Introduction:

Prameha Chikitsaa generally divided into two categories.

1. S`hodhana
2. S`hamana

Generally, in Prameha Santarpan`a is always indicated.

 

Initially in the management of Prameha, a person has to be given Snehana and then appropriate preparation that is suited for the condition to induce S`hodhana. After adequate S`hodhana by Oordhva and Adhah Maarga he should be maintained on Santarpan`a.

 

Saamaanya Chikitsaa:

1. Kaphaghna
2. Medoghna
3. Kledahara
4. Hetuvipareeta
5. Various types of Apatarpan`a

 

Indications of S`hodhana:

Balavaan Rugn`a

Sthoola Rugn`a

Balavaan Dosha

S`hodhana Dravya:

Generally Pramehee Rugn`a should be advised Teekshn`a S`hodhana.

S`hodhana Dravya should be Snigdha e.g. Sarshapa, Kusumbha, Priyangvaadi Gan`a Siddha Taila or Ghrita etc. should be used for Snehana.

 

Due to untimely or excess Apatarpan`a following Vyaadhi can occur as complications:

Mootragraha

Rujaa

Gulma

Ks`haya

 

Pramehahara Vihaara:

Vihaara of Prameha aims at:

Kaphakshaya (eradicating Kapha substantively, qualitatively and / or functionally)

Medakshaya (depleting fat tissue and control adipose metabolism)

Rookshan`a ( creating dryness in the internal environment and controlling unctuousness and excess fluidity)

 

Following Vihaara are indicated in Prameha:

Rooksha Udvartana

S`hatayojana / Dviyojana / Treeyojana Bhraman`a [1 Yojana = 2.5 miles (M.W.)]

Raatri Jaagaran`a

Gos`hakrit-Mootra Vritti: (Pramehee should live with cows, use grains of cow-dung as food.)

Vedaadi Adhyayana (For Paapakrit Prameha, according to D`alhan`a)

 

Vyaayaama:

Heavy physical exercises are indicated in Prameha, e.g. Koopa khanana, S`hatayojana Chankraman`a; however Rugn`abala and Prameha type etc should be considered.Kris`ha Rugn`a should be advised light exercises.

 

Bhishagvarjita Madhumeha Chikitsaa:

Madhumehee Rugn`a, who is untreatable, should consume following drugs:

1. S`hilajaatu
2. Tuvaraka
3. Maakshika Dhaatu

A person suffering from Prameha on being subjected to the purificatory measures still does not respond to therapeutic management should, as a last resort should consume these drugs according to Sus`hruta.

 

S`hilaajatu Prayoga:

1 Tulaa (400 Tolaa = 5 Kg) S`hilajaatu (Asanaadi Kvatha Bhaavita)

 

Maakshikadhaatu Prayoga:

Tuvaraka Prayoga:

In Vaataja Prameha if there is association of Kapha dosha than Snehakalpana made from Kaphaghna Kashaaya should be used.

In Vaataja Prameha if there is association of Pitta Dosha than Snehakalpana made from Pittahara Kashaaya should be used.

Pathya-

Rasa- Tikta, Kashaaya

Gun`a- Rooksha, Laghu

Dhaanya- Koradoosha, S`hyaamaaka, Godhuma, S`haalee, Yava, Shasht`ika S`haalee, Uddaalaka, Trin`a Dhaanya

S`haaka- S`higru, Pat`ola, Punarnavaa, Kaarvellaka, Nirmalee Beeja, Kan`t`akaaree, Rasona, Gokshura, Mandaara, Nimba, Karchoora, Kamalakanda, Khaira, Laangalee, S`hun`t`hee, Maricha, Pippalee, Sarshapa, Atasee, Grinjanaka

S`himbee- Bharjita Chan`aka, Mudga, Kulattha, Makusht`a, Tila

Maamsa- Harin`a, Laavaa, Jaangala Maamsa, S`hushka Maamsa

Dugdha- Takra

Drava- Puraan`a Madya, Madya, Mantha, Khara Mootra, Maahisha Mootra, Seedhu, Madhu, Madhooka, Sarshapa Siddha Kaanjika, Vaat`ya Madya,

Phala- Udumbara, Puraan`a Kadalee, Kapittha, Jamboo, Kharjoora, Aamalakee, Tindooka, Amlikaa

Kritaanna- Yava- Godhuma Kritaa Padaartha, Yavaudana, Aapoopa, Kulmaasha, Utkaarikaa, S`hashkulikaa, Madhu+Khadeera+Maricha, Mudga, Kulattha, Aad`hakee, Chan`aka Yoosha, Vanachat`aka Maamsarasa

Other- Laajaa, Langhana, Deepana, S`hamana, Vamana, Virechana

Apathya-

Rasa-Madhura, Amla, Lavan`a

Gun`a- Abhishyandi

S`himbee- Nishpaava

Maamsa- Aanoopa Maamsa

Dugdha- Dadhi, Ghrita, Dugdha

Drava- Ikshu Rasa, Kaanjika, Nava Madya, Taila

Phala- Taad`a, Kushmaan`d`a

Other- Nava Anna, Paisht`ika Padaartha, Ikshu, Gud`a, Mootraavarodha, Dhoomapaana, Sveda, Raktamokshan`a, Divaasvaapa, Maithuna