoms, and consequences, but different causes and population distributions. Ultimately, all forms are due to the beta cells of the pancreas being unable to produce sufficient insulin to prevent hyperglycemia.[2] Type 1 is usually due to autoimmune destruction of the pancreatic beta cells which produce insulin. Type 2 is characterized by tissue-wide insulin resistance, but impairment of beta cell function is necessary for its development. Gestational diabetes is similar to type 2 diabetes, in that it involves insulin resistance; the hormones of pregnancy cause insulin resistance in those women genetically predisposed to developing this condition.
Types 1 and 2 are incurable chronic conditions, but have been treatable since insulin became medically available in 1921, and today are usually managed with a combination of dietary treatment, tablets (in type 2) and, frequently, insulin supplementation. Gestational diabetes typically resolves with delivery.
Diabetes can cause many complications. Acute complications (hypoglycemia, ketoacidosis or nonketotic hyperosmolar coma) may occur if the disease is not adequately controlled. Serious long-term complications include cardiovascular disease (doubled risk), chronic renal failure (diabetic nephropathy is the main cause of dialysis in developed world adults), retinal damage (which can lead to blindness and is the most significant cause of adult blindness in the non-elderly in the developed world), nerve damage (of several kinds), and microvascular damage, which may cause erectile dysfunction (impotence) and poor healing. Poor healing of wounds, particularly of the feet, can lead to gangrene which can require amputation — the leading cause of non-traumatic amputation in adults in the developed world. Adequate treatment of diabetes, as well as increased emphasis on blood pressure control and lifestyle factors (such as not smoking and keeping a healthy body weight
Diabetes mellitus (IPA pronunciation: [daɪəˈbitiz], sometimes [ˌdaɪəˈbitəs]), often simply diabetes, is a metabolic disorder characterized by hyperglycemia (high blood sugar). The characteristic symptoms are polyuria (excessive urine production), polydipsia (thirst and increased fluid intake) and blurred vision; these symptoms may be absent if the blood sugar is only mildly elevated.
The World Health Organization recognizes three main forms of diabetes mellitus: type 1, type 2, and gestational diabetes (occurring during pregnancy),[1] which have similar signs, symptoms, and consequences, but different causes and population distributions. Ultimately, all forms are due to the beta cells of the pancreas being unable to produce sufficient insulin to prevent hyperglycemia.[2] Type 1 is usually due to autoimmune destruction of the pancreatic beta cells which produce insulin. Type 2 is characterized by tissue-wide insulin resistance, but impairment of beta cell function is necessary for its development. Gestational diabetes is similar to type 2 diabetes, in that it involves insulin resistance; the hormones of pregnancy cause insulin resistance in those women genetically predisposed to developing this condition.
Types 1 and 2 are incurable chronic conditions, but have been treatable since insulin became medically available in 1921, and today are usually managed with a combination of dietary treatment, tablets (in type 2) and, frequently, insulin supplementation. Gestational diabetes typically resolves with delivery.
Diabetes can cause many complications. Acute complications (hypoglycemia, ketoacidosis or nonketotic hyperosmolar coma) may occur if the disease is not adequately controlled. Serious long-term complications include cardiovascular disease (doubled risk), chronic renal failure (diabetic nephropathy is the main cause of dialysis in developed world adults), retinal damage (which can lead to blindness and is the most significant cause of adult blindness in the non-elderly in the developed world), nerve damage (of several kinds), and microvascular damage, which may cause erectile dysfunction (impotence) and poor healing. Poor healing of wounds, particularly of the feet, can lead to gangrene which can require amputation — the leading cause of non-traumatic amputation in adults in the developed world. Adequate treatment of diabetes, as well as increased emphasis on blood pressure control and lifestyle factors (such as not smoking and keeping a healthy body weight
Sunday, September 16, 2007
Tuesday, August 14, 2007
diagnosis
diagnosis almost always acccidenyal while screening for some other things,
lab tests gtt for conforming
hba1c to check how the control is
lab tests gtt for conforming
hba1c to check how the control is
Thursday, August 9, 2007
haridra and amalaki
the drugs haridra and amalaki are said to be best combination is true even today
Sunday, August 5, 2007
diabetes in ayurveduc prespective
ayurveda divides diabetes into 20 types
out of which only madhu meha has the symptoms of diabetes
the medicines can be basically useful when in initial stages , we can very well control diabetes without side effects.
turmeric and goosebery forms a good combination which acts well , when sugar levels are within 200 mg/dl
however one shoulld be careful because some patients don't respond to ayurvedic medicine,we will have change combinations so that it is suits the patient,it all depends on physicians skill,always try to avoin mediine with heavy metals , not because they are ineffective but todays people dont purify them properly their by invitng troubles
out of which only madhu meha has the symptoms of diabetes
the medicines can be basically useful when in initial stages , we can very well control diabetes without side effects.
turmeric and goosebery forms a good combination which acts well , when sugar levels are within 200 mg/dl
however one shoulld be careful because some patients don't respond to ayurvedic medicine,we will have change combinations so that it is suits the patient,it all depends on physicians skill,always try to avoin mediine with heavy metals , not because they are ineffective but todays people dont purify them properly their by invitng troubles
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