Tag: Diabetes Herbal Remedies

DIABETES (Madhumeh)-An Ayurvedic Perspective By Dr Vikram Chauhan

Diabetes Treatment in Ayurveda

INTRODUCTION

Diabetes mellitus (madhumeh) is one of the most common non-communicable diseases (NCDs). It is a chronic metabolic disorder marked by a high level of blood glucose (hyperglycemia) which occurs due to defects in insulin production, insulin action or both.

Diabetes mellitus (madhumeh) is of two types

  • Type 1 Madhumeha or insulin-dependent (IDDM) in which there is complete insulin deficiency.
  • The second one is type 2 Madhumeha or Non-Insulin Dependent (NIDDM) which is characterized by impaired insulin secretion, Insulin resistance, and increased glucose production.
  • Type 2 diabetes mellitus is more common and is increasing more rapidly due to sedentary life habits, faulty dietary habits, and stress.

PREVALENCE:

The prevalence of diabetes is increasing day by day globally and is considered the fourth leading cause of death in developing countries like India. Type-2 Diabetes mellitus is more common and is responsible for 90%of cases (approx.). According to WHO reports it is increasing with a rise from about 32 million cases in 1985 to 177 million cases in 20000 and by the year 2030 more than 360 million people would have diabetes worldwide. The prevalence of diabetes increases with the age in type2.

Ayurvedic Perspective of Diabetes :

According to Ayurveda, diabetes mellitus can be correlated to “Madhumeh” one of the twenty types of Prameha. Madhumeh (Madhu means sweet/honey and Meh means excessive urination) is a disorder in which a patient passes “excessive urine with sweet taste like honey,” Madhumeh is also considered as dhatupak janya vikriti which means a disease caused by a defective metabolism which leads to derangement of seven dhatus( ras, rakt ,mans, med, asthi , majja, shukar ) . There are approx. 20 types of Pramehas (urinary disorders) described in Ayurvedic texts.

Symptoms of Diabetes

These are based on the predominant doshas and are categorized as:

  1. Kaphaja Prameha ( Further divided into 10 types )
  2. Pitta Prameh (Further divided into 6 types )
  3. Vataj Prameh ( Further divided into 4 types)
  4. Sahaj Prameh ( Juvenile onset diabetes)

According to Acharya Sushruta Madhumeh is narrated as Kshaudrameh. In Madhumeh patient passes an excessive quantity of urine having Madhur (sweet taste) and Kashaya (astringent taste). The texture is dry (Ruksha), and the body attains sweetness.

The etiology of Madhumeh (DM) depends upon many factors like genetics ( family trait), overweight (fat- meda) patients, but the main causes of madhumeha are lethargic lifestyle ( e.g. idle sitting, excessive sleep, ) and, unhealthy food habits ( excessive intake of food having sweet, and fatty food items), causing vitiation of Kapha dosha .

Ayurveda divides Madhumeh (DM) into two categories:

  1. Genetic (Sahaja) DM that resembles with juvenile diabetes or insulin-dependent diabetes that occurs in a young age.
  2. Acquired (apathaja) DM that occurs due to an unhealthy lifestyle in old age and obese people and resembles with type 2 DM

Pathogenesis (Samprapti) of Madhumeh:

According to Ayurvedic texts, all types of Prameha (urinary disorders) occur due to the derangement of Kapha that spreads and mixes with fat (meda) throughout the body. Kapha mixes with fat which passes into the urinary system hence interfering with normal urine excretion. Vitiation of three doshas like pitta, Vata and other body fluids (Malas) are also involved in this blockade. In Diabetes this blockade is the main cause of frequent urination. If these Prameha are not cured properly then they might convert into Madhumeh. This again leads to the deranged development of body tissues and impaired carbohydrate, protein and fat metabolism.

The involvement of tissues and all dhatus except Asthi leads to damage of blood vessels, kidneys, eyes, and nerves.

PROGNOSIS OF MADHUMEH (DM)

According to classical Ayurveda, the prognosis can be divided into three categories.

  1. Curable (Sadhya) – This includes patients who are diagnosed early in the onset, obese (sthool) patients and the origin of their disease in Apathayja.
  2. Yapya ( Palliabe)-This type includes Pittaja prameha and certain types of kaphaja prameh can be controlled with treatment (palliative management)
  3. Asadhya (Incurable) – Vataja Prameha comes under this category of Prameha and inherited diabetes.

According to Ayurveda, the Kaphaja Pramehas are curable because the causative dosha and the affected tissues share the same properties, thus requiring the same type of treatment.

In the case of Pittaja urinary disorders, these are found to be controllable (palliative) and the causative dosha is pitta but the waste products (dushya) and tissues are different, requiring a different type of therapy.

Vataja Prameha (urinary disorders) are considered to be incurable because of the deterioration of tissues (dhatus) and hormones (Ojas).

So we can now divide the patients of Diabetes (Madhumeh) into two groups. The first group includes patients who are obese, having acquired diabetes, caused due to a sedentary lifestyle with the involvement of Kapha and Pitta dosha. Prognosis is better in this type as the measures of the treatment are better. The second Group includes patients of hereditary diabetes who are asthenic with the involvement of Vata dosha. The available treatment is less and there are more chances of complications for this type of Prameha.

COMPLICATIONS:

Microvascular Complications of Madhumeh (DM) like diabetic Retinopathy, Nephropathy, neuropathy etc. occurs due to the involvement of the tissues (dhatus).

In Ayurveda, DM is described not only as a condition of madhumeha (sugar loss in the urine), but also as a condition of ojomeha (immunity and hormone loss). Therefore prevention of type 2 Diabetes mellitus is a major issue these days. The three fundamental principles of Ayurveda i.e. Aahar (diet), Vihar (lifestyle), and Aushadhi (medicine or therapeutic modalities) play an important role in the prevention and control of diseases from further complications.

MANAGEMENT OF DIABETES (Nidanparivarjnam)

Prevention is better than cure “. According to the basic principle of Nidana Parivarjnam in Ayurveda, prevention is the first and foremost principle of treatment of diabetes (Madhumeh) by avoidance of causative factors. According to Acharya Charka, the Purvarupa of Prameh resembles prediabetes conditions. In the Pre-diabetic phase blood, glucose levels may be either normal or on the higher side of the normal range. This screening of diabetes should begin at 30-45 years of age and should be repeated every three years. To avoid further complications, screening of pre-diabetics is very important and changes in diet and lifestyle are made to prevent the occurrence of diabetes.

In Ayurveda, the role of Ahara (Diet) and Vihara (lifestyle) and Aushadhi (Medicine) are very important in Madhumeh (Diabetes) to control blood sugar levels as well as to prevent its complications.

Aahar (Diet)

  1. Restriction of heavy food items like excessive use of milk and milk products, the meat of domestic/ aquatic animals, new grains, consumption of jaggery /sugar, etc.
  2. Restrict fatty foods which increase body weight and cholesterol levels.
  3. Avoid sleep in the day times.
  4. A seasonal diet and lifestyle should be adopted.
  5. Cereals
  6. various preparations of rice which crops within 60 days like ( Shastic Shali), Purana shali (old rice), Barley (Yava), Wheat ( Godhuma)
  7. Pulses
  8. Red Gram (Adhaki), Horse Gram (Kulattha) and Green Gram (Mudga) etc. can be taken.
  9. Vegetables

All types of bitter and astringent leafy vegetables should be taken like Methika (Trigonella foenum) Karela (Momordica charantia), Patola (Vietnamese luffa), etc. should be given. , Karvellaka, Bimbi, Maricha (Piper nigrum), Saindhav lavana (rock salt) should be used.

  1. Regular Exercise and practice of Yoga and more calorie consuming activities like (brisk walking, cycling, swimming, etc.) should be done.
  2. Avoid fruits like banana, cheeku, mango and grapes with high simple sugars.
  3. Fruits like orange, watermelon, apple, guava, Jambun (Syzigium cumini) and Amalaki (Phyllanthus Emblica) can be used.
  4. The flesh of Deer (Harina mamsa), Rabbit (Shashaka mamsa), birds like Kapotha, Titira, etc. can be taken.
  5. Liquor: Old Sura (oldwine) can be given.

Vihar (Lifestyle Changes)

Physical exercise for at least 30-60 minutes daily is recommended in cases of type 2 diabetes mellitus (Madhumeh). It helps to maintain regular blood sugar levels. Rigorous exercises are contraindicated in weak and lean patients.

Therefore Yoga is very helpful for diabetic patients with the least physical stress. Different kinds of Yogasanas (Paschimotanasana, Halasana, Bhujangasana, Shalabhasana and dhanurasana) cause direct stimulation of the pancreas that increases the production of insulin by the pancreas. This, in turn, improves circulation and reduces the risk of cardiovascular diseases.

Pranayam:

Pranayam is recommended on a regular basis with a spiritual aspect. Breathing exercises like Anulom Vilom( alternate nostril breathing ) and Kapalbhatti ( one time inhale, exhale ) are very beneficial for the prevention and management of diabetes as it causes equilibrium in functions of all the systems, especially nervous system. Along with Yoga and exercise, meditation for stress management is very important. The regular practice of Yoga, Pranayam, and meditation in diabetic patients helps to focus the mind and create the right mental approach to prevent diabetes.

MEDICINE AND THERAPEUTIC MODALITY (Aushadhi)

1.Shodana Chikitsa ( bio-cleansing therapies)

It means internal cleansing of the body which is recommended in the case of Obese (Sthoola Diabetic) patients. This type of chikitsa (therapy) depends upon dosha predominance like (Pitta predominant patients are advised purgation, Kapha predominant patients are advised emesis). Panchkarma treatments come under this category of chikitsa.

Shaman Chikitsa

This type of treatment is done by pacifying the Doshas. Many Ayurvedic formulas have been found to be useful in the management of Diabetes (Madhumeh).

Miraculous Herbs to treat Diabetes:

  1. Amalaki
  2. Haridra
  3. Jambu
  4. Methika
  5. Vijayasara
  6. Karavellaka
  7. Kumari swaras (Aloe vera)
  8. Neem
  9. Gudmar
  10. Bel
  11. Shilajit
  12. Saptarangi

Role of Mantras in Diabetes (Madhumeh)

Mantras help people to get rid of Diabetes (Madhumeh) as by chanting mantras positive energies are attracted which helps in healing. It’s not that we can treat diabetes only by Mantras but this chanting of Mantras speeds up the healing time and helps you get healthier quickly. There is no doubt on the efficacy of Mantras because this is the only way to get yourself healed from inside by showing devotion. It has been recognized that Mantras have beneficial effects on human beings and even plants. Regular chanting of Mantras helps in taking you to a spiritual journey where body, mind, and soul become calm. Your body gets rejuvenated by the power of Mantras.

Here are some powerful Hindu Mantras that can help you.

1.Madhumeh Mantra

Herbal Remedies for Diabetes

Chanting of this Mantra can be started on an auspicious day in Shukla Paksha. Chanting is done by sitting on the floor (not the bare floor) alone and facing east and recite the mantra 108 times daily with faith.

2.Dhanvantri Mantra:

Dhanvantri Mantra

First of all, get seven black peppercorns and place them on your right hand. Chant this mantra for 31 times in a row and focus should be on peppercorns. After chanting, crush these peppercorns add some mishri and consume the mixture and believe that you are being healed.

3.Beej Mantra for Diabetes:

Beej Mantra for Diabetes

 

Beej Mantra is full of power. Chanting of this mantra is done with faith to overcome Diabetes (Madhumeh).

4.Mantra For Diabetes

Mantra For Diabetes

Chant this Mantra 21 times in a row. This Mantra becomes very powerful if chanted along with the Gayatri mantra.

5. Ganesh Mantra

Herbal Remedy for Diabetes

Keep the divine spirit of Ganesha in mind and chant this mantra with the full belief to get rid of diabetes.

6.Gayatri Mantra

Ganesh Mantra

Gayatri Mantra is recited in every house to be protected in all ways. Chanting of the Gayatri mantra for 108 times in arrow is done to cure diabetes.

7.Diabetes Mantra

How to Reverse Diabetes

Chanting of this great Mantra at least 108 times anywhere, anytime will heal you and help you to get rid of Diabetes.

Simple Mantra to Cure Diabetes:

Simple Mantra to Cure Diabetes

This is also known as Miracle mantra to treat diabetes. Chant this Mantra for 108 times every day and see the results.

Yogasanas To Control and Prevent Diabetes

Overview

Yoga practice is also useful in the management of various lifestyle disorders including Type 2 Diabetes as the incorporation of yoga practice in daily life helps to attain glycemic control.

Nowadays, Type 2 diabetes has become a common lifestyle disorder which is caused by insulin resistance resulting in chronic hyperglycemia and various other complications. A sedentary lifestyle and unhealthy dietary patterns are the major risk factors for the development of various lifestyle disorders, including diabetes. Psychological stress also increases the severity of diabetes.

Management of Type 2 Diabetes

Yoga, which originated in India more than 5,000 years ago, aims at balancing the body, mind, and soul. Traditionally, yoga is a mind-body practice with the ultimate goal of spiritual enlightenment. It provides opportunities for self-awareness.

The word ‘Yoga’ is a Sanskrit name which means ‘to join’ or ‘to unite’, symbolizing the union of body and consciousness. Yoga is often compared with the tree and comprises 8 aspects or limbs such as:

  • Yama (Universal ethics)
  • Niyama (Individual ethics)
  • Asana (Physical postures)
  • Pranayama (Breath-control)
  • Pratyahara (Control of the senses)
  • Dharana (Concentration)
  • Dhyana (Meditation)
  • Samadhi (Bliss).

Recognizing its universal appeal, the United Nations on 11th December 2014 proclaimed 21 June as the International Day of Yoga.

Many yoga asanas have been found to be beneficial in the Management of Type 2 Diabetes but their judicious use is recommended after a careful assessment of patient’s health.

  • They emphasize on the relationship of mind, body, and awareness and focus on the synchronization of movement and breathing.
  • The key to performing a yoga posture is that it should be performed with stability and comfort and involves stretching, twisting, movements, and relaxation.

Some Yoga Practices Beneficial for the Management of Type 2 Diabetes

  1. Surya Namaskar (Sun salutation)
  2. Vakrasan (Spinal twist)
  3. Trikonasana (Triangle pose)
  4. Bhujangasan (Cobra pose)
  5. Pavanmuktasana (Wind relieving pose)
  6. Om Chanting

1.Surya Namaskar (Sun Salutation):

This yogic exercise involves a series of various yogic postures which are performed in a series of a specific sequence.

It is a complete yoga asana in itself and involves 11 steps such as

  1. Pranamasana(prayer pose)
  2. Utthana hasthasana(raised arms pose)
  3. padahastanasana(standing forward bend)
  4. ashva sanchalanasana (equestrian pose)
  5. phalakasana(stick pose)
  6. ashtang namaskar(salute with eight points)
  7. bhujangasana(cobra pose)
  8. adho mukha svanasana(downward facing pose)
  9. ashva sanchalanasana(equestrian pose)
  10. padahastanasana(standing forward bend)
  11. pranamasana(mountain pose)

It increases cellular requirements for oxygen and glucose and to meet these requirements, through brain signaling, insulin production is stimulated.

The diabetic patient should practice 3-7 rounds at a slow speed and according to an individual’s capacity.

2. Vakrasan (Spinal Twist)

It is a very basic asana (pose) and it is recommended for overall body health as well.

  • It is a seated yoga posture which improves the function of pancreas.
  • Vakrasan is a pose having seated spinal twist that squeezes the intestines and massage them to prevent the stagnation of colonic contents.
  • It is recommended that diabetic patients should hold the final pose for 15 seconds or as per their capacity and then gradually increase the duration  upto 1 minute.

3.Trikonasana (Triangle pose):

Trikonasana is a standing pose that works on all areas of the abdomen and further helps in keeping the kidneys in good working condition.

  • It improves blood supply and enhances insulin receptor expression in the muscles.
  • It is recommended to hold the final pose for 15 seconds and gradually increases the duration up to 1 minute.

4.Bhujangasana (Cobra Pose):

Bhujangasana is a prone pose that stimulates and massages the pancreas and helps in the proper functioning of the gland.

  • This pose allows more blood to circulate in the pancreas and the whole body region.
  • Due to an increase in the amount of blood flow, the efficiency of beta-cells increases.
  • Diabetic patients should hold the final pose for 15 seconds and then gradually increase the duration up to 1 minute.

5.Pavanmuktasana (Wind Relieving Pose):

Pavanmuktasana is supine pose often known as ‘gas releasing pose’ and it braces up the entire system of the body including pancreas, liver, spleen, abdomen and abdominal muscles.

  • This asana causes a contraction in the abdominal muscles which improve the functionality of the abdominal organs.
  • Diabetic patients should hold the final pose for 15 seconds and gradually increase the duration up to 1 minute.

Om Chanting

6.Om Chanting

Several types of researches have shown that chanting Om is based on the physics of sound, resonance, vibrations, etc. that has a positive effect on health.

  • Chanting Om results in the removal of negative thoughts, an increase of energy, relaxation of brain and body.
  • Thus, chanting Om in supine posture produces an integrated relaxation response, which may have a clinical significance in the management of diabetes and hypertension.

Thus, Yoga postures help in the stretching of abdominal muscles which help in the regeneration of pancreatic cells and there is an improvement in the sensitivity of beta-cells to glucose, thereby there is an improvement in the secretion of insulin, increase in the blood supply to the muscles and muscle relaxation, thereby improving glucose uptake.

In addition to Yoga Asanas (Yoga Poses), Yogic breathing (Pranayam), Dhyaan (Meditation) have positive effects on the sugar levels and it is recommended in the management of diabetes.

Meditation

Meditation has been shown to cause physiological changes in the brain and meditators are less prone to stress.

  • The mental stability that is attained through Meditation helps diabetic patients.
  • Mindfulness Meditation is advocated for better sleep, greater relaxation, positivity in life etc.

Pranayama

Pranayama is control of breath. “Prana” is a breath or vital energy in the body.  The slow breathing technique involved in Pranayama causes comprehensive changes in the physiology of the body as it controls the autonomic nervous system.

  • Pranayama such as Bhastrika Pranayam (bellow-breathing) is energetic and powerful pranayama known as “the breath of fire”.
  • This pranayama helps in the regulation of pituitary, pineal, and adrenal glands which play an important role in the regulation of metabolism.

Yoga also prevents the development of diabetes in individuals who have a high risk of developing diabetes and also a results in a reduction of fasting blood sugar, postprandial blood sugar (blood sugar after meals), anti-diabetic drug requirements thus suggesting improved glycemic control.

Its regular practice helps in enhancing awareness of the mind and body which is needed in the self-management of diet in diabetes. Moreover, regular yoga practice also reduces the risk of diabetes-related complications.

Effective Home Remedies To Control Blood Sugar Level