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→Diagnosis of prameha based on characteristics of urine
''Vata'' dominant ''prameha'' is already described to be incurable (''asadhya''). Again repeating the statement regarding its incurability implies that the presence of several symptoms including the grayish and reddish coloration of urine right from the origin of disease is incurable; and if these signs and symptoms appear at later stage, then the condition is incurable. In the latter type, attributes of ''majja'' etc., need not to be present. Alternatively, it can be explained that when at a later stage, any type of ''prameha'' gets associated with ''vayu'' and characterized by grayish and reddish coloration of urine, and then it also becomes incurable. In addition when ''kaphaja'' and ''pittaja'' types of ''prameha'' are associated with the passage of ''majja'' etc., in the urine, they become incurable. It is stated, “All types of ''prameha'', if not treated in time, leads to ''madhumeha'' and become incurable” (Sushruta : Nidana 6).
''Vata'' dominant ''prameha'' is already described to be incurable (''asadhya''). Again repeating the statement regarding its incurability implies that the presence of several symptoms including the grayish and reddish coloration of urine right from the origin of disease is incurable; and if these signs and symptoms appear at later stage, then the condition is incurable. In the latter type, attributes of ''majja'' etc., need not to be present. Alternatively, it can be explained that when at a later stage, any type of ''prameha'' gets associated with ''vayu'' and characterized by grayish and reddish coloration of urine, and then it also becomes incurable. In addition when ''kaphaja'' and ''pittaja'' types of ''prameha'' are associated with the passage of ''majja'' etc., in the urine, they become incurable. It is stated, “All types of ''prameha'', if not treated in time, leads to ''madhumeha'' and become incurable” (Sushruta : Nidana 6).
===== 1. ''Kaphaja prameha'' (progressive stage from pre-diabetic to diabetes mellitus type-2) =====
#''Udakameha'' – Osmotic diuresis (having characteristic similar to that of water)
##Pre-diabetic stage - hyperglycemia causes decrease reabsorption of water and excessive loss of water through urine.
#Ikshumeha – Alimentary glycosuria (having characteristic similar to sugarcane juice)
##Pre-diabetic stage when liver is unable to metabolize excessive glucose due to hepatic insulin resistance and thus presence of glucose in urine.
#Sandra meha& Sandraprashada meha – (layered urine: 3 layers: a top layer of chylomicrons, a middle layer rich in protein, and a bottom layer containing fibrin clots and cellular debris).
=== Future Scope for Research ===
=== Future Scope for Research ===