• Dr. Dattatray Balaji Bhondave
• Dr. Sangita Baban Fand

Prameha is Chirakali, antakoshtaudbhava vyadhi and main strotas involved are mutravaha, medovaha and udakavaha strotas. This is tridoshaj disease especially with kapha dosha, main dushyas especially meda along with Rasa, Ratka, Mamsa, Lasika, Kleda, Sukra and Oja. Prameha is a condition caused by impairment of Kapha Dosha and Jala Mahabhoota i.e. Disturbed metabolism of water compartments in body giving laxity in body tissues especially in fats, muscle tissues giving them Abadhha (lax or hypotonic) and Asamhata (not compact or loose) consistency. Kapha Dosha vitiation mainly hampers fat or lipid metabolism leading formation of Kleda (tissue waste products in liquid form dampening the body tissues). Excessive formation of Kleda, excessive evacuation of this Kleda in form of profuse, cloudy urine ‘Prabhuta Avila Mutrata’ is cardinal symptom described. This excess Kleda bring Shaithilya in surrounding tissues like muscles, lymph, marrow, semen, fat and in advance stage putrefy them. Therefore these tissues are considered as Dushya or target tissues of Prameha. Formation Kleda, disturbed lipid metabolisms are key points in pathophysiology of Prameha although all three Dosha are involved in process.

Chikitsa, Nidan Panchak, Prameha, Updrava.

"Critical literature review of Prameha according to Nidan Panchak, Upadravas and its Chikitsa", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 5, page no.c615-c622, May-2024, Available :http://www.jetir.org/papers/JETIR2405278.pdf

"Critical literature review of Prameha according to Nidan Panchak, Upadravas and its Chikitsa", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 5, page no. ppc615-c622, May-2024, Available at : http://www.jetir.org/papers/JETIR2405278.pdf