Diabetes mellitus attributes to a heavy disease burden over the globe due to its high prevalence and the extensive morbidity it causes, impacting individuals, health systems, and national economies. The aim of the management is to prevent or delay complications through an individualized patient-centered approach and improve the quality of life. Ayurvedic principles of treatment focus on the body as well as the mind through medicines, Ahara (~diet)-Vihara (~lifestyle intervention), yoga, and Satvavajaya chikitsa (~psychotherapy) which can be considered a holistic approach. A 58-year-old female homemaker presented with chief complaints of weight loss, pain in bilateral calf muscles, tingling sensation in bilateral soles, excessive thirst, dryness in mouth, palate, and throat, generalized weakness, knee joint pain, blurred vision, excessive urination, and burning micturition that subsided with the present treatment. Fasting Blood Sugar (FBS) was 372 mg/dl and Post Prandial Blood Sugar (PPBS) was >500 mg/dl. The patient was given Gokshuradi guggulu, Panchavalkala kwatha, Nisha amalaki churna, Kutaja churna, Shilajatvadi lauha, and tablet M Liv for Vyadhi pratyanika (~disease antagonistic treatment) as well as Rasayana (~rejuvenative) purposes. The FBS and PPBS came to normal range after a four month Ayurveda therapeutic intervention. HbA1c reduced from 12.3% to 6.7% and all the symptoms subsided. Obtaining glycemic control in a diabetic patient remains a critical clinical challenge and even exerting a regulation on HbA1C is possible only through a precise patient-centered treatment approach.

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Diabetes mellitus Type 2 (DM Type 2) is a major health problem in the present era. It is characterized by increased blood sugar level (BSL) with or without some classical features such as polydipsia, polyphagia, and polyuria. In Ayurveda, diabetes comes under a Vatic subtype of Prameha-called Madhumeha (~DM). The present study deals with a newly diagnosed case of Type 2 DM since February 22, 2019, with no family history of diabetes and oral hypoglycemic agent. His BSLs were high with associated symptoms such as pain in multiple joints, burning micturition, and pindikoudvesatna (~cramps while walking/calf muscle pain). Ayurveda-based pathogenesis suggested that the patient is of Kapha-Pittavrit-VataDosha (~a biohumor) is the chief vitiating factor and also vitiation of Meda, Kleda, Vasa, Ambu, and Ojas with Dhatwagnimandya are the co-factor. By considering the Nidana (~etiological factors), Dosha (~a biohumor), and Dusya (~tissue elements), a judicial combination of Ayurveda drugs such as Gokshuradi Guggulu, Gudmar Patra, Jamun Bija, Sudarshan, Nagarmotha Churna, and Chandraprabha Vati was advised to take orally in morning and evening with lukewarm water and proper diet and lifestyle modification was also prescribed. At the time of consultation, his fasting blood sugar (FBS) and postprandial blood sugar (PPBS) were 377 mg/dl and over 450 mg/dl, respectively, along with glycated hemoglobin (HbA1c) as 16.7%. After taking the prescribed formulation for 4 months, his FBS and PPBS levels came down to the normal range, but HbA1c level declined at 6 months to 6.4%. The prescribed antidiabetic Ayurvedic medicines showed good response by maintaining normal BSLs in a Type 2 DM case.

Grahani is comparable to irritable bowel syndrome, where impaired Jatharagni plays an important role. Irregularity in diet and faulty lifestyle leads to vitiation of Jatharagni which produces Ama (~metabolic toxins). A 29-year-old male patient with chief complaints of the frequent evacuation of stool (5–6 times per day) along with pain in the abdomen with occasional vomiting for 2–3 years was presented to the outpatient department. The patient was taking conventional treatment for the past five years without much relief. Personalized diet plan was suggested that aimed to balance the Agni (~digestive and metabolic capacity) and to manage the related symptoms. After five months of treatment, signs and symptoms of the disease were significantly decreased. In diseases related to gastrointestinal tract, diet plays a crucial role. Thus, meticulous dietary planning, lifestyle modification, along with medicinal management considering the Agni and Bala (~strength) provides significant results in the management of Grahani roga.