RESUMO
Diabetes Mellitus is the most common endocrine disorder and a various condition characterized by hyperglycemia as a consequence of defects in insulin secretion and variable degrees of insulin resistance. An estimated number of people with diabetes as projected to rise from 171 million in 2000 and 366 million in 2030. Skin disorders are present in 79.5% of patients with DM. Skin disorders, usually neglected and frequently under diagnosed among diabetic patients, are common complications and a broad spectrum of disorders in both type-1 and type-2 DM like- Prameha pidikas are Sharavika, Kachchapika, Jalini, Vidradhi Vinata, Alaji, Masurika, Sarshapika, Putrini and Savidarika, Dry skin, Fungal infection, Skin Tags, Ulcers, Diabetic foot etc. which can lead to major complication and revolve around multifactorical factor besides hyperglycemia and advanced glycation end products. Diabetics skin infections are correlate in the Ayurvedic literature describe of Prameha pidikas so that Prameha just described before the Kustha. Both the diseases are correlated with Kleda dusti. Therefore, the aim of this study is to perform a literature review to evaluate the various skin infections in DM patients. Ayurvedic classics as described many, Churnas, Guggulus, Gandhka yoga, Lohas, Kashayas, Leha, Ghritas Tailas, Lepas, etc. Herbal drugs -Vrana Shodhana and Ropana (Healing Agents) and Rakatmokshana for use in various Skin infections. The few of these herbal drugs have antifungal and anti bacterial action. The role of Ausadhi (Herbal Medicines), Ahara (dietary regimen) and Vihara (lifestyle) are equally or even more important to control blood sugar level as well as to prevent complications of this disease.
RESUMO
Diabetes Mellitus is a metabolic disorder characterized by increased blood sugar level (hyperglycaemia) with or without some classical features- polyuria, polydipsia, polyphagia, burning sensation etc. In Ayurveda diabetes comes under Prameha, is one of the ‘Ashtau Mahagadas’. It is a Vatik subtype of Prameha called Madhumeha. Some Madhumehahar (Anti-diabetic) Ayurvedic herbal medicines are very much effective for managing the day to day diabetic life. The present article deals with a newly diagnosed case of Type 2 DM since 3 Days. Still he was not taking any allopathy medicine. By analyzing the concept of pathogenesis of this patient it was understood that Kapha- Pittavrit -Vata Dosha is the chief vitiating factor and other factors like manifestation Meda, Kleda, Vasa, Ambu and Ojas with Dhatwagni Mandya are the co-factor for it. By considering the Nidana, Dosha and Dusya (factors and co-factor), a judicial combination of Ayurveda drugs- Jamun- Gudmar- Nagarmotha Sudarshan- Giloy- Nagkeshar- Arjun Churna was advised to take orally in morning and evening with luke warm water. At the time of consultation his FBS and PPBS was too high i.e., FBS- 366 and PPBS – 614. After taking the prescribed formulation for 3 months his sugar level came down to normal range. Now patient is under supervision of OPD AIIA at fort night interval. The prescribed combination of drugs showed better response in Type 2 DM. Assessment using major Ayurveda parameters for evaluating Roga, Agni, Deha and Chetas, Bala came down to the normal level.