ABSTRACT

Ayurveda, the ancient science of life, is a holistic healing system that originated in India over 5,000 years ago. Rooted in nature and timeless wisdom, it seeks to balance the body, mind, and spirit through personalized diets, herbal medicines, and mindful living. Rather than just treating symptoms, Ayurveda aims to eliminate the root cause of disease, promoting true wellness and harmony. Ayurveda describes four types of disease on the basis of prognosis and emphasizes the importance of knowledge of prognosis for successful management of diseases. According to Acharya ch.arak, before initiating any treatment in a patient the assessment of prognosis of disease is very important. There are various criteria which are explained for of evaluation Sadhyasadhyatva of any disease, one of them is Doshpaka and Dhatupaka. It is described by Madhavacharya in Madhukosh Tika in Jwara Nidan Adhyaya. The knowledge of Pakwa Doshas and symptoms of Doshapaka will help the physician to make appropriate choices in treatment and follow the chronology of treatment. , it is very important for the physician to know about the concept of Dhatupaka i.e., tissue/cellular destruction and its role in development of diseases. The knowledge of tissue/cellular destruction and its symptoms would be helpful for physician to plan a proper protocol of treatment and to control destruction and suppuration of tissues/cells. This critical review insight on how the evaluation of Dhatupaka Lakshana helps in assessment of Sadhya-asadhyatva of disease like Madhumeha..[1] In the context of diabetes mellitus, "Dhatupaka" refers to the pathological destruction or damage to bodily tissues caused by the disease, essentially signifying the complications that arise from uncontrolled high blood sugar levels. In Ayurveda, where diabetes is called "Madhumeha" and is considered a result of disturbed "Dhatus" (body tissues) due to imbalanced Doshas; essentially meaning that prolonged diabetes can lead to significant tissue damage throughout the body.So in this article we aim to study the applied aspect of Dhatupaka in Madhumeha (Diabetes Mellitus) Keywords: Dhatu,Dhatupaka,Prameha,Madhumeha