Prameha Nidana - Revision history

Agnivesha at 08:04, 23 February 2024

2024-02-23T08:04:55Z

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	\|data7 = Kar A.C., Byadgi P.S., Sabnis M.		\|data7 = Kar A.C., Byadgi P.S., Sabnis M.
	\|label8 = Editors		\|label8 = Editors
	\|data8 = Khandel S.K., Godatwar P., Deole Y.S., Basisht G.		\|data8 = Khandel S.K., Godatwar P., [[Yogesh Deole\|Deole Y.S.]], [[Gopal Basisht\|Basisht G.]]
	\|label9 = Year of publication		\|label9 = Year of publication
	\|data9 = 2020		\|data9 = 2020

Agnivesha at 06:05, 20 September 2022

2022-09-20T06:05:47Z

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			{{CiteButton}}
	{{#seo:		{{#seo:
	\|title=Prameha Nidana		\|title=Prameha Nidana

Agnivesha: /* Introduction */

2022-05-13T08:09:14Z

Introduction

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	== Introduction ==		== Introduction ==
	<div style="text-align:justify;">		<div style="text-align:justify;">
	The fourth chapter in the [[Nidana Sthana]], dealing with the diagnosis of ''prameha'', follows the diagnosis of ''gulma'' disease associated with the [[mamsa dhatu]]. Twenty known types of ''prameha'', including diabetes mellitus (''madhumeha''), have been described here. However, there could be innumerable variations of a disease based on the presence or absence of disease (provoking or mitigating) factors in the body. The manifestation of the disease depends upon the interaction between causative factors, [[dosha]], [[dushya]]'' and the defense mechanism of the body. Some of these factors can also help determine if there could be a delayed or an early onset of the disease, the severity of the disease, etc. Various etiological factors of ''prameha'' are described here that lead to vitiation of [[kapha]] [[dosha]], [[meda dhatu]], and [[mutra]]. A vitiated [[kapha]] affects ten fluid-predominant body tissues, resulting in the production of excessive [[kleda]] (moisture/excess discharge of body fluids) that, when intermixed with [[meda]] (lipid)and [[mamsa]] (muscle protein), further vitiates [[mutra]] (urine) and results in ''prameha''. A patient afflicted with diabetes mellitus, on an initial visit to the physician, may complain of numbness, tingling, burning sensation in feet, fatigue, dryness of mouth, drowsiness, etc. It is highlighted these signs and symptoms for an early diagnosis and management of ''prameha''. Ten types of curable ''kaphaja prameha'', six variants of ''yaapya'' (palliative) and four variants of incurable ''vataja prameha'', totaling twenty types of ''prameha'' have been described here in this text. Prodromal symptoms, complications, treatment procedures (enumerated briefly), and some rules (do’s and don’ts) have been included in the course of this chapter.		The fourth chapter in the [[Nidana Sthana]], dealing with the diagnosis of ''prameha'', follows the diagnosis of ''gulma'' disease associated with the [[mamsa dhatu]]. Twenty known types of ''prameha'', including diabetes mellitus (''madhumeha''), have been described here. However, there could be innumerable variations of a disease based on the presence or absence of disease (provoking or mitigating) factors in the body. The manifestation of the disease depends upon the interaction between causative factors, [[dosha]], [[dushya]] and the defense mechanism of the body. Some of these factors can also help determine if there could be a delayed or an early onset of the disease, the severity of the disease, etc. Various etiological factors of ''prameha'' are described here that lead to vitiation of [[kapha]] [[dosha]], [[meda dhatu]], and [[mutra]]. A vitiated [[kapha]] affects ten fluid-predominant body tissues, resulting in the production of excessive [[kleda]] (moisture/excess discharge of body fluids) that, when intermixed with [[meda]] (lipid)and [[mamsa]] (muscle protein), further vitiates [[mutra]] (urine) and results in ''prameha''. A patient afflicted with diabetes mellitus, on an initial visit to the physician, may complain of numbness, tingling, burning sensation in feet, fatigue, dryness of mouth, drowsiness, etc. It is highlighted these signs and symptoms for an early diagnosis and management of ''prameha''. Ten types of curable ''kaphaja prameha'', six variants of ''yaapya'' (palliative) and four variants of incurable ''vataja prameha'', totaling twenty types of ''prameha'' have been described here in this text. Prodromal symptoms, complications, treatment procedures (enumerated briefly), and some rules (do’s and don’ts) have been included in the course of this chapter.
	</div>		</div>

	==Sanskrit Text, Transliteration and English Translation==		==Sanskrit Text, Transliteration and English Translation==
	<div class="mw-collapsible mw-collapsed">		<div class="mw-collapsible mw-collapsed">

Eganeesh: /* Related Chapters */

2021-09-23T12:38:35Z

Related Chapters

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	*[[Prameha Chikitsa]]		*[[Prameha Chikitsa]]
	* [[Kiyanta Shiraseeya Adhyaya]]		* [[Kiyanta Shiraseeya Adhyaya]]

			<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

	==References==		==References==

Eganeesh at 13:06, 11 July 2021

2021-07-11T13:06:10Z

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Agnivesha: Text replacement - "http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg" to "http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg"

2021-01-16T12:15:47Z

Text replacement - "http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg" to "http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg"

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	\|keywords=Factors affecting disease pathology, Prameha, diabetes, genetic susceptibility, prabhuta mutrata, polyuria, avila mutrata, turbid urine, vikarabhighata, urinary disorders, Ayurveda, Indian system of medicine, charak samhita.		\|keywords=Factors affecting disease pathology, Prameha, diabetes, genetic susceptibility, prabhuta mutrata, polyuria, avila mutrata, turbid urine, vikarabhighata, urinary disorders, Ayurveda, Indian system of medicine, charak samhita.
	\|description=Nidana Sthana Chapter 4. Diagnosis and etiopatheogenesis of Obstinate Urinary Disorders including diabetes		\|description=Nidana Sthana Chapter 4. Diagnosis and etiopatheogenesis of Obstinate Urinary Disorders including diabetes
	\|image=http://www.carakasamhitaonline.com~~/mediawiki-1.32.1~~/resources/assets/ogimgs.jpg		\|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
	\|image_alt=carak samhita		\|image_alt=carak samhita
	\|type=article		\|type=article

Agnivesha at 11:58, 9 October 2020

2020-10-09T11:58:15Z

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	\|label7 = Reviewer		\|label7 = Reviewer
	\|data7 = Kar A.C., Byadgi P.S., Sabnis M.		\|data7 = Kar A.C., Byadgi P.S., Sabnis M.
	\|label8 = ~~Editor~~		\|label8 = Editors
	\|data8 = Khandel S.K., Godatwar P.		\|data8 = Khandel S.K., Godatwar P., Deole Y.S., Basisht G.
	\|label9 = ~~Date~~ of publication		\|label9 = Year of publication
	\|data9 = ~~December 17, 2018~~		\|data9 = 2020
	\|label10 = ~~DOI~~		\|label10 = Publisher
	\|data10 = [https://doi.org/10.47468/CSNE.2020.e01.s02.005 10.47468/CSNE.2020.e01.s02.005]		\|data10 = [[Charak Samhita Research, Training and Skill Development Centre]]
			\|label11 = DOI
	~~\|header3 =~~		\|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s02.005 10.47468/CSNE.2020.e01.s02.005]

	}}		}}
	<big>'''Abstract'''</big>		<big>'''Abstract'''</big>

Agnivesha at 11:24, 5 October 2020

2020-10-05T11:24:46Z

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Agnivesha at 14:03, 1 October 2020

2020-10-01T14:03:45Z

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	\|data9 = December 17, 2018		\|data9 = December 17, 2018
	\|label10 = DOI		\|label10 = DOI
	\|data10 =		\|data10 = [https://doi.org/10.47468/CSNE.2020.e01.s02.005 10.47468/CSNE.2020.e01.s02.005]

	\|header3 =		\|header3 =

Eganeesh: /* Mamsa dhatu */

2020-09-25T06:23:00Z

Mamsa dhatu

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	==== [[Mamsa dhatu]] ====		==== [[Mamsa dhatu]] ====

	It is one of the main ''dushyas'' (vitiating factors) described by Charak in regards to ''prameha''. He narrated it especially in ''kaphaja prameha'' and ''avaranjanya madhumeha''. ''Mamsa'' and ''Kapha'' possess similar qualities and both give strength to the body. When vitiated, ''mamsa'' loses its normal consistency and develops ''shaithilya'' and provide space in between for the accumulation of morbid matter. That in turn results in ''putimamsa pidika'' ~~(Ca~~.Ni. 4/8). ''Mamsa dushti'' can be compared to deranged protein metabolism which is an integral part of diabetes mellitus. Research studies have found that glucocorticoid activities and acidosis stimulates protein and amino acid catabolism <ref> May, RC et al. 1996. Glucocorticoids and acidosis stimulate protein and amino acid catabolism in vivo. Kidney Int. 1996 Mar;49(3):679-83. </ref>. Amino acids breakdown in liver results in increased production of urea<ref> Vaudevan et al. 2011. Textbook of biochemistry for medical students, Sixth Edition, JP Medical Publishers </ref> and these free amino acids can be compared with ''abaddha mamsa''. ''Putimamsa'' and ''pidaka'' are the morbid states of ''mamsa dhatu''. Two major changes take place in ''mamsa dhatu'' - protein degradation and reduction in its blood supply, both of which along with elevated blood sugar level form a favorable media for the growth and multiplication of microorganisms. The results are putrefaction and evolution of multiple septic foci in ''mamsa dhatu''. Diminished protein synthesis hampers the healing process and these complications adopt chronic course.		It is one of the main ''dushyas'' (vitiating factors) described by Charak in regards to ''prameha''. He narrated it especially in ''kaphaja prameha'' and ''avaranjanya madhumeha''. ''Mamsa'' and ''Kapha'' possess similar qualities and both give strength to the body. When vitiated, ''mamsa'' loses its normal consistency and develops ''shaithilya'' and provide space in between for the accumulation of morbid matter. That in turn results in ''putimamsa pidika''. [Cha.Sa.[[Nidana Sthana]] 4/8] ''Mamsa dushti'' can be compared to deranged protein metabolism which is an integral part of diabetes mellitus. Research studies have found that glucocorticoid activities and acidosis stimulates protein and amino acid catabolism <ref> May, RC et al. 1996. Glucocorticoids and acidosis stimulate protein and amino acid catabolism in vivo. Kidney Int. 1996 Mar;49(3):679-83. </ref>. Amino acids breakdown in liver results in increased production of urea<ref> Vaudevan et al. 2011. Textbook of biochemistry for medical students, Sixth Edition, JP Medical Publishers </ref> and these free amino acids can be compared with ''abaddha mamsa''. ''Putimamsa'' and ''pidaka'' are the morbid states of ''mamsa dhatu''. Two major changes take place in ''mamsa dhatu'' - protein degradation and reduction in its blood supply, both of which along with elevated blood sugar level form a favorable media for the growth and multiplication of microorganisms. The results are putrefaction and evolution of multiple septic foci in ''mamsa dhatu''. Diminished protein synthesis hampers the healing process and these complications adopt chronic course.

	==== ''Majja dhatu'' ====		==== ''Majja dhatu'' ====