Ayurvedic and modern approach to Diabetic Neuropathy : A Review

Abstract

In Ayurveda, Diabetes mellitus closely resembles a disorder called Madhumeha, which is a subtype of Vataja Prameha. In Avarnjanya Madhumeha vitiated Kapha, Pitta and Meda causes Avarana to Vata that leads its aggravation causing diminution of vital Dhatus. This may lead to the complication of Madhumeha such as Diabetic Neuropathy. Neuropathy is a common complication of diabetes affecting approximately 30% of diabetic patients. Diabetic neuropathies are thought to result from diabetic micro vascular injury involving small blood vessels that supply nerves in addition to macro vascular conditions that can culminate in diabetic neuropathy. Although the invention of insulin and hypoglycemics have done a great service for diabetics, yet these patients do not get a proper solution for their neuropathic complications.  The most common signs found in diabetic sensory polyneuropathy are diminished perception of vibration sensation and impairment of all other modalities of sensations. As per Ayurvedic principles there is involvement of Vata and Pitta Dosa in diabetic neuropathy. In Ayurvedic classics symptoms like Suptata (numbness) and Daha (burning sensation) in body parts especially in hands and feet are described as Purvarupa of Prameha. Daha is also described among the Upadravas (complications) of Prameha. These are very common features of diabetic neuropathy. As we know that diabetic neuropathy is common complication amongst diabetics. In conventional medicine tricyclic antidepressants, anticonvulsants, opiates, membrane stabilizers and antioxidants are used in diabetic peripheral polyneuropathy for symptomatic relief. All these drugs have their side effects. Hence there is need to find out safer and effective treatment from the sources other than conventional medicine.