AN AYURVEDIC APPROACH ON DIET AS PER RITU (SEASONS AND THE CLIMATIC CONDITIONS) W.S.R TO PRAMEHA (DIABESITY)

“Ahara-sambhabavam-vastu-rogascha-ahara-sambhabah” (Ca.Su.28:45). “Let food be your medicine and medicine be your food.” – Hippocrates. By incorporating dietary-adaptations, an individual can optimize the nutritional-value to improve the health-status by enhancing the overall well-being since आरोग्यं भोजनाधीनं (Ka. Khi. 5/9). Owing to our desk-bound sedentarily materialistic-lifestyle & faulty-dietary-regimens, almost for decades, the globe has been alarmed; especially India, the “Diabetic-Capital” by a twin-modern-non-communicable-epidemic, nomenclated as Diabesity, the simultaneous coexistence of two metabolic-disarrays namely Diabetes-mellitus type-2 and Obesity; with high prevalences and systemic complications including deadly microvascular and macrovascular co-morbidities, compromised Quality-of-life with less curative options, high mortality rate and heights of economic burden. Despite of countless treatment modalities, this has broken out not only as a threat to the public-health, but also as a Silent-killer to the entire human race. Starting from the aetio-pathophysiology to the clinical manifestation Diabesity could be a simile to that of a Sthula-Pramehi, predominantly due to apathyasevan. Prameha is a Santarpanajanya Kaphapradhān-Tridoshaj vyādhi, afflicting Medovahasrotas, as elucidated in vrihat-trayi, the greater-trio-compendium of Ayurveda. It has been described under the umbrella of astamahagada(the eight-dreadful-maladies). Therapeutically it’s classified as, Sthula-Pramehi and Krisha-Pramehi by acharya-Carak & by acharya-Susrut it’s Sahaja and Apathya-nimittaja. Objective: To study the concept of Prameha w.s.r to Diabesity & to explore the significance of Ritu based Dietary intervention in Prameha (Diabesity). Material & Methods: A review on Ayurvedic classics as well as on the conventional scientific literature, to analyze the role of Ahara as the seasonal dietary intervention with special reference to Prameha (Diabesity). Result: कालः पुनः परिणामः (Ca.Vi.8:76), that’s why Ritu-based dietary recommendations could be a great help in aiding Prameha (Diabesity), by improving insulin-sensitivity, enhancing metabolism and weight-management. Conclusion: Ritu-based dietary interventions offer a promising approach to Prameha (Diabesity). Since दिनचर्यां निशाचर्यामृतुचर्यां यथोदिताम्. आचरन्पुरुषः स्वस्थः सदा तिष्ठति(B.P.Pra.5:13). Keywords: Prameha, Diabesity, Ahara, Ritu, Seasonal Dietary interventions