Abstract

EFFECT OF SUNDIBALADWAYA KWATHA WITH DHANYAMLA DHARA IN PATIENTS OF DIABETIC PERIPHERAL NEUROPATHY

*Dr. Kavya A. G. and Dr. Pravith N. K.

Abstract

Diabetic peripheral neuropathy (DPN), according to American Diabetes Association, defined as the presence of symptoms and/or signs of peripheral nerve dysfunction in people with diabetes after exclusion of other potential causes. Globally 537 million are living with diabetes, i.e. 1 in 10. This is predicted to rise to 643 million by 2030 and 783 million by 2045.Several studies suggest approximately 50 % of patients with diabetes in the course of time will end up in diabetic neuropathy. Among diabetic neuropathy sub classification, diabetic peripheral neuropathy is the most common one. Due to chronic hyperglycemia, micro vascular derangement’s, oxidative stress etc. leads to nerve ischemia and impaired nerve repair, which accounts for diabetic peripheral neuropathy. DPN has its key feature of progression in symptoms over time like neuropathic pain, paraesthesia, burning sensation, numbness, etc. There is no definite clinically analogous disease similar to DPN in Ayurveda classics, but can be understood as complication arising due to a chronic vyadhi, which is prameha, upadrava of chronic prameha manifesting as avarana janya or dhathukshaya janya vathavyadhi, SundiBaladwaya kwatha with ksheerabala 7 avarthi anupana is a combination said in Chikitsa Manjari, vathavyadhi prakarana. It has srothosodhaka, rakthaprasadaka, nadeebalya and rasayana properties, which are apt for treating degenerative conditions. The intervention dhanyamladhara which is sparsaseethala helps in pacifying daha along with vatha kapha samana action. There was significant reduction of score in TCNS scale and improvement in VPT assessed through Neuropathy analyser. Thus the study was concluded to be effective in reducing the signs and symptoms of DPN.

Keywords: Diabetic Peripheral Neuropathy, Ayurvedic Treatment Protocol.Prameha upadrava.