Efficacy of Phaltrikadi Kwath in controlling blood sugar in diabetes.
Journal name: Ayushdhara
Original article title: Clinical efficacy of phaltrikadi kwath in controlling blood sugar level in prameha (type 2 diabetes mellitus
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Original source:
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Chauhan Gouri
Clinical specialist, Department of Kayachikitsa, All India Institute of Ayurveda, Mathura Road, Gautampuri, New Delhi, India.
*Mahapatra Arun Kumar
Clinical specialist, Department of Kaumarbhritya, All India Institute of Ayurveda, Mathura Road, Gautampuri, New Delhi, India.
Babar Kapoor Alka
Clinical specialist, Department of Kayachikitsa, All India Institute of Ayurveda, Mathura Road, Gautampuri, New Delhi, India.
Kumar Abhimanyu
Director, All India Institute of Ayurveda, Mathura Road, Gautampuri, New Delhi, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Clinical efficacy of phaltrikadi kwath in controlling blood sugar level in prameha (type 2 diabetes mellitus
Year: 2015
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Prameha, known as diabetes mellitus (DM), is a metabolic disorder characterized by excessive and frequent passage of abnormal urine and high blood sugar levels over an extended period. Common symptoms include intense thirst, increased hunger, and frequent urination. The control of this condition necessitates appropriate diet, exercise, and sometimes medication. This study aimed to evaluate the efficacy of Phalatrikadi kwath, a traditional Ayurvedic preparation, in managing blood sugar levels in individuals diagnosed with type 2 diabetes mellitus.
The Role of Phalatrikadi Kwath in Blood Sugar Management
Phalatrikadi kwath, comprising equal quantities of six herbs—Amalki, Haritaki, Vibhitaki, Daruharidra, Indrayan, and Mustak—is well-recognized in Ayurveda for treating various types of Prameha, including diabetes. Through a clinical trial involving 35 patients, the study observed significant reductions in both fasting and postprandial blood sugar levels after an eight-week treatment period. The mean fasting blood sugar decreased from 193.20 mg/dl to 112.76 mg/dl, while postprandial levels dropped from 275.96 mg/dl to 144.52 mg/dl, demonstrating the significant effectiveness of this herbal formulation.
Lifestyle Modifications Along with Herbal Treatment
In addition to administering Phalatrikadi kwath, patients were instructed to adopt an Ayurvedic diet tailored to manage diabetes, emphasizing the intake of old cereals, specific vegetables, and avoidance of high-calorie foods and sweets. Patients were also encouraged to increase physical activity, highlighting the importance of a holistic approach that integrates dietary changes and lifestyle adjustments in controlling diabetes. The study noted that those who adhered to these recommendations alongside herbal treatment exhibited enhanced outcomes in managing their condition.
Conclusion
The findings suggest that Phalatrikadi kwath serves as a safe and effective treatment option for managing type 2 diabetes mellitus. Its ability to significantly reduce blood sugar levels, coupled with the necessary lifestyle and dietary modifications, presents a comprehensive approach to reversing or controlling this metabolic disorder. The study underscores the potential of Ayurvedic remedies and lifestyle adjustments in addressing the root causes of diabetes while improving patient quality of life. Further research is warranted to explore the exact mechanisms of action and potential impacts on insulin secretion and sensitivity in related conditions.
FAQ section (important questions/answers):
What is the main purpose of Phalatrikadi Kwath?
Phalatrikadi Kwath is aimed at controlling blood sugar levels in Prameha, also known as Type 2 Diabetes Mellitus. It is a traditional Ayurvedic herbal preparation that helps manage the condition through natural means.
What were the results of the Phalatrikadi Kwath study?
The study found significant improvements after eight weeks of treatment, with fasting blood sugar levels dropping from an average of 193.20 mg/dl to 112.76 mg/dl, and postprandial levels from 275.96 mg/dl to 144.52 mg/dl, showing high statistical significance.
What diet modifications were suggested during the study?
Patients were advised to follow an Ayurvedic diabetic diet that included old cereals, vegetables like bitter gourd, and restrictions on foods high in sugar and fat, promoting healthier eating habits to aid in diabetes management.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of Phaltrikadi Kwath in controlling blood sugar in diabetes.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Sugar:
Sugar is a sweet substance often used in food and beverages. In the context of the provided text, it is a factor in diabetes management, with a focus on controlling blood sugar levels through treatments like Phalatrikadi Kwath and dietary adjustments.
2) Prameha:
Prameha is an Ayurvedic term that encompasses diabetes mellitus (DM). It refers to a metabolic disorder characterized by excess and frequent passage of abnormal urine, and in the context of the text, specifically type 2 diabetes mellitus.
3) Blood:
Blood is the fluid circulating throughout the body, delivering necessary substances like oxygen and nutrients. In the context of the text, blood tests are used to measure sugar levels to manage and understand diabetes.
4) Drug:
A drug refers to a substance used to diagnose, cure, treat, or prevent disease. In the text, Phalatrikadi Kwath is an Ayurvedic drug investigated for its efficacy in controlling blood sugar levels in type 2 diabetes mellitus.
5) Phalatrikadi (Phalatrika-adi):
Phalatrikadi is the primary herbal formulation discussed in the study, consisting of ingredients like Amalki, Haritaki, Vibhitaki, Daruharidra, Indrayan, and Mustak, aimed at controlling blood sugar levels in Prameha or type 2 diabetes mellitus.
6) Food:
Food comprises nutrients that the body needs for energy, growth, and maintenance. In terms of diabetes management in the text, appropriate diet modifications are crucial, including foods like bitter gourd and limiting high-calorie fast foods.
7) Disease:
Disease refers to a condition that impairs normal bodily function. In this text, type II diabetes mellitus (Prameha) is the disease under investigation, with efforts focused on managing it through Ayurvedic medicine and lifestyle adjustments.
8) India:
India is a country in South Asia where this study was conducted. The research was carried out at the All India Institute of Ayurveda in New Delhi, focusing on traditional Ayurvedic treatments for managing diabetes.
9) Beta:
Beta cells are the cells in the pancreas responsible for secreting insulin. In the context of this study, Phalatrikadi Kwath might affect these cells to manage blood sugar levels in diabetes mellitus patients.
10) Diet:
Diet refers to the food and drink consumed regularly. For diabetic patients in the study, an Ayurvedic diet including ingredients like barley, bitter gourd, and flax seed oil was recommended, emphasizing dietary control in managing blood sugar.
11) Thirst:
Thirst is the sensation of needing to drink fluids. Increased thirst (Trishna) is a common symptom of diabetes, noted in the study as one of the symptoms to monitor and manage in Prameha patients.
12) Milk:
Milk is a dairy product that is included in dietary recommendations. In the study, patients were advised to take double-toned milk and avoid full cream milk, curd, and other milk products to manage diabetes.
13) Triphala (Tri-phala):
Triphala is an Ayurvedic formulation consisting of three fruits: Amalki, Haritaki, and Vibhitaki. It is part of the Phalatrikadi Kwath used in the study and is known for its properties to manage diabetes and other ailments.
14) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine from India that uses herbal treatments and lifestyle recommendations. The study is set within an Ayurvedic framework, exploring Phalatrikadi Kwath's efficacy in managing type 2 diabetes.
15) Pathya:
Pathya refers to the advisable diet and lifestyle in Ayurveda. For diabetic patients in the study, a specific Pathya was recommended, including foods like barley and mustard oil, and avoiding high-sugar and high-fat foods to manage diabetes symptoms.
16) Dosha (Dosa):
Doshas are the three energies in Ayurveda—Vata, Pitta, and Kapha—that govern physiological and mental processes. An imbalance in these Doshas is believed to cause diseases like Prameha, which the study aims to manage through Ayurvedic treatments.
17) Kumar:
[see source text or glossary: Kumar]
18) Mahapatra (Maha-patra):
Dr. Mahapatra Arun Kumar is one of the researchers involved in the study, corresponding author, and a clinical specialist in the Department of Kaumarbhritya at the All India Institute of Ayurveda.
19) Curd:
Curd is a dairy product often used in various cuisines. In the study, curd is listed under non-advisable foods (Apathya) for diabetic patients as it might contribute to high blood sugar levels.
20) Rice (Rce):
Rice is a staple grain, but in the context of the study, patients were advised to consume old rice and avoid new, less-than-one-year-old rice to help manage blood sugar levels effectively.
21) New Delhi:
New Delhi is the capital city of India and the location of the All India Institute of Ayurveda, where the study on Phalatrikadi Kwath's efficacy in managing type 2 diabetes mellitus was conducted.
22) Indrayan:
Indrayan, or Citrullus colocynthis, is a root included in the Phalatrikadi Kwath formulation. It has purgative properties and is noted for its insulinotropic action, which can help manage blood sugar levels in diabetes.
23) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing diseases. In this study, Ayurvedic medicine, particularly Phalatrikadi Kwath, is evaluated for its efficacy in managing type 2 diabetes mellitus.
24) Jaggery:
Jaggery is a traditional unrefined sugar used in India. It was listed in the study's non-advisable diet (Apathya) for diabetic patients due to its high sugar content, which can adversely affect blood sugar levels.
25) Delhi:
Delhi, the capital territory of India, encompasses New Delhi, where the study was conducted at the All India Institute of Ayurveda, focusing on Ayurvedic treatment for type 2 diabetes mellitus.
26) Vibhitaki:
Vibhitaki, or Terminalia bellirica, is one of the three fruits in Triphala, which is part of the Phalatrikadi Kwath formulation used in the study. It is noted for its properties in managing diabetes and other conditions.
27) Vitiation (Vitiated):
Vitiation refers to the imbalance of bodily elements. In Ayurveda, diseases like Prameha are believed to be caused by the vitiation of Doshas, which the Phalatrikadi Kwath aims to correct.
28) Haritaki:
Haritaki, or Terminalia chebula, is another fruit component of Triphala included in Phalatrikadi Kwath. It has various medicinal properties and is used in Ayurveda to manage diseases like Prameha or diabetes.
29) Pregnant:
Pregnancy was one of the exclusion criteria in the study. Pregnant women and those planning to be pregnant within six months were excluded to ensure the safety and specificity of the trial outcomes.
30) Trishna (Trsna):
Trishna means thirst in Ayurveda. It is a significant symptom of Prameha, or diabetes, characterized by excessive thirst, and was monitored as a symptom improvement parameter in the study.
31) Mathura (Mathur):
[see source text or glossary: Mathura]
32) Pulse:
Pulse refers to leguminous crops, which are a part of the diet. The study mentions appropriate pulses like old Moong bean in the diet chart for diabetic patients as part of the Pathya diet.
33) Hair:
Hair growth is one of the prodromal features observed in Prameha patients. Excess growth of hair and nails was noted in 56% of patients during the baseline evaluation in the study.
34) Berberis aristata:
Berberis aristata, known as Daruharidra, is a root included in Phalatrikadi Kwath with potential antihyperglycemic and antioxidant effects, aiding in the management of blood sugar levels in diabetes.
35) Bitter gourd:
Bitter gourd, or Karela, is a vegetable known for its antidiabetic properties. It was included in the Ayurvedic diet recommended to patients as part of the Pathya diet to help manage their blood sugar levels.
36) Atikshudha (Atiksudha, Ati-kshudha):
Ati-kshudha refers to excessive hunger, which is a clinical feature of Prameha. The study monitored the improvement in this symptom as part of evaluating the efficacy of Phalatrikadi Kwath.
37) Daruharidra (Daru-haridra):
Daruharidra, or Berberis aristata, is one of the roots in Phalatrikadi Kwath known for its potential antihyperglycemic effect, contributing to the management of blood sugar levels in type 2 diabetes mellitus.
38) Kshudha (Ksudha):
Kshudha means hunger in Ayurveda. Excessive hunger (Ati-kshudha) is a symptom of Prameha and was one of the clinical features monitored for improvement in the study.
39) Apathya:
Apathya refers to the non-advisable diet and lifestyle in Ayurveda. For diabetic patients, the study provided a list of Apathya foods like full cream milk and jaggery to help manage blood sugar levels effectively.
40) Mustard:
[see source text or glossary: Mustard]
41) Karela:
Karela, or bitter gourd, is included in the recommended Ayurvedic diet for diabetic patients because of its known antidiabetic properties, helping in the management of blood sugar levels.
42) Bitter:
[see source text or glossary: Bitter]
43) Indian:
Indian refers to anything related to India, including Ayurvedic medicine. The study was conducted in India, specifically at the All India Institute of Ayurveda, examining traditional Indian treatments for diabetes.
44) Kapha:
Kapha is one of the three Doshas in Ayurveda responsible for structure and lubrication in the body. Its vitiation is involved in the pathology of Prameha, which the study aims to manage using Phalatrikadi Kwath.
45) Mutra:
[see source text or glossary: Mutra]
46) Chaṇa (Chana):
[see source text or glossary: Chana]
47) Methi:
Methi, or fenugreek, is included in the Ayurvedic diet recommended for diabetic patients. It has known benefits for managing blood sugar levels due to its antidiabetic properties.
48) Amla:
Amla, or Indian gooseberry, is a key ingredient in Triphala, part of the Phalatrikadi Kwath formulation. It is known for its antioxidant and antidiabetic properties, contributing to the management of Prameha.
49) Flax:
Flax seed oil was included in the Ayurvedic diet recommended for diabetic patients. It is known for its health benefits, including potential effects on blood sugar regulation.
50) Aha (Ahan, Ahar):
[see source text or glossary: Ahar]
51) Cyperus rotundus:
Cyperus rotundus, known as Mustak, is included in the Phalatrikadi Kwath formulation. It is recognized for its Amapachak and Deepan properties, aiding in digesting undigested material that may contribute to Prameha.
52) Mustard oil:
Mustard oil was recommended in the Ayurvedic diet for diabetic patients. It is considered healthier and more beneficial for managing blood sugar levels than other types of fats.
53) Kaphapitta (Kapha-pitta):
[see source text or glossary: Kaphapitta]
54) Discussion:
[see source text or glossary: Discussion]
55) Science (Scientific):
[see source text or glossary: Scientific]
56) Fenugreek:
[see source text or glossary: Fenugreek]
57) Knowledge:
[see source text or glossary: Knowledge]
58) Substance:
[see source text or glossary: Substance]
59) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenating therapies in Ayurveda. Triphala, part of the Phalatrikadi Kwath, is known for its Rasayana properties, potentially aiding in the overall health management of diabetic patients.
60) Panipada:
[see source text or glossary: Panipada]
61) Epidemic:
[see source text or glossary: Epidemic]
62) Hridaya (Hrdaya):
[see source text or glossary: Hridaya]
63) Chauhan:
[see source text or glossary: Chauhan]
64) Lucknow:
Lucknow is a city in India where a study was conducted involving Berberis aristata, one of the ingredients in Phalatrikadi Kwath. The study found potential antihyperglycemic and antioxidant effects of Berberis aristata.
65) Vriddhi (Vrddhi):
[see source text or glossary: Vriddhi]
66) Suptata (Supta-ta):
[see source text or glossary: Suptata]
67) Mineral:
[see source text or glossary: Mineral]
68) Brinjal:
[see source text or glossary: Brinjal]
69) Gramya:
[see source text or glossary: Gramya]
70) Tandra (Tamdra):
[see source text or glossary: Tandra]
71) Lasika:
[see source text or glossary: Lasika]
72) Kushtha (Kustha):
[see source text or glossary: Kustha]
73) Powder:
[see source text or glossary: Powder]
74) Aruci:
[see source text or glossary: Aruchi]
75) Pitta:
Pitta is one of the three Doshas in Ayurveda, governing metabolism and transformation processes. Its imbalance, along with Vata and Kapha, is involved in the pathology of Prameha, managed using Phalatrikadi Kwath.
[Note: The above list is limited to 75. Total glossary definitions available: 100]
Other Science Concepts:
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Ama, Prameha, Causative factor, Healthy lifestyle, Treatment regimen, Research study, Statistical analysis, Sedentary lifestyle, Follow-up, Diagnostic criteria, Clinical efficacy, Haemoglobin percentage, Type 2 Diabetes Mellitus, Glycemic control, Diet chart, Phalatrikadi Kwath, Patients consent, Biochemical examination, Blood sugar level, Weight Management, High blood sugar, Appropriate diet, Fast food culture, Lifestyle habit, Insulinotropic action, Ancient Ayurvedic Text, Obese Patient.