A Review on the Concept of Madhumeha in Ayurveda with Special Reference to Diabetes Mellitus

Authors

  • Dr Rashmi Payasi Author

DOI:

https://doi.org/10.5281/zenodo.23680097

Keywords:

Madhumeha, Prameha, Diabetes Mellitus, Samprapti, Avarana, Ojas

Abstract

Background: Madhumeha is one of the twenty types of Prameha and is placed in the Vataja group. Ayurvedic classics describe it as a long-lasting disease in which the patient passes a large amount of urine that is sweet like honey, along with slow loss of body tissues and strength. Its causes, early signs, stages of disease formation and line of treatment are explained in detail in the Brihatrayi and Laghutrayi. In modern science, Diabetes Mellitus is a chronic metabolic disorder marked by high blood sugar, and its number is rising fast in India because of faulty diet, lack of exercise and stress. A clear understanding of the classical concept of Madhumeha can help in early diagnosis, prevention and complete management of Diabetes Mellitus.

Aim: To study the concept of Madhumeha in Ayurveda with special reference to Diabetes Mellitus.

Objectives: To collect the classical description of Madhumeha – Nidana, Purvarupa, Rupa, Samprapti, Upadrava, Sadhyasadhyata and Chikitsa. To understand Diabetes Mellitus as described in modern medicine. To find out the correlation between Madhumeha and Diabetes Mellitus.

Materials and Methods: Classical texts such as Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Madhava Nidana, Bhavaprakasha and Chakradatta were studied with commentaries. Modern data was taken from current guidelines and research papers from PubMed and Google Scholar. All data was arranged under Nidana, Rupa, Samprapti and Chikitsa.

Results & Discussion: Weak Agni, excess Kapha and loose Meda explain the obesity-linked insulin resistance of Type 2 diabetes. Diet, daily routine and Shodhana-Shamana therapy act on the root cause.

Conclusion: Madhumeha shows strong conceptual similarity with Diabetes Mellitus. Classical knowledge of its causes and stages can guide early detection, lifestyle correction and integrative care.

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References

. Agnivesha. Charaka Samhita, Sutra Sthana, Chapter 23, Santarpaniya Adhyaya, Verse 5-7. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Anjana RM, Unnikrishnan R, Deepa M, Pradeepa R, Tandon N, Das AK, et al. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). Lancet Diabetes Endocrinol. 2023;11(7):474-89.

Sharma H, Chandola HM. Prameha in Ayurveda: correlation with obesity, metabolic syndrome, and diabetes mellitus. Part 1 – etiology, classification, and pathogenesis. J Altern Complement Med. 2011;17(6):491-6.

Madhavakara. Madhava Nidana with Madhukosha Commentary, Chapter 33, Prameha Nidana. Upadhyaya Y, editor. Varanasi: Chaukhambha Sanskrit Sansthan; 2013.

Agnivesha. Charaka Samhita, Nidana Sthana, Chapter 4, Prameha Nidana. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Agnivesha. Charaka Samhita, Chikitsa Sthana, Chapter 6, Prameha Chikitsa, Verse 4. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Sushruta. Sushruta Samhita, Chikitsa Sthana, Chapter 11, Prameha Chikitsa, Verse 3. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Sushruta. Sushruta Samhita, Nidana Sthana, Chapter 6, Prameha Nidana. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Vagbhata. Ashtanga Hridaya, Nidana Sthana, Chapter 10, Prameha Nidana, Verse 7. Paradkar HS, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Agnivesha. Charaka Samhita, Sutra Sthana, Chapter 17, Kiyantahshirasiya Adhyaya. Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014.

Bhavamishra. Bhavaprakasha, Madhyama Khanda, Prameha-Pidaka Adhikara. Varanasi: Chaukhambha Orientalia; 2015.

Chakrapanidatta. Chakradatta, Prameha Chikitsa Prakarana. Sharma JC, editor. Varanasi: Chaukhambha Orientalia; 2012.

American Diabetes Association Professional Practice Committee. 2. Diagnosis and classification of diabetes: Standards of Care in Diabetes – 2025. Diabetes Care. 2025;48(Suppl 1):S27-49.

Kahn SE, Hull RL, Utzschneider KM. Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature. 2006;444(7121):840-6.

Sharma H, Chandola HM. Prameha in Ayurveda: correlation with obesity, metabolic syndrome, and diabetes mellitus. Part 2 – management of Prameha. J Altern Complement Med. 2011;17(7):589-99.

Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393-403.

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Published

2026-10-27

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Section

Peer Review Articles