E-ISSN:2456-3110

Review Article

Diabetes

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 10 OCTOBER
Publisherwww.maharshicharaka.in

Role of Trikatu Gutika and Yoga Therapy Bhujangasana in the management of Madhumeh (Diabetes)

Himanshu1*, Sharma S2
DOI:10.21760/jaims.9.10.20

1* Himanshu, Assistant Professor, Department of Swasthavritta, SRS Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh, India.

2 Sunayana Sharma, Professor and HOD, Department of Swasthavritta, Sri Ganganagar College of Ayurvedic Science and Hospital, Sri Ganganagar, Rajasthan, India.

Trikatu Gutika is an Ayurvedic formulation composed of three potent herbs: Pippali (Piper longum), Maricha (Piper nigrum), and Shunthi (Zingiber officinale). Known for its heating properties, Trikatu is primarily used to enhance digestion, boost metabolism, and improve bioavailability of other medicines. This combination acts as a digestive stimulant, carminative, and aids in breaking down Ama (toxins), thus playing a role in detoxifying the body. Its utility in managing obesity, respiratory issues, and metabolic disorders like hyperlipidemia and diabetes is also recognized. By stimulating Agni (digestive fire), Trikatu Gutika helps regulate blood sugar levels, making it useful in managing diabetes (Madhumeha). This abstract highlights Trikatu Gutika's significance in Ayurvedic practice for its effectiveness in enhancing the body's metabolic functions and treating conditions related to impaired digestion and metabolism. Bhujangasana (Cobra Pose) is a beneficial Yoga posture in managing Madhumeh (diabetes). Practicing Bhujangasana helps stimulate the pancreas, encouraging insulin production and improving glucose metabolism. The backward bending of the spine in this pose stretches the abdominal muscles, massages the internal organs, and enhances circulation to the pancreas, liver, and kidneys, which are vital for controlling blood sugar levels. Regular practice of Bhujangasana helps reduce stress, a contributing factor to diabetes, and enhances the body's ability to utilize insulin more effectively. This abstract discusses Bhujangasana's role in managing diabetes through its physiological effects, supporting holistic health, and promoting better glycemic control in individuals with diabetes.

Keywords: Trikatu, Bhujangasana, Madhumeh, Ama, insulin

Corresponding Author How to Cite this Article To Browse
Himanshu, Assistant Professor, Department of Swasthavritta, SRS Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh, India.
Email: 		Himanshu, Sharma S, Role of Trikatu Gutika and Yoga Therapy Bhujangasana in the management of Madhumeh (Diabetes). J Ayu Int Med Sci. 2024;9(10):123-126.
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https://jaims.in/jaims/article/view/3764

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-09-15 2024-09-25 2024-10-05 2024-10-15 2024-10-24
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Yes 12.63

© 2024by Himanshu, Sharma Sand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Introduction

Ayurveda and Yoga offer a holistic approach to managing Madhumeh, or diabetes, by addressing both metabolic imbalances and lifestyle factors. In Ayurveda, Trikatu Gutika, an herbal formulation, and Yoga therapy, specifically Bhujangasana (Cobra Pose), can together provide effective support in controlling blood sugar levels, enhancing metabolism, and improving overall health.

This article explores the combined benefits of Trikatu Gutika and Bhujangasana in diabetes management, including their physiological impact, therapeutic benefits, and usage guidelines.

Understanding Madhumeh (Diabetes) in Ayurveda

Madhumeh is classified in Ayurveda as a type of Prameha (urinary disorder) with a primary focus on Kapha and Vata Doshas. This condition results from a disruption in glucose metabolism, often due to insulin resistance or insufficient insulin production.

The Ayurvedic approach views diabetes as a systemic disorder affecting various tissues, leading to symptoms like excessive thirst, frequent urination, fatigue, and weight changes. Ayurvedic management emphasizes balancing Doshas through herbal remedies, dietary adjustments, and lifestyle changes to restore metabolic harmony.

Role of Trikatu Gutika in managing Madhumeh

Trikatu Gutika is an Ayurvedic formulation composed of three powerful spices - Pippali (Piper longum), Maricha (Piper nigrum), and Shunthi (Zingiber officinale) - all of which are known for their pungent (Katu) taste and heat generating properties.

The combined effect of these ingredients in Trikatu Gutika stimulates the digestive system, enhances metabolism, and supports fat and sugar metabolism, making it beneficial in the management of diabetes.

Improves Digestive Fire (Agni)

Trikatu Gutika enhances digestive fire, or Agni, which is essential in the breakdown and assimilation of nutrients. Proper digestion helps prevent the formation of Ama (toxins) that can lead to metabolic imbalances and aggravate diabetic symptoms.

Enhances Insulin Sensitivity

Pippali, Maricha, and Shunthi all support insulin sensitivity by promoting glucose utilization. Regular use of Trikatu Gutika helps improve the efficiency of insulin receptors, reducing blood sugar levels naturally.

Reduces Kapha Dosha and Balances Metabolism

Trikatu is particularly effective for individuals with Kapha dominance, as it balances excess Kapha, which is often associated with obesity, sluggishness, and insulin resistance.

This metabolic balance is critical in Madhumeh management, as excess Kapha can lead to weight gain and exacerbate diabetic symptoms.

Supports Fat Metabolism

Trikatu Gutika aids in breaking down stored fat, which can reduce visceral fat around the abdomen - a common issue for those with type 2 diabetes. Decreased abdominal fat helps in better glycemic control and lowers the risk of complications.

Detoxifying Effect

The thermogenic properties of Trikatu Gutika induce sweating, which aids in flushing out toxins. This detoxifying effect is beneficial in maintaining a healthy internal environment, essential for diabetes management.

Dosage and Precautions for Trikatu Gutika

The recommended dosage of Trikatu Gutika generally ranges from 1 to 2 tablets twice daily, taken after meals with lukewarm water, under the guidance of an Ayurvedic practitioner. Although Trikatu Gutika offers numerous benefits, it may not be suitable for everyone.

Patients with high Pitta related issues, such as acid reflux or hyperacidity, should use it cautiously. Pregnant women and individuals with gastrointestinal conditions should avoid Trikatu Gutika unless advised by a professional.

Yoga Therapy for Diabetes: The Role of Bhujangasana (Cobra Pose)

Yoga therapy has a valuable role in managing Madhumeh by promoting physical activity, reducing stress, and stimulating endocrine function.


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Bhujangasana, or Cobra Pose, is particularly beneficial for individuals with diabetes due to its focus on the abdominal region, pancreas, and overall metabolic balance.

1. Stimulates the Pancreas:Bhujangasana creates a gentle pressure on the abdomen, stimulating the pancreas and enhancing insulin production. This improved insulin release helps regulate blood sugar levels and supports overall glucose metabolism.

2. Improves Circulation:The pose promotes better blood circulation, especially in the abdominal region, supporting healthier pancreatic and digestive functions. Improved blood flow contributes to optimal cellular health and insulin sensitivity.

3. Strengthens Core Muscles:By engaging and strengthening the core and spinal muscles, Bhujangasana supports digestive and metabolic processes. A strong core promotes better digestion and reduced strain on the pancreas.

4. Reduces Abdominal Fat:Bhujangasana stretches and tones the abdominal area, helping reduce excess fat around the waistline. This reduction in visceral fat is linked to improved insulin sensitivity, making it valuable for those with diabetes.

5. Alleviates Stress: Stress has a direct impact on blood sugar levels. Bhujangasana, when combined with deep breathing, calms the nervous system, reduces cortisol levels, and encourages relaxation, which is essential for glycemic control.

How to Practice Bhujangasana: Step by Step Guide

Practicing Bhujangasana requires mindful alignment and deep breathing to maximize benefits. Here’s a step-by-step guide:

1. Preparation: Lie flat on your stomach on a yoga mat, keeping your legs extended and feet together.

Place your palms on the mat beneath your shoulders and relax your body.

2. Entering the Pose:Inhale deeply and press your palms into the mat, lifting your chest off the ground. Raise your head, neck, and chest while keeping your elbows close to your torso.

3. Holding the Pose: Hold the pose for 15-30 seconds, focusing on deep breathing.

Feel the gentle stretch in your abdomen and lower back, but avoid straining.

4. Releasing the Pose:Exhale as you lower your torso back down, resting your forehead on the mat.

Repeat the pose 35 times for optimal benefit, with short rest periods in between.

Precautions and Contraindications

Individuals with certain health conditions should exercise caution when practicing Bhujangasana. Those with recent abdominal surgery, hernias, or severe back problems should consult a healthcare provider before attempting this pose.

Pregnant women are advised to avoid Bhujangasana as it exerts pressure on the abdomen.

Integrating Trikatu Gutika and Bhujangasana in a Holistic Approach to Diabetes Management

A holistic approach is essential in managing diabetes, and the integration of Trikatu Gutika and Bhujangasana can enhance their respective benefits. Here are additional lifestyle tips to complement these therapies:

1. Combine with Other Asanas:Asanas like Dhanurasana (Bow Pose), Paschimottanasana (Seated Forward Bend), and Shalabhasana (Locust Pose) can further enhance abdominal stimulation and blood flow.

2. Include Pranayama:Practices like Anulom Vilom (Alternate Nostril Breathing) and Kapalabhati (Skull Shining Breath) improve oxygen flow, calm the mind, and support hormonal balance.

3. Incorporate Ayurvedic Herbs:Herbs like Gudmar (Gymnema sylvestre), Jamun (Syzygium cumini), and Amla (Emblica officinalis) are well regarded in Ayurveda for their ability to regulate blood sugar levels and improve overall health.

4. Follow a Balanced Diet:A Sattvic diet, rich in whole grains, fresh vegetables, and low in processed sugars, supports metabolic balance and reduces the risk of glycemic spikes.

5. Practice Mindful Eating:Eating mindfully, with awareness of portion sizes, helps in better digestion and prevents overeating, which can contribute to blood sugar fluctuations.


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Scientific Evidence Supporting Ayurveda and Yoga in Diabetes Management

Research supports the effectiveness of Ayurveda and Yoga in managing diabetes. Studies show that herbal formulations like Trikatu Gutika can improve glucose metabolism, enhance insulin sensitivity, and reduce cholesterol levels. Similarly, Yoga, especially Asanas like Bhujangasana, has been shown to reduce HbA1c levels, improve blood glucose control, and lower stress markers in diabetic patients.

In a study published in the Journal of Ayurveda and Integrative Medicine, Trikatu was found to have thermogenic and metabolic enhancing properties, helping reduce insulin resistance. Another study in the International Journal of Yoga reported that regular Yoga practice, including Bhujangasana, improved blood sugar regulation, reduced body mass index (BMI), and enhanced cardiovascular health in diabetic patients.

Conclusion

The combination of Trikatu Gutika and Bhujangasana offers a unique, complementary approach to managing Madhumeh by addressing both metabolic function and physical wellbeing. Trikatu Gutika enhances digestion, reduces Kapha, and stimulates fat metabolism, while Bhujangasana promotes pancreatic health, improves circulation, and reduces stress. Together, these practices provide a well-rounded approach to diabetes management, supporting a balanced lifestyle and greater control over blood sugar levels. By integrating Ayurveda, Yoga, and mindful living, individuals with diabetes can achieve improved health and wellbeing.

References

1. Harrison’s Principles of Internal Medicine 19th edition, Volume 2. Mc Graw Hill Education. Pg. 2400.
2. Kaleem M, Sheema SH, Bano B.: Protective Effects of Piper nigrum and Vinca rosea in alloxan induced diabetic rats, Indian Journal of Physiology and Pharmacology, 2005; 49(1): 65-71.
3. Mishra B.S., Pandey H.P.: Bhavaprakasha Vidyotini Tika, Uttarardha; Chaukhambha Sanskrit Sansthana, Varanasi, 400.

4. Shanmugam M. Et.al. 2007. Antihyperglycemic and Antilipidperoxidative Effects of Piper longum (Linn.) Dried Fruits in Alloxan Induced Diabetic Rat. Journal of Biological Sciences, 7: 161- 168.
5. Sharma A.K.: Kayachikitsa, Volume 2, Chaukhambha Orientalia, 2013; 885-886.


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