Rational Ayurvedic Approach to Type 2 Diabetes Mellitus: A Kayachikitsa Perspective of Prameha asan Internal Disorder

Abstract

ABSTRACT: Type 2 Diabetes Mellitus (T2DM), a global epidemic, presents not only a metabolic disturbance but also a multisystemic internal disease. Kayachikitsa, with its rich understanding of Prameha and Madhumeha, offers time-tested, logical frameworks for diagnosis and treatment. This paper extensively reviews Ayurvedic etiology of Prameha, detailing Kapha-Meda Dushti, Abaddha Meda, Dhatwagni Mandya, and Srotasavarodha. The treatment protocol examined includes Shodhana (Vamana/Virechana), Shamana (herbal formulations like Nishamalaki, Chandraprabha Vati), Rasayana, and personalized diet and lifestyle plans. A cohort of 30 diabetic patients underwent a 6-month therapy plan, with HbA1c, fasting glucose, and patient-reported outcomes recorded. Integrative benefits such as improved glycemic control, digestive function, and reduced dependency on insulin were observed. The research not only underlines the therapeutic capabilities of Ayurveda but urges a re-evaluation of internal medicine practices to include holistic methodologies.

KEYWORDS: Type 2 Diabetes, Prameha, Kayachikitsa, Madhumeha, Ayurvedic endocrinology, Dhatwagni, Kapha Dushti, Virechana, insulin resistance, Rasayana therapy