A comparative analysis of Vamana and ShamanaChikitsa in prediabetes management: A randomized clinical trial
Authors
Uttamram Yadav
aDepartment of Panchakarma, Vijyashree Ayurveda Medical College & Hospital Jabalpur, India
Santosh Bhatted
bDepartment of Panchakarma, All India Institute of Ayurveda, New Delhi, India
Keywords:
Body service, Darvyadi kwatha, Detoxification, Prameha, Prediabetes, Vamana karma
Abstract
Prediabetes is a condition before manifestation of diabetes. It is associated with biochemical change in body due to disturbances in food habits, sleep patterns and sedentary lifestyle. Conventional system of medicine has limitations, however Ayurvedic medicines can be effective for management of this condition.
Objective
To compare the efficacy of Vamana Karma (∼therapeutic emesis) followed by Darvyadi Kwatha (∼herbal decoction) with that of oral medication of Darvyadi Kwatha with lifestyle modification in reducing HbA1c of the prediabetic participants.
Methodology
After approval of IEC and registration under clinical trial registry of India, 40 patients were registered in two groups suffering from prediabetes in the trial. The primary criteria were HBA1c, FBS & PPBS along with secondary criterias like Agnibala (∼strength of digestion and metabolism), Dehabala (physical strength) and Satvabala (mental strength) relief in signs & symptoms of Prameha and quality of life (SF-36 Score).
Results
Statistically significant results were observed in both the parameters: (primary & secondary) within the group [VM group (HbA1c (<0.001), FBS (<0.001) & PPBS (<0.001) and SM group (HbA1c (<0.001), FBS (<0.001) & PPBS (<0.001)] and between the group [HbA1c (P < 0.01), FBS (P < 0.01), SF-36 score (P < 0.001) as well.
Conclusion
The present clinical study suggests that there is significant improvement between the groups. On comparision, it was found that treating prediabete.s Shodhana was more safe & effective than Shamana.
Keywords: Body service, Darvyadi kwatha, Detoxification, Prameha, Prediabetes, Vamana karma
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