Prameha is a well-documented metabolic disorder in Ayurveda characterized by “Prabhuta Avila Mutrata” (excessive and turbid urination), and is closely comparable to Diabetes Mellitus in modern medicine. It is primarily a Santarpanottha Vyadhi involving vitiation of Kapha, Meda, and Kleda, along with impairment of Agni and Srotas. Classical Ayurvedic texts emphasize that its management extends beyond pharmacological interventions and strongly depends on dietary regulation (Pathya–Apathya), lifestyle modification (Vihara), and ethical discipline (Sadvrutta). This review critically analyzes references from Brihattrayi—Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya—to explore the therapeutic significance of classical Pathya–Apathya Ahara and Sadvrutta in the management of Prameha. The study highlights key dietary components such as Yava (barley), Mudga (green gram), Kulattha (horse gram), Tikta–Kashaya Rasa predominant vegetables, and therapeutic beverages, along with lifestyle measures like Vyayama and avoidance of Divaswapna. The findings suggest that Ayurvedic dietary and lifestyle principles act as both preventive and therapeutic interventions by targeting the underlying pathology of insulin resistance, obesity, and metabolic dysregulation. The integrative approach of Ahara, Vihara, and Sadvrutta demonstrates strong alignment with contemporary concepts of lifestyle medicine and evidence-based diabetes management.
Chandurkar et al. (Sun,) studied this question.