A Single Case Study on Madhumeha w.s.r. to Diabetes Mellitus (Type II)

Abstract

The prevalence of diabetes has increased recently, which is particularly concerning in wealthy nations. Worldwide, diabetes mellitus is a chronic metabolic disease with a complex etiology. Nonetheless, it remains a major global cause of illness and mortality. Between 1980 and 2014, the prevalence of diabetes in adults over the age of 18 increased from 4.7% to 8.5% worldwide. It is extremely concerning that occurrences of diabetes mellitus have revealed a remarkably elevated susceptibility in India. It is comparable to Madhumeha, one of the twenty varieties of Prameha mentioned in Ayurvedic texts. On February 3, 2025, a 63-year-old woman with H/O DM for 19 years arrived at OPD no. 6 Madhumeha OPD at Sri Dharmasthala Manjunatheswara College and Hospital, Hassan, complaining of burning and prickling sensations in her feet, numbness around her feet, and increased micturition frequency. The patient was diagnosed with Madhumeha after examination, investigations and history. Along with external application of Shatadhauta Grita, the patient was advised to take Sarvanga Abhyanga with Dhanwantara Taila f/b Parisheka and Shiro Taila Dhara with Himasagara Taila with Mehaabhaya Kashaya. The patient was advised to follow a diabetic diet over the course of her treatment. Prameha is the indicator for Mehaabhaya Kashaya, which is one of the Asanadi Gana Dravyas stated by Acharya Vagbhata.  Acharya Sushruta mentions Shathadouta Grita in Daha. Therefore, Mehaabhaya Kashaya and Shathadauta Grita ointment were used to treat the patient.