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<big>'''Abstract'''</big>
<big>'''Abstract'''</big>
<div style="text-align:justify;">
''Prameha'' is a set of complex clinical disorders characterized by frequent abnormal micturition, with the etiology involving genetic predisposition as well as improper diet and lifestyle. The clinical conditions described in ''prameha'' have much in common with diabetes mellitus. In the chapter dealing with the treatment for the alleviation of ''prameha'' following topics have been discussed: Etiology of the disease; ''doshas'' and ''dushyas'' involved in the pathogenesis of the disease; Curability and incurability of the disease; Signs and symptoms of the disease; Two types of ''prameha'' patients; Three categories of therapy; viz. ''samshodhana'' (elimination therapy), ''samshamana'' (alleviation therapy) and ''nidana parivarjana'' (avoiding causative factors); Disadvantages of over depletion; Eatables prepared of barley, ''mantha'' (thin gruel) and decoctions for the cure of ''prameha''.
''Prameha'' is a set of complex clinical disorders characterized by frequent abnormal micturition, with the etiology involving genetic predisposition as well as improper diet and lifestyle. The clinical conditions described in ''prameha'' have much in common with diabetes mellitus. In the chapter dealing with the treatment for the alleviation of ''prameha'' following topics have been discussed: Etiology of the disease; ''doshas'' and ''dushyas'' involved in the pathogenesis of the disease; Curability and incurability of the disease; Signs and symptoms of the disease; Two types of ''prameha'' patients; Three categories of therapy; viz. ''samshodhana'' (elimination therapy), ''samshamana'' (alleviation therapy) and ''nidana parivarjana'' (avoiding causative factors); Disadvantages of over depletion; Eatables prepared of barley, ''mantha'' (thin gruel) and decoctions for the cure of ''prameha''.
Treatment of ''prameha'' includes, medicated oil, medicated ghee, various recipes of linctus, food preparations; good quality ''asavas'' (fermented drinks) having known therapeutic utility; and different methods of exercise, baths, unctuous and fragrant applications. Though ''prameha'' is widely accepted as description of diabetes, it covers various types of urinary disorders.
Treatment of ''prameha'' includes, medicated oil, medicated ghee, various recipes of linctus, food preparations; good quality ''asavas'' (fermented drinks) having known therapeutic utility; and different methods of exercise, baths, unctuous and fragrant applications. Though ''prameha'' is widely accepted as description of diabetes, it covers various types of urinary disorders. </div>
'''Keywords''': ''Sthula Pramehi, Krisha Pramehi, Chikitsa,'' Diabetes Mellitus, obstinate urinary disorders
'''Keywords''': ''Sthula Pramehi, Krisha Pramehi, Chikitsa,'' Diabetes Mellitus, obstinate urinary disorders
== Introduction ==
== Introduction ==
<div style="text-align:justify;">
The word ''Prameha'' literally means urinary disorders with increased quantity of urine with turbidity in it. In the last chapter of [[Nidana Sthana]], ''prameha'' is said to have originated from excess consumption of ghee. This chapter deals with the detail etio-pathogenesis, clinical features, classification and management of ''prameha''. It is widely considered as diabetes mellitus. However, ''prameha'' covers various types of obstinate urinary disorders under its umbrella. The key to management of ''prameha roga'' is to attempt to stop its pathogenesis for which the etiological factors responsible for the origin of the disease are identified. These etiological factors include both faulty dietary habits and life style that cause imbalance between energy consumption and energy expenditure and ultimately cause obesity. Indulgence in high calorie diet including refined carbohydrate and bad fat associated with sedentary life style causes excessive storage of fatty tissue in body to disturb the body mass index. The disturbed body mass index reflects as obesity causing disturbed lipid metabolism and assimilation (FFAs, TG, HDL and VLDL) that in turn causes insulin resistance and produces type-2 DM.
The word ''Prameha'' literally means urinary disorders with increased quantity of urine with turbidity in it. In the last chapter of [[Nidana Sthana]], ''prameha'' is said to have originated from excess consumption of ghee. This chapter deals with the detail etio-pathogenesis, clinical features, classification and management of ''prameha''. It is widely considered as diabetes mellitus. However, ''prameha'' covers various types of obstinate urinary disorders under its umbrella. The key to management of ''prameha roga'' is to attempt to stop its pathogenesis for which the etiological factors responsible for the origin of the disease are identified. These etiological factors include both faulty dietary habits and life style that cause imbalance between energy consumption and energy expenditure and ultimately cause obesity. Indulgence in high calorie diet including refined carbohydrate and bad fat associated with sedentary life style causes excessive storage of fatty tissue in body to disturb the body mass index. The disturbed body mass index reflects as obesity causing disturbed lipid metabolism and assimilation (FFAs, TG, HDL and VLDL) that in turn causes insulin resistance and produces type-2 DM.
Description of ''Sahaja prameha'' and role of genetic predisposition in the development of disease clears all the dout about the scientific validity of [[Ayurveda]].
Description of ''Sahaja prameha'' and role of genetic predisposition in the development of disease clears all the dout about the scientific validity of [[Ayurveda]].
</div>
== Sanskrit text, Transliteration and English Translation ==
== Sanskrit text, Transliteration and English Translation ==
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<div class="mw-collapsible mw-collapsed">
kAle~agniveshAya sahetuli~ggAnuvAca Meha~jshamanaM ca teShAm||3||
kAle~agniveshAya sahetuli~ggAnuvAca Meha~jshamanaM ca teShAm||3||
</div></div>
</div></div>
<div style="text-align:justify;">
Punarvasu who is free from delusion, ego, hatred and attachment, and who has attained magnanimity because of his knowledge and penance, described the etiology, signs and symptoms, and treatment of ''meha'' (''prameha'') to Agnivesha at proper time (when query was asked).[3]
Punarvasu who is free from delusion, ego, hatred and attachment, and who has attained magnanimity because of his knowledge and penance, described the etiology, signs and symptoms, and treatment of ''meha'' (''prameha'') to Agnivesha at proper time (when query was asked).[3]
== References ==
== References ==
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