Adv Mind Body Med. 2024 Summer;38(3):47-51.
Prameha was identified in 1552 BCE as a Maharoga (major disease), one of the eight grave diseases of Ancient medical history. Initial days of recognition labeled Prameha as a rich man's disease, as found prevalent among people of higher socio-economic background. This fact was thereby linked with the diagnosis of diabetes and the invention of iron in the Iron Age, as wealthy part of the population who initiated consumption of newly harvested rice and wheat were found majorly diagnosed. Gradually, with the knowledge sought from Rigveda, Atharvaveda, Ayurveda, and Samhitas, the causes and types were identified, and further search conducted in Ayurveda resulted in denominating Prameha based on the body constitution and predominant dosha with its etiology in lifestyle and dietary factors, which, in the current scenario is known as diabetes mellitus.
The objective of the current review is to find out and collate the information sought from published ancient literature on the origin and classification of Prameha with etiological factors.
Articles published between 1982 and 2021 in scientific domain was searched using several keywords in PubMed, Google Scholar, and Google, to find treatment approaches adopted by ancient medics to manage Prameha, Madhumeha, and Prameha Poorvaroopa. Classical literature was reviewed to understand the traditional approaches applied in the context of scientific interpretations. Content of this scriptural review was derived mainly from Rigveda, Atharvaveda, Ayurveda, Sushrutha Samhita, Charaka Samhita, Bhela Samhita, Harita Samhita, and Papillad Samhita.
The finding of this study brings hope for further studies evidencing advantages in adopting the ancient wisdom while devising a strategy for the management of Prameha from a modern perspective.
早在公元前 1552 年，Prameha 就被认定为一种 Maharoga（重大疾病），是古代医学史上八大严重疾病之一。最初，人们认为 Prameha 是一种富贵病，主要发生在社会经济地位较高的人群中。这一事实与糖尿病的诊断以及铁器时代的发明有关，因为新收获的大米和小麦的消费主要发生在富裕人群中，这些人被发现是主要的诊断对象。随着从《梨俱吠陀》、《阿闼婆吠陀》、《阿育吠陀》和《妙闻集》中获取的知识，病因和类型被确定，而在《阿育吠陀》中进一步的研究导致了根据体质和主要的 dosha 来对 Prameha 进行分类，并将其病因与生活方式和饮食因素联系起来，这在当前的情况下被称为糖尿病。
本综述的目的是从已发表的古代文献中寻找并整理有关 Prameha 的起源和分类以及病因因素的信息。
使用 PubMed、Google Scholar 和 Google 中的多个关键词，检索了 1982 年至 2021 年期间发表的文章，以找到古代医生采用的治疗方法来管理 Prameha、Madhumeha 和 Prameha Poorvaroopa。回顾了古典文献，以了解在科学解释背景下应用的传统方法。该脚本的内容主要来自《梨俱吠陀》、《阿闼婆吠陀》、《阿育吠陀》、《妙闻集》、《阇罗迦集》、《跋罗婆集》、《诃利陀集》和《帕皮勒集》。
本研究的发现为进一步的研究带来了希望，这些研究证明了在制定现代视角下的 Prameha 管理策略时，采用古代智慧的优势。
