Role of Virechana and Neelakantha Rasa as Rasayana with Phalatrikadi Kwatha Anupana in Madhumeha (DM2) - A Single Case Study

Abstract

Madumeha is a progressive both Avaranajanya and Dhatukshayajanya Vyadhi[1] it is correlated with diabetes mellitus, with the involvement of Tridosha. Diabetes mellitus is a metabolic, autoimmune, stress induced impaired hyperglycemia. It is due to either deficiency of insulin or combination of insulin resistance and inadequate insulin secretion. Virechana and Rasarasayana Yogas are stated as the best in Madhumeha. In the present study Virechana was selected. For Deepana Pachana, Abhayadi Kwatha was selected, Snehana was done with Murchita Sarshapa Taila, during Vishramakaala, Sarvanga Abhyanga was done with Murchita Sarshapa Taila and Baspa Sweda was done for 3 days. Virechana was given with Vishalapippali Yoga, followed by Rasarasayana Yoga, Neelakantha Rasa with Phalatrikadi Kwatha. Result showed that, there was very good improvement in the subjective parameters and objective parameter, FBS was reduced from 102.7 mg/dl to 98 mg/dl. PPBS were reduced from 145.6 mg/dl to 132 mg/dl. HbA1C was reduced from 8.4% to 5.8% after the intervention. In the contest of Madhumeha Chikitsa, Virechana is highlighted. In practice the newly diagnosed case of Madhumeha is reversible with timely Ayurvedic classical intervention. A significant improvement, in subjective and objective parameter of Madhumeha (DM2) has made it necessary to make a single case study.