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Excessive consumption of fats and sedentary life style causes obesity. Obesity causes derangement in lipid metabolism and storage which in turn leads to ''prameha'' as shown in the following chart:
 
Excessive consumption of fats and sedentary life style causes obesity. Obesity causes derangement in lipid metabolism and storage which in turn leads to ''prameha'' as shown in the following chart:
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==== Diagnosis of prameha based on characteristics of urine ====
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==== Diagnosis o''f prameha'' based on characteristics of urine ====
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Different categories of ''prameha'' are described to possess the color, taste, touch, and smell of the respective ''doshas''. For example, in ''kaphaja prameha'', the urine is characterized by white color, sweet taste; cold touch and ''ama gandha'' (smell like that of flesh). In the same way, the characteristic features of ''pittaja prameha'' are to be determined. ''Vayu'' itself is colorless. Therefore, different varieties of ''vata'' dominant ''prameha'' are characterized by grayish or reddish color of urine as a result of the ''prabhava'' (specific action) of the ''vayu''.
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Different categories of prameha are described to possess the colour, taste, touch, and smell of the respective dohsas. For example, in kaphaja prameha, the urine is characterized by white colour, sweet taste; cold touch and ama gandha (smell like that of flesh). In the same way, the characteristic features of pittaja prameha are to be determined.  Vayu itself is colourless. Therefore, different varieties of vata dominant prameha are characterized by grayish or reddish colour of urine as a result of the prabhava (specific action) of the vayu.
   
Vata dominant prameha is  already described to be incurable (asadhya). Again repeating the statement regarding its incurability implies that the presence of several symptoms including the grayish and reddish colouration of urine right from the origin of disease is incurable; and if these signs and symptoms appear at later stage, then the condition is incurable. In the latter type, attributes of majja etc., need not to be present. Alternatively, it can be explained that when at a later stage, any type of prameha gets associated with vayu and characterized by grayish and reddish colouration of urine, and then it also becomes incurable. In addition when kaphaja and pittaja types of prameha are associated with the passage of Majja etc., in the urine, they become incurable. It is stated, “All types of prameha, if not treated in time, leads to madhumeha and become incurable” ( Susruta : Nidana 6).
 
Vata dominant prameha is  already described to be incurable (asadhya). Again repeating the statement regarding its incurability implies that the presence of several symptoms including the grayish and reddish colouration of urine right from the origin of disease is incurable; and if these signs and symptoms appear at later stage, then the condition is incurable. In the latter type, attributes of majja etc., need not to be present. Alternatively, it can be explained that when at a later stage, any type of prameha gets associated with vayu and characterized by grayish and reddish colouration of urine, and then it also becomes incurable. In addition when kaphaja and pittaja types of prameha are associated with the passage of Majja etc., in the urine, they become incurable. It is stated, “All types of prameha, if not treated in time, leads to madhumeha and become incurable” ( Susruta : Nidana 6).
  

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