This document discusses Prameha, a type of diabetes in Ayurveda. It defines Prameha, explains its causes and pathogenesis. It describes early symptoms and general signs. There are 10 types of Kaphaja Prameha, 6 types of Pittaja Prameha, and 4 types of Vataja Prameha. Complications include thirst, diarrhea and fever. Kaphaja Prameha is considered curable, Pittaja Prameha palliable, and Vataja Prameha incurable. Congenital or hereditary Prameha are also not curable. The document covers definitions, classifications, and management of Prameha according to Ayurvedic texts.

1. PRAMEHA
Dr.Akshay Shetty
Asst.Professor
SSRAMCH Inchal
This Photo by Unknown Author is licensed under CC BY-SA

2. CONTENTS • Objectives
• Definition of Prameha
• Nidana of Prameha
• Samprapti of Prameha
• Poorva roopa of Prameha
• Samanya lakshana of Prameha
• Types of Prameha
• Upadrava of Prameha
• Sadysadyata of Prameha
• Summary
• References
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3. OBJECTIVES
By the end of the presentation
the students must be able to
• Define Prameha
• State Nidana of Prameha
• Explain Samprapti of Prameha
• List Poorva roopa of Prameha
• Discuss Samanya lakshana of Prameha
• Classify Prameha
• List Upadrava of Prameha
• State Sadysadyata of Prameha
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4. PARIBHASHA
OF PRAMEHA
प्रकर्षेण प्रभूतं प्रचुरं वारंवारं वा
मेहतत मुत्रत्यगं करोतत यस्ममन् रोगे
स प्रमेहः।
Ma.Ni 33/1
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5. NIDANA OF
PRAMEHA
आमयासुखं मवप्नसुखं दधीतन ग्राम्यौदकानूपरसाः
पयांसस|
नवान्नपानं गुडवैकृ तं च प्रमेहहेतुः कफकृ च्च
सववम्||४|| Ch.Ci 6
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6. NIDANA OF
PRAMEHA
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आस्यासुखं Over-indulgence in the pleasure of
sedentary habits
मवप्नसुखं Excess sleep
दधीतन Curd
ग्राम्यौदकानूपरसा Soup of the meat of domesticated
and aquatic animals and animals
inhabiting marshy land
पयांसस Milk and its preparations
नवान्नपानं Freshly harvested food articles,
freshly prepared drinks
गुडवैकृ तं Preparations of jaggery and all

7. SAMPRAPTI
OF PRAMEHA
मेदश्च मांसं च शरीरजं च क्लेदं कफो बस्मतगतं प्रदूष्य|
करोतत मेहान् समुदीणवमुष्णैमतानेव पपत्तं पिरदूष्य चापप||५||
क्षीणेर्षु दोर्षेष्ववकृ ष्य बमतौ धातून् प्रमेहानतनलः करोतत|
दोर्षो हह बस्मतं समुपेत्य मूत्रं सन्दूष्य
मेहाञ्जनयेद्यथामवम्||६||
Ch.Ci 6
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8. SAMPRAPTI
OF PRAMEHA
• Aggravated kapha vitiates medas, mamsa and kleda
of the body located in basti and causes different
types of kapha dominant meha.
• Similarly, pitta aggravated by hot things vitiates
those elements and causes different types
of pitta dominant meha.
• When other two doshas are in a relatively
diminished state, the aggravated vata draws tissues
elements (viz. ojas, majja, and lasika) into the
urinary tract and vitiates them to
cause vata dominant pramehas.
• Different doshas having entered the urinary tract in
vitiated condition give rise to the respective types
of meha with their own dominance
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9. CONT….
कफः सपपत्तः पवनश्च दोर्षा मेदोऽस्रशुक्राम्बुवसालसीकाः|
मज्जा रसौजः पपसशतं च दूष्याः प्रमेहहणां, पवंशततरेव
मेहाः||८|| Ch.Ci 6
kapha, pitta and vata,
medas, rakta, shukra,ambu , vasa, lasika , majja,
rasa, ojas and mamsa are responsible for the
causation of prameha which is of twenty types
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10. Nidana Sevana
kapha vitiates medas, mamsa and kleda of the body
located in basti leads kaphaja prameha
pitta aggravated by hot things vitiates those elements
and causes different types of pitta dominant meha
the aggravated vayu draws tissues elements (viz. ojas,
majja, and lasika) into the urinary tract and vitiates
them to cause vata dominant pramehas
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11. POORVA
ROOPA OF
PRAMEHA
मवेदोऽङ्गगन्धः सशथथलाङ्गता च शय्यासनमवप्नसुखे
रततश्च|
हृन्नेत्रस्जह्वाश्रवणोपदेहो घनाङ्गता
क
े शनखाततवृद्थधः||१३||
शीतपप्रयत्वं गलतालुशोर्षो माधुयवमामये करपाददाहः|
भपवष्यतो मेहगदमय रूपं मूत्रेऽसभधावस्न्त
पपपीसलकाश्च||१४||
Ch.Ci 6
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12. POORVA
ROOPA OF
PRAMEHA
 Sweating
 Body odor
 Flabbiness of the body,
 Liking for constantly lying on the bed,
 Sitting , sleeping and leading an easy life,
 A feeling as if the cardiac region is covered with extraneous
material,
 Exudation of excreta from eyes, tongue and ears,
 Corpulence of the body,
 Excessive growth of hair and nails,
 Liking for cold things
 Dryness of throat and palate,
 Sweet taste in the mouth,
 Burning sensation in hands and legs
 Swarming of ants on the urine
 these are the premonitory signs and symptoms of prameha
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13. CONT…
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14. SAMANYA LAKSHANA OF PRAMEHA
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15. TYPES OF PRAMEHA
द्वौ प्रमेहौ भवतः- सहजोऽपथ्यतनसमत्तश्च |
तत्र सहजो मातृपपतृबीजदोर्षकृ तः, अहहताहारजोऽपथ्यतनसमत्तः |
तयोः पूवेणोपद्रुतः कृ शो रूक्षोऽल्पाशी पपपासुभृवशं पिरसरणशीलश्च भवतत;
उत्तरेण मथूलो बह्वाशी स्मनग्धः शय्यासनमवप्नशीलः प्रायेणेतत ||३||
Su.Ci,11
साधयाः कफोत्था दश, पपत्तजाः र्षट् याप्या, न साधयः पवनाच्चतुष्कः||
Ca.Ci 6
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16. CONT…
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17. CONT….
KAPHAJA
PRAMEHA
• udaka meha
• iksu- valika meha
• sandra meha
• Sandra prasad
meha
• shukla meha
• shukra meha
• shita meha
• shanaih meha
• lala meha
• sikata meha
PITTAJA
PRAMEHA
• kshara meha
• kala meha
• nila meha
• haridra meha
• manjishtha
meha
• rakta meha
VATAJA
PRAMEHA
• majja meha
• oja meha
• vasa meha
• lasika meha
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18. UPADRAVA
OF PRAMEHA
उपद्रवामतु खलु प्रमेहहणां तृष्णातीसारज्वरदाहदौबव
ल्यारोचकापवपाकाः पूततमांसपपडकालजीपवद्रधयादय
श्च तत्प्रसङ्गाद्भवस्न्त||४८|| Ca.Ni 4
• Complications associated with prameha are
thirst, diarrhea, fever, burning sensation,
weakness, anorexia, and indigestion.
Carbuncles that putrify muscle tissues,
like alaji and vidradhi, appear during the
chronic stage of the disease.
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19. SADYSADYATA
OF PRAMEHA
साधयाः कफोत्था दश, पपत्तजाः र्षट् याप्या, न साधयः
पवनाच्चतुष्कः||
समक्रक्रयत्वाद्पवर्षमक्रक्रयत्वान्महात्ययत्वाच्च यथाक्रमं
ते||७||
• Kaphaja pramehas are of ten types and they are
curable because of their compatibility of the
therapies meant for their cure (samakriyatvata).
• Pittaja pramehas are of six types and they are only
palliable (yapya) because of their incompatibility of
the therapies meant for their treatment.
• Vatika pramehas are of four types and they are
incurable because of their incompatibility with
therapies and dreadful nature of vata leading to
complications
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20. SADYSADYATA
OF PRAMEHA
जातः प्रमेही मधुमेहहनो वा न साधय उक्तः स हह
बीजदोर्षात ्|
ये चापप क
े थचत ् क
ु लजा पवकारा भवस्न्त तांश्च
प्रवदन्त्यसाधयान ्||५७||Ca.Ci 6
• Patients who suffer from prameha since birth
(congenital) and those who are borne
of prameha parents (hereditary) are not curable
because of the morbidity in their bija (genes).
Similarly, other hereditary (kulaja/familial)
ailments are considered as incurable
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21. SUMMARY
Nidana of Prameha
Samprapti of Prameha
Poorva roopa of Prameha
Samanya lakshana of Prameha
Types of Prameha
Upadrava of Prameha
Sadysadyata of Prameha
Paribhasha of
Prameha
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22. REFERENCES
• Charaka Samhita
• Sushruta Samhita
• Astanga Hridaya
• Madhava Nidana
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23. Thank you
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