Abstract
Background
Diabetes mellitus (DM) is a worldwide alarming and challenging condition for control, manage and prevent its complications. It plays a significant role in the causation of other non-communicable diseases (NCDs) like Cardiovascular disorder, Renal disorder, Retinopathy and Neuropathy etc. A disease Madhumeha, based on the presence of sweet substances like honey in urine is similar to DM in conventional medicine. Based on clinical presentation and laboratory findings a diagnosed case of Madhumeha (~diabetes mellitus) associated with peripheral neuropathy was successfully treated with Ayurveda treatment.
Objective
To evaluate the efficacy of Vamana karma (~therapeutic emesis) with Ikshuvaku yoga followed by oral administration of Darvyadi kwatha (~herbal decoction) in the management of type 2 diabetes mellitus (T2DM).
Methods
After obtaining the patient consent, a patient suffering from Madhumeha was treated with Vamana karma by Ikshuvaku yoga followed by oral administration of Darvyadi kwatha for 1-month. The patient was assessed on 0th day, 28th day, 50th day, and 168th day.
Results
The values of FBS, PPBS and HBA1c were 160 mg/dl, 248 mg/dl and 8.7% respectively before treatment which were reduced to 71 mg/dl 121 mg/dl and 6.1% respectively after treatment.
Conclusion
This study shows improvement in both laboratory and clinical parameters along with improvement in the quality of life in the patient suffering from Madhumeha when treated by Vamana karma followed by oral administration of Darvyadi kwatha.

Key words: Darvyadi kwatha, Peripheral Neuropathy, Type-2 diabetes mellitus, Vamana karma,