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<big>'''[[Chikitsa Sthana]] Chapter 15. Management of Grahani (Diseases of digestion and metabolism) </big>'''
 
<big>'''[[Chikitsa Sthana]] Chapter 15. Management of Grahani (Diseases of digestion and metabolism) </big>'''
 
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<big>'''Abstract </big>'''
 
<big>'''Abstract </big>'''
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<p style="text-align:justify;">[[Grahani Chikitsa]] consists of three parts. The first part explains the concept of normal digestion process. The second part describes the abnormal digestion and third part is about diseases caused by abnormality of digestive factors and its interaction with proximal intestine or ''grahani''. These disorders are called ''grahanidosha''.   
[[Grahani Chikitsa]] consists of three parts. The first part explains the concept of normal digestion process. The second part describes the abnormal digestion and third part is about diseases caused by abnormality of digestive factors and its interaction with proximal intestine or ''grahani''. These disorders are called ''grahanidosha''.   
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[[agni]] (digestive and metabolic agents), based on their specific functions of conversion of food into biological elements of the body are classified into thirteen types. First, the ''jatharagni'' is most important because it is the initiator of digestive process and it strengthens the digestive ability of other twelve ''agnis''. Five ''bhutagnis'' transform the ''panchmahabhauika'' components of ''ahara rasa'' created by ''jatharagni'' into different structures of the body. Seven ''dhatvagnis'' create seven tissues elements(''[[dhatu]]'').
 
[[agni]] (digestive and metabolic agents), based on their specific functions of conversion of food into biological elements of the body are classified into thirteen types. First, the ''jatharagni'' is most important because it is the initiator of digestive process and it strengthens the digestive ability of other twelve ''agnis''. Five ''bhutagnis'' transform the ''panchmahabhauika'' components of ''ahara rasa'' created by ''jatharagni'' into different structures of the body. Seven ''dhatvagnis'' create seven tissues elements(''[[dhatu]]'').
 
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''Jatharagni'' initiates the first phase of digestion process by conversion of food into nutrient fluid (''ahara rasa''). This nutrient fluid is further trifurcated into three biological substances ''[[kapha]], [[pitta]]'' and ''[[vata]]'' in three stages to ''madhura, amla'' and ''katu awastha paka'' respectively. This biofluid is separated into excretable waste or impure products by ''samana vata'' in ''grahani'' (middle part of GI Tract) and useful, pure circulable products.  ''Samana vata'' analyzes and separates the useful products (''prasada'') and waste (''kitta''). Useful products get absorbed by ''rasayani'' (villi) of the intestine, sent to the micro channels (''srotas'') by ''vyanvata'', simutaneouly, to the entire body. Waste products are excreted out by ''apana vayu'' through urine, feces and sweat.  
 
''Jatharagni'' initiates the first phase of digestion process by conversion of food into nutrient fluid (''ahara rasa''). This nutrient fluid is further trifurcated into three biological substances ''[[kapha]], [[pitta]]'' and ''[[vata]]'' in three stages to ''madhura, amla'' and ''katu awastha paka'' respectively. This biofluid is separated into excretable waste or impure products by ''samana vata'' in ''grahani'' (middle part of GI Tract) and useful, pure circulable products.  ''Samana vata'' analyzes and separates the useful products (''prasada'') and waste (''kitta''). Useful products get absorbed by ''rasayani'' (villi) of the intestine, sent to the micro channels (''srotas'') by ''vyanvata'', simutaneouly, to the entire body. Waste products are excreted out by ''apana vayu'' through urine, feces and sweat.  
   
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Now second and third phase of digestion process occur simultaneously in the ''srotas'' (microchannels). Five ''bhutagnis'' work on the formation of anatomical structure of the body from respective ''[[panchamahabhuta]]'' in the form of micro channels, by digesting needful components present in biofluid. Each gross and subtle particle of body is ''[[panchabhautika]]'', but each one is having different proportion of ''[[mahabhuta]]''.  
 
Now second and third phase of digestion process occur simultaneously in the ''srotas'' (microchannels). Five ''bhutagnis'' work on the formation of anatomical structure of the body from respective ''[[panchamahabhuta]]'' in the form of micro channels, by digesting needful components present in biofluid. Each gross and subtle particle of body is ''[[panchabhautika]]'', but each one is having different proportion of ''[[mahabhuta]]''.  
 
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Now the third phase of digestion is processed in seven micro channels (''srotas'') specified for seven body tissues (''[[dhatu]]'') for the formation of body tissues by their specific seven tissue transformers (''dhatvagnis'') Excreable waste products are carried out by three excreatory channels as feces, urine and sweat, along with sub tissues and sub excreta of sensory organs.
 
Now the third phase of digestion is processed in seven micro channels (''srotas'') specified for seven body tissues (''[[dhatu]]'') for the formation of body tissues by their specific seven tissue transformers (''dhatvagnis'') Excreable waste products are carried out by three excreatory channels as feces, urine and sweat, along with sub tissues and sub excreta of sensory organs.
 
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Second part of this chapter explains the etiopathology of abnormal digestion, and formation of intermediate products as seed cause of various diseases in the form of ''ama, shukta'' and ''amavisha''.
 
Second part of this chapter explains the etiopathology of abnormal digestion, and formation of intermediate products as seed cause of various diseases in the form of ''ama, shukta'' and ''amavisha''.
 
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Third part explicates the etiopathology, types, symptoms and treatments of ''grahanidosha'' as a syndrome of various digestive disorders. The chapter sums up in defining abnormal dietary habits.  
 
Third part explicates the etiopathology, types, symptoms and treatments of ''grahanidosha'' as a syndrome of various digestive disorders. The chapter sums up in defining abnormal dietary habits.  
   
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'''Keywords''': Digestion in [[Ayurveda]], metabolism in [[Ayurveda]], ''jatharagni, bhutagni, dhatvagni, grahani, grahanidosha, grahani roga, annavisha, atyagni, samashana, vishamashana, adhyashana''.
 
'''Keywords''': Digestion in [[Ayurveda]], metabolism in [[Ayurveda]], ''jatharagni, bhutagni, dhatvagni, grahani, grahanidosha, grahani roga, annavisha, atyagni, samashana, vishamashana, adhyashana''.
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== Introduction ==
 
== Introduction ==

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