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→Vidhi Vimarsha
*Patients who suffer from prameha since birth (congenital) and those who are borne of ''prameha'' parents (hereditary) are not curable because of the morbidity in their ''bija'' (genes). Similarly, other hereditary (''kulaja''/familial) ailments are considered as incurable.
*Patients who suffer from prameha since birth (congenital) and those who are borne of ''prameha'' parents (hereditary) are not curable because of the morbidity in their ''bija'' (genes). Similarly, other hereditary (''kulaja''/familial) ailments are considered as incurable.
=== Vidhi Vimarsha ===
=== ''Vidhi Vimarsha'' ===
==== Role of ''kapha'' dominant diet ====
In prameha, kapha is the main culprit both as dosha as well as dushya. Diet having high contents of bad fat and carbohydrates like curd (Fat= 3g/ 100g, carbohydrate= 7.8g/100g, Protein= 5.25g, calories= 63), meat soup (calories= 902), jaggery (Fat= 0g/ 100g, carbohydrate= 97.2 g/100g, Protein= 0.5g/100g, calories= 367), newly harvested grains that are having high calories than old one (If dry grains are held for only a few months, minimum nutritional changes will take place, but if the grains are held with a higher amount of moisture, the grain quality can deteriorate because of starch degradation by grain and microbial amylases) etc., causes prameha. All the causative factors are in diet that have high content of bad fat like saturated fats and no good fats like polyunsaturated or monounsaturated fats (which are mostly present in plant originated dietary products). It is advisable that maximum percentage of daily fat consumption should come from plant origin to lower the risk of dyslipidemia.
In prameha, kapha is the main culprit both as dosha as well as dushya. Diet having high contents of bad fat and carbohydrates like curd (Fat= 3g/ 100g, carbohydrate= 7.8g/100g, Protein= 5.25g, calories= 63), meat soup (calories= 902), jaggery (Fat= 0g/ 100g, carbohydrate= 97.2 g/100g, Protein= 0.5g/100g, calories= 367), newly harvested grains that are having high calories than old one (If dry grains are held for only a few months, minimum nutritional changes will take place, but if the grains are held with a higher amount of moisture, the grain quality can deteriorate because of starch degradation by grain and microbial amylases) etc., causes prameha. All the causative factors are in diet that have high content of bad fat like saturated fats and no good fats like polyunsaturated or monounsaturated fats (which are mostly present in plant originated dietary products). It is advisable that maximum percentage of daily fat consumption should come from plant origin to lower the risk of dyslipidemia.
Optimum levels of fat in the diet are given below:
Optimum levels of fat in the diet are given below:
• Less than 10 percent of calories should come from saturated fat.
• Less than 10 percent of calories should come from saturated fat.
• Dietary cholesterol intake should be less than 300 mg a day.
• Dietary cholesterol intake should be less than 300 mg a day.
Thus the causative factors can be categorized as (1) those related to high fat and refined carbohydrate diet that provide high calories by liberating high and instant energy (jaggery, meat soup, etc.) and (2) those related to sedentary life style that causes low energy expenditure (lack of exercise, etc). These two factors cause an imbalance between energy consumption and energy expenditure and ultimately cause obesity.
Thus the causative factors can be categorized as (1) those related to high fat and refined carbohydrate diet that provide high calories by liberating high and instant energy (jaggery, meat soup, etc.) and (2) those related to sedentary life style that causes low energy expenditure (lack of exercise, etc). These two factors cause an imbalance between energy consumption and energy expenditure and ultimately cause obesity.
Role of obesity and pathogenesis in sthula prameha:
==== Role of obesity and pathogenesis in ''sthula prameha'' ====
Excessive consumption of fats and sedentary life style causes obesity. Obesity causes derangement in lipid metabolism and storage which in turn leads to prameha as shown in the following chart:
Excessive consumption of fats and sedentary life style causes obesity. Obesity causes derangement in lipid metabolism and storage which in turn leads to prameha as shown in the following chart: