Changes

'''Treatment principles of Ama-'''

'''Treatment principles of Ama-'''

Ama is the preliminary cause for many disorders; hence the term ‘aamay’ (means indigestion) is enlisted as the synonym of disease [Chakrapani on Cha.Sa.[[Nidana Sthana]] 1/15]. Physician should assess the status of [[agni]] and severity of ama before start of any treatment or therapeutic procedure. Treatment in sama (presence of ama in pathogenesis of disease) and nirama (absence of ama in pathogenesis) conditions are totally different. Langhana (fasting) and pachana (digestive) is the foremost treatment used to treat ama disorders [Cha.Sa.[[Chikitsa Sthana]]15/95]. Fasting helps to digest ama and kindles digestive fire.  Absolute fasting or liquid light food is advised considering state of ama. Agni is responsible for digestion of food; kindled digestive fire in absence of food will digest increased doshas or leftover ama in the body [A.Hr.[[Chikitsa Sthana]].10/91].

Ama is the preliminary cause for many disorders; hence the term ‘aamay’ (means indigestion) is enlisted as the synonym of disease [Chakrapani on Cha.Sa.[[Nidana Sthana]] 1/15]. Physician should assess the status of [[agni]] and severity of ama before start of any treatment or therapeutic procedure. Treatment in sama (presence of ama in pathogenesis of disease) and nirama (absence of ama in pathogenesis) conditions are totally different. Langhana (fasting) and pachana (digestive) is the foremost treatment used to treat ama disorders [Cha.Sa.[[Chikitsa Sthana]]15/95]. Fasting helps to digest ama and kindles digestive fire.  Absolute fasting or liquid light food is advised considering state of ama. Agni is responsible for digestion of food; kindled digestive fire in absence of food will digest increased doshas or leftover ama in the body [A. Hr. Chikitsa Sthana 10/91].

When the food has undergone digestion, but yet patient experience fullness and heaviness of the stomach, medicines are to be given which bring about the breakdown of the leftover doshas and increase digestive fire. After langhana and pachana, patient should be advised to follow peyadi-sansarjan-kram (special dictum of dietary regimen) to ignite digestive fire. Fasting reduces the aggravated dosha, kindles digestive fire, restores appetite, and renders lightness to the body. Fasting should be performed to that extent which will not hamper the vitality or strength of an individual. The aim of all these measures is to regain the health which also depends on the physical, mental and spiritual well being [Cha.Sa.[[Chikitsa Sthana]] 3/140-142]. When patient is relieved from excessive morbidity of ama; the doshas are get rid of ama state (pakava avastha) and once digestive fire is kindled; oil embrocation (abhyanga), internal unction (snehapana), corrective and unctuous enema (asthapana and anuvasana types of basti) should administer. Sama doshas which are spread all over the body, which  remain latent/dissolved in tissues (dhatus) and are not dislodged should not be expelled out by eliminative (shodhana) therapy as it can lead to destruction of the substratum, similar to the extraction of juice from an unripe fruit [Cha.Sa.[[Chikitsa Sthana]] 3/147-149]. Therapeutic elimination procedures should commence once person will get rid of ama state. Stool mixed with ama (sama mala) sinks into the water due to heaviness property of ama whereas stool without ama (pakva or nirama mala) floats over the water; provided the stools consistency is not watery or not very compact and if not vitiated by cold (sheeta) property of [[kapha]] [Cha.Sa.[[Chikitsa Sthana]] 15/94]. Patient should first be evaluated for presence or absence of ama and then appropriately be treated with pachana etc. treatment. [Cha.Sa.[[Chikitsa Sthana]] 15/94-95]

When the food has undergone digestion, but yet patient experience fullness and heaviness of the stomach, medicines are to be given which bring about the breakdown of the leftover doshas and increase digestive fire. After langhana and pachana, patient should be advised to follow peyadi-sansarjan-kram (special dictum of dietary regimen) to ignite digestive fire. Fasting reduces the aggravated dosha, kindles digestive fire, restores appetite, and renders lightness to the body. Fasting should be performed to that extent which will not hamper the vitality or strength of an individual. The aim of all these measures is to regain the health which also depends on the physical, mental and spiritual well being [Cha.Sa.[[Chikitsa Sthana]] 3/140-142]. When patient is relieved from excessive morbidity of ama; the doshas are get rid of ama state (pakava avastha) and once digestive fire is kindled; oil embrocation (abhyanga), internal unction (snehapana), corrective and unctuous enema (asthapana and anuvasana types of basti) should administer. Sama doshas which are spread all over the body, which  remain latent/dissolved in tissues (dhatus) and are not dislodged should not be expelled out by eliminative (shodhana) therapy as it can lead to destruction of the substratum, similar to the extraction of juice from an unripe fruit [Cha.Sa.[[Chikitsa Sthana]] 3/147-149]. Therapeutic elimination procedures should commence once person will get rid of ama state. Stool mixed with ama (sama mala) sinks into the water due to heaviness property of ama whereas stool without ama (pakva or nirama mala) floats over the water; provided the stools consistency is not watery or not very compact and if not vitiated by cold (sheeta) property of [[kapha]] [Cha.Sa.[[Chikitsa Sthana]] 15/94]. Patient should first be evaluated for presence or absence of ama and then appropriately be treated with pachana etc. treatment. [Cha.Sa.[[Chikitsa Sthana]] 15/94-95]