Abstract

DIAGNOSTIC AND PROGNOSTIC UNDERSTANDING OF PRAMEHA / MADHUMEHA WITH URINE EXAMINATIONS

Dr. Rajeev Kumar*, Dr. Sachin Deva and Dr. Ketki Aurangabadkar

Abstract

Prameha is one of the chirakari vyadhi and included in Ashta Mahagada. Avasthanusara this vyadhi becomes asadhya in nature. Jata Pramehi is always asadhya due to bija dusti. In Ayurveda, there are 20 forms of Prameha due to intraction of the 3 doshas- 4 forms are due to Vata, 6 forms are due to Pitta, 10 forms are due to Kapha. Several of these forms have sweet urine, whereas some of them have different coloration of the urine and indicate the several disorders related to the urinary system like Glucosuria, Proteinuria and Ketonuria by the specific urine test. Diabetes is a group of metabolic disease, Characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Normally, blood glucose level is tightly controlled by Insulin which is produced by the Pancreas. In patient with diabetes, the absence or insufficient production of insulin causes hyperglycemia. It alters metabolism of carbohydrates, proteins and fat in the body. It is characterized by high level of blood glucose and subsequent excretions through urine. Here further in this article Diagnostic & Prognostic understanding of Prameha/Madhumeha with Urine examinations will be highlighted.

Keywords: Prameha/Madhumeha, Diabetes Mellitus, Urine Examinations, Glucose, Protein, Ketones.