NATIONAL AYURVEDA DAY Dr Sainul abdeen Kayamkulam DIABETIS

NATIONAL AYURVEDA DAY Dr. Sainul abdeen Kayamkulam

• DIABETIS MELLITUS (MADHUMEHAM) • • DR. A. SAINUL ABDEEN. BAMS, PGDG&C KAYAMKULAM

Diabetes – The Hidden Epidemic • 5 th Deadliest disease in USA • 23. 6 million people in USA or 8% of the USA • • population suffers from diabetes The prevalence of diabetes increased by 13. 5% (2005 -2007) India has world’s largest diabetes population with 25 million diabetic patients. In 2030 in india it become 7. 94 crore 10% income spending for this 3

Classification… • Based on Cause – Sahaja = Genetic – Type I (IDDM) – Apathya/Nimittaja =Wrongful diet and lifestyle – Type II (NIDDM) • Based on Doshadhikya 20 – – – Kaphaja 10 Pittaja 6 Vataja 4 • Based on Body type – Sthula (Obese) Pramehi – Krisha (Lean) Pramehi 4

Causative factors/Hetu "Aasyasukham`swapnasukham dadhini gramyoodkanupa rasaa pyaamsi Navaaanpaanam gudvayikritam cha prameha hetu kapahakrich sarwam” c. chi. 6 5

• Inactivity, laziness, lack of exercise • Excessive sleep • Excessive use of yogurt • Meat and soup of domestic, aquatic and marshy land animals • Consumption of unmatured/non-aged grains • Products of jaggery and sweets • All Kapha-promoting

LIFE STYLE DISEASE • CURRY, • HURRY, • WORRY.

LIFE STYLE

Pathogenesis/Samprapti Due to Causative factors ↓ Doshas get imbalanced(specifically kledak kapha, pachak pitta, saman vayu, apana vayu ↓ Agnimandya (dhatvagnimadhya) ↓ Culminates all dushyas (specifically medodhatu) ↓ Kleda vrudhi (unnecessary excessive body fluid oozed out from all dhatu) ↓ Body tries to excrete in the form of urine ↓ Polyuria 9

Prodromal Symptoms/Purvarupa • Excessive thirst • Dryness of mouth • Lethargy • Abnormal and frequent urination • Burning & numbness in hands and • • feet Sweet taste in mouth Coated tongue & teeth etc. Bad breath Entanglement of hair 10

Management Principles/Chikitsa Management (Chikitsa) Aahar (Diet) Vihar (Lifestyle) Aushadhi (medicine) 12

Aahar (Diet) Recommended Food: Grains Yava (Barley), Wheat, Ragi Lentils Cherupayar, muthira, uluva Vegetables Pavakka, padavalam, kovakka, kakkari, ulli, savala, beens, koovalathila, thazhuthama ila Fruits Apple, Pear, Jambun, all berries Oil Mustard Oil, Flax Seed Oil, bran Sweets Honey, Stevia Meat Jangala meat - Chicken Beverages Treated Butter Milk, Green Tea 13

Vihar (Lifestyle) v Physical Exercise: v Workout daily for 30 to 45 minutes v Yoga: v Pashchimotanasan v Halasan v Dhanurasana v Shalabhasana v Tadasana v Stress Management: v Meditation / Dhyana dharana v Pranayama v Prayer…. namaskaram 14

Aushadhi (Medication) 1. Samshodhan Chikitsa (Purificaiton – Internal cleansing) 2. Apatarpana Chikitsa (Achieve weight loss by forced denourishment) 3. Samshamana Chikitsa (Pacification of doshas) 4. Santarpana Chikitsa (Replenishment treatment) 15

Samshodhan Chikitsa • Panchakarma • Snehan • Snehapan – Mahatikta ghrita, Triphala ghrita, Dhanvantar ghrita • Sneha (Massage oil) - Sarshapa oil, Til oil, Narayana oil • Swedhan – Contraindicated • Vamana – Madanphala, Vacha, Yashtimadhu • Virechana – Aragwadha, Gandharva, Haritaki • Basti – Dashamula Kwatha & Til oil • Shirodhara –Til oil, Ashwagandha oil 16

Samshamana Chikitsa Key herbal formulations: ü Amalaki + Haridra + Honey. ü Triphala + Daruharidra + Devdaru + Musta ü Guduchi + Gurmar + Gokshura ü Arjuna + Vijaysar + Haritaki ü Shudhha Shilajit / Shilajatwadi Vati 17

OUSHADA YOGAM • Nisakadikhadirakadi • Kadakakhadiradi • Dhanwantharam Gritham • Amruthamehari choornam • Neeruryadi gulika • Devadarvaristam • Lodrasavam--kafapitha )

• chukk+malli+koovalathila. . Drinks • Dosa with kariveppila &uluva • Uluva mulappich with thenga thoran

• Gestational Diabetic thamizhama, muringayia, koovalathila ---thoran amlaki, manjal neeril vevichu Peadiatric palmutak, naruneendi, kurunthoti, satavary, thamizhama, njerinjil, keeranelli, amukauram --- Palkanji

Antidiabetic Ayurvedic Herbs • Haridra (Curma longa) • Reduces oxidative stress & lipid levels, has antimicrobial activity.

Antidiabetic Ayurvedic Herbs • Amalki (Embelica officinalis) • Arrests free radicals, regulates pancreatic and liver functions.

Antidiabetic Ayurvedic Herbs Gurmar (Gymnema sylvestre) (chakkara kolli) Reduces oral intake of calories by altering sensation of the taste, decreases craving for sweet.

Antidiabetic Ayurvedic Herbs • Guduchi (Tinospora cardifolia) • Immunomodulator, antipyretic, hepatoprotective, cardiopro-tective, adoptogenic activity

Antidiabetic Ayurvedic Herbs • KOOVALAM

Antidiabetic Ayurvedic Herbs • KOVAL

Antidiabetic Ayurvedic Herbs • PAVAL

Antidiabetic Ayurvedic Herbs • KUMBALAM

Antidiabetic Ayurvedic Herbs • NJAVAL

Antidiabetic Ayurvedic Herbs • MUTHIRA

Antidiabetic Ayurvedic Herbs • Vijaysar (Pterocarpus marsupium) • (Venga) • Regenerate functional pancreatic beta cells.

Triphala (Amalaki (Emblica officinalis), Bibhitaki (Terminalia Belerica), and Haritaki (Terminalia Chebula), • Laxative, detoxifying, rejuvenator work in treating Retinal ailments

AYURVEDA AYU=LIFE VEDA=SCIENCE OF LIFE

Vyayamam Obesity & physical inactivity are causes of cancer in modern concept. Laghavam karma samarthya: deepthoagnir medasa: khsaya: vibhgtha ghana gathrathwam vyayamadupayathe

Aaharam

FOOD • HIGH INTAKE OF FAT (ANIMAL) INCREASES THE RISK OF DEVELOPING CANCER (BREAST AND COLON)

FOOD • HIGH FAT AND HIGH PROTEIN • FOOD WHEN GRILLED AT HIGH TEMPARATURE PRODUCES A CHEMICAL KNOWN TO BE HAVING CARCINOGENIC EFFECT HIGHLY BROWN AND CHARRED FOOD HAS CANCER CAUSING COMPOUNDS

FOOD • Decrease the use of • red meat Avoid processed, smoky & salty food.

VEGITABLES & FRUITS • DIETARY FIBRE OF PLANT ORIGIN HAS A PROTECTIVE ROLE AGAINST CANCER and diabetic

Avoid Virudaharangal • Fish or meat in watery land with uzhunnu/ milk/ honey. • Prawn, Puli rasa fruits, muthira, thina, mullanki, pacha curry with milk • Chicken with curd • Vazha pazham with curd or butter milk • Mushroom with kadukenna • Equal quantity of honey with ghe

TOBACCO CIGARETTE SMOKING IS A MAJOR CAUSE OF CANCER SMOKING MAY BE – ACTIVE OR PASSIVE – BOTH ARE HARMFUL CONSUMPTION OF TOBACCO IN FORM OF KHAINI, ZARDA AND GHUTKA ALSO CAUSES CANCER TOBACCO NOT ONLY CAUSES CANCER BUT ALSO OTHER DISEASES

ALCOHOL CONSUMPTION LEADS TO CANCER OF ORAL CAVITY, PHARYNX, LARYNX, ESOPHAGUS, STOMACH, LIVER PEOPLE WHO DRINK ALSO SMOKES FURTHER INCREASING THE RISK OF DEVELOPING CANCER

Rithu charya • Hemantham, sisiram-----vasantham • Greeshmam--------varsha • Varsha------------sarath • Sodhanam

Vegham ( urges) • Rogo sarvepi jayanthe vegodeerana darani “Vegan na daryethvatha vinmoothra kshava thrid kshudham Nidra kasa srama swasa jmbhra sru rethasa” “Darayethu sada vegan hithishee prathya cheha cha Lobhersya dwesha malsarya ragadeenam jithendrya”

• Nithyam hithahara vihara sevi • Sameekshakaree viswayeshwasaktha : • Dhatha sama: sathyapara: kshamava • Napthopa sevi cha bhavathyroga

• Sukhartha sarva bhothanaam • matha sarva: pravarthaya • Sukham cha na vina dharmat • thasmat dharmaparo bhaveth • Bhakthya kalyana mithrani sevethethra dooraga

THANKS DR. SAINUL ABDEEN BAMS, PGDG&C KAYAMKULAM