Clinical significance of Meda and Medovaha Srotas in present scenario - A Comprehensive Study
Abstract
The explanation of Sharir in Ayurvedic texts states that the existence of Dosha, Dhatu and Mala together is Sharir. Basically, there are Tridosha, Saptdhatu and Trimala. Meda is one among the Saptdhatu. The internal transport system which is used to carry these Dhatus (Parinampradh) is Srotas. Vitiation and depletion of Srotas can lead to many pathological conditions in body. If Medovaha Srotas is vitiated it will cause Medo Dushti which may be expressed as either Prameha Poorvaroopa or the Sthoulya Vyadhi. And in present era they are compared with diabetes and obesity respectively. The epidemiology of obesity and diabetes is increasing day by day and having serious effect on our current as well as upcoming generations. Obesity has become a worldwide epidemic, and its prevalence has been projected to grow by 40% in the next decade. This increasing prevalence has implications for the risk of diabetes, cardiovascular diseases and also for chronic kidney diseases (CKD) – CKJ OXFORD. In 2017, about 72 million people and 20% of the urban population were diabetic in India - international diabetes federation (IDF). Health service use and medical cost associated with obesity, diabetes and related diseases have risen dramatically and are expected to continue to grow. The above mention data necessitates throw knowledge of the basic concept of the Meda Dhatu, Medovaha Srotas. Thus the present study deals with the understanding of Meda Dhatu, Medovaha Srotas along with its Moola Sthana and the disease that may occur from its vitiation. Similar concept from the contemporary science have been analysed for a better understanding.
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References
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sutrasthana 15/3.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Srotovimanadhyaya.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sutrasthana 15/41.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000,p710.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sutrasthana 14/10.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000,p254.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sharir Sthana 4/7.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sutrasthana 4/7.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000,p437.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Sutrasthana 30/12.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Vimanasthana 5.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sharir Sthana 9/13.
Vagbhat, KR Srikanth Murthy (ed). Ashtanga Samgraha. Chaukhamba Sanskrit Series, Varanasi, Sharir Sthana 6/76,2009;10.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Vimanasthana 5/25.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sharir Sthana 5/10.
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Vimanasthana 5/9.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Sharir Sthana 4/30.
Sushruta, Dalhana, Yadavji Trikamji Acharya, Editor. Sushruta Samhita with Nibandha Samgraha Commentry. Varanasi, Chaukhamba Orientalia. Eighth Edition, 2005; Nidana Sthana 4/30.
Sharangadhara. Sharangadhara Samhita commentary by Prayagadutta Sharma. Chaukhamba Amar Bharati Prakashan, Varanasi. Khanda-1,5/84.
Davidson S edited by Christopher Haslett, Edwin R Chilvers, Nicholas A Boon, Nicki R College, International editor Jhon A, A Hunter, Edinburgh. Davidson’s Principles and Practice of Medicine. Churchill Livingstone/Elsevier. 19th Ed (reprint 2004) chapter10.
Ackermann PC, De Wet Pd, Loots GP. Microcirculation of the Rat Omentum study by means of Corrosion casts. Ach Anatomica. 1991;140: 146-149
Lopez-Gonzale D, Miranda-Lorao, Klunder-Lunder M et al. Diagnostic performance of waist circumference measurements for predicting cardiometabolic risk in Mexican Children. Endocr Pact. 2016;22(10):1170-1176
Sushruta. Sushruta Samhita: with Commentaries Nibandhsamgraha by Dalhana and Nyayachandrika by Gayadas. Chaukhamba Orientalis, Varanasi. 5th Ed. (reprint 1992), Sutrasthana, Chapter 4, verse 7, p17.
Young T, Patla M, Dempsey J, Skatrud J, Weber S, Badr S. The occurance of sleep-disorder breathing among middle -aged adults. N engl J Med. 1993; 328:1230-1235
Davidson S edited by Christopher Haslett, Edwin R Chilvers, Nicholas A Boon, Nicki R College, International editor Jhon A, A Hunter, Edinburgh. Davidson’s Principles and Practice of Medicine. Churchill Livingstone/Elsevier. 19th Ed (reprint 2004) chapter 10 p302.
Tsujimoto T, Sairenchi T, Iso H et al. The dose–response relationship between body mass index and the risk of incident stage _3 chronic kidney disease in a general Japanese population: the Ibaraki prefectural health study (IPHS). J Epidemiol. 2014; 24: 444–451.
IDF (2017a), International Diabetes Federation, IDF SEA members, Accessed December 2018, URL:https://www.idf.org/our-network/regions-members/south-east-asia/members/94-india
DFI (2018), Diabetes Foundation (India), Accessed December 2018, URL: http://www. diabetesfoundationindia.org/about.htm
Huffman MD, Prabhakaran D, Osmond C, Caroline HDF, Fall CHD, Tandon N, et al. Incidence of Cardiovascular Risk Factors in an Indian Urban Cohort: Results from the New Delhi Birth Cohort. Journal of American College of Cardiology. 2011;57(17): 1765–1774.
Colditz GA, Willett WC, Rotnitzky A, Manson JE. Weight Gain as a Risk Factor for Clinical Diabetes Mellitus in Women. Annals of Internal Medicine. 1995;122(7): 481–6. https://doi.org/10.7326/0003-4819-122-7-199504010-00001 PMID: 7872581
Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. High Prevalence of Diabetes and Impaired Glucose Tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44(9): 1094–1101. https://doi.org/10.1007/s001250100627 PMID: 11596662
Agnivesha, Charak Drudhabala, Yadavji Trikamji Acharya (ed). Charak Samhita with Ayurveda Dipika commentary. Varanasi: Chaukhamba Surbharati Prakashan. Reprint 2000, Sutrasthana 28/26.
Wing RR, Bolin P, Brancati FL et al. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013; 369: 145–154
Bolignano D, Zoccali C. Effects of weight loss on renal function in obese CKD patients: a systematic review. Nephrol Dial Transplant. 2013; 28 (Suppl 4): iv82–iv98
Ahmadi SF, Zahmatkesh G, Ahmadi E et al. Association of body mass index with clinical outcomes in non-dialysis dependent chronic kidney disease: a systematic review and meta-analysis. Cardiorenal Med. 2015; 6: 37–49
Eckel RH. Obesity and heart disease: a statement for healthcare professionals from the Nutrition Committee, American Heart Association. Circulation. 1997; 96:3248-3250.
Eckel RH, Krauss RM. American Heart Association call to action: obesity as a major risk factor for coronary heart disease. AHA Nutrition Committee, Circulation. 1998; 97:2099-2100.
Klein S, Burke LE, Bray GA, Blair S, Allison DB, Pi-Sunyer X, Hong Y, Eckel RH. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation. 2004; 110:2952–2967
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