@article{Anil_Shankar_Krushnaji_R_A_2020, title={Effect of Vaman in Sthula Madhumeh and its impact on HOMA IR}, volume={11}, url={https://ijam.co.in/index.php/ijam/article/view/1591}, DOI={10.47552/ijam.v11i3.1591}, abstractNote={<p>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 <em>Madhumeh</em> (type of <em>Prameha </em>in which there is <em>Madhurta</em> of <em>Tana</em> i.e. body<em>)</em>, which has been explained in Ayurvedic Samhitas. <em>Prameha </em>is especially characterized by <em>Prabhut</em> <em>Matra</em> and <em>Avilata</em> of <em>Mutra</em> with several abnormal qualities due <em>Doshik</em> imbalances. Charak concluded that if <em>Prameha</em> is not treated it ultimately progresses to <em>Madhumeh</em>. There is <em>Madhurata</em> of <em>Mutra</em> and <em>Tanu</em> in addition to polyuria. Charak classified <em>Madhumeh</em> of two types according to management viz <em>Sthula</em> and <em>Krisha</em>. <em>Madhumeh</em> is a disease in which excessive <em>Santarpana </em>is there. According to Vagbhata, <em>Madhumeh </em>is caused due to two causes such as <em>Margavrodh </em>and <em>Dhatukshay</em>. According to Charak depending on <em>Brimhan</em> <em>Chikitsa</em> is advised in patients having <em>Krish</em> <em>Madhumeh </em>with respect to its <em>Bala. </em>While <em>Shodhan</em> is indicated in the patients having <em>Sthula</em> <em>Madhumeh</em>, hence <em>Vaman</em> in the form of <em>Shodhan</em> <em>Chikitsa</em> is considered along with <em>Nidanparivarjan</em> to stablize the increased <em>Kapha</em> (<em>Bahu Drava</em>) and <em>Kleda</em>. Observations and results obtained during this case were encouraging and assessed on different parameters which are presented in full paper.</p>}, number={3}, journal={International Journal of Ayurvedic Medicine}, author={Anil, Gopal Sagar and Shankar, More Swapnalee and Krushnaji, Gajbhiye Vaishali and R, Kabra P and A, Thatere A}, year={2020}, month={Oct.}, pages={580–583} }