PRAMEHA(diabetes): Causative Factors

PRAMEHA(diabetes): Causes

What is Prameha

Diabetes Mellitus is comparable to the Ayurvedic condition Prameha. Ayurveda, India’s traditional medical system, has a wealth of knowledge regarding diabetes. Prameha is a term that refers to a condition in which the body excretes more urine than usual.

Diabetes Mellitus is comparable to the Ayurvedic condition Prameha. Ayurveda, India’s traditional medical system, has a wealth of knowledge regarding diabetes. Prameha is a term that refers to a condition in which the body excretes more urine than usual.

In any type of diabetes, the pathophysiology is centered on glucose intolerance, insulin resistance (i.e., the impaired response time of body tissues to insulin via the insulin receptor), and cell signaling disruption caused by the disrupted insulin pathway.

In type 2 diabetes, there is a strong inheritable genetic component, environmental conditions (nearly diet and weight), chronic obesity (approximately 55% of type 2 diabetes sufferers are obese at diagnosis), and gestational hormone levels, which further increase insulin resistance and glucose intolerance during pregnancy. Sedentary behaviour is a substantial contributor to obesity.

Globally, there has been a significant shift toward less physically challenging work, resulting in an insufficient amount of exercise for a sizable portion of the world’s population. This is primarily due to the increased use of automated transportation and the increased use of labor-saving innovation in the home.

Nidana or Causative Factors


The factors that contribute to the production of prameha would impair all three doshas, namely Vata, Pitta, and Kapha. Among them, the first dosha to become impaired is kapha, followed by pitta, and as a result of these two doshas being impaired, the vata dosha becomes impaired.

Once Vata dosha is impaired, the prognosis becomes difficult.
Prameha’s causative factors are addiction to the pleasure of sleep and lounging, excessive use of curds, household, aquatic and wetland meat juice, dairy products, new grains and gur products, and all the things that increase kapha.

  • Ahara – sweet, unctuous, slimy, cold food, freshly harvested crops, marine food, jiggery including its products, and milk & its products are all causative factors.
  • Consumption of curd, non-vegetarian soups, and similar foods contributes to the vitiation of Kapha dosha.
  • Vihara – Swapna sukha – irregular sleeping patterns such as staying up late at night and sleeping during the day are the primary lifestyle factors that contribute to this condition.
  • Whoever is constantly thinking invites the vitiation of the kapha and vata doshas, resulting in Prameha.
  • Whoever does not practice daily vamana, virechana, or any other type of shodhana has accumulated an excessive amount of vitiated doshas in their body, preventing it from developing Prameha.

Samprapti or Pathogenesis

Indulgence in the previously mentioned nidanas (causes) results in disturbances in Kapha, which is associated with Pitta. (As many of the causative factors, such as divaswapa (day sleep), dadhi sevana (curds intake), and so on, contribute to an imbalance of both Kapha and Pitta). As a result, the body fluid / KLEDA level will increase.

Ayurveda adds another unique concept t to the discussion of SROTAS within the body.

It also discusses the factors that contribute to
  • Channel imbalances
  • The signs and symptoms of these imbalances, and
  • How to manage these issues.

The factors mentioned above that disrupt Kapha and Pitta are also specific causes of disruption of the Medovaha srotas / internal channels of the fatty tissue. As a result, the dosha’s natural tendency is toward medo dhatu or adipose tissue.

Generally, our bodies have their own mechanism for managing Kleda or body fluid by excreting it via sweat or urine. Urine is used to eliminating excess fluid/moisture, while sweat is used to retain it. However, diabetic patients will produce no sweat as a result of their sedentary lifestyle and poor eating habits. Thus, all kleda (fluid) will flow towards the urinary system, resulting in increased urine production and subsequent excessive urination, eventually leading to Prameha.

At this stage, they exhibit a few signs and symptoms referred to as Poorva-roopa (premonitory symptoms), such as impurities accumulating on the teeth (however after cleaning), burning palms and soles, and so on.

If the condition is not properly treated at this stage, the result will be an increase in the amount of fatty tissue and a loss of firmness.

If there are more Kapha aggravating factors, it results in Kaphaja Prameha, which is the most common. Similarly, Pitta and Vata aggravating factors contribute to the development of their respective Prameha types.

Generally, the Ayurvedic diagnosis of Prameha is based on a patient’s urine examination. According to the nature of the urine, Kaphaja Prameha is classified into ten types, Pittaja Prameha into six types, and Vataja Prameha into four types.

Ayurveda’s treatment of Prameha at EliteAyurveda

The reversal of samprapti is simple and expedient if diagnosed and treated early. At Elite Ayurveda, you can be treated for diabetes by our lead expert in the field, Dr. Soumya Hullannavar.