Prameha Chikitsa: Difference between revisions

Line 891:

##Sandra meha & Sandraprashada meha – (layered urine: 3 layers: a top layer of chylomicrons, a middle layer rich in protein, and a bottom layer containing fibrin clots and cellular debris).

###Intermediary stage between pre-diabetic and diabetic mellitus start with the involvement of kidneys.

e. Lalameha – Albuminuria (heavy whitish foam in urine)

##Lalameha – Albuminuria (heavy whitish foam in urine)

• Progressive stage of diabetes mellitus type-2 which may show

###Progressive stage of diabetes mellitus type-2 which may show

the presence of albumin.

f. Shuklameha- (urine having white colour like that of pasted flour)

##Shuklameha- (urine having white colour like that of pasted flour)

White & cloudy urine

###White & cloudy urine

• Progressive stage of diabetes mellitus type-2 with the further derangement in the functioning of nephrons (proteinuria).

####Progressive stage of diabetes mellitus type-2 with the further derangement in the functioning of nephrons (proteinuria).

g. Shanaimeha – Reduced urinary flow (reduced urinary flow with increased frequency)

##Shanaimeha – Reduced urinary flow (reduced urinary flow with increased frequency)

• Stage of diabetes involving advanced nephropathy. Infective and reduced urinary flow.

###Stage of diabetes involving advanced nephropathy. Infective and reduced urinary flow.

h. Shitameha- (the patient gets frequent micturition which is exceedingly sweet and

##Shitameha- (the patient gets frequent micturition which is exceedingly sweet and cold)

cold)

###Stage of kidney failure due to diabetic nephropathy presence of excessive ammonical substance in urine.

• Stage of kidney failure due to diabetic nephropathy presence of excessive ammonical substance in urine.

####Sukrameha – Spermaturia (patient passes semen like urine or urine mixed with semen)

i. Sukrameha – Spermaturia (patient passes semen like urine or urine mixed with semen)

###Autonomic diabetic neuropathy leading to retrograde ejaculation of sperm.

• Autonomic diabetic neuropathy leading to retrograde ejaculation of sperm.

#Pittaja prameha- (Stage of Infection & Inflammation in Diabetes)

Pittaja prameha- (Stage of Infection & Inflammation in Diabetes)

##Ksharameha- the patient passes urine having the smell, colour, taste and touch like those of alkalies. (pH of urine become alkaline)

a. Ksharameha- the patient passes urine having the smell, colour, taste and touch like those of

###Increased urinary pH due to UTI in diabetes.

alkalies. (pH of urine become alkaline)

###Alkaline fermentation causes an ammoniacal smell, and patients with diabetic ketoacidosis produce urine that may have a sweet or fruity odour.

• Increased urinary pH due to UTI in diabetes.

##Kalameha- the patient passes black colour urine.

• Alkaline fermentation causes an ammoniacal smell, and patients with diabetic ketoacidosis produce urine that may have a sweet or fruity odour.

###Highly concentrated urine due to dehydration.

b. Kalameha- the patient passes black colour urine.

##Nilameha- the patient passes urine having sour taste and colour like that of the feather of casa bird.

• Highly concentrated urine due to dehydration.

###Blue colour urine indicative of bacterial urinary tract infection

##Raktameha - the patient passes urine having red colour, saline taste and smell like that of raw fish.

c. Nilameha- the patient passes urine having sour taste and colour like that of the feather of casa

###Microscopic hematuria.

bird.

##Manjishthameha - the patient frequently passes urine having the smell like that of raw flesh and colour like that of the juice of manjistha (Rubia cordifolia Linn.)

• Blue colour urine indicative of bacterial urinary tract infection

###Gross hematuria due to UTI.

d. Raktameha - the patient passes urine having red colour, saline taste and smell like that of raw

##Haridrameha - the patient passes urine having pungent taste and colour like that of the juice of haridra (Curcuma longa Linn.)

fish.

###dark yellow colour urine due to dehydration. Highly concentrated urine due to UTI/ dark yellow colour due to jaundice.

• Microscopic hematuria.

#Vataja prameha- (Type-1Diabetes mellitus)

e. Manjishthameha - the patient frequently passes urine having the smell like that of raw flesh and colour like that of the juice of manjistha (Rubia cordifolia Linn.)

##Vasameha - Lipiduria (prence of lipid in urine) in Nephrotic syndrome associated with type-1 diabetes mellitus (30-40%) known as Kimmelstiel –Wilsone Syndrome.

• Gross hematuria due to UTI.

##Majjameha – presence of bone marrow.

f. Haridrameha - the patient passes urine having pungent taste and colour like that of the juice of

##Lasikameha/ Hastimeha- Proteinuria/ diabetic ketoacidosis due to diabetes mellitus

haridra (Curcuma longa Linn.)

##Ojomeha/ Madhumeha- Type – 1 Diabetes mellitus

• dark yellow colour urine due to dehydration. Highly concentrated

urine due to UTI/ dark yellow colour due to jaundice.

3. Vataja prameha- (Type-1Diabetes mellitus)

a. Vasameha - Lipiduria (prence of lipid in urine) in Nephrotic syndrome associated with type-1 diabetes mellitus (30-40%) known as Kimmelstiel –Wilsone Syndrome.

b. Majjameha – presence of bone marrow.

c. Lasikameha/ Hastimeha- Proteinuria/ diabetic ketoacidosis due to diabetes mellitus

d. Ojomeha/ Madhumeha- Type – 1 Diabetes mellitus

Parameter of urinalysis used in above:

@@ Line 891: / Line 891: @@
 ##Sandra meha & Sandraprashada meha – (layered urine: 3 layers: a top layer of chylomicrons, a middle layer rich in protein, and a bottom layer containing fibrin clots and cellular debris).
 ###Intermediary stage between pre-diabetic and diabetic mellitus start with the involvement of kidneys.
-    e. Lalameha – Albuminuria (heavy whitish foam in urine)
+##Lalameha – Albuminuria (heavy whitish foam in urine)
-•	Progressive stage of diabetes mellitus type-2 which may show
+###Progressive stage of diabetes mellitus type-2 which may show
 the presence of albumin.
-    f. Shuklameha- (urine having white colour like that of pasted flour)
+##Shuklameha- (urine having white colour like that of pasted flour)
-                           White & cloudy urine
+###White & cloudy urine
-•	Progressive stage of diabetes mellitus type-2 with the further derangement in the functioning of nephrons (proteinuria).
+####Progressive stage of diabetes mellitus type-2 with the further derangement in the functioning of nephrons (proteinuria).
-    g. Shanaimeha – Reduced urinary flow (reduced urinary flow with increased frequency)
+##Shanaimeha – Reduced urinary flow (reduced urinary flow with increased frequency)
-•	Stage of diabetes involving advanced nephropathy. Infective and reduced urinary flow.
+###Stage of diabetes involving advanced nephropathy. Infective and reduced urinary flow.
-    h. Shitameha- (the patient gets frequent micturition which is exceedingly sweet and
+##Shitameha- (the patient gets frequent micturition which is exceedingly sweet and cold)
-                          cold)
+###Stage of kidney failure due to diabetic nephropathy presence of excessive ammonical substance in urine.
-•	Stage of kidney failure due to diabetic nephropathy presence of excessive ammonical substance in urine.
+####Sukrameha – Spermaturia (patient passes semen like urine or urine mixed with semen)
-   i. Sukrameha – Spermaturia (patient passes semen like urine or urine mixed with semen)
+###Autonomic diabetic neuropathy leading to retrograde ejaculation of sperm.
-•	Autonomic diabetic neuropathy leading to retrograde ejaculation of sperm.
+#Pittaja prameha- (Stage of Infection & Inflammation in Diabetes)
-Pittaja prameha- (Stage of Infection & Inflammation in Diabetes)
+##Ksharameha- the patient passes urine having the smell, colour, taste and touch like those of alkalies. (pH of urine become alkaline)
-a. Ksharameha- the patient passes urine having the smell, colour, taste and touch like those of
+###Increased urinary pH due to UTI in diabetes.
-                           alkalies. (pH of urine become alkaline)
+###Alkaline fermentation causes an ammoniacal smell, and patients with diabetic ketoacidosis produce urine that may have a sweet or fruity odour.
-•	Increased urinary pH due to UTI in diabetes.
+##Kalameha- the patient passes black colour urine.
-•	Alkaline fermentation causes an ammoniacal smell, and patients with diabetic ketoacidosis produce urine that may have a sweet or fruity odour.
+###Highly concentrated urine due to dehydration.
-b. Kalameha- the patient passes black colour urine.
+##Nilameha-   the patient passes urine having sour taste and colour like that of the feather of casa bird.
-•	Highly concentrated urine due to dehydration.
+###Blue colour urine indicative of bacterial urinary tract infection
+##Raktameha - the patient passes urine having red colour, saline taste and smell like that of raw fish.
-c. Nilameha-   the patient passes urine having sour taste and colour like that of the feather of casa
+###Microscopic hematuria.
-                        bird.
+##Manjishthameha - the patient frequently passes urine having the smell like that of raw flesh and                            colour like that of the juice of manjistha (Rubia cordifolia Linn.)
-•	Blue colour urine indicative of bacterial urinary tract infection
+###Gross hematuria due to UTI.
-d. Raktameha - the patient passes urine having red colour, saline taste and smell like that of raw
+##Haridrameha - the patient passes urine having pungent taste and colour like that of the juice of haridra (Curcuma longa Linn.)
-                          fish.
+###dark yellow colour urine due to dehydration. Highly concentrated urine due to UTI/ dark yellow colour due to jaundice.
-•	Microscopic hematuria.
+#Vataja prameha- (Type-1Diabetes mellitus)
-e. Manjishthameha - the patient frequently passes urine having the smell like that of raw flesh and                                colour like that of the juice of manjistha (Rubia cordifolia Linn.)
+##Vasameha - Lipiduria (prence of lipid in urine) in Nephrotic syndrome associated with type-1 diabetes mellitus (30-40%) known as Kimmelstiel –Wilsone  Syndrome.
-•	Gross hematuria due to UTI.
+##Majjameha – presence of bone marrow.
-f. Haridrameha - the patient passes urine having pungent taste and colour like that of the juice of
+##Lasikameha/ Hastimeha- Proteinuria/ diabetic ketoacidosis due to diabetes mellitus
-                             haridra (Curcuma longa Linn.)
+##Ojomeha/ Madhumeha- Type – 1 Diabetes mellitus
-•	dark yellow colour urine due to dehydration. Highly concentrated
-                                                 urine due to UTI/ dark yellow colour due to jaundice.
-. Vataja prameha- (Type-1Diabetes mellitus)
-     a. Vasameha -    Lipiduria (prence of lipid in urine) in Nephrotic syndrome associated with           type-1 diabetes mellitus (30-40%) known as Kimmelstiel –Wilsone  Syndrome.
-     b. Majjameha – presence of bone marrow.
-     c. Lasikameha/ Hastimeha- Proteinuria/ diabetic ketoacidosis due to diabetes mellitus
-     d. Ojomeha/ Madhumeha- Type – 1 Diabetes mellitus
 Parameter of urinalysis used in above: