Prameh - #6801
My doctor recently told me I might have prameh, but I’m not sure what it means in detail. From what I understand, it’s related to excessive urination and high sugar levels. For the past few months, I’ve been feeling constantly thirsty, my energy levels have dropped, and I need to urinate a lot more often than usual. Could these symptoms really be linked to prameh? I’ve been trying to manage it through diet by cutting back on sugary foods and increasing fiber intake, but it doesn’t seem to help much. I read that Ayurvedic medicines like Chandraprabha Vati and Gudmar can help with prameh, but I don’t know how to use them or if they’re the right choice for me. Does anyone know if there are specific types of prameh? Is there a natural way to bring sugar levels and urination frequency under control? If you’ve dealt with prameh using Ayurveda, please share what worked for you. Any advice on lifestyle, diet, or herbal remedies would be greatly appreciated!
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Doctors’ responses
Prameh in Ayurveda refers to a condition similar to diabetes, characterized by excessive urination and high blood sugar levels. It’s often linked to imbalances in the Kapha dosha and can manifest with symptoms like increased thirst, fatigue, and frequent urination.
Ayurvedic Treatment: Chandraprabha Vati: This herb is commonly used to balance blood sugar and promote urinary health. Gudmar: Known as “sugar destroyer,” Gudmar helps control blood sugar levels and may reduce frequent urination. Lifestyle and Diet Tips: Diet: Focus on a low glycemic index diet with plenty of fiber-rich foods (like vegetables, whole grains, and legumes) to stabilize blood sugar. Herbal Remedies: Regular use of Gudmar and Chandraprabha Vati can help, but always consult with an Ayurvedic practitioner for proper dosage. Other Remedies: Exercise: Daily movement like walking or yoga can improve metabolism and help manage sugar levels. If anyone has successfully managed prameh with Ayurveda, please share your experiences or any other remedies you’ve found effective!
Your symptoms align closely with Prameha, a condition described in Ayurveda often linked to imbalances in metabolism, excessive sugar levels, and frequent urination. There are 20 types of Prameha, with Madhumeha (diabetes mellitus) being the chronic and most severe form. Your approach to cutting sugary foods and increasing fiber is a good start but may need refinement. Ayurveda emphasizes balancing Kapha and Pitta doshas in Prameha through lifestyle, diet, and herbal remedies.
To manage it naturally:
Diet: Follow a Kapha-Pitta balancing diet with bitter, astringent, and light foods. Avoid sweets, fried foods, dairy, and processed carbs. Favor barley, green vegetables, turmeric, and fenugreek seeds. Lifestyle: Exercise daily (yoga, brisk walking), maintain a regular sleep schedule, and practice stress-relieving techniques like meditation. Herbal Remedies: Gudmar (Gymnema sylvestre) can help regulate blood sugar, and Chandraprabha Vati aids urinary health. Use under guidance: typically, Gudmar is taken as 250-500 mg daily, and Chandraprabha Vati, 1-2 tablets twice a day with warm water. Panchakarma: If symptoms persist, therapies like Basti (medicated enema) and Virechana (purgation) may help detoxify and balance doshas. Consult a qualified Ayurvedic practitioner to customize treatment and monitor your progress.
Indeed, the symptoms you’re experiencing such as frequent urination, increased thirst, and lowered energy levels can relate to prameh. This term actually covers a broad spectrum of conditions, often linked to imbalances in metabolism, and Ayurveda classifies it into 20 types, primarily focusing on dosha imbalances. The chief ones being kapha problems, which means the body’s accumulation of mucus-like substances. And yes, you’re right – high sugar levels often play a crucial role in this.
The terms like Madhumeh refer to what’s commonly known as diabetes today. Looking at your symptoms and assuming your doctor suspects prameh, it’s good you’re thinking lifestyle and diet adjustments – those can be quite effective over time, but they do need precision.
On the herbal side, Chandraprabha Vati and Gudmar are both classical remedies for prameh, but using them without a vaidyas advice wouldn’t bet recommend. Generally, Chandraprabha Vati is theoretically used for balancing tridoshas and enhancing pancreas efficiency, while Gudmar is known to support sugar metabolism. However, dosages vary greatly dependin on personal constitution, agni (digestive fire), and other factors. Better to have a customized plan here with some help from an Ayurvedic practitioner.
Dietary wise, continuing with increased fiber is a solid way to go, but refining what “fiber” means in a balanced Ayurvedic way is key. Focus on barley, green beans, bitter gourds, amla etc, and avoid dairy, oily and sticky foods that aggravate kapha. Hydration should be moderate, not excessive; sips of warm water through the day can help.
Lifestyle adds another layer, with regular, gentle exercise especially useful here. Serenity like meditation, and yoga, focusing on poses such as dhanurasana and mandukasana, aids in balance. Establishing a regular routine, waking and resting cycles will help stabilize your body’s inner rhythms too.
I know this can feel overwhelming, but these changes, done consistently and mindfully, gradually create cumulative health benefits. Make small adjustments and observe how your body responds. If you need more direction, connecting with an Ayurvedic practitioner could make a significant difference in navigating through this journey. Take care!

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