An Overview of Pramehjanya Upadrava with special reference to Chronic complications of Diabetes Mellitus

According to Ayurveda in the disease Prameha two cardinal features are described i.e. ‘Prabhuta mutrata’ and ‘Avila mutrata’ which means excessive and turbid urine. The disease Prameha is said to be kapha dominant, tridoshaja, and chronic in nature involving multiple dushyas predominantly ‘Meda’. Upadravas or complications are the morbid events which develops due to ignorance or inadequate management. Detailed discussion on probable upadravas is available in classical texts. Modern science has classified the disease diabetes mellitus as type 1 and type 2 on the basis of synthesis and action of the hormone insulin. Various acute and chronic complications leading to morbidity and mortality caused by uncontrolled hyperglycemia are also mentioned. In this article an attempt has been made to overview the complications quoated in Ayurveda literature and modern medical text.