EXPLORING CHARAKOKTA DUSHYA INVOLVEMENT IN MADHUMEHA: AN OBSERVATIONAL STUDY OF TYPE 2 DIABETES MELLITUS

Abstract

Background: Madhumeha (Diabetes Mellitus Type 2) is a serious, lifelong condition. It touches almost every part of life. It can cause various health problems over time ranging from neuropathy, nephropathy to retinopathy. The importance of diagnosing the disease before initiating treatment is emphasized, as proper therapeutic measures can only be applied once the disease and its cause are properly identified. Aim and objectives: This study aimed to investigate the involvement of Dushya in Madhumeha according to both Ayurvedic and modern medical perspectives. Materials and Methods: The research was conducted in two phases, conceptual and clinical, with a sample size of 140 patients. The study assessed Dushya involvement in Madhumeha patients based on age, chronicity of the disease, and blood sugar levels. Results: The findings indicate the significant involvement of various Dushyas in Madhumeha, with Oja Dushti being predominantly observed. Dominium of Rasavaha Srotasa Dushti was observed followed by Medovaha, Asthivaha, Majjavaha Srotasa Dushti descendingly. The substantial involvement of the Annavaha, Raktavaha, Shukravaha, Purishavaha and Swedavaha Srotasa suggests that disruptions in the respective Dushya and their functions. Conclusion: The study concluded that the Dushyas mentioned by Charakacharya were found to be involved in Madhumeha along with Asthi, Mutra, Sweda, Purisha in addition to Charaka samhita in present days with predominant involvement of Oja Dushti seen. It emphasized the equal distribution of Dushya involvement in all age groups and chronicity of the disease, indicating no progressive Dushya involvement with respect to age or chronicity. Additionally, the study found a progressive involvement of specific Meda, Majja, Lasika and Oja Dushyas with increasing blood sugar levels. The conclusion emphasized the need for further research with larger sample sizes and the exploration of single Dushya involvement evaluation.

Keywords: Madhumeha, Dushya Dushti, Srotasa Dushti, Diabetes Mellitus.