Saturday, August 20, 2016

DALBERGIA VOLUBILIS, ALAI, A SAHYADRI CLIMBER & TYPE 1 DIABETES(JUVENILE), SINGLE HERB CASE STUDY

Dalbergia volubilis Roxb., Cor. Pl. 2: 48, t. 191, 1798
Family: Fabaceae Lindley
Name: Alai (Marathi)(Flora of Maharashtra 2:55)

BOTANY
A large woody climber. Branches twisted into spiral hooks. Leaves imparipinnate. Leaflets 7-13, oblong or obovate-oblong, obtuse, 3.5 cm long, alternate. Inflorescence axillary and terminal leafless panicles. Flowers numerours. Pedicels very short. Corolla pale-blue.stamens 10 in two bundles of 5 each. Pods stalked, linear-oblong, obtuse, veined, glabrous, 4-10 cm long and about 1.5cm broad. Seeds 1-2. A common woody climber in forest areas and along the river margins.
Phenology (Fl. & Frt.) February – May.


IMAGES


Herbarium Image :Credits http://envis.frlht.org

ABOUT JUVENILE DIABETES [Type 1 DIABETES MELLITIS]
Type 1 diabetes happens when your immune system destroys cells in your pancreas called beta cells. They’re the ones that make insulin.The cause of type 1 diabetes is unknown. It however is believed to involve a combination of genetic and environmental factors. Diabetes is diagnosed by testing the level of sugar or A1C in the blood.Type 1 diabetes makes up an estimated 5–10% of all diabetes cases. The number of people affected globally is unknown, although it is estimated that about 80,000 children develop the disease each year
For More Information: http://www.diabetes.org/diabetes-basics/type-1/



CASE STUDY
A young child 11 years diagnosed with juvenile diabetes visited me in the month of April 2016. At the time his Fasting and post blood and urine sugar levels were high  


April-2016

The child was on Insulin  totalling 20 units a day. Being from a low income groups the traditional Ayurvedic remedy which i mostly employ with herbs like Indian Rosewood (Dalbergia latifolia), Himalayan Kutki (Picrorhiza kurro), Daruharidra (Berbers arsitata), Ativisha (Aconitum heterophyllum) etc was ruled out with discretion as its cost on a long term basis even if effective would not be sustainable. Hence decided to use this climber abundantly available in the Sahyadris with a strong folk data to treat diabetes as was documented by me during my Phd research (Study Of Medicinal Plants of Savantwadi Taluka in Sindhudurg district; Mumbai University; 2008)

Dosage 
Powdered bark with cow's milk 2 times and water one time in a dose of 3 gms M/E/Bedtime

Diet and lifestyle
Fixed Food timings of not eating after sunset. Complete abstinence of refined sugar, fermented products, peas, beans, egg plant, cabbage and anything that causes disruption of vayu was suggested. Preferable evening meal only comprised of cow's milk and wheat bread(chapati/roti) made from cow's ghee

Progressions
The child was called for first follow up after 15 days which showed improvement and urine sugar reduced. 


Follow-up 15 days April 2016
The child also should progression in other symptoms like attention, studies, general activities etc. Since I was going on an extended trip outside  I gave them medicines for 3 months (till August) and told them to gradually reduce 2 units every 10days and check the blood sugar values in laboratory (not glucometer) periodically after every 15 days and report it to me. Since there was no direct contact and the child staying in a remote place they sent me first report in May where the results were promising .


May-2016

I advised them to continue the procedure of reduction of dose and send me reports every 20 days. As is with many clients who get a bit complacent they did not take any reports after that nor did bother to contact me till the medicines were about to be over. They visited me on August 16 with the final report 


August 2016

The  insulin dose is around 2 units a day. The child has introduced more variations in food with altered cooking methods and his overall academic and physical growth has improved. Though many such cases have been successfully treated with Ayurvedic medicine, this case was presented specifically to highlight the use of a single herb in complex autoimmune disorder like Juvenile diabetes

DISCLAIMER 
This article is for educational purposes towards students of medicine, ethnobotany & others with academic interest. Please do not self -medicate & always consult an qualified Ayurvedic physician.


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2 comments:

Unknown said...

Nice Case study. congratulations Dr. Sumit Kesarkar!

Dr. Sharayu Kore said...

Excellent Sir. We can try to study its mode of action. what is probable mode according to you?
It is really difficult to treat with J DM with single herb.