Changes

*The ''vishamagni'' (improper ''agni'') causes irregularity in digestion and therefore defective formation of ''dhatu'' takes place. Whereas, ''teekshnagni'' (excessive ''agni'') when associated with little quantity of fuel (in the form of food) causes depletion of ''dhatu'' (tissue elements) (50).

*The ''vishamagni'' (improper ''agni'') causes irregularity in digestion and therefore defective formation of ''dhatu'' takes place. Whereas, ''teekshnagni'' (excessive ''agni'') when associated with little quantity of fuel (in the form of food) causes depletion of ''dhatu'' (tissue elements) (50).

*The digestive disorder of ''grahani'' can lead to secondary disorders related with other body systems along with digestive system.  

*The digestive disorder of ''grahani'' can lead to secondary disorders related with other body systems along with digestive system.  

*''Grahani'' disease is classified into four types viz vātaja, pittaja, kaphaja and sannipātaja depending upon the dominance of dosha and on the basis of the classification, etiological factors, symptoms and signs are varied.

*''Grahani'' disease is classified into four types viz ''vataja, pittaja, kaphaja'' and ''sannipataja'' depending upon the dominance of ''dosha'' and on the basis of the classification, etiological factors, symptoms and signs are varied.

*When the dōṣhas are located in grahaṇī and are associated with incomplete digested food then vamana (emetic therapy) is advised.  

*When the ''doshas'' are located in ''grahani'' and are associated with incomplete digested food then ''vamana'' (emetic therapy) is advised.  

*If the ama is in pakvāśaya and in anutkliṣṭa (stuck, not ready to come out) condition, then stravan (increasing secretion) with dīpana dravyas should be administered.  

*If the ''ama'' is in ''pakvashaya'' and in ''anutklishta'' (stuck, not ready to come out) condition, then ''stravana'' (increasing secretion) with ''deepana dravyas'' should be administered.  

*If ama gets absorbed along with rasa dhātu and if it pervades throughout the body then laṅghana and pāchana should be advised.

*If ''ama'' gets absorbed along with ''rasa dhatu'' and if it pervades throughout the body then ''langhana'' and ''pachana'' should be advised.

*Various purification procedures are advised as per the state of dosha aggravation and site of affliction in disease. Ghee processed with digestive stimulant drugs, sour media like buttermilk is advised.  

*Various purification procedures are advised as per the state of ''dosha'' aggravation and site of affliction in disease. Ghee processed with digestive stimulant drugs,sour media like buttermilk is advised.  

*Patient should be evaluated for amadōṣa whether sāmatā or nirāmtā is present or not and then appropriately treated with pāchana etc. treatment (95).

*Patient should be evaluated for ''amadosha'' whether ''samata'' or ''niramta'' is present or not and then appropriately treated with ''pachana'' etc. treatment (95).

*Buttermilk due to its dīpana, grāhi (substances which increases appetite and digestive power and absorb fluid from the stool) and easy to digest actions is very useful in grahaṇīdōṣha.

*Buttermilk due to its ''deepana, grahi'' (substances which increases appetite and digestive power and absorb fluid from the stool) and easy to digest actions is very useful in ''grahanidosha''.

*Vata dominant grahani shall be treated with basti, virechana and unctuous preparations.  

*''Vata'' dominant ''grahani'' shall be treated with ''basti, virechana'' and unctuous preparations.  

*If pitta is dominant in its own place then virechana or vāmana should be administered for removal of pitta (122).

*If ''pitta'' is dominant in its own place then ''virechana'' or ''vamana'' should be administered for removal of ''pitta'' (122).

*In kaphaja grahaṇī, vamana and then drugs having katu, amla, lavana, kṣāra and tikta rasa shall be administered to increase agni (digestive power) (141).

*In ''kaphaja grahani'', ''vamana'' and then drugs having ''katu, amla, lavana, kshara'' and ''tikta rasa'' shall be administered to increase ''agni'' (digestive power) (141).

*In tridōṣaja grahaṇī, panchakarma should be carried out as per predominancy of doṣha. Various ghee, kṣāra, asava and ariṣṭa preparation useful in stimulation of agni should be administered.

*In ''tridoshaja grahani'', [[Panchakarma]] should be carried out as per predominance of ''dosha''. Various ghee, ''kshara'', ''asava'' and ''arishta'' preparation useful in stimulation of ''agni'' should be administered.

*Sneha is the best among the dipana dravya which helps in stimulating the inefficient agni (201)

*''Sneha'' is the best among the ''deepana dravya'' which helps in stimulating the inefficient ''agni'' (201)

*Fasting or over eating doesn’t stimulate agni. Proper intake of snēha, followed by eating proper food preparations as well as appropriate use of various chūrṇa, ariṣṭa, surā and asava along with proper medication as per condition, enhances the power of agni.

*Fasting or over eating doesn’t stimulate ''agni''. Proper intake of ''sneha'', followed by eating proper food preparations as well as appropriate use of various ''churna, arishta, sura'' and ''asava'' along with proper medication as per condition, enhances the power of ''agni''.

*Atygni is caused by diminished kapha, aggravated pitta and associated vāta. This leads to emaciation if proper food is not consumed. Excessively increased digestive power can be pacified by taking foods and drinks which are heavy to digest, unctuous, cold, sweet and liquid.   

*''Atyagni'' is caused by diminished ''kapha'', aggravated ''pitta'' and associated ''vata''. This leads to emaciation if proper food is not consumed. Excessively increased digestive power can be pacified by taking foods and drinks which are heavy to digest, unctuous, cold, sweet and liquid.   

*Samaśana  is taking wholesome and unwholesome foods together in diet. Viṣamaśana is taking food either in excess quantity or very little quantity and also if taken before or after appropriate time. Adhyaśana is having food even though previously eaten food is not yet digested. All the above three are causes for death or give rise to serious disorders (235-236).

*Samaśana  is taking wholesome and unwholesome foods together in diet. Viṣamaśana is taking food either in excess quantity or very little quantity and also if taken before or after appropriate time. Adhyaśana is having food even though previously eaten food is not yet digested. All the above three are causes for death or give rise to serious disorders (235-236).

*If morning eaten food is undigested and still if anyone takes evening food, it may not be more vitiative since in day time all the srotas (channels) are dilated and heart is active similar to the lotus which blossoms with sunrise. During daytime, exercise, other physical and mental activities (cause heart to pump blood properly to) prevent the genesis of kleda (excess moisture) in various dhātus. In the night, the channels are closed, so is the heart which functions at slow rate as demand is less, the apakva ahāra rasa increases in viscosity; thus ama adheres to the dhātus and if another food is taken in the morning the indigestion causes more apakva ahāra rasa causing disease.

*If morning eaten food is undigested and still if anyone takes evening food, it may not be more vitiative since in day time all the srotas (channels) are dilated and heart is active similar to the lotus which blossoms with sunrise. During daytime, exercise, other physical and mental activities (cause heart to pump blood properly to) prevent the genesis of kleda (excess moisture) in various dhātus. In the night, the channels are closed, so is the heart which functions at slow rate as demand is less, the apakva ahāra rasa increases in viscosity; thus ama adheres to the dhātus and if another food is taken in the morning the indigestion causes more apakva ahāra rasa causing disease.