Systematic Review of effects of Shodhana & Shmana Chikitsa in Ayurveda in the Management of Diabetes Mellitus Type-II (Prameha)

Abstract

Introduction: Diabetes mellitus is a complex metabolic clinical condition. It induces some irreversible pathological changes in the body, which rise to multiple complications. Moreover, the side effects of the established anti-hyperglycemic agents in contemporary science on their long-term use make it more worst. Considering the higher incidence rate of Diabetes mellitus due to faulty lifestyle, it is essential to think over various safe but effective measures in alternative science. i.e., Ayurveda. In Ayurveda, diabetes mellitus can be correlated with Prameha or Madhumeha due to similarity in signs & clinical features. Aim & Objective: The prime aim of this study is to study the efficacy and safety of different Shodhana & Shamana Chikitsa in Ayurveda for glucose control & improvement in clinical features during the management of Diabetes Mellitus Type II(Prameha W.S.R). Materials & Methods: This is a meta-analysis of Ayurvedic interventions in Shodhana, or Shamana Chikitsa used to manage Prameha (Diabetes mellitus type II). On extensive Review of the literature, 42 clinical studies (R.C.T. & N.R.C.T.) fulfilling inclusion criteria & conducted with 1743 participants at different places were critically analyzed. Adequate details of the individual studies were tabulated and discussed. Observations & Results: It is reflected that the combinations of both these interventions are more effective than only Shaman Chikitsa in the management of Diabetes mellitus. Conclusion: All of these interventions in Ayurveda reviewed through this study are appeared to be generally safe and effective, having a prime or adjuvant role. However, Ayurvedic physicians should prescribe them based on their clinical judgment, patient’s references, type of pathology, chronicity of the disease & strength of the patient.