A SYSTEMATIC APPROACH IN THE MANAGEMENT OF MADHUMEHA WITH VIJAYSARADI KWATH AND MAMEJWADI CHURNA

Scholar

Sachin Kumar SharmaMD 1st year

Department of Kayachikitsa

Institute for post graduate teaching and research in Ayurveda

Gujarat Ayurved University, Jamnagar

INTRODUCTION

• In Ayurveda disease diabetes mellitus can be correlatedwith Madhumeha. It is tridoshaj in origin withpredominance of kapha. Charak has mentioned thatluxurious life style, overuse of milk, milk products andsugar products, lack of physical work and kapha doshaenhancing factors etc are the major causative factor(nidana) of Madhumeha.

• Diabetes mellitus is a clinical syndrome characterised byhyperglycaemia caused by absolute or relativedeficiency of insulin.

IMPORTANCE

• According to the World Health Organization(WHO), India today heads the world with over32 million Diabetic patients and this number isprojected to increase to 79.4 million by theyear 2030.

.Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A: Awareness and knowledge of diabetes in Chennai - The Chennai urban rural epidemiology study.J Assoc Physicians India 2005, 53:283-287.

AIMS AND OBJECTIVES

To provide complete cure or some bettertreatment to patient of Madhumeha (Type 2Diabetes).

MATERIALS & METHODS

• Selection of Patient

Patient was selected from IPD of Kaya ChikitsaDepartment,IPGT&RA Jamnagar, Gujarat, withtypical sign & symptoms of Madhumeha(Type 2 Diabetes).

DIAGNOSTIC CRITERIA

Prabhut Mutrata (Polyuria)

Pipasa (Polydipsia)

Kara-PadaDaha (Tingling sensation)

Supti (Numbness)

Nidradhikya

Alasya

Nocturia

Glycosuria

INVESTIGATIONS

Haematological

• Hb %,

• TLC, DLC

• ESR, PCV

Biochemical

• FBS

• PPBS

• Lipid Profile

Urine – Routine & Microscopic examination

DRUG PROFILE

VIJAYSARADI KWATH

MAMJAWADI CHURNA

Two drugs in present study:

VIJAYSARADI KWATH

Drug Botanical name Parts used Quantity

Vijaysar Pterocarpus marsupium Heart wood 11 part

Haritaki Terminalia chebula Fruit 1 part

Amlaki Emblica officinale Fruit 1 part

Vibhitaki Terminalia belerica Fruit 1 part

Kiratatikta Swertia chirata Panchang 1 part

Patolpatra Trichosanthes dioica Leaves 1 part

Katuki Picrorizha kurrooa Rhizome 1 part

gokshur Tribulus terrestris Fruit 1 part

Musta Cyperus rotandus Root 1 part

Swet candan Santalum albam Heart wood 1 part

Daruharidra Berberis aristata Stem and Root 1 part

Usira Vetiveria zizanioides Root

Mamjawadi churna

Drug Latin/English

Name

Parts used Dose(BD)

MAMAJJAK Enicostemma

littorale

Panchanga

(dry)

1 gm

Jambu beejachurna

Syzygium

cumini

Beeja

(dry)

1 gm

Nimba twakchurna

Azadirachta

indica

Twak

(dry)

1 gm

MAMJAWADI CHURNA

ADMINISTRATION METHOD

• Nitya koshta shuddhi with triphala churna(3 gm HS) along with langhan on light dietthroughout the course of treatment.

• At the same time both drugs given internally.

POSOLOGY

VIJAYSARADI KWATH

• Dose: 10 gm BD before meal

• Duration: 30 Days

MAMJAWADI CHURNA

• Dose: 3 gm BD before meal.

• Duration: 30 Days

• Associated complaints like polyuria, burningsensation, glycosuria etc also resolved.

RESULTS

DATE FBS (mg/dl) PPBS (mg/dl)

10/12/15 187 330

29/12/15 159 163

16/1/16 88 166

DISCUSSION

• Most of contents of Vijaysaradi kwath arePitta-Kaphahara and sadhya kinds ofMadhumeha are due to Pitta and Kapha doshamainly.

• Mamajjak is found to have

Tikta Rasa,

Laghu ruksha Guna,

Ushna Virya,

Katu Vipaka,

Kapha-Pitta shamak .

CONT.....

Nimba is having

• Laghu Guna,

• Tikta kshaya Rasa,

• Katu Vipaka,

• Sheeta Virya and

• Kapha-Pitta shamak.

• With all these characters above drugs found effective in the management of Madhumeha.

CONCLUSION

• Mamjawadi churna and Vijaysaradi kwath arevery effective in management of Madhumehawhen given with proper life stylemanagement and principles of Ayurveda.