Abstract

OCULAR MANIFESTATIONS AND THEIR MANAGEMENT IN DIABETICS WITH SPECIAL REFERENCE TO MADHUMEHA

Surangi K. G.*, Indu Sharma and Shamsa Fiaz

Abstract

Madhumeha is a Vātaja type of Prameha which is considered as a Mahagada which is difficult to cure. Prameha may occur due to frequent utilization of Kapha Vriddhikara food and behaviors which lead to Āma formation and causes impaired Agni; both at gastric level (Jatharagni) and tissue level (Dhatwagni). Even though Ayurveda does not deal with the concept of insulin but has incorporated the pathogenesis based on the concept of Agni which includes all enzymes and hormones responsible for all the metabolic activities of the body. Hence this conceptual study was carried out with the aims of identifying similarities between Madhumeha/Prameha and ocular disorders. So that the manifestations related to Madhumeha or Prameha are elaborated and effective treatment may be planed based on the pathophysiology. Diaberic retinopathy, diabetic cataract and glaucoma are the known ocular complications seen in diabetics and which are the leading causes for visual impairments and blindness. As per the available literatures in classics; there are few factors which have direct link between manifestation of eye diseases due to Prameha or Madhumeha based on etiological factors and Apathya food and behaviors. Thus people who are suffering from Madhumeha or diabetes have higher tendency to be affected with ocular anomalies than the normal population. Early diagnose and preventive measures along with intake of Chakshushya food and behaviors have a positive approach in diabetic patients in preventive ocular complications.

Keywords: Eye diseases, Vataja-Pittaja & Kaphaja Prameha, Diabetes mellitus.