Ayurvedic Management of Madhumeha (Type 2 Diabetes Mellitus) With Compound Herbal Formulations and Tikta-Kshira Basti: A Case Report

Type 2 Diabetes Mellitus (T2DM) continues to rise in prevalence globally, and in Ayurveda this condition correlates with Madhumeha, a subtype of Prameha marked by sweet, turbid urine and broader metabolic dysregulation. Classical Ayurvedic literature describes a comprehensive management approach involving both Shodhana and Shamana therapies. We report the case of a 55-year-old women presented with an eight-week history of polyuria, polydipsia, polyphagia, burning sensation in the extremities, generalized body ache, and a persistent sweet taste in the mouth. Investigations revealed a fasting blood glucose of 176.3 mg/dL and a post-prandial level of 277.9 mg/dL, HbA1c of 7.62% leading to a diagnosis of newly detected, unmedicated Madhumeha/T2DM. The patient was managed for eight months using a structured, multimodal Ayurvedic regimen comprising Nisha Amlaki Churna, Chandraprabha Vati, Phalatrikadi Kashaya, Tikta Kshira Basti and Shadangapaniya siddha water, without any conventional hypoglycaemic agents. By the end of treatment fasting blood glucose had reduced by 41.8%, post-prandial glucose by 41.5% and HbA1c by 26.51%. All presenting symptoms resolved, and no adverse events were observed throughout the treatment period. This case demonstrates that a multimodal classical Ayurvedic regimen, integrating purificatory and palliative therapies with dietary and digestive correction, can achieve substantial glycaemic improvement and symptomatic relief in T2DM without pharmacological intervention. The findings support the rationale for Ayurvedic management in early, unmedicated T2DM and underscore the need for prospective, controlled studies to establish efficacy, standardize protocols, and validate these outcomes across larger populations.