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alternative medicine

Concept of Ayurvedic Dietetics and Yoga


therapy in the management of Diabetes
Mellitus
Kirankumar V. Mutnali, Sanjeev S. Tonni, Amrutha Kalyani

Health is a simple word with 2016 was “Prevention and Control kapha and meda (Fat) and serve
a complex meaning. For few it is of Diabetes” as the prime causes of Prameha.
a mere freedom from a disease, 3. Genetic predisposition:
Ayurveda – the “Science of life”,
a goal to be achieved, to some Ayurveda states that like other
firmly believes in the concept of
it is the normal functioning of genetic diseases, Prameha
prevention. Diabetes is mentioned
body and to some it’s a business. too manifests due to the
in Ayurveda as Prameha, occurring
But to be precise, Health is pathologies at the genetic level
“Life”. In the present scenario, due to the derangement of three
basic psycho - physiological factors (Beejadosha). Derangement in
man is under the clutches of the properties of sperm and
various challenging diseases due of the body (Vata, Pitta, Kapha)
and bodily tissues like meda ovum at the time of conception,
to his improper lifestyle and adoption of unhealthy lifestyle
dietary regimen. Diseases like (Fat). Prameha is characterised
by frequent urination, occurs due and practices during pregnancy
hypertension, diabetes, obesity are and lactation cause Prameha
among such challenging diseases to various factors which affect all
the entities framing health. It’s a since the birth of a child.
which not only need cure but
complete elimination from the disease occurring due to practise 4. Psychosocial factors: Mind,
society. At present, due to the of unhealthy dietary regimen, is both the cause and cure
increasing incidence, Diabetes has lifestyle, genetic predisposition to a disease. Factors like
throned itself as the “king of and disturbed psychosocial state. constant grief, anger, anxiety
diseases”; and India is at the verge By this we infer that, Prameha and other such stress factors
of being crowned as the “World is not a single organ targeted bring imbalance in the mind
Capital of Diabetes”. Every year disease but is of multiorgan. The resulting in Prameha.
7th April is observed as World ancient texts describe each cause Pathogenesis of Prameha:
Health Day to commemorate the in detail and each of them stands
Though the disease develops by
inception of WHO; with each valid till date.
derangement in all thedosha; it is
year being assigned a health Causative factors: predominantly due to the vitiation
theme. The theme for the year 1. Unhealthy dietary regimens: of Kaphadosha and Medadhatu.
2016 stood as “Halt the Rise – Excess consumption of high These entities have properties
Beat Diabetes”. The theme itself calorific food and drinks, viz. similar to the properties of high
highlights the need of embracing those of oily, sweet, heavy for calorific diet. Adoption of any
prevention in managing Diabetes. digestion, highly viscous, colder form of above said causes, adds
From 2016, the Ministry of potency and more of soothing on to Kapha and meda leading to
AYUSH, has decided to celebrate kind precipitate the risk of Obesityand Prameha.
the DhanwantariJayanthi(Inceptor acquiring Prameha. Consuming Types of Prameha:
of Ayurveda) as the National incompatible foods, stale food,
Ayurveda Day and its theme in Ayurvedic texts like Charaka
excess of food, untimely food Samhita and Sushruta Samhita,
Dr. Kirankumar V. Mutnali, Reader,
Dept. of PG Studies in Kayachikitsa,
intake serve as the welcoming mention different types of
Dr. Sanjeev S. Tonni, Reader / HOD, causes for Prameha. Prameha, with basic types being
Dept. of PG Studies in Swasthavritta,
Dr. Amrutha Kalyani, PG Scholar, 2. Unhealthy Lifestyle: Practice SahajaPrameha or JatahPrameha
Dept. of PG Studies in Swasthavritta,
KLE University’s Shri. B.M. Kankanawadi
of sedentary lifestyle like (Juvenile/Hereditary) and Apa
Ayurveda Mahavidyalaya, PG Studies and excess of sleep, prolonged rest, thyanimittajaPrameha(Maturity
Medical Research Centre, Shahapur, Belagavi.
Karnataka. India.
inclination to have comfort Onset Diabetes Mellitus/Acquired
Specially Contributed to "The Antiseptic"
in every action like sitting, Variety). These can be correlated
Vol. 114 No. 7 & P : 40 - 42 sleeping instigate buildup of to Type I and Type II DM of
40 THE ANTISEPTIC Vol. 114 • July 2017
alternative medicine

contemporary medical science the body odour occur due to the Management of Prameha:
respectively. Other classification is bacterial growth and thirst due to Ayurveda mentions avoidance
based on the physique of the patient excess of disturbed metabolism. of causative factors of the disease
like KrushaPramehi (asthenic/ Few of these features represent Pre as the first line of treatment of
thin type) and SthulaPramehi diabetic stage or noticed during any disease. It stressess more
(over nourished/obese type) impaired glucose levels. on the preventive aspect of
relating to SahajaPrameha Diagnosis: the disease than the curative.
and ApatyanimittajaPrameha Samshodhana(biopurifaction)
respectively. Prameha can be diagnosed on
therapy is adopted if the patient
the basis of its symptoms viz.,
Sahaja Prameha: is physically strong and suffers
excess urination (polyuria), thrist
It occurs either due to the union from ApathyanimittajaPrameha,
(polydypsia), increased appetite
of defective sperm and ovum at the on the contrary, to a weak patient
(polyphagia), lethargy etc. Careful
time of conception, improper diet Samshamana(palliative therapy) is
observation of the symptoms helps
and lifestyle practises opted by advisible. Management of Prameha
to diagnose the disease. Tests like
mother during pregnancy leading mimics that of obesity wherein
fasting blood sugar, post prandial
to the defective intrauterine Apatarpanachikitsa (balanced diet
blood sugar, random blood
environment or improper diet with calorie restriction) is adopted
sugar, Glycocylatedhemoglobin
and lifestyle practises opted by to minimize the vitiation of kapha
(HbA1c), Glucose Tolerance
mother during lactation which and meda.
Test (GTT) help to confirm the
trigger genetic predisposition. condition more precisely and its Dietary management:
Excess intake of high calorific prognosis. Food is one of the three
diet may cause juvenile onset Prognosis: basic pillars which govern life.
of Prameha in children who are A text in Ayurveda quotes that
genetically susceptible to it. Madhumeha, variety a disease gets cured by just
Apatyanimittaja Prameha: ofvatajaprameha (Type I DM) is following appropriate Pathya
incurable, because the cause of (wholesome diet); but even 100
The unhealthy dietary, lifestyle the disease is lack of Insulin
and psychologic factors precipitate medicines fail to cure a disease
hormone from the pancreas or in the absence of pathya. A good
the manifestation of the disease. insensitivity towards insulin by planned diet brings equilibrium
Prameha is also classified on the body tissues and the strength among the body humours and
the basis of doshic predominance of the person being compromised. tissues. The science mentions
as vataja, pittaja and kaphaja and While KaphajaPrameha is easy to various food principles at the stage
further these having 4, 6 and 8 cure and PittajaPrameha is Yapya of preparation, processing and
subtypes respectively. (controllable by diet and lifestyle consumption, which are important
Prodromal Symptoms of Prameha: modification). Both Kaphaja and both in prevention and cure of
Pittaja variety of Prameha can be the disease.
They are the symptoms
correlated to Type II variety of
observed prior to the complete SthulaPramehi should consume
Diabetes mellitus.
manifestation of the disease. For Apatarpakaahara(balanced diet
Prameha they include excessive Complications (Upadravas) of with caloric restriction), avoid
Prameha:
sweating, body odour, laziness, food and drinks that are kapha and
inclination towards rest, formation Lack of control over the disease meda promoting. Yava (barley)
of excess wastes in eyes, ears, at the initial stage, progresses the is quoted as the best diet to be
teeth, oral cavity, excess growth disease to an irreversible state and adopted by a pramehi. Many
of hair and nails, matting of hair, also there occur emergence of researches have proven that use
burning sensation in feet and palms, other diseases. Few complications of barley and preparations made
sweet taste in mouth, attraction of of Prameha are Kushtha (skin using barley flour improve glucose
insects towards body and urine. diseases), Pramehapidaka(diabetic tolerance, reduce insulin responses
It presents many conditions of carbuncles), abcess, sthoulya and lowers the inflammmatory
oral cavity especially on the (obesity), shopha (generalised markers. Use of barley in the form
gums and the periodontal tissues, oedema), Mutrakricchra (urinary of Apupa (cake), foods prepared by
like, gingivitis, cavities and oral disorders), weakness, indigestion, soaking the barley seeds in the in
candidiasis. Other symptoms like diarrhoea. Triphala decoction (herbal mixture
Vol. 114 • July 2017 THE ANTISEPTIC 41
alternative medicine

of Teminaliachebuala, Terminalia in relishing the food and aids disease.


bellerica and Phyllanthusemblica), digestion. Quantum of the food to Psycho social management:
because triphala is proved be consumed should be decided on
to be antidiabetic and the basis of appetite. Foods heavy Practice of meditation,
antioxidant. Studies have proven for digestion should be consumed pranayama, deep and quick
Amalakim(Indian gooseberry) to to the half of the satiety level and relaxation techniques would
those of light to be consumed to help to calm the mind; thereby
be antidiabetic, hypolipidemic
the full of individual’s satiety. curing the disease and its
and antioxidant. Seeds of Venu
complications. Various brain
(bamboo) and Godhuma (wheat) Consumed quantum of food tonics like Shankhapushpi
stand as substitutes to use of should not restrict an individual’s (Convoluluspluricaulis), Brahmi
barley with triphaladecoction. activities like standing, walking (Bacopamonneirri), Vacha
Various spices and condiments like etc. Food should be consumed counter act the stress induced
turmeric, jeera, dhaniya, ginger, only on experiencing the urge neuroendocerine changes and
methi, garlic and cinnamon are of hunger. Prior and overeating render good availability of
proven to be antidiabetic and leads to various gastrointestinal insulin for metabolism. Herbs like
thereby, use of these in routine, discomforts. Post meals one should Meshashrigi (Gymnemasylvestra),
halts the progress and cures the practise walking for 100 steps and Guduchi(Tinosporacordifolia),
disease. sleeping on left lateral position to Jambu, Asana (Pterocarpus
Ayurveda prescribes the use aid digestion and prevent the build marsupium Roxb.), Saptaparna,
of tiktashaka (bitter vegetables) up of Ama (toxic metabolites). Amalaki have promising results in
like bitter gourd, fenugreek, Lifestyle management: managing Prameha. Complications
bottlegourd, snake gourd in This being a burning cause of can be managed by the use of herbs
managing Prameha. Grains like the disease, should be checked like Arjuna (Terminalia arjuna),
green gram, kodo-millet; mustard at right time. Ayurvedic texts Pushkaramoola (Inularacemosa),
oil are helpful in resolving the highlighting the importance of Gokshura (Tribulusterrestris),
disease. Use of meat is not vyayama (physical activities) Triphala, Dashamoola (roots of ten
restricted in Ayurveda; but the mention various activities like herbs) and Vacha (Acoruscalamus).
meat should be of preferably walking, running, jogging, Though Pramehais a complex
low calories (chicken meat). horse riding and swimming. disease, it can be managed
Most of the times liquids serve These should be practised by (except the hereditary type) with
as medicines in many dieases. Sthulapramehi (Type II DM) as Ayurvedic modalities. In its full
Sarodaka or kushodaka(liquids such activities reduce kapha and fledged state, treatment is the only
obtained after boiling and cooling meda. Practice of Asanas (Yogic option, but preventing its progress
water with heart wood of khadira posture), Pranayama (breathing to the stage of complications or
(Acacia catechu) and leaves of exercises) and meditation stabilize its origin is needed. By adopting
kusha respectively) can be used the mind and body and help healthy dietary regimen, lifestyle
as substitutes to normal drinking in managing the disease. Asanas and a good state of mind, we can
water in diabetic patients. like Vakrasana, Mayurasana, definitely Halt the Rise and Beat
One should always consume Matsyasana, and Hamsasanarender Diabetes.
warm and fresh food as it helps excellent results in managing the 
Filaggrin is a protein which is found in the skin, where it is involved in the formation of the
corneal layer and contributes to protective functions. The gene coding for filaggrin is situated on
the chromosome Iq21. It is the seat of several mutations which are significantly associated with
an increased risk of atopic dermatitis. Among these mutations, R501 X and 2282del4 are the most
significant in Europe and provoke a complete loss of expression of filaggrin. 14 to 56% of patients
affected by atopic dermatitis and 10% of the European population in general have at least one
allele of mutated filaggrin, which increases the risk of developing atopic dermatitis by 1.3 fold.
Although it is more significant, filaggrin is not the only gene associated with atopic dermatitis.
Other genes code for inflammatory factors such as some interleukins, proteases or their inhibitors.
- La Medecine en France

42 THE ANTISEPTIC Vol. 114 • July 2017