The word 'Prameha' is derived from the verb ‘Meha’, which means 'to
pass urine’ The prefix 'Pra' indicates intensity. Thus the word 'Prameha' means
passage of large quantities of urine or passage in urine of one or more products
of metabolism, which may or may not be a normal constituent of urine in
large amounts. Prameha includes a number of metabolic disorders associated
with the characteristic urinary abnormalities. The examination of urine gives
us a clue to the diagnosis of the particular type of abnormality. Prameha is
included in the major diseases of the body. Twenty different types of prameha
are described. In addition, the guidelines for classifying and treating any
new metabolic disorder characterised by specific urinary abnormality is given
in the Ayurvedic texts.
In the history of western medicine, it is stated that in the Ebers Papyrus
(Egypt, about 1500 B. C.) there was a mention of polyuria. The first good
clinical description of the disease was made by Celsus and the name ‘Diabetes’
was introduced by Aretaeus, a Roman physician. Both Celsus and Aretaeus
lived in the first century of Christian era.
It was in 1908 that Garrod realised the existence of a group of diseases
caused by hereditary deficiency of enzymes necessary for normal metabolism.
He termed these diseases as' Inborn errors of metabolism’. He had first
described Alcaptonuria in 1908 and later described Albinism, Cystinosis and
When one realises that the various metabolic disorders described in
Modern medicine were not realised earlier than 80 years ago, one really
wonders at the proficiency and insight of our ancient masters, who had
described several metabolic disorders 5000 years ago. Ayurvedic physicians
appreciated the hereditary mode of transmission and the incurability of these
diseases, when they manifest as a congenital anomaly.
One cannot but appreciate the classical description of pathogenesis,
clinical manifestation and the method of treatment of Madhumeha i.e.
Diabetes mellitus, which is the commonest variety of Prameha. The difference
between the juvenile diabetes and maturity onset diabetes are well depicted.
i am sure that understanding of the basic principles of Ayurveda and the
classification, pathogenesis and treatment of Prameha and their application
to modern medicine will go a long way in unravelling the mysteries of
metabolic disorders with greater ease.
The literal meaning of Ayurvedic texts, as far as possible, has been
adhered to and the basic concepts presented in the original form. The relevent
Sanskrit stanzas are also given as references.
This book will not only be useful to students, teachers and practitioners
of Ayurveda, but will also be of great help to the practitioners and research
workers of Modern medicine interested in the metabolic disorders.
**Contents and Sample Pages**
Acupuncture & Acupressure (196)
Gem Therapy (21)
Original Texts (229)
Therapy & Treatment (147)
Tibetan Healing (128)
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