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Journal of Ayurveda

A Peer Reviewed Research Publication of
National Institute of Ayurveda, Jaipur

TABLE OF CONTENT

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

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Clinical Studies

Dr. Swapnali Das,Dr. Aarif Khan,Dr. Sisir Kumar Mandal,Dr. Surendra Kumar Sharma,Dr. Pawankumar Godatwar

Therapeutic Study of Shilajeet in Vatik Prameha Upadrava (Diabetic Neuropathy)

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Prameha, Shilajeet, Upadrava, Prabhuta Avila-mutrata
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ABSTRACT

Introduction-Chronicity and poor blood glucose control leads to complication which is a unavoidable condition in case of diabetes mellitus. Accessible, affordable and effective treatment therapy has become a global demand in this regard. So, present study is aimed at to achieve the goal and to assess the efficacy of Shilajeet in the management of Prameha and Vatik Prameha Upadrava. Material and Method-Total 35 patients were registered, the age group above 18 years irrespective of either sex, diagnosed case of type 2 diabetes mellitus and having complication patients were selected for trial. All the patients were divided into three sub-group on the basis of HbA1C level Group A (6.5-7 %), Group B (7.1-8.5 %), Group C (> 8.5 %). Subjective criteria were Prabhuta Avila-Mutrata, Trishna, Kara-Padadaha & Suptata etc and Wilcoxon matched-Pairs signed rank test used for it. Objective criteria were CBC, ESR, HbA 1C, FBS, PPBS, Lipid profile,Urine test and Paired‘t’ test used for it. 32 patients had completed the trial and administered Shilajeet capsule 500 mg BD for 2 months. Results- 100 % improvement was found in Prabhuta-Mutrata and Avila-Mutrata in Group B & C and statistically it is significant. In Group C HbA1C level BT mean score was 9.26 which declined to 7.53, so it indicates 18.76 % relief and statistically it is significant (P = 0.0020). Present study indicated that there is more improvement subjective parameters than the objective parameters.

Clinical Studies

M. W. S. J. Kumari,B. Kumar,Hetal H. Dave

A Study of The Role Of Etiological Factors Of Type 2 Diabetes

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Diabetes, etiological factors, lifestyle
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ABSTRACT

Diabetes is certain to be one of the most challenging health problems in the 21st century. This study was aim to identify the causative factors of Type 2 Diabetes. 120 Diabetic patients aged 20-80 were randomly selected for this survey study from NIA Hospital, Jaipur, irrespective of sex, religion & socio-economic factors etc. The result highlighted that males were the majority. All had excessively consumedfood prepared from flour, oil, Kapha promoting food and unctuous substances (100.00% each). Other causes found were excessive use of milk 86.67%, curd 85.00%, sweets 80.00%, products of jiggery 76.67%, ghee 61.67%, heavy substances 53.33%, products of sugarcane juice 36.67% and hot & sharp substances 30.00%. No exercise 83.33% and Beeja Dosha (family history) 53.33% were reported. Wrongful regimens, such as excessive sleeping at daytime 30.00% and idle sitting 28.33% were also found. Excessive usage of pungent & astringent substances 25.00% each, Gramya, Audaka, Anoopa Mamsarasa (soup of domestic, aquatic and marshy animals) 18.33%, comfortably sleeping 18.33% were observed. Other causes reported were excessive usage of cold andsalty substances13.33% each. Sour foodand sour taste 11.67% each, use of new cereals 8.33%, depression 6.67% and indulgence of alcohol 1.67%. Specific factors of Kaphaja, Pittaja and Vataja Prameha were also observed. The study revealed that several number of lifestyle factors are responsible for the development of Type 2 Diabetes. Changes in life style, dietary modification, physical exercise and stress relaxation candefinitely have an important role in the management of Diabetes.

Clinical Studies

Dr. Rahul Kumar Sanwariya, **Dr. Pramod Kumar Mishra

Management of Complications ofMadhumeha (Diabetes Mellitus) W.S.R. To Alzheimer’s Disease

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Diabetes mellitus, Madhumeha, Alzheimer’s disease
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ABSTRACT

Diabetes mellitus is an emerging global epidemic that affects millions of people worldwide. This systemic disease affects the blood sugar level causing far-reaching consequences for the human body. Diabetes affects the blood vessels and nerves of the body and causes long-term complications. During the early stages of disease, the damage caused by the high blood sugar level is not very obvious but after several years of poorly controlled diabetes, every organ of the body starts to show the signs and symptoms of disease-related deterioration. Most of the complications of diabetes are well-known. They include coronary artery disease (damage to the heart), diabetic neuropathy (damage to the nerves resulting in pain or loss of sensation in the legs and hands, as well as formation of skin ulcers), diabetic retinopathy (damage to the eyes) and diabetic nephropathy (damage to the kidneys). Another serious complication of diabetes is Alzheimer’s disease. Recent studies propose a common pathophysiology between diabetes and Alzheimer’s disease. The similarities in the pathophysiology have given way to the thought that Alzheimer’s disease could be viewed as a new form of diabetes mellitus. Ayurveda uses the inherent power of natural herbs to bring about wonderful results on the human body. The herbs are natural and 100% safe. These herbs help improve memory and brain power. The Ayurvedic herbs Brahmi, Ashwagandha, Curcumin, etc help improve Alzheimer’s situation. In this presentation I would like to present management of complication of diabetes such as Alzheimer’s disease.

Clinical Studies

Dr. Nur Mohammad Iqbal Chowdhury,Prof. Ram Kishor Joshi

Clinical Evaluation ofDarvadi Ghrita And Shilajatu In Vataja Complication ofPrameha

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - vataja meha, complication, darvadi ghrita, shilajatu
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ABSTRACT

Purpose: The present study has been undertaken to evaluate the efficacy of darvadi ghrita (charaka samhita) and shilajatu in vataja complications of prameha. Method: The principle was taken from the charaka samhita. The compendium has instructed to prepare sneha kalpana of mentioned decoctions in vatavriddhi condition of pittaja and kaphaja meha. A ghrita kalpana i.e. darvadi ghrita was prepared out of kasaya yoga (ca. chi 6/26) and shilajatu were given to the patients having vataja complications (ast. hr. chi). Design Of Study: A Single blind clinical study with pre-test and post-test design. Settings: National Institute of Ayurveda, Jaipur, Rajasthan, India. Study Selection: 20 diagnosed patients of prameha with vataja upadrava of either sex were randomly selected. Result: Among the criteria selected for the evaluation like udavarta, kampa, sula, anidra, kasa, svasahridagraha etc. all were statically analyzed with the help of paired t test and the outcome was statically significant. Conclusion: The darvadi ghrita and shilajatu administered internally gives better results in the management of vataja complication of prameha.

Clinical Studies

Bhanu Tank,Deepak Kumar,C.B. Sharma,Udai Raj Saroj

Evaluation Of The Efficacy Of ‘Darvyadi Kwatha’ And ‘Madhumehari Churna’ In The Management Of Madhumeha W.S.R. To Diabetes Mellitus Type-2 (NIDDM)

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Ayurveda, Madhumeha, diabetes, Kwatha
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ABSTRACT

Diabetes Mellitus (DM) is commonly known as Madhumeha in Ayurveda. Incidence of DM is rising more rapidly in India. According to IDF SEA region, there were 69.1 million cases of diabetes in India in 2015. So, effective treatment of diabetes is needed. In current study, Evaluation of efficacy of ‘Darvyadi Kwatha’ and ‘madhumehari Churna’ was conducted in 30 clinically diagnosed patients of Madhumeha after randomly dividing them into 3 Groups. In Group A, 10 registered patients of DM Type 2 (NIDDM) were administrated Darvyadi Kwatha for 30 days. In Group B, 10 registered patients were administrated Madhumehari Churna for 30 days. In Group C, 10 registered patients were administrated both drugs Darvyadi Kwatha and Madhumehari Churna for 30 days. Darvyadi Kwatha and Madhumehari Churna used either or combined showed symptomatic relief in the patients of Madhumeha.

Clinical Studies

Dr. Sanjay Tamoli,Prof. Dr. K.R. Kohli

A Review of pathophysiology (pathways) and treatment of Diabetic Retinopathy as a complication of Diabetes (Prameha Upadrava) with special reference to the use ofVasant Kusumakar Ras

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

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ABSTRACT

Diabetic Retinopathy (DR) is a leading cause of blindness occurring in long standing Diabetes Mellitus, controlled or uncontrolled. Prameha has been described in Ayurveda, however no or very sparse description is available indicating its progression to vision loss. Ayurvedic treatments are designed to correct the underlying pathophysiology. This paper reviews the pathophysiology of Prameha, Prameha Upadrava and DR. An attempt is made to understand the therapeutic targets with reference to the use of Vasant Kusumakar Ras (VKR) in DR. Ayurvedic literature including the Samhitas, research articles, e-journals and medical texts were used as source materials. Pathophysiological components like dosha, dhatus, kala, Marma, strotas etc. were studied. Findings from clinical studies on VKR, where retinal funduscopy was done as an evaluation tool were also used. Results of the study observed that though development of vision related complications have not been elaborated in Ayurveda, deeper understanding of the pathophysiology underlines its existence. The concept of occurrence of Dhatu Ksharan in Prameha is evidenced in DR confirmed with Retinal Funduscopy. A striking resemblance with the three stages of DR and dosha predominance is also evidenced. Evidence based clinical study on VKR as a Rasayana drug establishes the clinical efficacy of Ayurveda preparations in DR. Ayurveda understanding of Pathophysiology of Prameha explains the occurrence of DR. Rasayana preparations that prevent Dhatu Kasharan, have Pramehahar property and are Netrya (Eye tonics) can form standard treatment for DR. Use of comprehensive treatment procedures like Trapan, Anjan, Shodhan etc. are also required apart from compounds like VKR.

Pharmaceutical Study

Dr. Aniket Palande,Dr. Nisha Kumari Ojha,Prof. Satyendra Kumar Tiwari

Amalaki: A potential drug in management of diabetes mellitus and prevention of its complications

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Amalaki, Prameha, Anti-diabetic, Anti-oxidant
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ABSTRACT

Introduction-Diabetes mellitus is a serious complex chronic condition that is a major source of ill health worldwide. It is one of the largest global health emergencies of the 21st century. As per WHO (Global report on diabetes 2016) individuals suffering with disease risen from 108 million in 1980 to 422 million in 2014. India leads the world with maximum number of diabetic patients being termed as the “diabetes capital of the world.” In spite of diet restrictions and oral hypoglycemic drugs, the control of blood glucose level is the biggest challenge for the attending physician. The long standing hyperglycemia adversely affects multiple organ system, especially heart, kidney, eyes and sensory nerves. Ayurveda classics had explained the disease madhumeha and its treatment very precisely. Material methods-Various Ayurveda classics and studies published in journals related to madhumeha are reviewed and analyzed. Result-Evidences from various studies show that phytochemicals/(Polyphenols) obtain from Amalaki (Emblica Officinalis) are potential therapeutics that act alone or supplement anti-diabetic drugs in the prevention and treatment of diabetes and its complications. Discussion & Conclusion - Possible mechanism of its anti-diabetic activity appears to be either improvement in peripheral glucose utilization, increased insulin sensitivity or anti-oxidant property. Therefore Amalaki can be a promising drug in combination with oral hypoglycemic drug in the management of diabetes mellitus and prevention of its complications

Pharmaceutical Study

Dr. Irshad Ahmed,Dr. Chandan Singh

Scope of Saptachakra(Salacia reticulate Wight). in the management ofMadhumehainduced complications

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Salacia reticulate Wight, Lipogenesis, mangiferin, polyphenol
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ABSTRACT

Salacia reticulate Wight. normalizes insulin level and help you lose weight. If anyone craves for carbs, chances are that the body needs enough protein. It is actually a physiological craving caused by the way your body chemistry react to carbohydrate and sweets. On the other hand, if excess glucose remains in the circulation, it actually stimulates lipogenesis (fat production and storage) and induces the complication of diabetes. Salacia has potent anti-oxidants properties and triglyceride. It contains mangiferin, a polyphenol, which enhances the body’s sensitivity to insulin, and contains inhibitors of sugar digestion and absorption.

Pharmaceutical Study

Dr. Ayush kumar garg,Dr. Manoj Adhlakha

Role of Annona Squamosa Leaf In Diabetes Mellitus

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Annona squamosa, antidiabetic drug
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ABSTRACT

Diabetes mellitus is characterized by rise in blood sugar level resulting from insulin dysfunction or insulin insufficiency. The aim of the present investigation is to evaluate anti diabetic activity of Annona squamosa leaf in diabetes. Treatment with A. squamosa leaf cause significant reduction in blood serum glucose and serum lipid profiles like total cholesterol and triglycerides but significant increase in body weight and serum high density lipoproteins (HDL) level. pancreas of diabetic patient treated with A. squamosa also showed partial regeneration of beta cells. Thus, leaves of A. squamosa can be used as potential antidiabetic drug.

Pharmaceutical Study

Dr Amitabha Mapdar,Dr Rakesh Narayanan V,Vaidya Asit Kumar Panja,Prof Kamalesh Sharma

Madhu (Honey): An Adoritous Remedy for Copious Malady - A Review

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Ayurveda, Madhu, Anti-microbial, Vrana
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ABSTRACT

Ayurveda fundamental emphasized that proper combination of aahara, vihar and oushadhiare necessary tools to tackle numerous ailments. Pathyaand apathya possess very important role in health maintenances, health promotions as well as in curative aspects and described elaborately in various ayurveda classics. Madhu is certain thing which is used as ahara, oushadhi and as well as anupanain various diseases in ayurveda. Due to its wide range of applicability and efficiency it has drawn attention of modern savants also. Sushruta mentioned madhu as tridoshaghna, specifically it has the property to subside the kapha pitta andmeda dathu. It is used to overcome the ailments likes was, kasa, hikka, chakshuroga etc; but in present time it is more famousdue to its vrana sodhan, ropana activity. Madhu is active against almost 60 species of microorganism, has excellent anti-inflammatory and healing property. Anti-microbial action of madhu is mainly due to H2O2 activity. Contrary to popular believe, it is also efficient in santarpana janya vyadhi like prameha and sthoulya. Thus madhualone incorporates the properties which can do wonder.

Analytical Study

Dr.Gulab Chand Meena,Dr. L. N. Sharma,Dr. Rajendra Prasad purvia

Analytical Screening Of Rubia cordifolia& Curcuma longa With Special Reference To Diabetes Mellitus (Madhumeha)

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Psychosomatic, Madhumeha, Haridra, Manjishta
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ABSTRACT

Diabetes mellitus is a growing health hazard in developing countries. It is the most common metabolic disorder. As a psychosomatic disease and due to most dangerous complication, diabetes mellitus has grabbed the attention of health community all over the world. Today more than 20 million people of the world are suffering from the disease Diabetes mellitus. Ayurveda described diabetes mellitus (DM) as Madhumeha. Ayurveda has an upper hand in treating and preventing Diabetes Mellitus effectively. This oldest medical science has numerous formulations in its belly which have been time tested for their efficacy and outstanding results. Among many herbs known for their anti-diabetic properties, Haridra (Curcuma longa) & Manjishta (Rubia cordifolia) stands the leaders. These are also considered as a drug of choice in the treatment of Madhumeha (Diabetes Mellitus). In the treatment of Diabetes, Haridra and Manjishta is excellent option both as a preventive and curative agent.

Pharmaceutical Study

Dr. Suparna Saha,Dr. Parimi Suresh

A Study Of Madhumeha Vinashini Vatika In Madhumeha (Diabetis Mellitus)

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

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ABSTRACT

Diabetes is one among the world’s major diseases currently affecting an estimated 62 million people in India. WHO classify it as the third leading cause of premature mortality globally. In Ayurveda Diabetes mellitus is compared to Madhumeha which comes with a constellation of signs and symptoms with it. Apart from lifestyle changes, oral hypoglycemic agents a primary part of treatment but prominent side effects of such drugs are the main reason for a number of people seeking alternative therapies that may have less severe or no side effects. The use of metals and minerals in therapeutics in the form of Rasayoga has been started from the period of classical texts in Ayurveda and preferred over herbal preparations because of their supremacy in providing quick relief and even treating the incurable diseases. Madhumehavinashini vatika is one such excellent herbomineral preparation described in the rasoyogbijyaniyaadhya of Rasamritam written by Acharya Yadavji Trikamji. The mineral part of compound includes Tribanga bhasma, Shilajatu while herbal components are Madhunashini (Gymnema sylvestre) & Nimba Patra (Azadirachta indica). The efficacy of all the ingredients of madhumehavinashini vatika are scattered across the classics of Rasa Shastra and the scientific Data are available in the reputed journal, which in one way authenticates the use of this herbomineral preparation and became the base of this study.

Case Studies

Dr.Pratibha Upadhyay,Dr.Shamsa Fiaz

Role of Vasakadi kwath in Diabetic Retinal Hemorrhages —A case study

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Vasakadi kwath, diabetic retinopathy, hemorrhages, visual acuity
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ABSTRACT

Introduction- Diabetes mellitus is becoming a global epidemic and is now one of the top causes of vision loss globally. Diabetes increases the risk of a range of eye diseases, but the main cause of blindness associated with diabetes is diabetic retinopathy (DR). DR damages blood vessels inside the retina at the back of the eye. It commonly affects both eyes and can lead to vision loss if it is not treated. The treatment of modern system of medicine, focal laser therapy, anti-vascular growth factor drugs. These treatment modalities have side effects, so in such disorders. Ayurveda is very effective in such complicated disorders. Methods and materials– 55yrs old diabetic patient since 10 yrs complaining of blurred vision attending shalakya OPD of NIA, was chosen having signs of retinal hemorrhages. Regular weekly visit was done for 1 month in hospital. Result –Vasakadi kwath seems to have role in controlling hemorrhages found in diabetic retinopathy. Visual acuity improved from 6/60 to 6/24 in 1 month. Discussion- The drugs selected here should be vata pacifying, as well as pitta shamaka with rakta prasadka properties that help in healing and reducing the symptoms that are caused especially due to ocular hemorrhages.

Case Studies

Dr. Kalpana Verma

Effect of Shodhana Ropana Lepa In Diabetic Foot Ulcer (Madhumehajanya dushtavrana)”- A Case Study

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Diabetic foot ulcer, Dushtavrana, Shodhana, Shodhana Ropana lepa.
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ABSTRACT

Diabetic foot ulcer is a common complication of diabetes mellitus. There is a significant risk of loss of limb as a result of delayed and improper treatment. In our country a large number of case have to suffer from amputation, out of them maximum amputations can be prevented by timely intervention. The diabetic foot ulcer can be considered as Dushtavrana in Ayurvedic classics and the need to look for the management through Ayurveda. In the management of Dushtavrana Sushruta emphasized upon shodhana. A clean wound in normal body heals earlier with minimum scar as compared to contaminated wound. Therefore in present concept all efforts are directed to keep the wound clean during various stages of wound healing. Such healing process is called Shodhana and Ropana. Acharya Sharangdhara explained Shodhana Ropana Lepa in the management of Dushta vrana. Here a case of 62yr old female patient complains of wound over right foot sole since 8 months, with mild discharge. H/o DM since 16 year, Thyroid since 5 year under treatment etc. After required investigations and local examination of wound, patient was planned and treated by local application of Shodhana Ropana lepa for 5 weeks. On weekly assessment circumference of the wound is reduces and completely healed without any complication and side effects.

Case Studies

Dr. Pooja Arya,Dr. Suman Sharma,Prof. Sanjeev Sharma

Surgical wound infection and dehiscence in an undiagnosed diabetic patient

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

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ABSTRACT

Post surgical wound infection is the most dreaded complication in surgery and causes a great frustration to the patient and surgeon both. Among the reasons for such a complication uncontrolled or undiagnosed diabetes mellitus is the foremost. A 52 years old male patient presented with the history of trauma and complaint of pain over left knee since 1 month. On clinical and radiological examination he was diagnosed as a case of displaced transverse fracture of left patella. There was no history of diabetes or any other chronic disease. All the haematological and serological investigations were normal except borderline diabetes as his fasting blood glucose was 124mg/dl. Open reduction & internal fixation with tension band wiring was done. Post-operative period was uneventful except the wound infection. After 6 weeks wound dehiscence occurred and was full of slough. Debridement and implant removal done under spinal anaesthesia. Even after extensive surgical debridement and implant removal wound did not show any sign of healing. He was re-investigated and his glycocylated haemoglobin (HbA1c) was found 7.3 mg /dl. Then along with local wound management h/e was put on anti-diabetic drugs. Wound healed completely within next 2 weeks. It was concluded that proper pre-operative screening for diabetes mellitus is of immense importance to avoid such complications.

Case Studies

Dr. Naresh Kumar Ghodela,Dr.T.S.Dudhamal

Thumarioil (securinega leucopyrus) in the management of Diabetic Foot Ulcer – A Case report

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Thumari, gangrene, Diabetic foot ulcer
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ABSTRACT

Introduction : Diabetic foot ulcers are major complication of Diabetes mellitus. 15% of diabetic people suffer from foot ulcers. In mostly cases of diabetic ulcers are the result of underlying neuropathy. Proper assessment of diabetic foot ulcer and appropriate management ensure better prognosis and management. Diabetes is a leading cause of Non traumatic lower extremity amputations in India, with approximately 5% of diabetics developing foot ulcers each year. Aim: To evaluate the effect of Thumari oil (Securinegaleucopyrus [Willd.] Muell.in Diabetic foot ulcer. Materials and Methods: A case of 60 year old female patient complaining of ulcer on foot (dorsal aspect) along with gangrenous changes in two fingers, treated successfully with Thumari oil local application. The relief in signs and symptoms were assessed by weekly interval on scoring pattern. Results: Diabetic foot ulcer healed within 10 weeks with minimal scar formation. Conclusion: Study concluded that Thumari oil possesses shodhan, ropan (healing) and savarnikarn properties.

Case Studies

Dr. Naresh Kumar Ghodela,Dr.T.S.Dudhamal

Thumarioil (securinega leucopyrus) in the management of Diabetic Foot Ulcer – A Case report

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Thumari, gangrene, Diabetic foot ulcer
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ABSTRACT

Introduction : Diabetic foot ulcers are major complication of Diabetes mellitus. 15% of diabetic people suffer from foot ulcers. In mostly cases of diabetic ulcers are the result of underlying neuropathy. Proper assessment of diabetic foot ulcer and appropriate management ensure better prognosis and management. Diabetes is a leading cause of Non traumatic lower extremity amputations in India, with approximately 5% of diabetics developing foot ulcers each year. Aim: To evaluate the effect of Thumari oil (Securinegaleucopyrus [Willd.] Muell.in Diabetic foot ulcer. Materials and Methods: A case of 60 year old female patient complaining of ulcer on foot (dorsal aspect) along with gangrenous changes in two fingers, treated successfully with Thumari oil local application. The relief in signs and symptoms were assessed by weekly interval on scoring pattern. Results: Diabetic foot ulcer healed within 10 weeks with minimal scar formation. Conclusion: Study concluded that Thumari oil possesses shodhan, ropan (healing) and savarnikarn properties.

Conceptual Studies

Vasundhara Sharma,Sachin Kumar Sharma,D.H.Pandya,K.S.Patel

Prevention and Control of Madhumeha (Diabetes Mellitus Type 2) through Aahar, Vihar and Yoga

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Madhumeha, Diabetes Mellitus Type 2, Aahar, Vihar and Yoga
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ABSTRACT

WHO has declared this millennium as millennium of life style diseases in comparison to last millennium of infectious diseases. According to WHO, India today heads the world with over 32 million diabetic patients and this number is projected to increase to 79.4 million by the year 2030. Recent surveys indicate that diabetes now affects a staggering 10-16% of urban population and 5-8% of rural population in India. Diabetes is likely to continue to be a leading cause of morbidity and mortality in the near future. It has been proved from several epidemiological studies that the current worldwide status is broadly due to modified dietary habits and life style changes. Current dietary habits along with sedentary life style are main culprits for diabetes outburst. Central obesity is the most important risk factor for diabetes. Ayurveda has suggested a potential role of aahar, vihar and yoga in prevention of Mahumeha. Role of diet and physical activity in prevention and control of Madhumeha will be discussed in detail in full paper.

Conceptual Studies

Dr. Vikash Bhatnagar,Dr. Shailja Bhatnagar,Dr. Vikrant Thakur,Dr. Sandeep M. Lahange,Dr. Sumit Nathani

Critical appraisal on Anthropometric aspect of Diabetes mellitus

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Diabetes mellitus, Anthropometry, Obesity, meda, pramana
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ABSTRACT

Anthropometry is the branch of Anthropology concerned with the various measurements on human individual. It has been used to access general obesity (Body mass index) and central obesity (Waist Circumference, Waist-to-hip ratio, Waist- to- Height ratio) and various indices. WHR is closely linked with BMI and is appropriate index of intra abdominal fat mass and total body mass. Obesity particularly visceral or central as evidenced by WHR is very common in Diabetes type-2. Diabetes mellitus is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period. There are two main types of Diabetes mellitus- Type1 DM, which result from pancreas failure to produce enough insulin and Type 2 DM, which begins with insulin resistance, a condition in which cells fail to respond to insulin properly. Prevalence of disease is proportional to the fat level in body. It is stated that consumption of high fat diet and high intake of saturated fat are associated with an increased risk of type 2 diabetes. High fat diet and obesity cause beta cells to lose their ability to sense glucose in the blood. Acharya Charaka has also described the symptoms and treatment of medasvi purusha(obese person). Acharya consider medavardhak aahar as one of the cause of prameha and consider janmotar premaha patient as sthula pramehi. Acharya charaka has also given fix anjali pramana of meda in body. So there is necessity to understand and elaborate various anthropometric measurements concern with diabetes which helps in prevention, diagnosis and management diabetes mellitus.

Conceptual Studies

Dr.Savita Katwal,Dr. Dalip Sharma,Dr. Rajesh Manglesh,Dr. Akhilesh Shrivastava

Prevention of Madhumeha and It’s Complications Through Ayurveda

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

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ABSTRACT

Faulty dietary habits, sedentary life style and stressful conditions may leads to various metabolic disorders and diabetes is one of them. In Ayurveda, Madhumeh one of the types of vataj prameh is compared to diabetes mellitus because of having similarities of diseases in respect to Etiopathogenesis, clinical features and prognosis. Prevalence of diabetes is increasing day by day throughout the world where India leads the highest numbers. Type-2 DM is responsible for approximately 90% of cases. Ayurveda plays an important role in prevention of Type-2 DM. To prevent this disease and it’s complications it is necessary to follow principles of Ashtahar vidhivisheshayatan, Dincharya, Rutucharya, Sadavritta and practising particular Asana and yoga postures.

Literary Reviews

Dr.Preeti chouhan,Dr. Sunita Suman

Evaluation Of The Effect Of Pathya Ahar And Vihar On Gestational Diabetes Mellitus (GDM)

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - diet, glucose intolerance during pregnancy,exercise
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ABSTRACT

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy and is associated with a substantially elevated risk of adverse health outcomes for both mothers and offspring. Physical activity and diet may contribute to the prevention of GDM and thus is crucial for dissecting the vicious circle involving GDM, childhood and adulthood obesity. Exercise has been shown to improve glycemic control. The mechanism of this improvement is mostly secondary to increasing tissue sensitivity to insulin. Low glycemic index foods release calories from the gut slowly and improve metabolism of carbohydrate. Avoidance of large meals with high percentage of simple carbohydrates. Three small meals with three snacks are preferred. Some women with the condition are even able to control their blood glucose levels through these things alone however, most will still need medications, such as insulin.

Literary Reviews

Dr. Bhawana Mittal,Dr. Anita Sharma

Role of self-care in management of Type 2 diabetes mellitus

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Glycemic control, Exercise, Type 2 DM, Self-monitoring
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ABSTRACT

Diabetes mellitus (DM) is a chronic progressive metabolic disorder characterized by hyperglycemia mainly due to absolute (Type 1 DM) or relative (Type 2 DM) deficiency of insulin hormone. World Health Organization estimates that more than 346 million people worldwide have DM. This number is likely to more than double by 2030 without any intervention. The needs of diabetic patients are not only limited to adequate glycemic control but, self-monitoring of glycemic control is a cornerstone of diabetes care that can ensure patient participation in achieving and maintaining specific glycemic targets. It also correspond with preventing complications; disability limitation and rehabilitation. Diet is one of the major factors now linked to a wide range of diseases including diabetes. The amount and type of food consumed is a fundamental determinant of human health. The health benefits of a low-fat vegetarian diet such as portions of vegetables, grains, fruits, and legumes (excluding animal products) is seen in people with type-2 diabetes. It was reported that exercises has a positive role in maintaining the glycemic level with increasing the insulin sensitivity and also improving cardiovascular risk factors regard to Type 2 DM. The majority of patients with diabetes can significantly reduce the chances of developing long-term complications by improving self-care activities. Self-monitoring provides information about current glycemic status, allowing for assessment of therapy and guiding adjustments in diet, exercise and medication in order to achieve optimal glycemic control. Irrespective of weight loss, engaging in regular physical activity has been found to be associated with improved health outcomes among diabetics.

Literary Reviews

Dr. Kapil Patil,Dr. Rakesh Nagar

Pathya For Diabetic Patients: A Compile Study

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Pathya aahar, Madhumeha, Diabetes mellitus, Agni, Mahabheshajya.
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ABSTRACT

Introduction : Sedentary life style and stressful mental conditions in the present scenario have invited many life style disorders. Diabetes mellitus (DM) can be compared with Madhumaeh as described in Ayurveda classics, which literally means excessive urine with sweet taste like honey. Madhumeha caused by vitiation of vatadosha has many clinical similarities to Diabetes mellitus. Diabetes is one of the noncommunicable disease and rapidly emerging as a major health care problem. Despite of recent progression in medical science, several challenges still exist in the management of diabetes that requires special attention to develop unexplored fields of medical knowledge. Ayurveda offers comprehensive safe and effective approaches to manage such conditions. Material and Methods : various Ayurveda classics and studies published in journals related to pathya aahar for Madhumeha are reviewed and analyzed. Result: Evidences from various studies shows that pathya aahar for Madhumeha is very much effective to control and manage the disease. Conclusion: Analysis of classical references and various experimental studies of pathya aahar for Madhumeha is effective to control and manage the disease and also prevents the complication of the disease by correcting the metabolic function of agni and whole body systems. Kashyapa said Food is the medicine ( mahabheshajya) is true for present scenario.

Literary Reviews

Dr. Bhanu Pratap Singh,Prof. Om Prakash Dadhich,Dr. Deepa

A Review Study Of Preventive And Curative Antidiabetic Herbal Drugs

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS - Diabetes, hypoglycaemia, Madhumeha
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ABSTRACT

Diabetes mellitus is a dreadful disease found in all parts of the world and is becoming a serious threat to mankind health. India has today become the diabetic capital of the world with over 20 million diabetics and this number is likely to increase to 57 million by 2025. Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar (glucose) levels that result from defects in insulin secretion, or action, or both. It is frequently associated with the development of micro and macro vascular diseases which include neuropathy, nephropathy, cardiovascular and cerebrovascular diseases. The disease is associated with reduced quality of life and increased risk factors for mortality and morbidity. It is mentioned by Acharya as Madhumeha in our classics. There are lots of chemical agents available to control and to treat diabetic patients, but total recovery from diabetes has not been reported up to this date. Oral hypoglycemic agents like sulphonylureas and biguanides are still the major players in the management of the disease but there is growing interest in herbal remedies due to the side effects associated with the oral hypoglycemic agents. Alternative to these synthetic agents, many herbal plants with hypoglycaemic properties are known from across the world. The World Health Organization (WHO) has listed 21,000 plants, which are used for medicinal purposes around the world. The present review article is undertaken to explore the antidiabetic effects of various herbs in diabetes.

Editoral

Prof. Sanjeev Sharma

Rajashraya, Research and Sambhasha

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS -
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Editoral Forum

Prof. Pawankumar Godatwar

Report - Sambhasha 2017

2017   |   January-March   |   VOLUME - XI   |   ISSUE - 1

KEYWORDS -
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