- India has the largest population of diabetes patients in the world at 25 million. Ayurvedic texts describe Madhumeha (diabetes) and classify it based on cause, doshas, and body type. The pathogenesis involves imbalance of doshas like kapha, pitta, and vata which leads to agnimandya and accumulation of dhatus like meda. - Management in Ayurveda focuses on diet, lifestyle changes, panchakarma, and herbal formulations according to samanya vishesh siddhanta. The diet emphasizes bitter, astringent foods and lifestyle changes like exercise and yoga. Panchakarma techniques like snehana and basti are

1. Ayurvedic Management of Madhumeha
(Diabetes Mellitus) with Samanya vishesh
Siddhant
Presentation for Event of MEHA-2014 – National level
seminar
By Guide
Dr.Bhushan D. Mhaiskar Dr.Sachin S. Waghmare
PG Scholar Ayurved Samhita Dept. Reader , Ayurved Samhita Dept.
Yashawant Ayurvedic College PGT & RC , Yashawant Ayurvedic College PGT & RC
At- Kodoli, Tal-Panhala,Dist- Kolhapur At- Kodoli, Tal-Panhala,Dist- Kolhapur
Presentation for Event of MEHA-2014 – National level
seminar

3. Diabetes – The Hidden Epidemic
• India has world’s largest diabetes
population with 25 million diabetic patients
• The prevalence of diabetes by age-groups
worldwide was estimated to be 2.8% in
2000 and 4.4% in 2030 more in mens than
women
• Across the world appears to be increase in
the proportion of people > 65% years of age
• India has world’s largest diabetes
population with 25 million diabetic patients
• The prevalence of diabetes by age-groups
worldwide was estimated to be 2.8% in
2000 and 4.4% in 2030 more in mens than
women
• Across the world appears to be increase in
the proportion of people > 65% years of age

4. Ayurvedic Samhita
Madhumeha/Prameha References
• Charak Nidan sthana : Ch.4
• Charak Chikitsa sthana : Ch.6
• Sushruta Nidan sthana : Ch.6
• Sushruta Chikitsa sthana : Ch.11
• Ashtangahridaya Nidan sthana : Ch.10
• Ashtangahridaya Chikitsa sthana : Ch.12
• Charak Nidan sthana : Ch.4
• Charak Chikitsa sthana : Ch.6
• Sushruta Nidan sthana : Ch.6
• Sushruta Chikitsa sthana : Ch.11
• Ashtangahridaya Nidan sthana : Ch.10
• Ashtangahridaya Chikitsa sthana : Ch.12

5. Classification…
• Based on Cause
– Sahaja = Genetic – Type I (IDDM)
– Apathya/Nimittaja =Wrongful diet and lifestyle – Type II
(NIDDM)
• Based on Doshadhikya 20
– Kaphaja 10
– Pittaja 6
– Vataja 4
• Based on Body type
– Sthula (Obese) Pramehi
– Krisha (Lean) Pramehi
• Based on Cause
– Sahaja = Genetic – Type I (IDDM)
– Apathya/Nimittaja =Wrongful diet and lifestyle – Type II
(NIDDM)
• Based on Doshadhikya 20
– Kaphaja 10
– Pittaja 6
– Vataja 4
• Based on Body type
– Sthula (Obese) Pramehi
– Krisha (Lean) Pramehi

6. Causative factors/Hetu
"Aashyasukham swapnasukh dadhini gramyoodk
anuprasaa pyaamsi Navaaanpaanam gudvayikritam ch
prameha hetu kapahakrich swaramn.” c.chi.6
• Inactivity, laziness, lack of exercise
• Excessive sleep
• Excessive use of yogurt
• Meat and soup of domestic, aquatic and marshy land
animals
• Consumption of unripe /non-aged grains
• Products of jaggery and sweets
• All Kapha-promoting factors
"Aashyasukham swapnasukh dadhini gramyoodk
anuprasaa pyaamsi Navaaanpaanam gudvayikritam ch
prameha hetu kapahakrich swaramn.” c.chi.6
• Inactivity, laziness, lack of exercise
• Excessive sleep
• Excessive use of yogurt
• Meat and soup of domestic, aquatic and marshy land
animals
• Consumption of unripe /non-aged grains
• Products of jaggery and sweets
• All Kapha-promoting factors

7. Pathogenesis/Samprapti
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak kapha,pachak pitta, saman
vayu, apana vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically medodhatu)
↓
Kleda vrudhi (unnecessary excessive body fluid oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
↓
Polyuria
Due to Causative factors
↓
Doshas get imbalanced(specifically kledak kapha,pachak pitta, saman
vayu, apana vayu
↓
Agnimandya (dhatvagnimadhya)
↓
Culminates all dushyas (specifically medodhatu)
↓
Kleda vrudhi (unnecessary excessive body fluid oozed out from all dhatu)
↓
Body tries to excrete in the form of urine
↓
Polyuria

8. Ayurveda in modern words
Hetu
Dosha Imbalance
DhatvagnimandhayaDhatvagnimandhaya
Wrongful Diet
(high glycemic food, lack of exercise etc.)
High Blood glucose
Cells become resistant to insulin
Insulin secreted
by the Pancreas*
8
ApachitdhatuvrudhiApachitdhatuvrudhi
Kleda vrudhiKleda vrudhi
Prabhoota mutrataPrabhoota mutrata
More glucose present in the blood
Body tries to dilute this high
blood glucose
Polyuria
*This happens for a long period of time
then actual disease manifest.

9. Prodromal Symptoms/Purvarupa
• Excessive thirst
• Dryness of mouth
• Lethargy
• Abnormal and frequent urination
• Burning & numbness in hands and feet
• Sweet taste in mouth
• Coated tongue & teeth etc.
• Bad breath
• Entanglement of hair
• Excessive growth of nails and Hairs
• Excessive thirst
• Dryness of mouth
• Lethargy
• Abnormal and frequent urination
• Burning & numbness in hands and feet
• Sweet taste in mouth
• Coated tongue & teeth etc.
• Bad breath
• Entanglement of hair
• Excessive growth of nails and Hairs

10. Management Principles/Chikitsa
Through
Samanya-
Vishesh Siddhant
Management
(Chikitsa)
10
Through
Samanya-
Vishesh Siddhant
Aahar (Diet)
Vihar (Lifestyle)
Aushadhi
(medicine)

11. Management through Samanya
Vishesh Siddant
Sarvada sarvbhavana samanya vriddhikaran Hrashetuvisheshch
pravutti ubhayas tu || samanyamekatva karanam, vishashstu
pruthakatwakruta, tulyaarthata he samanya Visheshstu,viparyaya ||
-ch.sutra 1/44,45.
Samanya
Hetu sevana
Dhatu
vishyamya
Prameha
Hetu
Dravya
Dhadhi,
Gramya ahar,
anuprasa,
paya,guda
vikar
Guna
Madhur ras,
kaphkar
ahar
Karma
Asyasukha,
Swapnasukh,

12. Samprapti Bhang
Vishesh
Sevana
Dhatu
Samanya
Prameha
Chikitsa
DravyaDravya GunaGuna KarmaKarmaDravyaDravya
• Tikta shaka,
Sashashtika
Sarshaptaila
Yukta,sidhu,
Yawana kalpa
Madhwik
• Tikta shaka,
Sashashtika
Sarshaptaila
Yukta,sidhu,
Yawana kalpa
Madhwik
GunaGuna
• Tiktarasa,
siddha jal,
• Ruksh guna,
Yukta dravya
• Tiktarasa,
siddha jal,
• Ruksh guna,
Yukta dravya
KarmaKarma
• Santarpan
• Aptarpan
• Vyayamadi,
• Yoga, Achar
rasayan
• Santarpan
• Aptarpan
• Vyayamadi,
• Yoga, Achar
rasayan

13. Aahar (Diet)
Recommended Food described in Samhita
Grains Yava (Barley),Wheat, Shastheshalee rice,Ragi
Lentils Moong,Masoor,Kulitha,Chanak
Vegetables Bitter Melon, Guvar, Fenugreek, Onion, Snake
gourd, Garlic, White Pumpkin
13
Bitter Melon, Guvar, Fenugreek, Onion, Snake
gourd, Garlic, White Pumpkin
Fruits Apple, Pear, Jambun, all berries
Oil Mustard Oil, Flax Seed Oil
Sweets Honey, Stevia
Meat Jangal mansarasa – Chicken,pratuda, vishkir,bater
Beverages Treated Butter Milk,

14. Vihar (Lifestyle)
 Physical Exercise:
 Workout daily for 30 to 45 minutes
 Yoga:
 Pashchimotanasan
 Halasan
 Dhanurasana
 Shalabhasana
 Tadasana
 Stress Management:
 Meditation / Dhyana dharana
 Pranayama 14
 Physical Exercise:
 Workout daily for 30 to 45 minutes
 Yoga:
 Pashchimotanasan
 Halasan
 Dhanurasana
 Shalabhasana
 Tadasana
 Stress Management:
 Meditation / Dhyana dharana
 Pranayama

15. Aushadhi (Medication)
1. Samshodhan Chikitsa (Purificaiton – Internal
cleansing)
2. Apatarpana Chikitsa (Achieve weight loss by forced
denourishment)
3. Samshamana Chikitsa (Pacification of doshas)
4. Santarpana Chikitsa (Replenishment treatment)
15
1. Samshodhan Chikitsa (Purificaiton – Internal
cleansing)
2. Apatarpana Chikitsa (Achieve weight loss by forced
denourishment)
3. Samshamana Chikitsa (Pacification of doshas)
4. Santarpana Chikitsa (Replenishment treatment)

16. Samshodhan Chikitsa
• Panchakarma
• Snehan
• Snehapan – Mahatikta ghrita, Triphala ghrita,
Dhanvantar ghrita
• Sneha (Massage oil) - Sarshapa oil, Til oil,
Narayana oil
• Swedhan – Contraindicated
• Vamana – Madanphala, Vacha, Yashtimadhu
• Virechana – Aragwadha, Gandharvaharitaki
• Basti – Dashamula Kwatha & Til oil
• Shirodhara –Til oil, Ashwagandha oil
16
• Panchakarma
• Snehan
• Snehapan – Mahatikta ghrita, Triphala ghrita,
Dhanvantar ghrita
• Sneha (Massage oil) - Sarshapa oil, Til oil,
Narayana oil
• Swedhan – Contraindicated
• Vamana – Madanphala, Vacha, Yashtimadhu
• Virechana – Aragwadha, Gandharvaharitaki
• Basti – Dashamula Kwatha & Til oil
• Shirodhara –Til oil, Ashwagandha oil

17. Samshamana Chikitsa
Key herbal formulations:
 Amalaki + Haridra + Honey.
 Triphala + Daruharidra + Devdaru +
Musta
 Guduchi + Gurmar + Gokshura
 Arjuna + Vijaysar + Haritaki
 Shudhha Shilajit / Shilajatwadi Vati
17
Key herbal formulations:
 Amalaki + Haridra + Honey.
 Triphala + Daruharidra + Devdaru +
Musta
 Guduchi + Gurmar + Gokshura
 Arjuna + Vijaysar + Haritaki
 Shudhha Shilajit / Shilajatwadi Vati

18. Multipharmacological actions of
Antidiabetic Ayurvedic Herbs
Herb Action
Haridra (Curma longa) Reduces oxidative stress & lipid levels,
has antimicrobial activity.
Amalki (Embelica officinalis) Arrests free radicals, regulates
pancreatic and liver functions.
Triphala (Amalaki (Emblica officinalis),
Bibhitaki (Terminalia Belerica), and Haritaki
(Terminalia Chebula),
Laxative, detoxifying, rejuvenator work
in treating Retinal ailments.
18
Triphala (Amalaki (Emblica officinalis),
Bibhitaki (Terminalia Belerica), and Haritaki
(Terminalia Chebula),
Laxative, detoxifying, rejuvenator work
in treating Retinal ailments.
Gurmar (Gymnema sylvestre) Reduces oral intake of calories by
altering sensation of the taste,
decreases craving for sweet.
Vijaysar (Pterocarpus
marsupium)
Regenerate functional pancreatic beta
cells.
Guduchi (Tinospora
cardifolia)
Immunomodulator, antipyretic,
hepatoprotective, cardiopro-tective,
adoptogenic activity

19. Madhumeha In a nutshell….
• Madhumeha
– Chronic and devastating disease
– Involvement of tridoshas, major dhatus & organs
– Multiple complications
• Ayurvedic Approach
– In Texts Principles focus on Diet, Lifestyle,
Panchakarma & Herbal formulations.
– Control and slow down the disease progress
– No drug side effects
– Natural and Holistic
19
• Madhumeha
– Chronic and devastating disease
– Involvement of tridoshas, major dhatus & organs
– Multiple complications
• Ayurvedic Approach
– In Texts Principles focus on Diet, Lifestyle,
Panchakarma & Herbal formulations.
– Control and slow down the disease progress
– No drug side effects
– Natural and Holistic

20. Thank You