Review of diabetes treatments in Siddha and Ayurveda texts.

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Journal name: World Journal of Pharmaceutical Research
Original article title: A review of treatment regimen of madhumega noi (diabetes mellitus) in siddha and ayurveda classical textbooks
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Janani Syamaroopa Jnanathapaswini, Dr. A. Manoharan, M. D(s), Ph.D and Dr. A. Rajarajeshwari M. D. (s) PGDB, PGDEpi


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A review of treatment regimen of madhumega noi (diabetes mellitus) in siddha and ayurveda classical textbooks

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201911-15901


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Summary of article contents:

Introduction

Diabetes mellitus is a complex metabolic disorder recognized for its increasingly alarming prevalence globally, with India emerging as a focal point of this health crisis. Traditional Indian systems of medicine, particularly Siddha and Ayurveda, offer safe and effective management for diabetes, referred to as Madhumegam in Siddha. A comparative review of treatment regimens from these ancient practices highlights both similarities and differences that could benefit patient care. As diabetes continues to escalate in both developed and developing nations, understanding these traditional approaches is becoming increasingly critical.

The Siddha Perspective on Diabetes Treatment

In Siddha medicine, Madhumegam is described as a condition akin to polyuria, where a significant increase in urination occurs due to various underlying causes. This system classifies disorders linked to the urinary system and emphasizes balancing the three humours: vatha, pitha, and kapha. The treatment approach is holistic and includes dietary management as well as medicinal preparations aimed at normalizing these humours. Specific protocols indicate the use of herbal remedies and minerals that are tailored to the individual patient's constitution, thereby targeting the root causes of the condition.

Ayurveda's Approach to Diabetes Management

Ayurveda recognizes diabetes under the term "Prameha," which encompasses a group of urinary disorders resulting from metabolic imbalances. It identifies multiple sub-divisions of Prameha, correlating with different types of diabetes. Treatment begins with purification methods such as emesis and purgation to cleanse the body, followed by supportive therapies involving herbal concoctions designed to address specific doshic imbalances. Ayurvedic texts detail the use of specific herbs, medicinal formulations, and dietary modifications, emphasizing a structured approach to restore balance and health.

Treatment Protocols in Both Systems

Both Siddha and Ayurveda share treatment protocols that involve multiple stages, starting from initial detoxification, progressing to medicinal therapy, and culminating in supportive measures based on the patient’s response. The therapeutic use of diuretics, laxatives, and dietary restrictions is common in both systems, indicating an emphasis on clearing toxins and balancing bodily humours. The shared goal across these protocols is to minimize the complications associated with diabetes and improve overall health, showcasing the adaptability and relevance of ancient wisdom in modern health contexts.

Conclusion

Given the rising prevalence of diabetes and its associated health complications, the need for accessible and effective treatment options is critical. Both Siddha and Ayurveda offer comprehensive management strategies that encompass dietary, lifestyle, and medication approaches tailored to individual patient needs. Their foundational principles highlight the importance of maintaining balance within the body and mitigating unhealthy lifestyle choices. The integration of these ancient practices into contemporary treatment plans could enhance patient outcomes while minimizing the side effects often associated with modern pharmacological interventions. Exploring and applying these traditional methodologies offers a promising avenue for the management of diabetes mellitus.

FAQ section (important questions/answers):

What is Madhumegam and its significance in Siddha and Ayurveda?

Madhumegam refers to diabetes mellitus in Siddha and Ayurveda. These traditional systems provide safe and effective methods for managing this non-communicable disease, which is increasingly prevalent worldwide, particularly in India.

How does Siddha medicine classify diabetes and related conditions?

In Siddha, diabetes is categorized under Neerizhivu, associated with increased urination. It divides conditions into Neerine arukkal noikal (like dysuria) and Neerine Perukkal Noikal (polyuria), emphasizing urinary disorders linked to metabolic issues.

What is the treatment approach in Siddha for Madhumegam?

Siddha treatment involves a multi-stage approach, focusing on normalizing bodily elements through specific herbal preparations, dietary management, and therapeutic practices like purgation and enemas, tailored to individual patient conditions.

What role does diet play in managing Madhumegam according to Ayurveda?

Ayurveda emphasizes the importance of a balanced diet to manage Madhumegam, recommending light, digestible foods while avoiding excess sweets, fatty foods, and sedentary lifestyle, which can exacerbate the condition.

What are common herbs used in Siddha treatment for diabetes?

Common herbs include Morundai Rasam (mercury), Jathipathri, and various kashayams that utilize the medicinal properties of plants like Aegle marmelos and Phyllanthus emblica, targeting the root causes of diabetes.

What conclusions can be drawn about Siddha and Ayurveda treatments?

Both Siddha and Ayurveda share fundamental principles in treating Madhumegam, focusing on holistic management that includes lifestyle changes, dietary regulation, and herbal remedies for effective diabetes control.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Review of diabetes treatments in Siddha and Ayurveda texts.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Siddha:
Siddha is a traditional Indian system of medicine emphasizing holistic health through the balance of bodily humors (vatha, pitha, kapha). It employs herbal remedies, dietary regimens, and therapies aimed at restoring physical and mental well-being. Siddha emphasizes personalized treatment and the prevention of disease through lifestyle and dietary practices.

2) Medicine:
Medicines are substances used to treat, alleviate, or prevent health issues. In the context of Siddha and Ayurveda, these include herbal preparations, decoctions, and other natural formulations designed to rectify dosha imbalances and enhance bodily functions to restore health.

3) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that focuses on maintaining health through balance in the body's energies (doshas). It promotes individualized treatments using herbs, dietary recommendations, and lifestyle changes. Ayurveda also addresses mental and spiritual well-being, advocating for a holistic approach to health.

4) Prameha:
Prameha refers to a group of urinary disorders in Ayurvedic medicine characterized by excessive urination. It includes various subtypes, each associated with different dosha disturbances (Kaphaja, Pittaja, Vataja). Madhumeha, or diabetes mellitus, is considered a terminal stage of Prameha, necessitating a comprehensive therapeutic approach.

5) Disease:
Diseases encompass a range of medical conditions, and in the context of Siddha and Ayurveda, these conditions are often addressed through personalized treatment plans that consider lifestyle, dietary habits, and the balance of bodily humors. The approach focuses on holistic healing.

6) Janani:
Janani refers to the lead author of the reviewed article, Dr. Janani Syamaroopa Jnanathapaswini, who is affiliated with the Government Siddha Medical College, Palayamkottai. The academic contributions of Janani and her collaborators aim to document and analyze traditional treatment regimens for managing diabetes within Siddha and Ayurveda systems.

7) Drug:
Drugs are substances used in the diagnosis, treatment, or prevention of disease. In Siddha and Ayurveda, the term encompasses various herbal and mineral remedies designed to restore balance within the body and manage specific health conditions, particularly diabetes or Madhumegam.

8) Study (Studying):
The study referred to in the article aims to explore the treatment regimens for Madhumegam (diabetes) in Siddha and Ayurveda. It seeks to highlight the similarities and differences in these traditional systems, offering insights into their efficacy and holistic approaches in managing chronic diseases.

9) Food:
Food plays a critical role in both Siddha and Ayurveda, where dietary choices are viewed as essential for health maintenance and disease management. Specific foods are recommended or restricted based on individual dosha types and health conditions, thus contributing to holistic treatment.

10) Saptaparna (Sapta-parna):
Saptaparna, or Alstonia scholaris, is a medicinal plant mentioned in Ayurvedic texts. It is known for its therapeutic properties, particularly in managing conditions related to the urinary system, and could play a role in treating Madhumeha as per various traditional formulations.

11) Kaphaja:
Kaphaja refers to one of the three fundamental doshas in Ayurveda, representing the elements of water and earth. Imbalances in Kapha can lead to various health issues, including certain types of Prameha like diabetes mellitus. Treatment strategies aim to restore balance through lifestyle and dietary interventions.

12) Haridra:
Haridra, or turmeric (Curcuma longa), is a significant herb in both Siddha and Ayurveda known for its anti-inflammatory and antioxidant properties. It is often used in formulations to manage diabetes and other conditions by supporting metabolic processes and improving overall health.

13) India:
India is the birthplace of many traditional systems of medicine, including Siddha and Ayurveda. These systems incorporate holistic approaches to health and wellness, utilizing natural resources, ancient texts, and a deep understanding of the human body to promote healing and prevent disease.

14) Pothu:
Pothu refers to a branch of Siddha medicine that deals with the general medical treatment of various diseases, including chronic conditions like Madhumegam (diabetes). It highlights the importance of understanding a patient’s overall constitution in formulating treatment strategies.

15) Honey:
Honey is often used in Ayurveda as an adjunct to various medicinal formulations due to its natural sweetness and health benefits. It serves as a vehicle for delivering herbal medicines and is believed to possess therapeutic properties that support healing and overall wellness.

16) Rasa (Rasha):
Rasa, meaning taste or essence, is a crucial concept in Ayurveda. It refers to the qualitative aspects of substances that influence their therapeutic effects. Understanding Rasa helps practitioners select the appropriate foods and medicines that align with a patient's individual constitution.

17) Line:
In the context of the article, 'line' refers to the prescribed approach or method for treating diabetes in Siddha and Ayurveda. These lines of treatment often involve holistic practices encompassing dietary modifications, herbal interventions, and lifestyle adjustments to ensure balanced health.

18) Gmelina arborea:
Gmelina arborea, known for its medicinal properties in Ayurveda, is mentioned in relation to dietary formulations for managing conditions like Madhumegam. Its inclusion highlights the importance of sourcing natural plants for traditional medicinal practices and their role in holistic treatment approaches.

19) Aegle marmelos:
Aegle marmelos, also known as bael, is a significant medicinal fruit in Ayurveda considered beneficial for digestive health and managing diabetes. Its use in formulations illustrates how traditional systems leverage natural ingredients to harmonize bodily functions and combat chronic conditions.

20) Salasaradi (Salasara-adi):
Salasaradi refers to a group of medicinal herbs used in Ayurveda known for their therapeutic efficacy in treating Prameha-related disorders. The use of Salasaradi is emblematic of the broader Ayurvedic practice of creating synergistic formulations to manage diabetes and support metabolic health.

21) Aragvadha:
Aragvadha, or Cassia fistula, is recognized in Ayurveda for its detoxifying effects and potential in managing diabetes. Its incorporation in treatments signifies the importance of traditional knowledge in identifying natural remedies that promote wellness and support healthy metabolic processes.

22) Kapittha:
Kapittha, or Feronia limonia, is a traditional herb used in Ayurvedic practice for its medicinal benefits. It plays a role in treating urinary disorders, thereby highlighting how various herbs are employed in Siddha and Ayurveda to manage conditions like diabetes.

23) Triphala (Tri-phala):
Triphala is a well-known Ayurvedic formulation consisting of three fruits: amla, bibhitaki, and haritaki. It is praised for its health benefits, including digestive support and detoxification. Its role in treating diabetes demonstrates the holistic philosophy of using multiple natural ingredients in medicine.

24) Devadaru (Deva-daru):
Devadaru, or Cedrus deodara, is utilized in Ayurvedic medicine for its therapeutic values, particularly in managing conditions like diabetes. Its incorporation in formulations illustrates the rich tradition of using specific trees and plants to achieve health benefits in Siddha and Ayurveda.

25) Yugimuni (Yugi-muni):
Yugimuni refers to a traditional reference in Siddha literature, potentially relating to medicinal formulations or practices. It signifies the integration of cultural and historical knowledge in formulating effective treatments within the Siddha system, especially for managing diabetes and other chronic conditions.

26) Tinduka (Timduka):
Tinduka, or Diospyros malabarica, is a medicinal plant mentioned in Ayurvedic texts. Its therapeutic properties contribute to various formulations, particularly in managing urinary disorders, highlighting the richness of botanical knowledge in addressing chronic health issues like diabetes.

27) Amalaka:
Amalaka, or Phyllanthus emblica, is a revered fruit in Ayurveda known for its antioxidant properties. Its use in managing diabetes emphasizes the interplay between nutrition and medicinal properties of natural resources, showcasing traditional methods of preventing and treating health conditions.

28) Citraka:
Citraka, or Plumbago zeylanica, is used in Ayurveda for improving digestion and metabolic function. Its role in formulations to treat diabetes illustrates how the integration of various herbs can support the body's homeostasis and address chronic conditions.

29) Pittaja (Pitta-ja):
Pittaja refers to a type of Prameha in Ayurveda caused by an imbalance in the Pitta dosha, manifesting symptoms like increased thirst and urination. Understanding Pittaja helps practitioners tailor treatments that specifically address the metabolic and bodily functions affected.

30) Kutaja (Kuta-ja):
Kutaja, or Holarrhena antidysenterica, is an Ayurvedic herb valued for its medicinal properties, particularly for digestive health. Its incorporation in diabetes treatment formulations underscores the comprehensive approach of Ayurveda in managing chronic diseases with natural remedies.

31) Vataja (Vata-ja):
Vataja delineates a classification of Prameha in Ayurveda resulting from Vata dosha imbalances. Understanding Vataja is crucial for practitioners as it informs targeted therapeutic strategies to restore balance and promote health in individuals suffering from urinary disorders.

32) Kapha:
Kapha is one of the three doshas in Ayurveda, characterized by water and earth elements. An imbalance in Kapha can lead to obesity and respiratory issues. Proper management of Kapha through diet, lifestyle, and herbal remedies is vital in balancing health and preventing diseases like diabetes.

33) Musta (Mushta):
Musta, or Cyperus rotundus, is an important herb in Ayurveda known for its diuretic properties. It plays a role in managing diabetes due to its ability to support kidney function and enhance metabolic activity, reiterating the importance of traditional knowledge in modern health practices.

34) Patha:
Patha, or Cyclea peltata, is utilized in Ayurvedic medicine for its roles in detoxifying and supporting digestive health. Its application in diabetes treatments demonstrates how diverse plants are used in traditional systems to foster health and manage chronic conditions.

35) Nimba:
Nimba, or Neem (Azadirachta indica), is a significant herb in Ayurveda, known for its blood sugar-lowering properties. Its use in traditional treatments for diabetes highlights the integration of natural pharmacology with lifestyle modifications to manage health effectively.

36) Water:
Water is essential for life and plays a crucial role in Ayurvedic and Siddha treatments. Recommendations often include adequate hydration as part of dietary guidelines, especially for managing diabetes, where proper fluid balance is vital for metabolic function.

37) Diet:
Diet is a cornerstone of both Siddha and Ayurveda, where it affects health and wellness. Dietary prescriptions emphasize balanced nutrition tailored to individual dosha types, utilizing natural foods to prevent and manage conditions like diabetes.

38) Salt (Salty):
Salt is often cautioned against in traditional dietary recommendations for diabetes management due to its potential to cause water retention and contribute to imbalances. In Siddha and Ayurveda, maintaining appropriate salt intake is emphasized to support overall metabolic health.

39) Tinospora cordifolia:
Tinospora cordifolia, known as Guduchi, is widely praised in Ayurveda for its immunomodulatory and antidiabetic effects. Its incorporation in therapeutic formulations underscores its importance in managing diabetes and supporting bodily defense mechanisms.

40) Phyllanthus emblica:
Phyllanthus emblica, or Amla, is noted for its high vitamin C content and antioxidant properties. In Ayurveda, it is recognized for its potential to regulate blood sugar levels and enhance digestive health, thus providing a multi-faceted approach in diabetes management.

41) Terminalia chebula:
Terminalia chebula, also known as Haritaki, is a key herb in Ayurveda revered for its purgative and detoxifying properties. Its utility in diabetes treatments reflects the holistic method of using natural ingredients to support metabolic health and overall well-being.

42) Berberis aristata:
Berberis aristata, known as tree turmeric, is utilized in Ayurveda for its anti-inflammatory and antidiabetic properties. Its role in managing diabetes showcases how traditional medicines can effectively utilize local flora for health benefits.

43) Burning sensation:
Burning sensation is a symptom commonly associated with diabetes, where nerve damage and metabolic disturbances are present. Ayurveda stresses the importance of monitoring and treating such symptoms through specific herbs and diet to alleviate discomfort and restore balance.

44) Rubia cordifolia:
Rubia cordifolia, known as Manjistha, is a medicinal plant valued in Ayurveda for its blood-purifying and detoxifying properties. Its use in formulations aims to support healthy metabolism and can aid in managing diabetes by promoting detoxification.

45) Santalum album:
Santalum album, or sandalwood, is utilized in Ayurveda for its cooling properties and fragrance. It is used for its therapeutic benefits, including the potential to soothe skin and urinary tract irritations, illustrating the holistic approach towards treating conditions like diabetes.

46) Acacia catechu:
Acacia catechu, or catechu, is known in Ayurveda for its astringent properties. It’s utilized in various formulations, particularly for managing bleeding disorders and inflammatory conditions, reflecting the traditional practice of leveraging natural substances for healthcare.

47) Curcuma longa:
Curcuma longa, commonly known as turmeric, is widely recognized in Ayurveda for its potent medicinal properties, including anti-inflammatory and antioxidant effects. Its use in diabetes treatments highlights the integration of culinary and medicinal applications to support health.

48) Rock salt:
Rock salt is often used in Ayurvedic practices for cooking, primarily due to its mineral content and balancing properties. It’s advised in moderation for those with diabetes to prevent fluid retention while obtaining essential minerals.

49) Plumbago zeylanica:
Plumbago zeylanica, or Citraka, is an important herb in Ayurveda used to enhance digestion and metabolism. Its role in diabetes indicates the importance of digestive health in regulating sugar levels and overall bodily functions.

50) Terminalia arjuna:
Terminalia arjuna is revered in Ayurveda for promoting heart health. Although primarily recognized for cardiovascular benefits, it also plays a role in managing diabetes, showcasing the interconnectedness of bodily systems in Ayurvedic treatment philosophies.

51) Vitis vinifera:
Vitis vinifera, or grapevine, is valued in Ayurveda for its health benefits, particularly due to its antioxidant-rich properties. Its inclusion in traditional formulations demonstrates the holistic approach towards health, particularly in fostering metabolic wellness.

52) Nyagrodhadi (Nyagrodha-adi):
Nyagrodhadi represents a classification of medicinal herbs in Ayurveda, specifically referring to those beneficial against urinary disorders. These herbs are significant in treating diabetes, illustrating the focus on addressing specific health dysfunctions using targeted remedies.

53) Tirumular (Thiru-mular, Thirumular):
Thirumoolar is an influential figure in Siddha medicine, renowned for his teachings on health, spirituality, and the nature of disease. His contributions underscore the philosophical underpinnings of Siddha practices, emphasizing balance and holistic well-being.

54) Katurohini (Katu-rohini):
Katurohini, known for its potential benefits in Ayurvedic medicine, is used in various formulations aimed at managing dosha imbalances. Its role in the treatment of ailments like diabetes highlights the breadth of herbal medicine in traditional systems.

55) Kampillaka:
Kampillaka refers to a medicinal herb used in Ayurveda, particularly for treating digestive issues. Its inclusion in diabetes treatments illustrates the relevance of digestive health in managing sugar levels and overall well-being.

56) Vaijayanti (Vaijayamti):
Vaijayanti, an important herb in Ayurveda, is known for its medicinal properties that support metabolic functions. Its use in formulations for diabetes further emphasizes the diverse applications of plants in maintaining health and managing diseases.

57) Science (Scientific):
Scientific approaches are increasingly applied to validate traditional practices within Ayurveda and Siddha. Research into the efficacy of herbal medicines and dietary regimens enhances understanding and integration of these systems with modern medical paradigms, promoting holistic health.

58) Bibhitaka:
Bibhitaka, or Terminalia bellirica, is a medicinal herb in Ayurveda, recognized for its ability to support digestion and detoxification. Its place in diabetes management showcases the utility of natural ingredients derived from traditional sources in maintaining health.

59) Somavriksha (Somavrksa, Soma-vriksha):
Somavrksa is another significant herb in Ayurveda, valued for its therapeutic properties. Its incorporation in treatments for diabetes underscores the emphasis on herbal formulations that synergistically promote overall health and alleviate symptoms of chronic conditions.

60) Vikankata (Vikamkata):
Vikankata refers to specific Ayurvedic herbs useful in treating metabolic issues. Understanding these herbs emphasizes the focus on traditional medicine that harnesses local biodiversity for medicinal benefits, particularly for conditions like diabetes.

61) Shringataka (Srngataka, Shrimgataka):
Srngataka is recognized in Ayurveda for its various therapeutic benefits. Its association in formulations for managing conditions like diabetes underlines the enduring relevance of traditional knowledge in addressing contemporary health challenges.

62) Knowledge:
Knowledge encompasses the traditional wisdom embedded in Ayurvedic and Siddha practices, including the understanding of herbs, diet, and lifestyle. It informs practitioners in creating individualized treatment plans that aim to restore balance and health in patients.

63) Fragrance:
Fragrance often plays a role in traditional medicine, where pleasant aromas of certain herbs and plants are believed to have therapeutic effects. In Ayurveda, fragrance can enhance the healing environment and promote well-being.

64) Vitiation (Vitiated):
Vitiation refers to the disturbance or imbalance of doshas in Ayurveda, leading to disease. Understanding vitiation is essential in identifying the root cause of illnesses like diabetes and formulating effective treatment strategies centered around restoring harmony within the body.

65) Teraiyar:
Theraiyar was an ancient Siddha healer whose works contributed significantly to the understanding of diseases and treatments in Siddha medicine. His classifications and approaches continue to inform contemporary practices in managing conditions such as diabetes mellitus.

66) Rohitaka:
Rohitaka, or Tecomella undulata, is utilized in Ayurvedic treatments for its therapeutic properties. Its incorporation in diabetes management signifies the emphasis on leveraging native flora for effective natural remedies.

67) Padartha (Pada-artha):
Padartha refers to the study of material substances in Ayurveda, emphasizing how different herbs and elements contribute to therapeutic practices. This concept is foundational in understanding the formulations used for treating various health conditions, including diabetes.

68) Kharjura:
Kharjura, or dates, are included in some Ayurvedic dietary recommendations. Their rich nutrient profile and natural sweetness can be beneficial within a balanced diet, particularly in managing energy levels in individuals with diabetes.

69) Kasheruka (Kaseruka):
Kaseruka refers to specific Ayurvedic medicines discussed in relation to diabetes treatment. It illustrates the range of formulations available in traditional systems that aim to regulate metabolism and manage blood sugar levels effectively.

70) Kaushika (Kausika):
Kaushika refers to the Kaushika Sutra, an important text that outlines Ayurvedic concepts and treatments. This text, along with others, crafts the foundational understanding of how to approach diseases like diabetes within the traditional framework.

71) Narayana (Nara-ayana, Nara-yana):
Narayana, often referred to in spiritual and medical contexts, represents comprehensive care principles in Ayurveda. The teachings associated with Narayana guide therapeutic practices that integrate physical, mental, and spiritual aspects of health.

72) Surasadi (Surasa-adi):
Surasadi relates to herbal preparations used in Ayurveda for therapeutic interventions. Their incorporation in treatments represents the significance of combining various plants to address specific health issues, including diabetes management.

73) Ashvattha (Asvattha):
Asvattha, or Ficus religiosa, is an important tree in Ayurveda with numerous medicinal uses. Its extracts are often included in formulations aimed at regulating metabolic functions, demonstrating the integration of local flora into health practices.

74) Mocarasa (Moca-rasa):
Mocarasa refers to the gum from the silk cotton tree, known for its healing properties. Its application in Ayurvedic formulations exemplifies the diverse sources of natural remedies utilized in the treatment of conditions such as diabetes.

75) Kashmarya (Kasmarya):
Kasmarya, or Gmelina arborea, is valued in Ayurveda for its medicinal characteristics. Its utilization in treating metabolic disorders reflects the importance placed on biodiversity in formulating effective therapeutic agents for managing diabetes.

[Note: The above list is limited to 75. Total glossary definitions available: 142]

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