Diabetes: An Ayurvedic Perspective

By Dr Deepa Apté

Diabetes: An Ayurvedic Approach

Ayurveda describes a group of diseases called Prameha which when translated into English means "Obstinate Urinary Disease". This group comprises of all conditions related to urinary system like excess urination, Diabetes etc.

There are 20 forms of Prameha diseases. Prameha can be further categorised into three groups based on the Dosha dominance:
Kapha Prameha: 10 forms
Pitta Prameha: 6 forms
Vata Prameha: 4 forms

Diabetes is predominantly a Kapha disorder where by the Agni function is diminished. This leads to low metabolic rate in the body and build up of sugar levels in the blood.

The term given for the Diabetes Mellitus in Sanskrit is - Madhumeha (Madhu: sweet; meha: to flow or urination)

Diabetes Insipidus falls under the category of Kapha Prameha where as Diabetes Mellitus falls under the category of Vata Prameha. Therefore it is believed that although Diabetes is dominantly a Kapha disorder it is also influenced by the activity of Vata  (and to some extent Pitta) in the body.

Ayurveda has very classically presented the causes of Diabetes in the following manner:

• Inactivity
• Excessive sleep
• Excessive use of yoghurt
• Meat soup of the domestic, aquatic and marshy animals
• Sweet food articles
• All other Kapha-promoting regimens

Ayurvedically, Diabetes can occur through two modes of pathogenesis:

• Avarana: Blockage of paths or channels in the body
• Dhatukshaya: depletion of Dhatus or tissues in the body

Blockage of paths: Increased Kapha Dosha or other tissues like fat or muscle cause the blockage of the channel. This can lead to maturity onset diabetes.

Dhatukshaya, where the tissues are depleted, can be categorized as juvenile diabetes.

"Ojas" is the essence of digestion and hence essence of life (it is also termed as an extract of all the Dhatus (body tissue), which gives strength (Bala) to the body mind and soul. Ojas helps to determine the physical, mental, sensory and all other functions. In diabetes mellitus this essence of life is lost from the body through excretion in the urine (hence Diabetes Mellitus is also called Ojomeha (Ojo: Ojas; meha: to flow or urination).

Symptoms:

Ayurveda talks about three main symptoms (Rupas) for Diabetes. They are:

• Polyuria
• Sweetness in urine
• Sweetness in the body

Other signs and symptoms of diabetes can be polydypsia (excess thirst), diarrhea, fever, burning sensation, general debility, indigestion, necrosis, carbuncles, inflammatory lesions, wasting of muscles, excess sleep, and sluggishness.

Diabetes tends to affect all the Dhatus (tissues in the body):
Rasa (plasma): hyperglycaemia
Rakta (blood): deteriorated quality of the blood cells with increased viscosity and therefore become fragile.
Mamsa (muscles): muscle wasting, necrosis
Medhas (fat): hypertrophy of adipose tissue
Asthi (bone): de-mineralization of bone tissue, reduced density
Majja (nervous tissue): degeneration of brain tissue
Shukra (reproductive tissue): loss of libido, transmission to next generation
Sira (arteries): atherosclerosis
Tvak (skin): necrosis, ulcers, carbuncles
Snayu (nerves): neuropathies

Treatment protocol:

Stimulating the digestive fire (Agni) is very important.

Juvenile Diabetes Mellitus:

People suffering from the juvenile form have to take insulin. But even with insulin administration, a person may be weak all the time and infection prone. The best approach for such cases is a combined treatment of insulin and Ayurvedic remedies (especially to prevent complications). Herbs widely used in such cases are Bhumiamalaki, Guduchi, along with a restricted diet which comprises of bitter and astringent foods.

If Dhatukshaya (depletion of Dhatus or tissues) is observed then limited amounts of nourishing foods are given.

If there is an autoimmune factor involved, Ama has to be treated first and then other lines of treatment are applied.

Maturity Onset Diabetes Mellitus:
The approach for this kind of diabetes depends on the phase of diagnosis.
1. Food restriction and dietary advice
2. Food restriction, dietary advice, Yoga exercises
3. Shodhana (Ayurvedic detoxification e.g. Panchakarma), dietary advice and Yoga exercises
4. Shodhana (Ayurvedic detoxification e.g. Panchakarma), dietary advice, Yoga exercises, Ayurvedic herbal preparations

If person is physically strong, all 5 actions of Panchakarma can be administered. If a person is physically weak, then Basti (enema treatment) is the best line of approach.

Food:
The foods that help to keep sugar levels in the blood under control are bitter, astringent foods. Barley, mung beans, bitter gourd are very good. A Kapha pacifying diet should be followed. Plenty of cooked green vegetables are beneficial. Seeds of any bitter plants or fruits are good.

Herbs:
Any herb with a bitter quality is helpful. Commonly used Ayurvedic herbs are:

Turmeric: One can take turmeric with ale vera juice for good results.

Neem (Azadirachta indica) has traditionally been used in Ayurveda to purify the blood and support the immune system. It helps to maintain healthy blood glucose levels.
Guggulu (Commiphora mukul) has been traditionally used in Ayurveda to gently detoxify the body and support proper nutrition by stimulating the body's metabolism to improve digestion and eliminate waste products. It helps to remove excess sugar and fat from the body through its scraping actions.
Triphala with aloe vera juice of Amalaki juice is beneficial.

Other useful herbs are Guduchi, Gokshura, Arjuna, Punarnava.

Yoga:
Kapha pacifying Yoga exercises are good. One very useful Yoga position is Mayurasana (peacock position). Other positions are sun salutation, locust position, leg lifts and chest to knee positions. Alternate nostril breathing is a good Pranayama for Diabetes.

It is strongly recommended that you consult a qualified Ayurvedic practitioner before starting any detoxification process to eliminate Ama or taking Ayurvedic herbs for diabetes. The treatment protocol may change based on a person's body constitution and disease.