Abstract
Diabetes Mellitus is now considered a pandemic. Especially in India, the number of patients increased at 14% prediabetic, becoming the capital of Diabetes. It is a clinical syndrome which is characterize by an increased level of blood sugar. In Ayurveda, the ṁadhumeha is explained as a type of prameha. The kinds of madhumeha is of two. One is dhatukshaya, and other is avaranjanya. The avaranjanya type of Madhumeha is allowed to be treated with the shodhana process. In which vamana and virechana are effective.
 Objective: The objective of this study was to study the efficacy of Nitya Virechana in the management of madhumeha.
 Case report: A single case study of a 59 yrs old male patient who was already diagnosed with madhumeha before 21 days. Symptoms such as pippasa, shramdaurbalya, Bahumutrata were present; after investigation, he was advised for Nitya Virechana.
 Result: Symptomatic assessment of the patient was carried out after treatment i.e. after Nitya Virechana and outcome was satisfactory, and the quality of life of patient was significantly improved.
 Conclusion: Nitya Virechana brought about good relief in symptoms in patients with Madhumeha and controlling the blood sugar level.
Highlights
Diabetes is the current global problem that affects the economic, physical and mental health of society
Changes in fat and protein metabolism are involved in Diabetes mellitus
Insulin impairment leads to changes in fat, and glucose metabolism leads to Diabetes
Summary
Diabetes is the current global problem that affects the economic, physical and mental health of society. Changes in fat and protein metabolism are involved in Diabetes mellitus. Consequent changes in fat and protein metabolism lead to glucose metabolism impairment. Insulin impairment leads to changes in fat, and glucose metabolism leads to Diabetes. In Ayurveda the Madhumeha is the subtype of vatik Prameha. It has two types one is avarnajanya and other is Dhatukshayajanya. The treatment of Madhumeha is sanshodhana in which Vamana and Virechana explained in the Samhita. Many virechaka drugs are explained in the samhitas like the Snuhi. Argwdaha is choosen here for nitya virechana, which is explained in the Prameha. For this purpose patient daily gets the virechak kwatha, which the patients get 2-3vegas is allowed. In Chakrdatta, the Chaturangulakwatha is described in the treatment of prameha [7]
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