Causes

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CAUSES (Nidan)

[Ch.Chi.7]

Any diet or lifestyle that increase Kaph dosha can lead to abnormality in urinary secretion (Prameha). Prameha involves disturbance of ten dushyas along with the three doshas and can be of three types, namely Vataj, Kaphaj, Pittaj depending on the dominant dosha. Madhumeha is a Vataj Prameha.

The following factors can increase Kapha Dosha and may be responsible for Madhumeha.

  • Sedentary life style.
  • Excess of sleep, specially sleeping during daytime (Divaswapan).
  • Intake of excess of milk and milk products.
  • Intake of sweets and products made up of jaggery (gur).
  • Intake of  high calorie food.
  • Intake of mutton, beef, fish etc.

 

WHAT HAPPENS

There are two types of Madhumeha

  • Independent  (Swatantra Madhumeha) (primary)
  • Dependent (Partantra Madhumeha) (secondary)

Swatantra Madhumeha  results directly from Vata imbalance brought in by Vata aggravataing factors. Oj, which stands for Vitality, immunity, essence of body tissues is excreted with the urine.

Partantra Madhumeha

Initially all Prameha are Kapha dominant but in due course Vata and Pitta dosha may get associated leading to Vataj and Pittaj Prameha. If Kaphaj and Pittaj prameha are not treated properly then they may lead to wasting of tissues (Dhatukshaya), Vata imbalance and ultimately Partantra Madhumeha.

However, modern development suggest that all prameh cannot change into madhumeha.

Dosha Kapha dominant (Tridosh) Vata (Vataj prameh)
Dushya Med dominant [all tissues (dhatu) Oj, urine (mootra)]
Srotas Medovaha and Mootravaha srotas
Srotodushti Symptom overflow /overproduction (atipravriti)
Amashayoth and Pakvashyoth Disorder