Abstract
The prevalence of lifestyle diseases, particularly in the era of fast food and junk food, is on the rise. One such health issue is Prameha, which closely resembles diabetes mellitus. Prameha is extensively described in Ayurvedic texts, starting with the Vedas, and is thoroughly discussed in the three primary Ayurvedic texts known as Bruha-trayi: Caraka Samhita, Sushruta Samhita, and Vagbhatta Samhita. The pathogenesis of Prameha involves ten Dushya, with Kapha being the primary dosha involved. The core principle of treatment is to counteract Kapha dosha through various regimens, medications, and diets that target medas (fat tissue). In contrast to modern medicine, which often requires lifelong medication and insulin injections, Ayurveda focuses on rejuvenating the body to control blood sugar levels and prevent complications. The COVID-19 pandemic has exacerbated the prevalence of diabetes and heart disease due to increased fear and anxiety. Ayurvedic treatment for Madhumeha (diabetes) involves a holistic approach, including lifestyle changes, proper medication, and a balanced diet, to ensure a healthy and active life. Diabetes Mellitus is a common non-communicable disease in India, characterized by chronic hyperglycemia and disturbances in carbohydrate, fat, and protein metabolism. In Ayurveda, it is known as Madhumeha, a type of Vataj Prameha where the patient passes honey-like sweet urine. The main causative factors include a sedentary lifestyle, excessive intake of dairy products, sweets, non-vegetarian foods, jaggery, and heavy meals. Ayurveda advocates a conservative approach to managing Madhumeha through diet, exercise, and medication. Herbs such as Shilajit, Khadir, Lodhra, Guduchi, and Jambu have proven effective in controlling Madhumeha. This review highlights the Ayurvedic perspective on managing Prameha and the potential of Ayurvedic herbs in treating this condition.