Background: Prameha is described as one of the Ashta Mahagada by Acharya Charaka and Acharya Vagbhata. It is a Kapha-pradhana Tridoshaja Vyadhi and therefore difficult to treat. Ten Dushya are involved in its pathogenesis (Dosha-Dushya-Sammurchana), leading to characteristic symptoms such as Prabhuta Avila mutrata (profuse, turbid urination). Due to similarity in clinical features, Prameha is broadly correlated with Diabetes Mellitus Type-II in contemporary medicine. Case Presentation: A female patient presented with frequent turbid urination, ants gathering around the urine, and generalized weakness for one month. She had previously consulted a contemporary medicine practitioner and was diagnosed with Diabetes Mellitus Type-II based on clinical features and laboratory investigations. Management and Intervention: The treatment strategy was formulated according to Prameha Chikitsa Siddhanta described in classical texts. Kaphahara, Medohara, and Pramehahara herbal formulations were selected and individualized according to the patient’s condition. Dietary and lifestyle modifications aligned with Ayurvedic principles were also advised. Outcome: After 30 days of treatment, the patient demonstrated marked improvement in symptoms, reduced frequency and turbidity of urine, and significant improvement in blood glucose levels on follow-up investigations. Conclusion: While contemporary management of Diabetes Mellitus Type-II primarily targets Glycemic control, Ayurveda offers a holistic approach that addresses both metabolic derangement and symptomatic relief. This case highlights the potential of classical Ayurvedic interventions to improve clinical outcomes in Prameha by targeting the underlying Dosha-Dushya imbalance. Such integrative management may provide a valuable therapeutic option for long-term care and improved quality of life in patients with Diabetes Mellitus Type-II.
Dr. Indumati Sharma *Dr. Shraddha Savaj (Sun,) studied this question.