Ayurveda explains diabetic neuropathy as a complication of Madhumeha caused by long-standing imbalance of Vata dosha along with tissue depletion (Dhatu Kshaya). Management focuses on controlling blood sugar levels, pacifying aggravated Vata, and nourishing the nerves. Herbal remedies such as Ashwagandha, Guduchi, Bala, Amalaki, and Shatavari are commonly used for their neuroprotective, anti-inflammatory, and rejuvenating (Rasayana) effects. Classical formulations like Yograj Guggulu, Dashmoolarishta, and Ksheerabala Taila may help reduce pain, burning sensation, tingling, and numbness while supporting nerve regeneration.
External therapies are an important part of Ayurvedic management. Regular Abhyanga (oil massage) with medicated oils such as Mahanarayan Taila or Ksheerabala Taila improves circulation, reduces stiffness, and calms nerve irritation. This may be followed by mild Swedana (sudation therapy) to relieve heaviness and improve mobility. Panchakarma treatments, particularly Basti therapy, are considered highly beneficial for Vata-related neurological conditions and may help slow disease progression when administered under expert supervision.
Dietary regulation is essential in managing diabetic neuropathy through Ayurveda. A Vata-pacifying and diabetes-friendly diet is advised, including whole grains like barley and millet, green leafy vegetables, bitter vegetables such as bitter gourd and fenugreek, and easily digestible foods. Warm, freshly prepared meals with moderate use of healthy fats like ghee are preferred, while refined sugar, fried foods, excessive dry foods, and cold items should be avoided. Spices like turmeric, cumin, coriander, and ginger support digestion and reduce inflammation. Along with diet, regular yoga, pranayama, adequate sleep, and stress management play a vital role in maintaining nerve health and preventing further complications.
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