Changes

The acquired form of ''prameha'' (''apathyanimittaja pramehi''), in contrast, is a lifestyle condition caused due to sedentary, or inactive living, and psychologic factors include depression and stress.

The acquired form of ''prameha'' (''apathyanimittaja pramehi''), in contrast, is a lifestyle condition caused due to sedentary, or inactive living, and psychologic factors include depression and stress.

The description of ''apathyanimittaja prameha'' in Sushruta Samhita is very similar to that of type-II diabetes. The types of food and drink likely to precipitate this disease have been enumerated in all the classical Ayurvedic texts<ref> Shastri A. Sushruta Samhita, [[Ayurveda]]- Tattva- Samdipika commentary, 14th ed. Varanasi, India : Chaukhambha Publications, 2003. </ref>  <ref> Gupta KA, Vagbhata’s Astanga Samgraha.Bombay, India: Nirnaysagar Press, 1951. </ref>. These are briefly listed below, along with lifestyle factors and psychological factors that lead to the onset of ''prameha'':

The description of ''apathyanimittaja prameha'' in Sushruta Samhita is very similar to that of type-II diabetes. The types of food and drink likely to precipitate this disease have been enumerated in all the classical Ayurvedic texts<ref> Sushruta. Nidana Sthana, Cha.6 Pramehanidana. In: Shastri A, Editor. Tattva- Samdipika Sushruta Samhita. 14th ed. Varanasi: Chaukhambha Publications, 2003. </ref>  <ref> Vridha Vagbhata. Nidana Sthana, Cha.10 Pramehanidana. In: Gupta KA, Editor. Ashtanga Sangraha. 1st ed. Bombay: Nirnaysagar Press;1951</ref>. These are briefly listed below, along with lifestyle factors and psychological factors that lead to the onset of ''prameha''

#Dietary factors: Excessive intake of yogurt, meat of aquatic animals, milk, new grains, food/drinks containing sugar and jaggery (an unrefined form of cane sugar), cold foods, sweet foods, liquid foods, foods that are heavy to digest, and slimy foods.

#Dietary factors: Excessive intake of yogurt, meat of aquatic animals, milk, new grains, food/drinks containing sugar and jaggery (an unrefined form of cane sugar), cold foods, sweet foods, liquid foods, foods that are heavy to digest, and slimy foods.

==== Classification by ''Dosha''/Stage of Progression ====

==== Classification by ''Dosha''/Stage of Progression ====

As for all other disease systems described in Ayurvedic texts, ''prameha'' has been classified according to the predominant ''dosha'' in the disease process. [[Ayurveda]] describes three distinct categories of ''prameha'' by ''dosha'', i.e., ''kaphaja, pittaja,'' and ''vataja prameha''<ref> Shastri KN, Chaturvedi GN. Agnivesha, Charak Samhita, Vidyotini Commentary. Varanasi, India : Chaukhamba Bharti Academy, 2004. </ref> <ref> Shukla VD, Tripathi RD. Agnivesha, Charak Samhita, Vaidyamanorama Hindi Commentary. Delhi, India; Chaukhamba Sanskrit Pratisthana, 2002. </ref>. However, it is important to note here that the dominance of a ''dosha'' varies as the disease progresses. In the initial stage, ''kapha'' is in excess, which vitiates ''meda'' and ''kleda'' causing ''kaphaja prameha''.  

As for all other disease systems described in Ayurvedic texts, ''prameha'' has been classified according to the predominant ''dosha'' in the disease process. [[Ayurveda]] describes three distinct categories of ''prameha'' by ''dosha'', i.e., ''kaphaja, pittaja,'' and ''vataja prameha''<ref> Shastri KN, Chaturvedi GN, Charak. Nidana Sthana, Cha.4 Pramehanidana ver.3. In: Shastri KN, Chaturvedi GN, Editors. Vidyotini Commentary Charak Samhita.1st ed. Varanasi: Chaukhamba Bharti Academy;2004. </ref> <ref> Shukla VD, Tripathi RD. Charak. Nidana Sthana, Cha.4 Pramehanidana ver.3. In: Shukla VD, Tripathi RD Vaidyamanorama Commentary Charak Samhita.1st ed. Delhi; Chaukhamba Sanskrit Pratisthana, 2002. </ref>. However, it is important to note here that the dominance of a ''dosha'' varies as the disease progresses. In the initial stage, ''kapha'' is in excess, which vitiates ''meda'' and ''kleda'' causing ''kaphaja prameha''.  

Further progression results in the loss (or ''kshaya'') of ''kapha''. ''Pitta'' then predominates, which vitiates the blood (''rakta''), precipitating ''pittaja prameha''. Further progression results in loss of ''pitta''. This leads to vitiation of ''vata'', which weans the body of vital substances/vital essence through urine, precipitating ''vataja prameha''<ref> Chandola HM, Bhatia S. Concept of Diabetes mellitus in [[Ayurveda]] and its treatment with certain indigenous drugs. AYU Int 2001;1:84-87. </ref>. Charak says that any of these three types of ''prameha'' can be precipitated directly, depending upon genetic predisposition and improper diet and lifestyle.  

Further progression results in the loss (or ''kshaya'') of ''kapha''. ''Pitta'' then predominates, which vitiates the blood (''rakta''), precipitating ''pittaja prameha''. Further progression results in loss of ''pitta''. This leads to vitiation of ''vata'', which weans the body of vital substances/vital essence through urine, precipitating ''vataja prameha''<ref> Chandola HM, Bhatia S. Concept of Diabetes mellitus in [[Ayurveda]] and its treatment with certain indigenous drugs. AYU Int 2001;1:84-87. </ref>. Charak says that any of these three types of ''prameha'' can be precipitated directly, depending upon genetic predisposition and improper diet and lifestyle.