Abstract
The objective of the study is to have a conceptual review of the disease madhumeha and its treatment, in particular to the use of shamana chikitsa using nisha katakadi kashaya in the disease madhumeha. Diabetes (Madhumeha) is one of the types of Vataja Prameha; that has been considered as an incurable disease (Mahagada). Due to the indulgence in etiological factors it results in the incomple te formation of kapha and meda which further proceeds downward through the channels of Mutravaha Srotas and get localized at Basti Mukha leading to the symptoms like polyuria (prabhoota mutrata), turbidity (avila mutrata). As the disease is chirakari, it r equires an effective treatment which can be continued for a long time without any ill effects. Among the many treatment measures mentioned, Shamana using nisha katakadi kashaya has been selected in this study and the effect is evaluated. This clinical stud y has a single group pretest and post test design where the patients were assessed before, during and after the treatment. Therapeutic effect of the treatment was observed using the subjective and the objective criteria’s which were graded and analyzed st atistically using the paired‘t’ test. The study showed a marked remission of the symptoms of madhumeha and in the urine and blood sugar levels in almost all patients in this study. The response by the treatment was statistically significant in terms of all the parameters of the disease. Thus the usage of nisha katakadi kashaya is proved to be useful in the condition madhumeha.
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