Abstract

A CLINICAL STUDY ON THE APPLICATION OF DAIVAVYAPASHRAYA CHIKITSA IN THE MANAGEMENT OF PRAMEHA

Dr. Ajeet Tiwari* and Dr. Ketan Sharma

Abstract

Prameha, as described in Ayurveda, refers to a group of metabolic disorders akin to diabetes mellitus, characterized by impaired glucose metabolism and dysfunction in tissue systems (dhatus). While traditional Ayurvedic treatments primarily involve Yuktivyapashraya (rational therapeutic approaches) and Sattvavajaya (psychological support), Daivavyapashraya Chikitsa—a spiritual and ritual-based modality—has not been widely explored in clinical practice. This study investigates the potential benefits of integrating Daivavyapashraya Chikitsa with standard Ayurvedic protocols in the management of Prameha. A randomized controlled clinical trial was conducted on 40 patients diagnosed with Prameha. Group A received standard Ayurvedic care, including herbal formulations, dietary guidance and lifestyle modifications, while Group B received the same along with Daivavyapashraya practices such as mantra japa, homa, daana and upavasa. Over a 12-week period, both groups showed significant improvements in glycemic parameters but Group B demonstrated a greater reduction in HbA1c and improved psychological and quality-of-life outcomes. Patient feedback highlighted enhanced emotional stability and spiritual well-being in the Daivavyapashraya group. These findings suggest that the integration of spiritual practices can enhance holistic outcomes in the treatment of Prameha and warrant further exploration in chronic disease management.

Keywords: Prameha, Daivavyapashraya Chikitsa, Ayurveda, Diabetes Mellitus, Mantra Therapy, Holistic Management.