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→The classification of prameha
Correlating the doshic classification of prameha with the etiology, kaphaja and pittaja prameha are always apathyanimittaja prameha (acquired), while vataja prameha can be hereditary or acquired. If kaphaja and pittaja prameha are not managed properly, in due course of time they lead to madhumeha (a subtype of vataja prameha), which is a terminal stage of the disease and is said to be incurable. This disease can be equated with the terminal stage of type 2 diabetes, which progresses to insulin- dependent diabetes. It has been observed that in the pittaja stage of prameha, there is a tendency toward moderate hyperglycemia, which may be due to increased adrenal medullary and cortical activities. In vataja prameha, there may be severe hyperglycemia with hypoinsulinemia.
Correlating the doshic classification of prameha with the etiology, kaphaja and pittaja prameha are always apathyanimittaja prameha (acquired), while vataja prameha can be hereditary or acquired. If kaphaja and pittaja prameha are not managed properly, in due course of time they lead to madhumeha (a subtype of vataja prameha), which is a terminal stage of the disease and is said to be incurable. This disease can be equated with the terminal stage of type 2 diabetes, which progresses to insulin- dependent diabetes. It has been observed that in the pittaja stage of prameha, there is a tendency toward moderate hyperglycemia, which may be due to increased adrenal medullary and cortical activities. In vataja prameha, there may be severe hyperglycemia with hypoinsulinemia.
As mentioned earlier, prameha can be correlated with obesity, metabolic syndrome, and diabetes mellitus. The early manifestation of the disease process in these conditions is characterized by lipid, carbohydrate, and protein metabolism disturbances accompanied by glycosuria, proteinuria, etc., which can be equates with a kaphaja condition (i.e., which can be easily controlled and cured. Pittaja prameha can be correlated with the inflammatory conditions accompanied with diabetes like urinary tract infection and diabetic ketoacidosis.The advanced stage of disease, with metabolic disturbances associated with loss of immunity, correlates with type 2 diabetes that has progressed to insulin dependent diabetes, and correlates with the hereditary form of type 1 diabetes, which both correlate with vataja prameha. Both of these forms are incurable as described by Charaka.
As mentioned earlier, prameha can be correlated with obesity, metabolic syndrome, and diabetes mellitus. The early manifestation of the disease process in these conditions is characterized by lipid, carbohydrate, and protein metabolism disturbances accompanied by glycosuria, proteinuria, etc., which can be equates with a kaphaja condition (i.e., which can be easily controlled and cured. Pittaja prameha can be correlated with the inflammatory conditions accompanied with diabetes like urinary tract infection and diabetic ketoacidosis.The advanced stage of disease, with metabolic disturbances associated with loss of immunity, correlates with type 2 diabetes that has progressed to insulin dependent diabetes, and correlates with the hereditary form of type 1 diabetes, which both correlate with vataja prameha. Both of these forms are incurable as described by Charaka.
==== Prameha classified according to physique ====
==== Prameha classified according to physique ====