Year - 2025Volume - 3Issue - 4Pages - 87-97
Therapeutic Impact of Bhunimba Choorna on Prameha: A Case Study Related to Type 2 Diabetes Mellitus
19 Dec 2025
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About Author
Shinde D1,Gunjal D2,Kandekar D3,Kate D4,
1 M.D.(Scholar), SMBT AYURVED COLLEGE AND HOSPITAL, DHAMANGAON
2 PROFESSOR and HOD (DEPARTMENT OF KAYACHIKITSA), SMBT AYURVED COLLEGE AND HOSPITAL, DHAMANGAON
3 M.D.(Scholar), DMM AYURVED MAHAVIDYALAYA, YAVATMAL
4 M.D. (Scholar), PDEAs College Of Ayurved And Research Centre, Nigdi, Pune
Correspondence Address
Kayachikitsa Department,SMBT Ayurved College and Hospital, Dhamangaon, Nashik
Contact No. : 9975395098, Email : sandeshshinde906@gmail.com
Date of Acceptance : 28 Dec 2025
Date of Publication : 31 Dec 2025
Article ID : SD-IJAY_157
How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3411
Abstract
Prameha, a metabolic disorder characterized by turbidity and urinary abnormalities, is closely associated with Type 2 Diabetes Mellitus. Unhealthy dietary habits and improper lifestyle practices play a major role in its onset. With the rising global burden of diabetes, particularly in India, the Ayurvedic approach to its prevention and management is gaining considerable attention. Bhunimba Choorna, known for its Kapha-Pitta balancing and metabolic-enhancing properties, holds therapeutic potential in managing Prameha.Aim & Objective:To evaluate the therapeutic efficacy of Bhunimba Choorna in the management of Prameha with special reference to Type 2 Diabetes Mellitus.To study the etiopathogenesis of Prameha in relation to Type 2 Diabetes Mellitus.Material & Method:A 33-year-old male patient presenting with prabhuta mutrata, daurbalya, kshudavriddhi, and naktamutrata attended the Kayachikitsa OPD of SMBT Ayurved Hospital, Dhamangaon, Nashik. The patient was administered 3 g of Bhunimba Choorna orally twice daily in pragbhakta (before meals) for 30 days. Clinical parameters and symptomatic assessments were recorded at baseline, 15 days, 30 days, and 45 days.Result and Conclusion:Significant improvement in symptoms was observed after 30 days of treatment. By the 15th and 45th-day follow-ups, the patient reported no complaints, indicating substantial symptomatic relief and metabolic improvement. This case study suggests that Bhunimba Choorna is effective in managing Prameha associated with Type 2 Diabetes Mellitus.
KEY WORDS:- Prameha, Bhunimba Choorna, Type 2 Diabetes Mellitus, Prabhuta Mutrata, Daurbalya.
Introduction
Prameha has emerged as a major health concern in the present era and is often regarded as a “silent killer” due to its insidious onset and long-term complications. In Ayurveda, Prameha is described as a Shleshma-pradhana Tridoshaja Vyadhi, characterized by increased frequency and turbidity of urine, and is classified under Santarpanajanya Vyadhi (diseases caused by over-nutrition)¹˒² The term Prameha literally denotes excessive and turbid urination.
The principal etiological factors include lack of physical activity, excessive sleep during both day and night, and a sedentary lifestyle.³ Although all three Doshas participate in the pathogenesis, Bahudrava Shleshma predominates.⁴ In addition, ten Dushyas—Meda, Mamsa, Shukra, Kleda, Sonita, Vasa, Majja, Lasika, Rasa, and Ojas—are involved in disease manifestation.³ According to Acharya Charaka (Chikitsasthana), factors such as sedentary habits, excessive sleep, consumption of curd, meat soups of domesticated, aquatic, and marsh-dwelling animals, milk and milk products, freshly harvested grains, freshly prepared alcoholic beverages, jaggery preparations, and other Kapha-aggravating substances play a significant role in the development of Prameha.⁵
Prameha is classified into three major types—Kaphaja, Pittaja, and Vataja—comprising 10, 6, and 4 subtypes, respectively⁶ The clinical manifestations of Prameha closely resemble those of diabetes mellitus, a major global health burden and a leading cause of morbidity and mortality. Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycaemia, which may result in progressive damage to the heart, blood vessels, eyes, kidneys, and nerves, with type 2 diabetes mellitus being the most prevalent form⁷
The global incidence of diabetes has increased steadily over recent decades, with approximately 422 million individuals affected worldwide—predominantly in low- and middle-income countries—and nearly 1.6 million deaths annually attributed directly to the disease⁸ According to the World Health Organization, diabetes mellitus is a heterogeneous metabolic disorder characterized by hyperglycaemia and disturbances in carbohydrate, fat, and protein metabolism⁹
Discussion
The patient in the present case was a 33-year-old married male with Kapha–Pitta Prakriti, who followed a mixed dietary pattern. Detailed history revealed excessive consumption of Madhura and Snigdha Ahara as a major etiological factor. Additional contributory factors included irregular meal timings, disturbed sleep patterns, a sedentary lifestyle, and chronic mental stress (Chintya), all of which are known to aggravate Kapha and impair metabolic balance.
The disease condition was diagnosed as Prameha, which is described in Ayurveda as a Tridoshaja Vyadhi with predominant involvement of Kapha Dosha. According to classical Ayurvedic texts, the Samprapti of Prameha occurs due to Srotodushti, particularly of the Mutravaha Srotas, resulting from vitiation of all three Doshas, chiefly Bahudrava Shleshma. This pathological process manifests clinically as Prabhuta Avila Mutrata (excessive and turbid urination).¹⁷
The therapeutic intervention employed in this case was formulated under Kwatha Kalpana, which belongs to the Panchavidha Kashaya Kalpana described in Ayurveda. This approach is categorized under Anta Parimarjana Chikitsa (internal purification therapy) and is considered beneficial in the management of Prameha Vyadhi by correcting metabolic derangements and clearing obstructed channels.
Probable Mode of Action of Bhunimba Choorna
Bhunimba Choorna (Andrographis paniculata) plays a significant role in the management of Prameha (Type 2 Diabetes Mellitus) through its distinct Rasapanchaka and pharmacological properties. The presence of Tikta Rasa along with Laghu and Ruksha Guna helps reduce Kleda, Meda, and Kapha-related metabolic disturbances, thereby improving insulin sensitivity. Its Ushna Virya and Katu Vipaka enhance digestive fire (Agni), promote Kapha Vilayana, and support the regulation of carbohydrate and lipid metabolism.
As a Kapha–Pitta Shamaka drug, Bhunimba restores metabolic equilibrium and strengthens digestive and tissue metabolism. Its classical actions, including Krimighna, Rechana,
Pittasaraka, and Deepana, aid in cleansing metabolic channels (Srotoshodhana) and improving digestive efficiency.
From a pharmacological perspective, the bioactive constituents Kalmeghin and Andrographolide exhibit proven hypoglycaemic, anti-inflammatory, antioxidant, and hepatoprotective effects. These actions contribute to improved glucose homeostasis, protection of pancreatic β-cells, and overall metabolic health. Collectively, Bhunimba Choorna supports effective blood sugar regulation and metabolic stabilization in patients with Type 2 Diabetes Mellitus.
Conclusion
Bhunimba Choorna, a formulation described in Bhavaprakasha, possesses significant medicinal properties and biologically active constituents. This review highlights its therapeutic and pharmacological applications. A case study on a patient with Type 2 Diabetes Mellitus demonstrated that, when used appropriately, Bhunimba Choorna can effectively help manage the condition without notable side effects. These findings offer valuable insights and support further research into the potential of Bhunimba Choorna for diabetic patients.
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