PRAMEHA:-
👉🏻 DERIVATION OF WORD:-
- Word derivation of Prameha Theword, Prameha is derived from the root 'mih sechane' meaning' 'watering' In reference to disease of human beings, it many have a meaning of passing urine, qualified by prefix ‘Pra' meaning excess in both frequency and quantity.
- Prameha is derived form Pra+Miha. A condition characterized by excessive outflow of urine (shabda kalpadruma).
👉🏻Characteristic feature:-
- Frequent urge to pass urine (which may be excessive or scanty) is the cardinal feature of Prameha.
👉🏻 General Causes:-
1. Asyasukha (excessive food intake)
2. Swapnasukha (excessive sleep)
3. Dadhi (curd)
4. Gramya mamsa (meat of domestic
animals).
5. Oudaka mamsa (aquatic animals).
6. Anupa mamsa (marshy animals).
7. Payamsi (milk and milk products).
8. Navanna (new grains)
9. Gudavikriti (jaggery and its products).
10. Kaphakara ahara (food and beverages increasing kapha dosha).
11. Avyayama (sedentary life).
12. Alasya (laziness).
13.Sheeta-snigdha-madhura ahara (old, unctuous and sweet substances).
14. Dravanna (excess liquid diet) etc.
👉🏻 Origin of the disease:-
- Due to the above said factors, Kapha
dosha is dominantly aggravated (in
association with other doshas) and
they affect medas (fat), mamsa
(flesh), udaka (lymphatic channel/
endocrinal secretions) etc. Due to the
abnormal digestion, the afflicted
dhatus (tissues and their derivatives)
are driven towards urinary system and
the disease prameha is resulted.
Based upon the dosha involvement
their degree of affliction and gradation
of the illness, various signs and
symptoms are resulted.
According to the features, different names are
given.
👉🏻 Types of Prameha:-
- Two main types of Prameha are
described - sahaja and doshaja.
- Sahaja refers to natural, which are
originated due to the precipitating
factors from the inherited or
congenital factors.
- Doshaja are the results of dosha
vitiation.
- Based on the clinical importance, two
types are specified as
- Sthoola prameha (urinary disorders
of stouts).
- Krisha prameha (urinary disorders
of lean).
👉🏻 Components of Prameha:-
- Prameha is caused by vitiation of all the doshas and many other components of the body, many of which are the important tissues of thebody.
They are -
- Excessively increased -Free fat
-Lymph
-Blood
-Muscle
-Fat
-Bone marrow
-Semen
-Water ingredients of the body / fluid
compartment
-Muscle fat
-Serum
-Essence of all the tissues.
👉🏻 Clinical features:-
👉🏻 Features of Kaphaja prameha:-
1. Udaka meha – The urine is transparent (accha), excess (bahu),
white (sita), cold (sheeta), odourless
(nirgandha), similar to water (udakopama), turbid (avila) and slimy
(picchila).
2. Ikshu meha - The urine is very sweet and similar to sugar cane juice (ikshurasavat madhura). It is slimy
and turbid in nature.
3. Sandra meha – The urine is dense
(sandra) and it precipitates when
allowed to settle down when kept overnight (paryushita sandra).
4. Sura meha - In this condition, the urine appears similar to arrack (sura).The supernatant part appears clear
and the lower part will be dense and
thick.
5. Pishta meha – In this condition, the person feels horripilation on urination and the urine is white (sita) like the
paste of the fine grain flour (pishtavat).
6. Shukra meha - The urine appears like semen (shukrabha) or mixed with semen (shukramishra).
7. Sikata meha - In this condition, the urinary gravels appearing like sand particles are expelled out.
8. Sheeta meha - Excess amount of
urination which is sweet (madhura).and cold (sheeta) in nature is found in
this condition.
9. Shanair meha - Little by little, repeated, slow urination is complained of in this disease.
10. Lala meha - The urine appears similar to saliva (lalatantrayuta) and is slimy (picchila) in nature.
👉🏻 Features of Pittaja prameha:-
1. Kshara meha – Here, the urine has
the odour, colour, taste and texture of
alkaline solution (ksharatoyavat).
2. Kala meha - Large quantity of black coloured urine, just like burnt coal (masinibha) is found in Kalameha.
3. Neela meha - The urine which is
blue in colour similar to the feather of Blue jay bird(chashapakshanibha) is complained of in this condition.
4. Rakta meha - Here, urine will have
the colour and smell of blood and is salty in taste.
5. Manjishta meha - Manjishta (Rubia
cordifolia) is a drug which gives dark
red coloured decoction or fresh juice.
Here, the urine will have bad smell
(visra gandha) and the urine appears
similar to the decoction of manjishta.
6. Haridra meha - In this particular kind of prameha, the urine will be pungent (katu), has dark yellow color
similar to turmeric (haridranibha) andassociated with burning sensation.
👉🏻 Features of Vataja prameha:-
1. Vasa meha - In vasa meha, the person passes the urine repeatedly
which is mixed with fatty oil and often
appears turbid and sticky similar to
fat.
2. Majja meha - Here, urine will have
the appearance similar to marrow and
it is excreted frequently.
3. Hasti meha - In this condition of Hastimeha, urine is often excreted
like an intoxicated elephant (mattahastiriva ajasrammutra) without force. In few of the cases
lymph with clots are also found.
4. Madhu meha - Acharya Charaka
anlaised that there explained that the roughness of
aggravated vatadosha transforms the
sweet taste of ojas into astringent
taste and expels out along with the
urine, thus causing Madhumeha.
Urine with astringent mixed sweet
taste, pale colour and unctuousness
are the features of this condition.
Acharya Vagbhata opines that all
pramehas if neglected or not treated
properly, ultimately they reach the
terminal stage-madhumeha.
👉🏻 Complications:-
1. Thrishna (thirst)
2. Atisara (diarrhoea)
3. Jwara (fever)
4. Daha (burning)
5. Dourbalya (debility)
6. Aruchi (anorexia)
7. Avipaka (indigestion)
8. Pootimamsa (bad odour)
9. Pramehapidaka (diabetic
carbuncles)
10. Alaji (cellulitis)
11. Vidradhi (abscess)
12. Hrit shola (cardiac pain)
13. Makshikopasarpana (neuritis) etc.
👉🏻 *Formulations* referred in Prameha (in
general):-
1. Asanadi kashaya
2. Nishakhadiradi kashaya
3. Kathakakhadhiradi kashaya
4. Triphala kashaya
5. Chandraprabhavati
6. Lodhrasava
7. Jambwasava
8. Shilajaturasayana
9. Vasantakusumakara rasa
10. Mahamanjishtadi kashaya.
*Wholesome diet habits*
1. Shigru - drum stick
2. Haridra – turmeric
3. Amalaki - goose berry
4. Shyamaka - Setaria italica (L.)
Beauv.
5. Kodrava - Echinochloa frumentacea
Linn.
6. Yava – barley
7. Godhuma - wheat
8. Mudga - green gram
9. Kulattha - horse gram
10. Patola - snake gourd
11. Karavellaka - bitter gourd
12. Maricha - pepper
13. Lashuna - garlic
14. Jambu - blue berry
15. Vyayama - exercise etc