Abstract
Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterised by hyperglycaemia resulting from defects in insulin secretion, insulin action or both. There is no permanent correction of DM in modern science. OHAs are not adequate because the dosage keeps on increasing and sometimes patients get shifted to insulin. DM comes under the umbrella of ‘Prameha’ which is included under Ashtau Mahagada. It is cited as Santarpanottha vyadhi which requires shodhanottara shaman chikitsa.
 Objectives: to evaluate clinical efficacy of shodhanottara shaman chikitsa in type II Diabetes Mellitus
 Methodology: An exploratory interventional clinical study in which 5 patients suffering from type II diabetes mellitus (chronicity not more than one year) having Blood Sugar Levels – Fasting>150 and PP>250, HBA1C> 8 were selected for the study. After baseline investigations and clinical examination, the study subjects were given Mahatiktaka Ghrita in escalating dose of 20, 30 and 40 ml for three days for snehana followed by AragvadhaKapilaVati or AbhayadiModaka depending on koshtha on fourth day. This shodhana was repeated every fortnight for three months. After first cycle of shodhana, shamanachikitsa, i. e. Vasantakusumakara Rasa 125mg and Dhatrinisha Choorna (500+250mg) were given. Study subjects were advised to follow specific diet regimen and exercises like Suryanamaskara. During this period Blood Sugar Levels were monitored and accordingly dosage of OHAs was adjusted.
 Results: Shodhanottara shaman chikitsa was found to be effective in lowering Blood Sugar Levels as well as HBA1C levels. Significant improvement was observed in specific symptoms such as polyphagia, polydypsia, hastapadataladaha, polyuria and debility after three months of treatment. It reduced the OHA dependency of type II diabetic patients.
 Conclusion:Shodhanottara shaman chikitsa has significant role in management of DM as well as in reduction of OHA dependency of type II diabetic patients.
 Keywords: Shodhanottara shaman chikitsa, type II Diabetes Mellitus
Highlights
Diabetes Mellitus recognized as global health hazard has long been a concern of World Health Organization
Shodhanottara shaman chikitsa was found to be effective in lowering Blood Sugar Levels as well as HBA1C levels
Diabetes mellitus is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with thedisease[.3,4] Diabetes mellitus, a chronic debilitating disease, is associated with increased mortality and a high risk of developing neurological, retinal, renal and cardiac complications leading to premature disability and death
Summary
Diabetes Mellitus recognized as global health hazard has long been a concern of World Health Organization. Urbanization and altered life styles inducing immense stress and altered immune functions, has resulted in increasing the incidence of Diabetes mellitus by leaps and bounds. The Global burden due to diabetes is mostly contributed by type 2 diabetes which constitutes 80% to 95% of the total diabetic population. Diabetes mellitus is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with thedisease[.3,4] Diabetes mellitus, a chronic debilitating disease, is associated with increased mortality and a high risk of developing neurological, retinal, renal and cardiac complications leading to premature disability and death. Diabetes Mellitus (DM) is a group of metabolic diseases characterised by hyperglycaemia resulting from defects in insulin secretion, insulin action or both. It is cited as Santarpanottha vyadhi which requires shodhanottara shaman chikitsa
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