Effect of Vaman in Sthula Madhumeh and its impact on HOMA IR
Keywords:Sthula madhumeh, Pachana, Triphaladi tailpana, Vaman, HOMA-IR
Background: Diabetes Mellitus is the most common metabolic disorder encountered in clinical practice. It is strongly linked to obesity. Diabetes mellitus is characterized by abnormal carbohydrate and lipid homoeostasis leading to elevation in plasma glucose or hyperglycemia. Diabetes can be related with Madhumeh (type of Prameha in which there is Madhurta of Tana i.e. body), which has been explained in Ayurvedic Samhitas. Prameha is especially characterized by Prabhut Matra and Avilata of Mutra with several abnormal qualities due Doshik imbalances. Charak concluded that if Prameha is not treated it ultimately progresses to Madhumeh. There is Madhurata of Mutra and Tanu in addition to polyuria. Charak classified Madhumeh of two types according to management viz Sthula and Krisha. Madhumeh is a disease in which excessive Santarpana is there. According to Vagbhata, Madhumeh is caused due to two causes such as Margavrodh and Dhatukshay. According to Charak depending on Brimhan Chikitsa is advised in patients having Krish Madhumeh with respect to its Bala. While Shodhan is indicated in the patients having Sthula Madhumeh, hence Vaman in the form of Shodhan Chikitsa is considered along with Nidanparivarjan to stablize the increased Kapha (Bahu Drava) and Kleda. Observations and results obtained during this case were encouraging and assessed on different parameters which are presented in full paper.
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