The Last of us
The Last of us
The Last of us




Diabetes is also known as Madhumeha. Diabetes is also called Maharoga (Major Disease) as almost all parts of the body and every cell of human physiology are effected. It also disturbs 5 sheaths of the body – annamaya kosha{Food sheath}, pranamaya kosha{Energy sheath}, manomaya kosha{Mind Sheath}, vijnana maya kosha{Intellectual Sheath} and anandamaya kosha{Bliss Sheath}. The main cause of prameha(diabetes) are lack of exercise and consumption of excess food having ushna, snigdha and guru nature. Foods that increase kapha, medhas and mootra are the major factors for prameha.


According to Ayurveda, prameha is pided in 4 major types (and total 21 types). 

  • Kapha type (again pided into 10 types)
  • Pitta type (again pided into 6 types)
  • Vata type (pided into 4 types)
  • Juvenile diabetes for children (for unhealthy practices of parents and/or due to the sins of past-birth)

Yashcha kinchith vidhiranyepi sleshma medho moothra samjananam sa sarva: nidana vishesha: 

Classification of Prameha (Diabetes) : 

According to Ayurveda , Prameha (Diabetes) can be classified in two categories :- 

  • Apatharpana uthaja prameha describing the lean diabetic and 
  • Santharpana uthaja prameha relating the obese diabetic. 

 Classification according to Causes of diabetes :-

  • Sahaja prameha (congenital) 
  • Apathyanimittaja prameha (due to over eating and poor habits) 

Classification of Diabetes according to Dosha :-

According to Ayurveda, Prameha(diabetes) is a tridoshaja vyadhi.  However the predominance of any one dosha and dooshya enables its classification into Vataja, Pitaja & Kaphaja Pramehas. They are further sub classified into 20 sub categories according to characteristics of urine, its volume, dhatu being excreted through urine.

Normally, Prameha (Diabetes- Madhumeha ) is classified according to dosha predominance viz.

  • kapahja, 
  • pithaja, 
  • vathaja, 
  • kapha-pithaja, 
  • kapha-vathaja, 
  • pitha-vathaja, and 
  • vatha-pitha-kaphaja.
  • sannipatha,
  • kevala vathaja 
  • kapha-vthaja(to some extent) 
  • pitha-vathaja 

According to Charaka.  

There are three types of prameha.

  •  Sadhya  – curable
  • Yapya    – Palliable
  • Asadhya – Incurable

Sadhya: Describes patients who have been diagnosed very early in the onset of prameha (Madhumeha). In this category of patients , there can be those who are sthoola[ obese] and the origin of their disease is in apathyaja [poor living habbits]

Yapya: Patients under this catagory have Pittaja prameha & certain types of kaphaja prameha.How ever Yapya {palliable} helps control the disease with treatment

Asadhya: Describes the incurable version of prameha (Madhumeha) & inherited diabetes.Sahaja patients suffering from this veriety are Krisha {lean}


  • Sweda -  Profuced Sweating
  • Angagandham - Foul Smell of the Body
  • Anga Shidhilathwam - Looseness of the body
  • Sayyasna Swapnasukhabhishangithwam - Feeling of lethargy
  • Hridayopadeham - Feeling of something coated or heaviness of hridaya
  • Netropadeham - Feeling of some thing coated on eyes
  • Jhwopadeham - Sensation of a coated tongue
  • Shravanopadeham - Feeling of coating on ears
  • Anga ghanathwam - Heaviness of body parts
  • Keshathivridhi - Excessive growth of hairs
  • Nakhathivridhi - Excessive growth of Nails
  • Sheetha priyathwam - Affinity towards cold
  • Gala shosham - Dryness of throat
  • Thalu shosham - Dryness of palate
  • Asya madhuryam - Sweet taste in mouth
  • Karadaham - Burning sensation of palms
  • Pada daham - Burning sensation of soles
  • Moothra madhuryam - Sweetness of urine


According to Sushruta, Dosha predominance is the primary factor in Diabetes Complication. According to him Malabandha(Constipation) is a complication of this disease as the patient has a concentration of Meda. In such cases laxatives of average doses are not effective.

According to Brihathrayees, pidika (diabetic carbuncle) is a major complication of prameha (Madhumeha).


Avipakam – indigestionAruchi – Loss of appetiteChardi – Vomiting tendencyAthinidra – Excessive sleepKasam – CoughPeenasam – Cold with running nose


Vasthimehanyotoda – Pain in Bladder & urinary pathMushkavatharanam – Pain in testesJwara – FeverDaham – Burning sensationTrishna – ThirstAmlika – AcidityMoorcha – GiddinessVitbhedanam – Loose MotionHridayashoola – Pain in heart regionNidranasam – Loss of sleep


Udavartham -Upward movement of vatha.Kambam -TremorHridgraham -Gripping pain in chest regionLolatha -AffinitySoolam -PainAnidratha -InsomniaSosha -WastingKasam -CoughSwasam -Difficulty to breathBadhapureeshathwa –Constipation


Ojus is the essence of life, an extract of the seven dhathus {Elements} Rasa(Chyle), Rakta (Blood),Mamsa (Muscles), Majja(Marrow), Asthi (Bone), Meda (Brain & Spinal Cord), Sukra (Sperm & Ovum), Ojas (Mahadhatu=Superior Dhatu) represented as bala {strength }of the body. The ojus in a healthy person determines the physical, Psychic, sensory motor functions of the body. The biochemical component of the body which is reddish, white, slightly yellowish in colour residing in heart and other vital organs of the body. If ojus is distrubed, degeneration will be fast and result in decreased life span. In prameha the ojus (life essence is expunged from the body through all navadwaras especially through urine & sweat.) 

Ojus gets imbalanced in prameha in two ways:  

  • Through obstruction in blood vessels {srothorodha} 
  •  Degeneration of the body components is dhatu kshaya this can cause both cardiac & nervous system disorders.all this is ojakshaya meaning an imbalance in Ojus. 


 According to Ayurveda the line of treatment of prameha is strictly on inpiduals constitution.  

  • The prakrithi of the patient 
  •  Dosha predominance of disease 
  •  Dooshya vitiation 
  •  Obstruction in srothus 
  •  Manasika Prakrithi 
  • Ahara & Vihara 
  • Hereditary factors etc… 

In general Diabetes Mellitus {Vathaja prameha}Patients are advised to have Bhrimhana medication & diet which increases dhathus in the body .


In Type 2 Diabetes, obese diabetic patient with optimal body strength having intense increase of doshas, Purification of the body is advocated This is dependent on dosha predominance {Kaphaja are adviced to have emetics, Pittaja are advised to have purgation.}

  •  Snehanam { prescription of oils internally & externally 
  • Sodhana {Purification therapy under three catagory} 
    a. Vamanam 
    b. Virechanam 
    c. Vasthi(This process is the application of medicine through the anal route.This is indicated only in specific condition 
  • Samanam 
  • Pathya – Apathyas 
  • Vyayamam(exercises)

In strong prameha patients,but with increased doshas, sodhana chikilsa is prescribed. The Purification Therapies are the formost treatment in this condition. Snehana karma should be done before giving sodhana chikilsa. Generally swedana is contra indicated in Prameha as swethathi pravruthy(profuced sweating) is one of the main symptom of prameha. Moreover swedana induces kleda which is a causative factor for this disease. Different snehanas (oliations) are advised in different stages of prameha. In our classical texts there are prescriptions of medicated ghees and oils (dhanwantharam ghrutham, thrikandakathi ghrutham are some of them). 

After snehana, one should undergo virchanam or vamana or both.This is determined on the predominant doshas. This can be done by classical shodhana oushadha. After shodhana chikilsa, shamana chikitsa is advised. The drug of choice must be both dosha shamana and roga shamana. 

With this classical line of treatment, we are able to withdraw modern hypoglycemic medicines gradualy.  

Snehana and shodhana must be repeated in a definite intervals; depending upon the condition of the disease.  

The drastic disease diabetes can be controlled by giving comprehensive attention to 3 aspects They are

  •  Ahara (Diet) 
  •  Vihara ( Exercise) 
  •  Aushadha (medicine) 

The role of ahara & Vihara are equally or even more important in diabetes to control blood sugar level as well as to prevent complications of this disease .In all classics, ahara dravyas are described in detail & they cover all the food groups are noted in the following table: 


  • Yava -Barley{ Chenopodium Album}
  • Godhooma -Wheat
  • Shyamaka
  • Kodrava
  • Bajara
  • Mudga { Green gram}
  • Chanaka { Gram}
  • Thiktha shakas
  • Medhika Nimba { Azadirachta Indica}
  • Karavella { Momordica charantia}
  • Patola {Trichosanthas Anguina}
  • Udmbara {Ficus racemosa}
  • Jambu{Black berry} Syzygium cumini
  • Tala phala {Borassus flabellifer}
  • Kharjura { Phoenix sylvestris}
  • Kamala { Nelumbo nucifera}
  • Utpala {Nymphoea Stellata}
  • Harina –Deer flesh
  • Shashaka –Rabbit Birds like Kapotha,Titira
  • Liquor
  • Oils
  • Old sura {Old wine}
  • Mustard
  • Ingudi {Balanitis aegypotiaca}
  • Ghritha may be used in pithaja prameha


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