European Journal of Biomedical and Pharmaceutical Sciences

A CRITICAL REVIEW OF MADHUMEHA NIDANA W.S.R ETIOLOGY OF TYPE 2 DIABETES MELLITUS

Shreyas D. M.* and Kiran M. Goud

ABSTRACT

Madhumeha is a type of Avarana janya vyadhi which is used generally to denote the whole gamete of Prameha. Acharya Charaka mentions it as a disease caused due to indulging in Santarpana Nidanas where atipravartana of Shleshma, Pitta, Meda, Mamsa takes place causing avarana to the Gati of Vata thereby taking the Ojus to the Basti, resulting in Madhumeha. According to the Samprapti mentioned in Susrutha Samhitha - Aparipakva (Ama) Vata, Pitta, Shleshma along with the Medas, Vasa etc., spreads in Mutravahini Srotas, reaches down to the Basti and gets excreted through the Mutra leading to Prameha presenting with the samanya lakshanas - Prabhutha Avila Moothratha. The disease involves Bhuri Shleshma caused due to indulging in Santarpanajanya, Apathyanimitta ahara or vihara. Also, as the disease is Tridhoshaarabdha, Mahavyadhi, Kalantarena Asadhyatwath, it demands meticulous application of Chikitsa principle by giving due importance to Nidanas. As nidanaparivarjana is the first part of chikitsa, it is very important to understand the Nidanas. Hence, this article is an attempt made to understand the Nidanas mentioned for Prameha and Madhumeha, along with effect of indulgence in these Nidanas on vitiation of Doshas and in turn vitiation of Dhatus and ultimately leading to the disease.

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