Significance of Poorvarupa (Prodromal feature) of Prameha – A Review Article

Abstract

Prameha as well as diabetes is an important public health menace due to its high morbidity, mortality, economic impact, resource consumption, systemic complications, silent yet progressive nature, and less curative options. The prevalence of diabetes is also higher in urban areas than rural areas.  In India over all 2.4% rural population and 4.6 – 11.6% urban population is suffering from diabetes. Systematic diagnosis of disease is well explained under the heading of Nidan Panchaka (Fivefold of examination) Viz. Nidan (Etiological factors), Poorvarupa (Prodromal features), Rupa (Specific sign and symptoms), Upasaya (Relieving factors) and Samprapti (Pathogenesis). Among the Nidan Panchaka, Poorvarupa (Prodromal features) are the symptoms which indicate the forthcoming disease. The long-term effects include progressive development of retinopathy with potential blindness, nephropathy that may lead to renal failure, neuropathy with risk of foot ulcers, amputation, Charcot joints and features of autonomic dysfunction including sexual dysfunction. People with diabetes are at increased risk of cardiovascular, peripheral vascular and cerebrovascular disease.