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Diabetes and Ayurveda Treatment (1)
What is Ayurvedic treatment, is there an Ayurvedic treatment for diabetes, how does the treatment work, what is the prognosis when using Ayurvedic treatment. Why are more people accepting it as an alternative way to manage diabetes? We will answer all these questions and more in the next article.
Ayurveda is the oldest surviving system of healing in the world. A form of alternative medicine and the traditional medical system of India, the word is a compound of the words “ayu” meaning life and “Veda” meaning knowledge. Thus roughly translated, Ayurveda means “science of life” and includes the care and treatment of human beings. In summary, the two main goals of Ayurveda are the complete elimination of disease and dysfunction of the body and secondly, the prolongation of life and the promotion of perfect health.
To do this, Ayurveda considers the general lifestyle of the individual, including his diet, behavior and health and profession. But before we get into all that, one may question why anyone would want to resort to this ancient system of medicine in the first place. What is the attraction of such a system compared to the modern, generally more accepted scientific treatment of diabetes today? Well, the reason is not far to seek.
First, diabetes is generally considered a disease that cannot be cured, only managed. This management basically involves the subject maintaining fasting blood sugar levels within a medically determined or recommended range (between 70 and 100 milligrams per deciliter or mg/dL). Where he can do this, in most cases he will stop experiencing many of the symptoms of the disease and its associated complications.
For many people this is not a cure in the true sense of the word as the individual will still be limited to a high fiber, low carb, low fat, non-smoking, no or limited alcohol diet, as well as a continued exercise regimen and sugar control in the blood.
If we follow this reasoning, then any “drug” that does not either rejuvenate the beta cells (the cells of the pancreas that produce insulin) as would be required in the case of a type 1 drug or help overcome the body’s insulin resistance as in the case of a type 1 drug 2, it cannot be said that it is like that. While stem cell research – either through undifferentiated embryonic stem cells or (induced pluripotent) stem cells today, brings us the hope of a cure in the case of type 1, the treatment of type 2 still remains relatively case management.
Moreover, the modern medical approach to treating or managing type 2 diabetes requires dedication and discipline. In addition, the drug used may have side effects. For example, the use of metformin is known to cause heart attacks. Again, the use of insulin to treat diabetes should be well regulated and timed so as not to inadvertently induce hypoglycemia or the opposite hyperglycemia.
If we are honest in our analysis, we can equally say that the Ayurvedic method for treating diabetes is probably also a management method. However, the advantage it may have over the modern approach is that because it is both preventative and holistic in its medical approach to treating the body, it does not carry the risk of complications associated with pharmaceutical treatments.
Furthermore, it has been scientifically established that while some herbs used in Ayurvedic treatment actually stimulate the production of beta cells, others stimulate the body’s sensitivity to insulin. This then undoubtedly represents the most sustainable alternative choice of diabetes treatment.
In classical Ayurveda, diabetes was given the name Prameha, which means excessive urination. It was also known as Madhumeha which is interpreted as the flow of sugar from the body. Again, it was equally called Maharoga (major disease) because almost all parts of the body were affected by it. According to Ayurveda, prameha (diabetes) is divided into 4 main types (and a total of 21 types). Kapha type, itself divided into 10 types, Pitta type, divided into 6 types, Vata type, divided into 4 types and sahaja which corresponds to type 1 diabetes.
The main causes of prameha (diabetes) are said to be lack of exercise and eating food containing too much ushn, snigha and guru nature. Although it is also known that Sahaja diabetes is hereditary and caused by defects in the genetics of the patient’s parents.
In Ayurveda, diabetes is classified in several ways; the first in the two categories of thin diabetics and obese diabetics. The second classification is according to the causes of diabetes – Sahaja prameha (congenital) and Apathyanimittaja prameha (due to excessive diet and bad habits) and finally classification according to Dosha. The first two are clear. But what is a Dosha?
To understand what a Dosha is and indeed how Ayurvedic treatment works, we must first understand the philosophy or “science” behind Ayurvedic diabetes treatment.
First, Ayurveda prescribes that the entire physical structure and function of man is based on the combination of any 2 of the 5 great elements (Bhutta). This combination will prevail and as such will determine your nature. It is this nature that is known as Dosha. Further, these combinations are categorized into Vata, Pitta and Kapha. Vata relates to movement, Kapha, metabolic functions, energy and heat production, while Kapha deals with physical structure and fluid balance.
The Ayurvedic view is that disease is caused by an imbalance in these qualities (Vikruiti). Treatment of type 2 diabetes, like all other diseases in this system, requires rebalancing (Prakruti) by detoxifying the body from causative toxins that block circulation and cause dosha imbalances, as well as normal dhatu (tissue) function.
Ayurvedic treatment is extremely modern in its approach to the treatment of diabetes. Because just as a doctor can think about a patient’s risk factors when making a diagnosis and giving recommendations, Ayurvedic treatments equally take into account family history (in other words, genetic predispositions), gender, age, body constitution (considering body mass index), disease stage, diet , etc. This means that the treatment will be tailored to the specific needs of each individual and that more often than not, the treatment, especially the dosage, will differ from patient to patient even when suffering from the same disease and symptoms.
The fundamental step in the diagnosis, which can take up to an hour, will therefore be to find the person (dosha), i.e. Vatta, Pitta or Kapha. Once detected, a dosha imbalance is elicited by asking a few questions about his or her eating habits, sleep patterns, behavior, age, height and weight, place of residence, profession, medical findings, health problems, etc.
By knowing the dosha, the health counselor will be able to assess the patient’s dosha traits that are out of balance and prescribe the changes needed to bring them back into balance. In doing so, the health advisor will use examinations of the pulse, tongue, nails and eyes. The health of several organs as well as the psychological state of the individual can be derived from this study, and observing and documenting this will help the health care provider in treating the disease. By the way, it should be noted that ayuverdic diagnosis does not exclude complementary diagnosis through laboratory and clinical tests.
So, when diabetes is diagnosed, how does an Ayurvedic practitioner treat it? Incredibly, again (at least the first two approaches) have similarities with the Western practice of treating diabetes. So, first, if the doshas are only slightly unbalanced, then increased activity and dietary restriction are sufficient remedies.
The use of medicines (herbs) will be called for where the doshas are moderately unbalanced. This will serve to neutralize the imbalanced dosha and together with dietary restriction and increased exercise will serve as sufficient remedy. However, where the doshas are grossly imbalanced, then Panchakarma (five detoxification procedures) will have to be applied in addition to dietary restriction, exercise and medication. However, Panchakarma is more suitable for fat or obese diabetics rather than thin ones who show excessive vata dosha, they should focus more on medicines and diet that will increase dhatus (rebuilding or toning the body).
In short, therefore, it can be said that Ayurvedic practice consists of four basic nodes, namely reduction (through exercise), detoxification, nutrition and tonification (through diet) and balancing (through all three). To achieve this, several agents are used in calibrated quantities. These are food, exercise, routine and herbs. We will look at the role of each in our next article.
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