CONCEPT OF DOSHA DUSHYA SANGRAHA AND DHATU SHAITHILYA (FLACCIDITY OF BODY CONSTITUENTS): THEIR IMPORTANCE IN DIAGNOSIS, TREATMENT AND PROGNOSIS OF PRAMEHA
Keywords:Madhumeha, Ayurveda, pathology, Nidana
Background: Pathology of Prameha mentioned in classics is succinct and needs reading between the lines to appreciate its explicit and indubitable details. Bahu Drava Shleshma (Kapha in more liquid state) causes Prameha, but it is also caused due to other Dosha. Bahu Abadhda Meda and Mamsa (increased Meda and Mamsa with flaccidity) are undoubtedly principal Dushya, but role of other Dushya in pathology is unclear. General symptom of Prameha is Prabhuta Avila Mutrata (excess urine with turbidity), but in practice symptoms seen in patients are diverse and alter from time to time. Twenty types of Prameha are mentioned according to different characteristics of urine, but other symptoms according to specific types are not described. To address the issue elaboration of available information about Prameha is necessary. Methods: Literary review of Prameha mentioned in Bruhattrayi, Laghutrayi and Shabdakosha (dictionaries/word repositories) was taken. References were hand searched. Key words related to pathology of Prameha were used.
Results: Pathology of Prameha can be elaborated in better way if the two concepts namely – ‘Dosha Dushya Sangraha’ and ‘Dhatu Shaithilya (flaccidity of body constituents)’ are explained. Together, they highlight Anusangitva (recurring nature) of the disease. Conclusion: Application of these concepts in practices can help in understanding prognosis, treatment plans and absolute cure if possible. It also unveils the road ahead in research in Prameha.
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