Comparative study of the Siddha Diagnostic Methods Specially Neerkuri & Neikuri with Modern Diagnostic Methods in Neerizhivu Madhumeham (Diabetes Mellitus – Type 2)

Vidya Dharshini, Kalaimony Rabindrakumar (2018) Comparative study of the Siddha Diagnostic Methods Specially Neerkuri & Neikuri with Modern Diagnostic Methods in Neerizhivu Madhumeham (Diabetes Mellitus – Type 2). Masters thesis, Government Siddha Medical College, Palayamkottai.


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Neerizhivu madhumeham (NR) is a disease documented in Thirumoolar vaithiyam (karukadai 600). The sign and symptoms of NR were nearly related to mathumegam, neerizhivu and salamegam in Siddha system of medicine, prameha in Ayurveda system of medicine and diabetes mellitus (DM) in Allopathic system of medicine. Different diagnostic methods have been practicing to diagnosis the diseases throughout the world. Siddha system of medicine has unique assessment methods as envagaithervu, neerkuri, neikuri and manikkadai to diagnose and assume prognosis of the diseases. Even though lack of user friendly technologies and little practice of Siddha diagnostic methods have led to non-familiar of these diagnostic methods among the medical, health care and scientific communities. A little brief previous studies documented in the condition of DM using Siddha diagnostic methods. Diagnosis and evaluvate the prognosis of NR using Siddha diagnostic methods and comparative study of Siddha and Alopathy diagnostic methods on NR has not been studied previously. It is essential to give a scientific validation for Siddha diagnostic methods in the condition of NR to the effective reuse of Siddha diagnostic methods in clinical practice. Therefore the current study was design to test the interactions between the NR and Siddha diagnostic methods specially neerkuri, neikuri, naadi and manikkadai and compare it with modern diagnostic methods of DM. Sixty patients were randomly selected from OPD and IPD with the age of 18-64 years at Government Siddha Medical College, Palayamkottai, Tirunelveli, Government District Headquarters Hospital, Thoothukudi and Gopalasamudram village according to the inclusive and exclusive criteria. The patients were investigated using to the Siddha and modern diagnostic methods in their baseline to seventh visit and treated with Madhumega chooranam. There was no correlation observed in pH of the urine with blood sugar level and the study indicates that, the pH cannot be taken as a parameter for confirming the NR. No significant changes observed in specific gravity of urine at the base line and at the end of the study with the treatment and no correlation observed in specific gravity with blood sugar level. Urine protein level was decreased with the treatment of Madhumega chooram and it is an added advandage in condition of NR. Because generally chronic NR may affect the renal fuction and cause diabetic nephropathy. Correlation noted with high blood sugar level and high concentration of glucose in urine. Current study indicated that NR cannot confirmed with the colour of the urine. Even though the colour of the urine may indicate the type of the NR (the thodam which affected) once the NR already diagnosed. The study documented that the froth appear in urine of Kabhavatha NR patients and the sign and symptoms and blood sugar level of the Kabhavatha NR patients were not changed, even after the treatment. These indicating, that the disease will not be manage, if froth present in the urine of the NR patients. The affected thodam could be detectable, using the shape of the neikuri and the time taken to test the neikuri, once the NR already confirmed by other diagnostic methods. The blood sugar level of the Vathapiththa and Piththavatha patients were less when compare with the blood sugar of Kabhavatha patients. In addition, blood sugar of the NR patients with round shape of neikuri comparatively low than the blood sugar of NR patients with irregular shape of neikuri. These finding indicating neikuri can be used to test the prognosis of NR. A significant correlation was observed between naadi and neikuri in the current study and this correlation has not been documented in previous studies. Vathapiththa and Piththavatha NR can be managed with Madhumega chooranam, eventhugh Kabhavatha NR could not manage with Madhumega chooranam. Pendulum movement of naadi was felt in all NR patients in the current study. Further our study documented that, the pendulum movement does not change even the blood sugar return to normal level in the NR patients. These finding may indicate that NR not a curable disease. Four types of naadi as Vathapiththa, Piththavatha, Vathakabha and Kabhavatha NR patients were observed in the current study. In addition the current study documented, the range of blood sugar could be detected from the reading of naadi and the naadi could be used as diagnostic as well as prognostic parameter for NR. The finding indicates the manikkadai nool could be used as a parameter to analyse the prognosis of the NR. Siddha diagnostic methods can be use to diagnose and assume the prognosis of NR. Any how, further elaborated study will be needed to get insights of Siddha diagnostic methods.

Item Type: Thesis (Masters)
Additional Information: 321515002
Uncontrolled Keywords: Siddha Diagnostic Methods, Neerkuri, Neikuri, Modern Diagnostic Methods, Neerizhivu Madhumeham, Diabetes Mellitus Type 2.
Subjects: AYUSH > Noi-naadal
Depositing User: Subramani R
Date Deposited: 17 Jan 2020 02:07
Last Modified: 05 Feb 2021 05:01

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