Abstract:
The global prevalence of Diabetes mellitus has escalated over the last
centenary due to changes in behaviour and lifestyle modifications practiced by
humans. In the Siddha system of medicine, diabetes mellitus is known as
‘Mathumega Noi’. The objective of the study is the observation of Siddha
diagnostic method of ‘neikuri’ in ‘Mathumega Noi’ (Diabetic Mellitus Type
II). It is a cross-sectional descriptive observational single-centric study. This
study was carried out on 50 patients at Government Ayurvedic Siddha
Teaching Hospital Jaffna. The mean age of the study population was 59 ± 1.25
years with a range of 40-70 years. Urine samples were collected in the early
morning and ‘Neikuri’ was tested. The time duration between the collection of
urine and performed as immediate and after one and a half an hour from the
collection of urine. Neikuri is an antique method of urine examination based
on the distribution of gingerly oil drops in urine. Data were collected by
administering a questionnaire with the consent of the patients. Among the
diabetic subjects, 35 and 15 respectively belonged to the ‘Pitha’ and ‘Vatha’
periods. There were more males (25) than females (10) in ‘Pitha’ as well as
Vatha (10 males and 5 Females) periods. According to the assessment of
Pirakiruti, there were 30 ‘Pitha Pirakiruti’ subjects, 15 were ‘Vatha
Pirakiruti’ and 05 subjects were ‘Kapha Pirakiruti’. The highest incidence of
diabetic Mellitus patients mostly ‘Pitha Pirakiruti’ was predominantly seen in
30 patients (60%). ‘Neikuri’ was assessed by spreading pattern and duration
for spreading oil drop in urine significantly wherever applicable was found by
Chi-square test at p<0.05 significant level. Results of the study showed 60%
of ‘neikuri’ was ‘Pitha’ nature, 30% was ‘Vatha’ nature and 10% was ‘Kapha’
nature. This study helps to determine the Siddha diagnostic method.