ROLE OF FASTING (UPAVASA) IN PRAMEHA CHIKITSA

Prameha, a group of metabolic disorders described in Ayurveda, closely resembles diabetes mellitus in modern medicine. Ayurvedic classics highlight the prime role of Nidana Parivarjana, Ahara-Vihara modification, and Langhana (lightening therapies) as first-line interventions. Among them, Upavasa (therapeutic fasting) is consid-ered a crucial measure for correcting the Kapha-Meda imbalance, improving Agni, and restoring metabolic ho-meostasis. This paper reviews classical references, explains physiological rationale, and discusses the clinical relevance of fasting in Prameha management.