Abstract

A CASE STUDY ON VIRECHANA IN STHUL MADHUMEHA AND ITS IMPACT ON HOMA IR

Dr. Thatere A. A., *More S. S. and Kabra P. R.

ABSTRACT

Background: Diabetes Mellitus refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. Several distinct types of DM are caused by a complex interaction of genetics and environmental factors. Depending on the etiology of the DM factors contributing to hyperglycemia include reduced insulin secretion, decreased glucose utilization, and increased glucose production. Diabetes closely resembles with Madhumeha (Prameha), which has been discussed in Ayurved since antiquity. Charak has given exhaustive description of the Prameha which ultimately progresses towards Madhumeha. Charak classified Madhumeha in two types with respect to management viz Sthula and Krish. Madhumeha is a Santarpanjanya Vyadhi. According to Vagbhat, Madhumeha is caused due to two causes i.e. Margavrodh and Dhatukshaya. According to Charak depending on Bala; Brimhan Chikitsa is advised in Krish Madhumehi while Shodhana is indicated in Sthul Madhumehi. Shodhan Chikitsa i.e Virechana and Nidanparivarjan to stablize the increased Kapha and Kleda is indicated. Observations and results obtained were encouraging and assessed on different parameters which are presented in full paper.

Keywords: Sthul Madhumeha, Pachana, Pancha-Tikta Ghrita, Virechana, HOMA-IR.