#0133 Panchakarma
THE COMPARATIVE EFFICACY OF VAMANA AND VIRECHANA KARMA IN MADHUMEHA (NIDDM), MANJUNATH AKKI, Department of Panchkarma, D.G.M. Ayurvedic Medical College, Hospital and P.G. Research Center, Gadag.
Ayurveda advocates two kinds of treatment measures, which represent the end-phase of all the treatment processes, namely Samshodhana (Purificatory or Eliminatory) and Samshamana (Pacificatory) of which the former is given the first place. The vitiated doshas (malas), which are eliminated from the Urdhwamarga i.e.by mouth is called Vamana, through Adhomarga (guda) is called Virechana, both are together called as Virechana.
Madhumeha is a disease known to mankind since Vedic period. It is one among the twenty obstinate urinary disorders. In almost classics of Ayurveda Madhumeha is explained under the heading of Prameha, for all types of Prameha especially Madhumeha kapha dosha is the key factor; Sthoulya (Obesity) is the nidanarthakara roga for prameha. It is clear that samanya nidanas of Sthoulya are similar to prameha.
In the modern system of medicine Madhumeha can be compared to Diabetes mellitus. Even though the scientific world has conducted extensive studies but couldn’t find a safe and effective therapy or medicine for this disease, in Ayurveda we offer several treatment modalities. In the treatment of Sthoola Madhumcha, Vamana and Virechana therapies are good result oriented, controls the blood sugar level and prevent further complications without any side effects. Vamana and Virechana Karmas are advised in Madhumeha patients having good body strength and those who are Sthoola.
- This study includes 2 groups, 15 patients in each group. In Group-A, 15 patients were received Vamana and in Group-B, 15 patients were received Virechana. The treatment contains the following steps.
- • Deepana-pachana by Trikatu Choorna.
- • Shehapana by Dhanwantara Ghritam.
- • Abhyanga with Moorchita tila taila and mrudu sweda by Sukoshnajala snana.
- • Vamana with Madanaphaladi yoga.
- • Virechana with Kalyanaka Guda.
- • Samsarjana krama.
- • Follow -up for one month.
In Group A (Vamana), 08 patients got Good response (53.33%), 07 patients are got Moderate response (46.66%) and in Group B (Virechana) 03 patients got Good response (20%) and 12 patients got Moderate response (80%), no patient had Poor response in both the groups. Thus both procedures are having good and lasting results. But, by comparing both the groups, Vamana karma is more effective than Virechana karma. In mild and moderate type of Sthoola Madhumeha, classical Vamana or Virechana karma, alone is enough to control it. Along with shodhana karmas, administration of pathya ahara-viharas may give more effect.
