Ayurvedic
diabetic thoughts-dr. sasikumar nechiyil
Ayurveda blossomed
in an agriculture society and agriculture is a total culture from which u can’t
separate its various elements. It is a life style rather a branch of doctrine
which can’t show and study separately from the life. The practitioner and the
subject are simultaneously the members of the practise.
The Ayurvedic
principles are evaluated and found out using the logics proliferated in the
Indian philosophies. Indian thought process gave minor predominance to
statistics to evaluate a collected data; rather it gave primary important to
the logics in bio science. “Numbers are handy caped to evaluate biological
processes”- Maharshi Susruta opined. It is obvious that in other parts like
preparation of drug math is much used. The basic study is designed in such a
way that the concepts are governed by intellectual discussions called Tharka.
Tharka will consider all the findings and there is no negligible data in Tharka.
Whenever one person claims a finding, naturally ten doubts originate in the
minds of such people. Then the task will be to answer for those ten doubts. Ayurvedic
research protocol is deviating from the stage of discussion and drawing the
conclusions. Before concluding the result, it may connect with many other
reliable factors and thus a comprehensive data may derive to postulate
appropriately. Any empirical data that which is collected using any device or
parameter can be used but the later phase may deviate from that of other
sciences.
It will be fruitful
and interesting if we discuss the disease diabetes mellitus in this back ground.
Keen observation of the body reflections is the primary tool.
Generally
everybody knows what is the pathogenesis and management of diabetes. The
illustration of diabetes can be concluded as the insufficiency of insulin which
makes diabetes. The hormone insulin is developing in the islet of langerhans of
pancreas. When we conclude in this
manner, the first doubt develop in the mind of a logistician is that; if the
said set of cells- islet of langerhans is controlled by Pancreas, Pancreas is
controlled by pituitary, Pituitary is controlled by Hypothalamus and
Hypothalamus is governed by peripheral interactions of the person. If so, from
where, we have to begin the treatment of diabetes? Thus the logistics of
Ayurveda starts from the place beneath to the scientific discussions always. It
take care all the comprehensive findings to make conclusions. What are the
other factors effect or augment or trigger the pathogenesis. If we discuss the
data in this way just administrating the insulin to full fill its insufficiency
is nothing but a foolish methodology ever to adopt as per the logical analysis.
Ayurveda begins
to identify diabetes as a syndrome at its preliminary step of drafts in the
body called as the poorva roopa; that can be called as the pre-diabetic
syndrome. Then it is classified as twenty types by narrating the various steps of
the pathway until to develop as the diabetic mellitus with all sorts of its
complications. First of all the causative factors of the diabetes make all the external
and internal body secretions excessive including sweat, saliva, tears, glands and
so the pancreatic secretions. Increase of the pancreatic secretions as a whole may
dilute the concentration of Insulin and pro insulin fractions of the secretion and
that which makes the digestion of glucose difficult. The other body secretions
cause many pathological manifestations in the body like skin trouble and eye
diseases and dental plaques. The close observation may find that the stool will
drown in the water with its heavy additions of intestinal secretions. The
volumetric increase of semen causes ejaculation abnormalities and may lead to
secondary impotency. As per the body constitution, climatic conditions and the
life style, various manifestations reflect the body. These first sequences of
pathological manifestations are studied with ten sub classifications under the
terminology of Kaphaja Meha in Ayurveda. Heaviness and tiredness is the
cardinal symptoms of this phase. Urine is the flag-marking component of the
body which help to assess the strength of pathology developed in the body. By
assessing the density of the urine these ten stages may give an objective
parameter to draft the treatment. Urine can be considered as the mirror of the
blood. When we assess the venous blood glucose level we should be aware that
the body is utilising not the venous blood but the arterial blood which is
coming after necessary purification by different body mechanism.
Intolerance
of the body to cop up with the calorie produced by the rich food is the
principle cause of diabetes. The body should be aided with proper exercise or
fasting at this time. Jam-packed food nutrients in the cells of the body, make
the cell physiology slow and in altered form. They are like a water balloon
now. A person who is full flank with
fatty ‘Biriani’ food and becoming sleepy and gloomy, likewise the cells will
become gloomy and lazy. They will try to expel it by means of all measures which
cause the excessive secretion. The indulgence in sex is making another
important role to develop diabetes. The assessment in alteration of testasterone
is thus becoming a test method for validating diabetes now a day. Here we
should think all about our ‘Graamya dharma’ [healthy sexual practice] to
prevent the cause. The conclusion of the insufficiency of insulin as a cause,
results in drafting the faulty administration of drug to enhance the pancreatic
secretion. This is just against the purpose! Not only the glucose digestion but
the fat metabolism is also getting obvious diminishing. The high level cholesterol
fractions are the evidence of propensity of the body going through the path of
diabetes. Body should be helped to evacuate the accumulated secretions and helped
to assimilate the extra food stuff in all parts.
The secretions
of glands may accumulate in different parts of the intercellular spaces of the
body and blood. Continuous accumulation alters the functions of the body
systems. It may cause the diminishing of immune system of the body. Other side
the secretions which are flowing outside the body keeps the routes always open
to the exterior which make the close contact of the inner body structures
towards outside of the body. These changes of the body enhance the possibility
of getting recurrent infections to develop abscess and other infectious
diseases. This phase of diabetes is called as the Pitta dominant part and
classified with six stages. Here the major role of the pathological development
is played by the altered endocrinal secretions. The change of blood picture
with secretions of different concentrations in the blood may alter the colour
of the urine and play a key role in diagnosis. Burning sensation with warmth
are the major body symptoms in these phase.
If these
conditions are persisting in the body for a course of period, the cells become
week and cause early ageing to them. This causes the diminished cellular
functions and early destruction of the cell. The secretions of the glands
diminish and may not contain its proper ratio of ingredients. Body is not
capable to assimilate the essential nutrients and offer to the other parts of
the body. The symptoms will be the various degenerating disorders affecting the
different components of the body. Off course the major part of the body is
constructed by means of glucose and that is the main substance which cannot
utilize by the body in diabetes. Neuropathy, retinopathy, nephropathy are the
some of the –pathies- which may affect the body and all these are the results
of diminished nutrient supply. This phase of the diabetes is termed as Vata
dominant part and sub-classified as four major stages. Destruction of vascular
structures defeat the normal body functioning. Pain and numbness is the
dominant symptoms. Even the hair, nail will show the unhealthy symptoms. Keen observations
only qualify the physician to look into minute pathological changes including
the sound of the victim and thus draft a logical healing method giving stress
to the individual specialism. Here the
treatment will be the logical administration of nutrients including sugars as
opined by Ayurveda. Small dose of fructose may be a choice of drug. Hence honey
will be much helpful. Wheat or Barley processed in different drug decoctions to
boost assimilation is a good example of Ayurvedic approach. Use of ghee processed with drugs can offer
good nutrients to the body without making trouble and keeps the body intact at
this condition.
This is not strictly expected to develop by sequence as
described in these versus. Depending upon the strength of causative factor and resistance
of the body any clinical consequence may develop at any time. Present
elastration is purely academic. Limitation of textual description is
inevitable. Many folds of attempt to manage the disease can be noticed in the
Ayurvedic treatment profile of a disease. Major part will be to manage the body
and give a chance to deal by him the disease. Some strokes will be there to
correct directly the problem. Such intervention will be take place in crucial
situation. Some of the part will try to correct the complications if any. The
package will end with the rejuvenation of the body and also repair the faults
that may occurred due to the intervention of the treatment.
In nut shell
diabetes is not mere the hyperglycaemia, in fact it is the flag marking symptom
of diabetes. The contemporary allopathic hypoglycaemic drugs are not addressing
all planes of the disease. That is why the patients develop many problems even
after good blood sugar control with Insulin. It is essential to draft a total
approach toward the body to control the disease. Diabetes directly attacks the
immune system of the body and thus results in the damage of the important
organs to attain the death. Thus diabetes is inversely proportional to Rejuvenation
[Rasayana]. According to some, the result of general Rejuvenation treatment can
be measured in any person by means of the reduction of diabetic symptoms in the
body. Anybody, after a middle age may have some spark of symptoms of diabetes
without showing hyperglycaemia. Hence the treatment of diabetes demands the
complete well being of spiritual, mental and physical planes of the person. In
fact it is the seed of death that the nature put inside the body at the time of
birth to develop and ripe in time to invite and pave the pavements to death.
Death is
classified as Mruthyu and Apamruthyu by Thantras. Mruthyu is a natural process
and Apamruthyu is pathological phenomenon which happens now a day in the glass
cages of super speciality hospitals; beautifully termed as I.C.U. Anyhow, the
person mostly says ‘I see you’ from this cage to the family. Be bold enough to
receive the Mruthyu; that which often offers Ayurveda for its followers.
Sarvaani
roopani vjitya dheera
Aaditya
varnam tamasa parastaat
Tamevam
vidvanamruta iha bhavati
Nanya
panthha ayanaaya vidyate
------------Purusha sooktam
