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PRAMEHA

PRAMEHA (Nirukti) – The Sanskrit root word is ‘Mih-Sechane’ – means “to flow”.  The Sanskrit term Meha literally means to micturate. By adding prefix “Pra” meaning excess both in quantity and frequency. Prameha thus means excess micturition both in quantity and frequency.

Let us understand the aphorism for Samprapti (pathology) of Prameha:

SAMPRAPTI SHLOK

 

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                      ?????????, ??????????????? – ?. ?????????????????

Here ‘karoti’ is the action,

Who – Kapha/Pitta/vata

What – Prameha

How – Pradushya (Meda, Mansa, kleda )

Where – Bastigata

Why – Due to hetusevan (Asyasukham…..)

According to classical text Charak Samhita, the samprapti of prameha starts with the derangement of kapha. Intake of Kaphaj hetu (combination of nidana and dushya) vitiates Kapha dosha (Kledak kapha) that spreads throughout the body and mixes with meda, mansa and sharirajam kleda. This vitiates the drava dhatus in the body and leads to disease prameha (that is excess formation of urine). Further progression or intake of pittaj hetu vitiates Pitta predominately, which vitiates the sonita (blood), advancing Pittaja Prameha. Similarly, further advance stage or intake of vataj hetus leads to vitiation of Vata, which draws the vasa (muscle fat), other dhatus and vital substances/vital essence out of the body (oja) through the urine and is called as Vataja Prameha.

Ayurveda describes 20 subtypes of Prameha as different clinico-pathological conditions produced out of specific doshas and dushyas, showing gross urinary characteristics and clinical manifestations. The fractional changes in dushyas in association with three morbid doshas manifests different subtypes of prameha.

 

 

DOSHA-DUSHYA VICHAR

Affected Dosha – Tridosha (Kapha – Kledak kapha, Pitta – Pachak Pitta, Vata – SamanVata)

Affected Dushya – Meda, Mansa, Kelda, Mootra, Shukra, Shonita, Vasa, Majja, Lasika, Rasa and Oja

Strotas involved – Medovaha, Mootravaha and Mansavaha

 

References:

  1. Agnivesa: Charakasamhita, Text with English translation by R. k. Sharma and Bhagavandas volume II, Published by Chowkhamba Sanskrit series, Varanasi. CikitsaSthana Chapter 6, verse 57, 2009. p.315.
  2. Goverdhanam Vani et al. Journal of Biological & Scientific Opinion · Volume 3 (3). 2015, STUDY OF PRAMEHA VIS A VIS METABOLIC SYNDROME.