Management of Uncontrolled Type-2 Diabetes Mellitus with Virechana Therapy: A Case Study
Vishakha R Wetal and Swati A Chorghade
Journal Title:International Journal of Ayurveda and Pharmaceutical Chemistry
Background - A majority of diabetics are unable to keep sugars under control despite adequate medication and follow ups. In some cases, even treatment with insulin does not help in sugar control. 40% of diabetics who carefully control their blood sugar nevertheless develop neuropathy and nephropathy. The case of uncontrolled type2 Diabetes Mellitus, was managed with Virechana, one of the Panchakarma therapy, as indicated in ‘Brihat-trayi (major and prime texts of Ayurveda). Management --Pachan (internal medicines to facilitate proper digestion )– Hingvashtak churna- 1gm x three times before food with warm water for two days was given. Internal oleation with Triphala ghrita in increasing order for four days (oleation stopped, as symptoms of proper oleation achieved) was followed. Daily assessment for symptoms of oleation was done. External oleation and sudation was done with Sesame oil. Virechana drug - Abhayadi modak - 500mg with decoction of Triphala 150ml was given on empty stomach. Results and Conclusion – BSL fasting and pp before Virechana was 240mg/dl and 431mg/dl. After seven days, one manth and four months, fasting sugar was 190mg/dl, 153mg/dl and 169mg/dl respectively while post prandial sugar was 265mg/dl, 180mg/dl and 228 respectively. HbA1, HbA1Cand MBG after seven days of Virechana was 10.9%, 8.4% and 215 respectively and after quarter to five months months it was 9.2%, 6.97% and 153 respectively. There was significant increase in HDL cholesterol from 37 mg/dl to 63mg/dl. Thus Virechana therapy has significant therapeutic value in Type2 Diabetes Mellitus.