DOSHA
DOSHA
VATA DOSHA
Vata is a force conceptually made up of elements ether and air. The proportions of ether and air determine how active Vata is. The amount of ether (space) affects the ability of the air to gain momentum. If unrestricted, as in ocean, air can gain momentum and become forceful such as a hurricane.
Vata means "wind, to move, flow, direct the processes of, or command." Vata enables the other two doshas to be expressive. The actions of Vata are drying, cooling, light, agitating, and moving.
Vata governs breathing, blinking of the eyelids, movements in the muscles and tissues, pulsations in the heart, all expansion and contraction, the movements of cytoplasm and the cell membranes, and the movement of the single impulses in nerve cells. Vata also governs such feelings and emotions as freshness, nervousness, fear, anxiety, pain, tremors, and spasms. The primary seat or location of the Vata in the body is the colon. It also resides in the hips, thighs, ears, bones, large intestine, pelvic cavity, and skin. It is related to the touch sensation. If the body develops an excess of vata, it will accumulate in these areas.
Dosha Related Elements -Vata Air and Ether
CHARACTERISTICS OF VATA TYPES
Here are some of the common characteristics of people who have a predominantly Vata constitution.
Creativity, mental quickness
Highly imaginative
Quick to learn and grasp new knowledge, but also quick to forget
Sexually easily excitable but quickly satiated
Slenderness; lightest of the three body types
Talk and walk quickly
Tendency toward cold hands and feet, discomfort in cold climates
Excitable, lively, fun personality
Changeable moods
Irregular daily routine
Variable appetite and digestive efficiency
High energy in short bursts; tendency to tire easily and to overexert
Full of joy and enthusiasm when in balance
Respond to stress with fear, worry, and anxiety, especially when out of balance
Tendency to act on impulse
Often have racing, disjointed thoughts
Generally have dry skin and dry hair and don't perspire much
Typical health problems include headaches, hypertension, dry coughs,
sore throats, earaches, anxiety, irregular heart rhythms, muscle spasms,
lower back pain, constipation, abdominal gas, diarrhea, nervous stomach,
menstrual cramps, premature ejaculation and other sexual dys-functions,
arthritis. Most neurological disorders are related to Vata imbalance.
Physical Features
People of vata constitution are generally physically underdeveloped.
Their chests are flat and their veins and muscle tendons are visible.
The complexion is brown, the skin is cold, rough, dry and cracked.
Vata people generally are either too tall or too short, with thin frames which reveal prominent joints and bone-ends because of poor muscle development.
The hair is curly and scanty, the eyelashes are thin and the eyes lusterless.
The eyes may be sunken, small, dry, and active. The nails are rough and brittle.
The shape of the nose is bent and turned-up.
Physiologically, the appetite and digestion are variable. Vata people loves sweet, sour and salty tastes and like hot drinks. The production of urine is scanty and the feces are dry, hard and small in quantity. They have a tendency to perspire less than other constitutional types. Their sleep may be disturbed and they will sleep less than the other types. Their hands and feet are often cold.
Psychologically, they are characterized by short memory but quick mental understanding. They will understand something immediately, but will soon forget it. They have little willpower, tend toward mental instability and possess little tolerance, confidence or boldness. Their reasoning power is weak and these people are nervous, fearful and afflicted by much anxiety.
Vata people tend to earn money quickly and also to spend it quickly. Thus, they tend to remain poor.
Signs of Vata Dosha Imbalance:
There are a number of tell tale signs of dosha imbalance. Some persons will get very angry. Some get depressed, etc. Here is a summary of the signs of vata imbalance:
Worried
Tired, yet can't relax, Fatigue, poor stamina
Nervous, Can't concentrate
Anxious, fearful
Agitated mind
Impatient, Antsy or hyperactive
Spaced out
Self-defeating
Shy, insecure, Restless
Cannot make decisions
Weight loss, under weight
Insomnia; wake up at night and can't go back to sleep
Generalized aches, sharp pains, Arthritis, stiff and painful joints
Agitated movement
Very sensitive to cold
Nail biting
Rough, flaky skin, Chapped lips
Fainting spells
Heart palpitations
Constipation, Intestinal bloating, gas, Belching, hiccups
Dry, sore throat, Dry eyes
In summary, if you are suffering from anxiety, worry, a tendency to overexertion, insomnia, chronic tiredness, mental and emotional depression, physical tension and other symptoms of stress, a weakened immune system, headaches, underweight, constipation, skin dryness, mental confusion, emotional conflict, inability to make decisions, impulsiveness, fast and disconnected speech, fantasy, illusions, and sensations of being lighthearted and removed from thoughts, feelings, or circumstances, then there is a very good sign that your vata is aggravated.
VATA DOSHA VRIDDHI CHIKITSA
1. snehan - svedan then mridu virechana
2. Niruha & anuvasan basti prayoga
3. Nasyakarma, gandusha, dhumrapana, sirobasti
4. Abhayanga, mardana,
5. madhura-amla-lavan rasa ushna & snigdha bhojan sevan
General Tips on Health and Wellness For Vata Types
The Vatas find it very difficult to maintain regular habits, that is, to eat and sleep at regular times. But this is the most important thing for them to do. When Vata is out of balance this may feel almost impossible, but an effort to establish a regular routine is very important for all people with a Vata body type. Rest sufficiently, and choose foods, behaviors, personal relationships, and environmental circumstances which can be instrumental in balancing vata characteristics. It is also important to regulate mental and physical impulses and to modify mental attitudes, emotional states, and behaviors in supportive ways.
Sweet, sour, and salty tastes decrease vata influences, so include these tastes if vata influences need to be diminished. Milk, wheat, rice, and some fruits and berries can provide sweet and sour tastes.
Regular exercise should be relaxed and moderate. Hatha yoga practice in a meditative mood is good, as are t'ai chi, walking, and swimming. Avoid strenuous, competitive, frantic activities.
When possible, associate with people who are calmly purposeful.
Meditate every day for deep relaxation.
A Food Plan to Balance Vata Dosha
These guidelines can be used for vata mind-body constitutions, to maintain dosha balance, and to restore balance if necessary, regardless of the basic constitution. Vata influences the movement of thoughts, feelings, prana flows, nerve impulses, and fluids in the body.
Favor:
Warm food, moderately heavy textures, added butter and fat.
Salt, sour, and sweet tastes; Soothing and satisfying foods.
All soothing foods are good for settling disturbed Vata. Use foods such as: warm milk, cream, butter, warm soups, stews,
hot cereals, fresh baked bread. Since vata is a cold dry dosha, warm, nourishing foods such as these are good for stabilizing vata.
On the other hand cold foods such as cold salads, iced drinks, raw vegetables and greens are not very good for persons with vata imbalance.
Breakfast is highly recommended. Use hot cereals such as cream of rice or wheat or any other breakfast that is warm,
milky, and sweet.
Take a hot or herbal tea with snacks in the late afternoon.
Avoid drinks with high caffeine as vata gets disturbed by it.
Use spicy foods such as spicy Mexican or Indian foods that are cooked in oil.
Use warm moist foods such as cooked grains and cereals, bowl of hot oatmeal or cup of steaming vegetable soup.
Warm milk is good. You can add a little sugar or honey to it if you prefer. Avoid eating candies as it disturbs vata.
Prefer salted nuts that are heavy and oily as opposed to dry salty snacks.
All sweet fruits are Ok for vata. Avoid unripe fruits as they are astringent
Take warm or hot water instead of ice water and drinks.
Summary: Breakfast is usually desirable. Hot foods and sweet and sour tastes. Reduce dry foods and bitter tastes. Warm or hot water and drinks. Raw nuts and nut butters. Spices: cinnamon, cardamom, cumin, ginger, cloves in moderation.
SAMA VATA
When VataDosha is associated with ama it is called SamaVata. The pathological character and presentation of symptoms vary with those of aggravation of ‘only vayu’ when vayu is associated with ama. This association of Vata takes place with vitiated Vata. To treat this Vata, the ama should be tackled at first.
Ama – Ama is a product of agnimandhya (sluggish digestion or low fire in gut) and consequent ajeerna (indigestion). When the digestive fire is weak, it leads to sluggish digestion, this leads to indigestion. Here, the food is improperly or inadequately processed in the stomach. The essence of this improperly digested food is called ama. This ama is sent into circulation. It reaches all the cells of the body.
By the virtue of its sticky nature, ama tends to block or clog the channels of the body and deplete the body of its nutrients and vital components needed to build selves. This will lead to series of tissue and organ damage in due course of time and lead to many diseases.
SAMAVATA – A DEADLY COMBINATION OF AMA AND VATA
Vata, when vitiated tends to seriously damage the body, most times in an irrecoverable way. Ama is a toxin and bi-product of sluggish metabolism and it too can independently damage the body components and impair functions in a serious way. One can guess what could happen when these two lethal components combine and jointly damage the system!!
SYMPTOMS OF SAMAVATA
SYMPTOMS OF SAMAVAYU:
Vibandha – constipation
Agni sadana – sluggish metabolism, indigestion
Tandra – sleepiness, drowsiness,
Staimitya – feeling as if covered by wet cloth
Gourava – heaviness of the body
Antra kujana – sounds in the tummy
Vedana – pains all over the body
Shopha – swelling
Nistoda – pricking pain
Kramashoanganipeedayan – the body parts will be gradually afflicted by pain, swelling etc symptoms mentioned above
Snigdhata – unctuousness of the body
Arochaka – anorexia
Alasya – lethargy, weakness, laziness
Shaitya – feeling of cold
Agni hani – loss of digestive power
Vicharetyugapat cha api – when the ama and vata association becomes strong, they get more vitiated and travel all over the body and produce painful conditions wherever they happen to settle, damaging the tissues and organs in the process
Snehadhyaihivriddhimapnoti – gets aggravated on use of sneha (oil or ghee) for external (massage etc) or internal (oral consumption) use
Surya meghodayenishivriddhimapnoti – gets aggravated early in morning (sun-rise), cloudy climate and night
Katurukshaabhilasha – affinity towards consuming pungent and dry foods
SYMPTOMS OF NIRAMA VAYU:
Vishada – clear, brings about clarity and dryness of mouth, skin etc
Ruksha – dry, brings about dryness of mouth skin etc
Nirvibandha – absence of constipation or blocks in the body
Alpavedana – less, negligible or feeble pain
Vipareetagunaihishantim – gets pacified by antagonistic qualities like snigdha (oiliness, unctuousness), ushna (hot) etc
TREATMENT OF SAMA VATA
The association of ama with Vayu should be broken by the administration of deepana (fire kindling medicines or medicines which enhance the appetite and enhance the digestion capacity, correct metabolic process in presence of sluggish digestion) and Pachana or AmaPachanadravyas (medicines which digest and expel ama).
When ama loses its association with Vata, it will be called NiramaVata. Though the pathological element in the form of ama has been separated from Vata, the free vata is still pathological, since it is also in vitiated form. This Vata should be handled by the administration of vatanulomana (vata alleviating or expelling treatments and medicines) treatments.
PITTA DOSHA
Pitta is a force created by the dynamic interplay of water and fire. These forces represent transformation. They cannot change into each other, but they modulate or control each other and are vitally required for the life processes to occur. (For example, too much fire and too little water will result in the boiling away of the water. Too much water will result in the fire being put out.)
Pitta governs digestion, absorption, assimilation, nutrition, metabolism, body temperature, skin coloration, the luster of the eyes, intelligence, and understanding. Psychologically, pitta arouses anger, hate, and jealousy. The small intestine, stomach, sweat glands, blood, fat, eyes, and skin are the seats of Pitta.
Dosha Related Elements -Pitta Fire and Water
CHARACTERISTICS OF PITTA TYPES
Here are some of the common characteristics of people who have a predominantly Pitta body type.
Medium physique, strong, well-built ,Sharp mind, good concentration powers , Orderly, focused Assertive, self-confident, and entrepreneurial at their best; aggressive, demanding, pushy when out of balance Competitive, enjoy challenges
Passionate and romantic; sexually have more vigor and endurance than Vatas, but less than Kaphas Strong digestion, strong appetite; get irritated if they have to miss or wait for a meal Like to be in command When under stress, Pittas become irritated and angry Skin fair or reddish, often with freckles; sunburns easily
Hair usually fine and straight, tending toward blond or red, typically turns gray early; tendency toward baldness or thinning hair
Uncomfortable in sun or hot weather; heat makes them very tired Perspire a lot Others may find them stubborn, pushy, opinionated
Good public speakers; also capable of sharp, sarcastic, cutting speech
Generally good management and leadership ability, but can become authoritarian Like to spend money, surround themselves with beautiful objects
Subject to temper tantrums, impatience, and anger
Typical physical problems include rashes or inflammations of the skin, acne, boils, skin cancer, ulcers, heartburn, acid stomach, hot sensations in the stomach or intestines, insomnia, bloodshot or burning eyes and other vision problems, anemia, jaundice.
Physical Features
These people are of medium height, are slender and body frame may be delicate.
Their chests are not as flat as those of vata people and they show a medium prominence of veins and muscle tendons. The bones are not as prominent as in the vata individual. Muscle development is moderate.
The pitta complexion may be coppery, yellowish, reddish or fair. The skin is soft,warm and less wrinkled than vata skin. The hair is thin, silky, red or brownish and there is a tendency toward premature graying of hair and hair loss. The eyes may
be gray, green or cooper-brown and sharp: the eyeballs will be of medium prominence. The nails are soft. The shape of the
nose is sharp and the tip tends to be reddish.
Physiologically, these people have a strong metabolism, good digestion and resulting strong appetites. The person of pitta constitution usually takes large quantities of food and liquid. Pitta types have a natural craving for sweet, bitter and astringent tastes and enjoy cold drinks. Their sleep is of medium duration but uninterrupted. They produce a large
volume of urine and the feces are yellowish, liquid, soft and plentiful. There is a tendency toward excessive perspiring. The body temperature may run slightly high and hands and feet will tend to be warm. Pitta people do not tolerate sunlight, heat or hard work well.
Psychologically, pitta people have a good power of comprehension; they are very intelligent and sharp and tend to be good orators. They have emotional tendencies toward hate, anger and jealousy.
They are ambitious people who generally like to be leaders. Pitta people appreciate material prosperity and they tend to be moderately well-off financially. They enjoy exhibiting their wealth and luxurious possessions.
Signs of Pitta Dosha Imbalance:
Angry, Irritable
Hostile, Enraged, Destructive
Impatient
Critical of self and others
Argumentative, Aggressive
Bossy, controlling
Frustrated, Willful, Reckless
Acidity, heartburn, Stomach ulcer
Fitful sleep, Disturbing dreams
Diarrhea, Food allergies
Bad breath, Sour body odor
Very sensitive to heat, Hot flashes
Skin rashes
Boils
Bloodshot eyes
Acne
Weakness due to low blood sugar
Fevers, Night sweats
When you experience symptoms such as, excessive body heat, digestive problems, a tendency to be hostile or angry and controlling, impatience, a tendency to exert excessive effort to achieve goals, vision difficulties, and being prone to make errors in judgment because of mental confusion or because passion or emotion blurs powers of intellectual discernment, there is a good possibility that you are suffering from pitta imbalance.
Indications of balanced pitta influences are strong powers of digestion, vitality, goal-setting inclinations, good problem-solving skills, keen powers of intelligence, decisiveness, boldness and courage, and a bright complexion.
PITTA DOSHA VRIDDHI CHIKITSA
1. Virechan & Raktmokshan
2. Sheeta pradeha, Pariseka * Abhyanga
3. Madhur-Tikta, Kasaya rasa pradhan & Sheeta dravya sevana
4. Ksheer & ghrita prayoga
5. Pitta samak dravya prayoga - Chandan, Heebera, Mukta, Praval etc.
General Tips on Health and Wellness For Pitta Types
Pitta constitutions will be upset by alcohol and cigarettes, as well as by overwork, overexertion, and overheating. When out of balance, they are susceptible to feeling such negative emotions as hostility, hatred, intolerance, and jealousy. Therefore it is very important for Pittas to keep cool (literally and figuratively) and to lead a pure and moderate lifestyle. Choose foods, attitudes, behaviors, personal relationships, and environmental circumstances which can be instrumental in balancing pitta characteristics.
Because sweet, bitter, and astringent tastes decrease pitta influences, include these in your food plan if pitta characteristics are too pronounced. Complex carbohydrates, milk, and some fruits are sweet; some green, leafy vegetables are bitter; beans and some green vegetables are astringent.
Do things that cool the mind, emotions, and body. Avoid conflicts. Cultivate the virtues of honesty, morality, kindness, generosity, and self-control.
A Food Plan to Balance Pitta Dosha
These guidelines can be used for pitta mind-body constitutions, to maintain dosha balance and to restore balance if necessary regardless of the basic constitution. Pitta influences digestion and metabolism, body temperature, and biological transformations.
Favor
Cool or warm but not steaming hot foods Bitter, sweet, and astringent tastes
As far as practical use less butter and added fat. Consume food with moderately heavy textures.
Since Pittas have strong efficient digestion, they can generally eat just about everything. Most Pittas get into trouble by
continued use of too much salt, overuse of sour and spicy food and overeating.
Take cool, refreshing food in summer. Reduce the consumption of salt, oil, and spices, all of which are "heating" to the body. Salads are good, so is milk and ice cream. Avoid pickles, yogurt, sour cream, and cheese. Avoid vinegar in salad
dressing; use lemon juice instead. Alcoholic and fermented foods should be avoided. Their sour Rasa aggravates Pitta. Coffee is also pitta aggravating due to the acid in coffee. Herb tea is good. Prefer mint, licorice root or other
pitta pacifying tea.
Breakfast: Cold cereals, cinnamon toast, and apple tea is a good breakfast for Pitta. Avoid coffee, orange juice and doughnuts - they aggravate pitta.
The vegetarian foods are the best for pitta. Consuming red meattend to heat the body from the fat. Consume abundant amounts of milk, grains and vegetables.
Avoid oily, hot, salty, and heavy foods such as fried food. Instead consume starchy foods such as vegetables, grains and beans. Avoid the tendency to overeat under stress.
Avoid processed and fast foods as they tend to be heavy on salt and sour tastes. Japanese and Chinese food are good choices. Avoid highly spicy food such as is found in Mexican restaurants.
To bring down aggravated Pitta, take two teaspoons of ghee (clarified butter) in a glass of warm milk. (Avoid taking the ghee if you have problem with high cholesterol).
Summary
Avoid egg yolks, nuts, hot spices, honey, and hot drinks. Cool foods and drinks are better. Add sweet, bitter, and astringent tastes. Reduce use of sour tastes. Spices: black pepper, coriander, and cardamom.
SAMA PITTA
Pitta dosha can be aggravated in association with ama. This condition is called Sama Pitta. When Pitta is not associated with ama, it is called Nirama Pitta.
Pitta alone can cause diseases when it gets vitiated. Such diseases we call as prakupita pitta janyavyadhis or pittaja diseases. This condition is totally different from saama pitta i.e. pitta associated with toxins derived from improper digestion of food.
NEED FOR KNOWING SAAM AND NIRAM PITTA CONDITIONS
It is very essential for a physician to know about the saam and niraam conditions of pitta because in spite of both being morbid stages will differ in terms of their pathological presentation and treatment when compared to the vitiated pitta. The knowledge will help the physician to differentiate saama pitta from vitiated pitta and hence make appropriate treatment choices.
SYMPTOMS OF SAAMA PITTA
Durgandham – foul smelling due to association with ama
Haritam – pitta gains greenish color
Shyavam – appearance of blackish or bluish black color in pitta
Amlam – pitta acquires sour taste
Ghanam – pitta becomes denser and stable i.e. when placed over the surface of water saama pitta doesn’t float on it
Guru – heaviness develops in pitta in contrast to its light nature
Amlika – manifestation of sour belching
Kanthadahakaram – causes burning sensation in the throat
Hriddahakaram – causes burning sensation in the cardiac region
SYMPTOMS OF NIRAMA PITTA
Tamra – pitta acquires coppery color
Peeta – pitta acquires yellow color
Atiushnam – manifestation of excessive heat
Katuka rasa – pitta acquires bitter taste
Asthiram – pitta is unstable i.e. breaks into fragments and scatters on water
Vigandhi – absence of foul smell in pitta
Ruchipradam – enhances taste in food
Paktipradam – enhances digestion capacity of an individual by kindling the digestive fire
Balapradam – increases strength and immunity of an individual
TRETMENT OF SAMA PITTA
The principle of treating pitta associated with ama lay in separating the vicious combination of ama and pitta. Though therapeutic Virechana (purgation) is the chief treatment for morbid pitta, purgation should not be directly administered in this condition. If therapeutic purgation is administered it cannot expel the pitta from the body because the pitta associated with the endo-toxins have adhered to the walls of the cells, tissues and channels of the body owing to the sticky nature of ama.
The purgation therapy administered will try to pull this adhered pitta from the tissues and channels and in doing so will damage those structures and components of the body. This will eventually lead to many complications and may even cause death of the patient.
Pachana – Therefore initially ama digestive medicines should be administered in this pathological condition. These medicines owing to their pungent and bitter tastes, hot quality and potency, hot after-digestion effect, would digest ama and eventually separate it from the pitta association. At the same time these medicines would detach the ama from the walls of tissues and channels and prepare them to be expelled.
Agni deepana – medicines which kindle the digestive fire should also be administered to rectify the digestion process and metabolism. With this the digestive fire will gain strength and will digest the food properly, in such a way that ama would not be formed in future.
Snehana, Swedana and Shodhana – after separation of ama, internal consumption of medicated ghee are administered followed by sudation therapy. This will liquefy and mobilize the pitta towards the stomach. From here, the pitta should be eliminated by administering medicated purgation.
KAPHA DOSHA
Kapha is the conceptual equilibrium of water and earth. Kapha is structure and lubrication. One can visualize the Kapha force as the stirring force to keep the water and earth from separating. For example, if we take a pot, fill it to the half with water and then add sand to it, the sand will gradually sink to the bottom of the pot. (It separates from the water). The only way to keep the sand in equilibrium with the water is by stirring the mixture continuously. The Kapha force can be visualized as this stirring force in our body.
Kapha cements the elements in the body, providing the material for physical structure. This dosha maintains body resistance. Water is the main constituent of kapha, and this bodily water is responsible physiologically for biological strength and natural tissue resistance in the body. Kapha lubricates the joints; provides moisture to the skin; helps to heal wounds; fills the spaces in the body; gives biological strength, vigor and stability; supports memory retention; gives energy to the heart and lungs, and maintains immunity. Kapha is present in the chest, throat, head, sinuses, nose, mouth, stomach, joints, cytoplasm, plasma, and in the liquid secretions of the body such as mucus. Psychologically, kapha is responsible for the emotions of attachment, greed, and long-standing envy. It is also expressed in tendencies toward calmness, forgiveness, and love. The chest is the seat of kapha.
Dosha Related Elements -Kapha Water and Earth
CHARACTERISTICS OF KAPHA TYPES
Here are some of the common characteristics of people who have a predominantly Kapha constitution.
Easygoing, relaxed, slow-paced
Affectionate and loving
Forgiving, compassionate, nonjudgmental nature Stable and reliable; faithful
Physically strong and with a sturdy, heavier build
Have the most energy of all constitutions, but it is steady and enduring, not explosive
Slow moving and graceful
Slow speech, reflecting a deliberate thought process
Slower to learn, but never forgets; outstanding long-term memory
Soft hair and skin; tendency to have large "soft" eyes and a low, soft voice
Tend toward being overweight; may also suffer from sluggish digestion
Prone to heavy, oppressive depressions
More self-sufficient, need less outward stimulation than do the other types A mild, gentle, and essentially undemanding approach to life
Sexually Kaphas are the slowest to be aroused, but they also have the most endurance
Excellent health, strong resistance to disease
Slow to anger; strive to maintain harmony and peace in their surroundings
Not easily upset and can be a point of stability for others
Tend to be possessive and hold on to things, people, money; good savers.
Don't like cold, damp weather
Physical problems include colds and congestion, sinus headaches, respiratory problems including asthma and wheezing, hay fever, allergies, and atherosclerosis (hardening of the arteries).
Physical Features
People of kapha constitution have well-developed bodies. There is, however, a strong tendency for these individuals to carry excess weight. Their chests are expanded and broad. The veins and tendons of kapha people are not obvious
because of their thick skin and their muscle development is good. The bones are not prominent.
Their complexions are fair and bright. The skin is soft, lustrous and oily, it is also cold and pale.
The hair is thick, dark, soft and wavy. The eyes are dense and black or blue: the white of the eye is generally very white, large and attractive.
Physiologically, kapha people have regular appetites. Due to slow digestion, they tend to consume less food. They crave pungent, bitter and astringent foods. Stools are soft and may be pale in color: evacuation is slow. Their perspiration is moderate. Sleep is sound and prolonged. There is a strong vital capacity evidenced by good stamina, and kapha people are generally healthy, happy and peaceful.
Psychologically, they tend to be tolerant, calm, forgiving and loving: however, they also exhibit traits of greed, attachment, envy and possessiveness.
Their comprehension is slow but definite: once they understand something, that knowledge is retained.
Kapha people tend to be wealthy. They earn money and are good at holding on to it.
Signs of Kapha Dosha Imbalance:
Sluggish thinking, Dull thinking
Groggy all day
Apathetic, no desire
Depressed, Sad, Sentimental
Slow to comprehend, Slow to react
Procrastinating, Lethargy
Clingy, hanging on to people and ideas
Greedy, Possessive, Materialistic
Sleeping too much
Very tired in the morning, hard to get out of bed
Drowsy or groggy during the day
Weight gain, obesity
Mucus and congestion in the chest or throat
Mucus and congestion in the nose or sinuses
Nausea
Diabetes
Hay fever
Pale, cool, clammy skin
Edema, water retention, Bloated feeling
Sluggish digestion, food "just sits" in the stomach
High cholesterol
Aching joints or heavy limbs
When you experience symptoms such as nausea, lethargy, a feeling of heaviness, chills, looseness of the limbs, coughing, mucus discharges, breathing difficulties, and a tendency to sleep too much, you may be suffering from Kapha imbalance. Other symptoms can be inertia, congestion, stagnation, and circulation problems. There may be a tendency toward obesity. Boredom, laziness, and mental dullness may be present.
Indications of balanced kapha influences are physical strength, a strong immune system, serenity, mental resolve, rational thinking, ability to conserve and use personal resources, endurance, and adaptability.
KAPHA DOSHA VRIDDHI CHIKITSA
1. Svedana, Vamana & sirovirechana karma
2. Tikshna virechana prayoga
3. Akash, vayu & agni mahabhuta pradhan dravya prayoga
4. Katu-Tikta-Kasaya,Tikshna, Ushna, Ruksha, guna dravya sevana
5. Vyayama, Ruksha Udhvartana
5. Panchkol, Triphala, Valli panchmula dravya prayoga
General Tips on Health and Wellness For Kapha Types
Kapha's are prone to lethargy, sluggishness, depression, and overweight, Kaphas need activity and stimulation. Daily exercise is more important for them than for any other type. Getting out of the house and actively seeking new experiences is also valuable. Be receptive to useful change, renounce impediments to progress, be intentional in implementing life-enhancing actions, and choose foods, mental attitudes, behaviors, exercise routines, and relationships and environmental circumstances which can be instrumental in balancing kapha characteristics.
Pungent, bitter, and astringent tastes decrease kapha influences. Black pepper, ginger, cumin, chili, and some other spices provide the pungent taste; bitter is provided by some green leafy vegetables; and some green vegetables and beans provide the astringent taste. Note that the taste that decreases a dosha usually increases one or both of the other two. For general purposes, mildly increase the proportion of foods which are helpful while somewhat decreasing the proportions of others-having a sampling of all six tastes at your major meal.
Meditation can be more intensive for kapha constitutions than for vata or pitta constitutions. Schedule time every day for prayer and meditation.
A Food Plan to Balance Kapha Dosha
These guidelines can be used for kapha mind-body constitutions, to maintain dosha balance, and to restore balance if necessary, regardless of the basic constitution.
Kapha influences the heavy, moist aspects of the body.
What kind of Food to Eat to Balance Kapha
Warm, light food
Dry food, cooked without much water, minimum of butter, oil and sugar
Stimulating foods with pungent, bitter, and astringent tastes
Kaphas need to watch the consumption of too much sweet foods or fatty foods. Keep an eye on the salt consumption also, which tend to result in fluid retention in Kaphas.
Light meals are to be favored such as light breakfast and dinner.
Avoid deep fried foods. Eat lightly cooked foods or raw fruits and vegetables. Eat spicy, bitter and astringent foods. Watch out for eating too much food, a typical kapha tendency.
Select hot food over cold food whenever feasible. Dry cooking methods (baking, broiling, grilling, sautéing) are preferable for kaphas over moist cooking such as steaming, boiling or poaching.
As an appetizer eat bitter or pungent foods instead of salty or sour.
Foods such as romaine lettuce, endive, or tonic water are good to stimulate your appetite.
Take ginger tea or a pinch or ginger to stimulate appetite. Other preferred spices are cumin, fenugreek, sesame seed and turmeric.
Any food that is spicy is good for kaphas such as very hot Mexican or Indian food, especially in winter.
Foods that are good for kapha breakfast are hot spiced cider, buckwheat pancakes with apple butter, corn muffins, and bitter cocoa made with skim milk and a touch of honey. Avoid cold cereals, cold juice or milk, and sugary pastries.
Bacon and sausage aggravates kapha due to their salt and oil. Forkapha types, breakfast is optional. (You may skip it if you like).
To pep you up in the morning, take honey, hot water, lemon juice and ginger. Try hot ginger tea. Try skipping a meal or two and take a spoonful of honey in hot water to keep you going.
Kaphas have a sweet tooth. So, cutting down on sugar is difficult for many of them.
Cutting sugar is recommended. Take honey instead. Avoid taking more than a spoonful of honey a day.
Don't overindulge on dairy foods. Butter, ice cream, and cheese are among the worst foods you can take as it aggravates the kapha. Take warm low fat milk. Avoid hamburgers and milk shakes.
Eat raw fruits, vegetables and salads.
Watch out the restaurant foods, especially oily, salty, sweet or deep fried foods - these are all kapha aggravating. Eat salad with minimum salad dressing. Take a glass of hot water instead of ice water. Eat salad instead of soup especially in hot weather.
Summary
Breakfast is usually not necessary. Avoid sugar, fats, dairy products, and salt. Ghee and oils only in small amounts. Choose light, dry foods. The main meal should be at the middle of the day, and only a light, dry meal in the evening. Avoid cold foods and drinks. Reduce use of sweet, sour, and salty tastes. Pungent, astringent, and bitter tastes are all right. All spices.
SAMA KAPHA
Ama is the product of altered digestion and metabolism. When Ama is associated with Kapha is called Samakapha. When Kapha is not associated with Ama, it is called NiramaKapha.
It is very essential for a physician to know about the saama and niraamakapha. Vitiated kapha and saama-niraamakapha, both are morbid stages but will differ in terms of pathological presentation and treatment. The knowledge of these different pathological state of kapha will help the physician to deferentially diagnose vitiated kapha conditions from saamakapha conditions and also to treat them skillfully.
SYMPTOMS OF SAAMA KAPHA
Aavila – kapha associated with ama is dirty in appearance
Tantula – string or thread like structures are seen in kapha
Styaana – kapha associated with ama is thick in appearance
KanthaDesheAvatishtate – gets adhered to the throat, becomes difficult to expel the phlegm stuck within the throat
Durgandha – it acquires foul smell
Kshudvighaatakrit – reduces appetite
Udgaaravighaatakrit – obstructs belching, though there is urge for belching the ama associated with immature food juices doesn’t allow its manifestation
SYMPTOMS OF NIRAAMA KAPHA
Phenavaan – kapha is frothy in nature
Pindita – kapha appears like a lump being accumulated in the form of thick and condensed mass
Pandu – kapha appears pale in color
Nisaara – semi-solid and tends to flow
Agandha – devoid of any type of odor
Chedavaan – easily gets separated
VaktraShuddhikrit – it keeps the throat clear i.e. it doesn’t stick to the throat
TREATMENT OF SAMA KAPHA
The main strategy in treating the pathological condition of kapha associated with ama lay in separating the vicious combination of kapha and ama.
Therapeutic emesis is the main treatment of choice to expel morbid kapha. Still, in the condition of kapha associated with ama, vomiting therapy should not be directly given as first choice.
In saamakapha conditions, the kapha associated with endo-toxins have adhered to the walls of the tissues and channels of the body owing to the sticky nature of ama as well as kapha since both share similar properties. In such condition if therapeutic emesis is administrated, it cannot expel the kapha from the body since it is not easy to expel the doshas which are sticking to the body components.
If emesis is forcibly administered, the therapy will try to forcibly pull this adhered kapha from the tissues and channels of the body. While doing so, the vomiting therapy will cause damage to the structures and components of the body instead of helping in the recovery process, i.e. emesis doesn’t work therapeutically. This will lead to many complications including the death of the patient.
AmaPachana – Initially ama digestive medicines should be administered in treating the kapha associated with ama. The medicines used for pachana or ama digestive treatment are pungent and bitter in taste; possess hot and intense qualities and potency, and pungent post-digestion effect. These properties of pachana would help in digesting and liquefying ama and eventually will separate it from the kapha association. The medicines on the other hand would detach and separate the ama from the walls of tissues and channels and thus prepare them to be expelled from the body.
Agni deepana – The digestive fire should be corrected and brought to normal terms while treating these conditions. The herbs and medicines which kindle the metabolic fire should be administered. As an effect of these medicines the digestive fire will gain strength. It will regain the capacity to digest the food properly. When the food gets digested properly by the digestive fire, ama is not formed in future.
Snehana, Swedana and Shodhana – Oleation therapy should be administered following the separation of ama with the help of ama destroying and fire kindling treatments as mentioned above. For oleation, the person should be administered with medicated ghee for oral consumption. Following oleation, sweat inducing treatments should be administered. Oleation and sweating together will help in liquefying and mobilizing the morbid kapha towards stomach. From the stomach, the kapha should be eliminated by the administration of therapeutic emesis.
INTRODUCTION
‘Dhatu’ word is derived from ‘Dhru’ root word of Sanskrit.
That which does Dharana (holding together) is Dhatu.
So, all Dhatus make the body and hold the body together.
As per modern science, the description of human body starts with cells. A group of cells form the tissues, a group of tissues form an organ, a group of organ forms system and a group of system is the human body.
For example, Cardiac cells form heart muscles. Heart muscles form the heart organ. Heart organ with veins and arteries form the circulatory system. Circulatory system along with other systems such as respiratory system, digestive system etc constitute our body.
But Ayurveda explains human body in a different way. It explains human body by the 3 controlling energies – Vata, Pitta and Kapha. These are called Tridosha. These Doshas control all the tissues of the body. So, the Doshas, working on tissues form the human body. These tissues are known as Dhatus.
Importance of knowing Dhatus
• Dhatus are the strata or base for Doshas to show Dosha action.
• As per Ayurveda, Dosha, Dhatu and Mala (waste products) form the root – Moola of the body.
• Organs – such as liver, stomach, intestine, etc are just the place in which Dhatus are formed.
• Doshas – when imbalanced, get lodged in Dhatus. Imbalanced Dosha -> imbalanced Dhatu -> Disease process.
7 BODY TISSUES – SAPTADHATU
• Rasa – essence part soon after digestion / blood plasma / lymph
• Rakta – blood tissue
• Mamsa – muscle tissue
• Meda – fat tissue
• Asthi – bone tissue
• Majja – bone marrow (anything within a bone)
• Shukra – reproductive system (male and female)
DIGESTION AND NOURISHMENT
DHATU NOURISHMENT
Each Dhatu nourishes the next Dhatu
• Food -> Rasa (essence of food)
• Rasa ->Rakta (blood)
• Rakta ->Mamsa (muscle)
• Mamsa ->Meda (fat)
• Meda ->Asthi (bone)
• Asthi ->Majja (marrow)
• Majja -> Shukra (reproductive system)
Antaragni (internal fire) empowers digestive fire to digest various types of food –
Ashita – eatables
Peeta – liquid foods
Leeda – linctus, jams,
Khadita – masticable foods.
Then the foods are taken to Dhatu level. (level of body tissues – blood, muscle, bone tissue etc). Here, the food is subjected to Dhatuagni – digestive process that converts particular part of food into the native Dhatu. There are seven Dhatu, so seven Dhatuagnis convert respective part of food into body tissue.
The food, thus digested causes
Upachaya – body nourishment, plumpness
Bala – strength and immunity
Varna – skin tone and complexion
Sukha – comfort, good mental health
Ayusha – improves life expectancy.
Thus all the body tissues get well nourished. [3]
NOURISHMENT OF DHATUS
From the Rasa – essence part of food digestion, the successive dhatus –
Rudhira – blood
Mamsa – muscle
Meda – fat tissue
Asthi – bone tissue
Majja – contents inside bone, bone marrow
Shukra – reproductive system get nourished successively.
then all the sense organs, body joints get nourished.
Thus the essence part (Rasa (taste) and waste part (Kitta or Mala) of food nourishes the body tissues and body waste products respectively and thus the proper portions of tissues and waste products are maintained in balance, according to the size and shape of the body.
Due to certain causes, the tissue elements may get Kshaya (depletion) or Vruddhi (excessive increase). Similarly, even the waste products can undergo Kshaya or Vruddhi,the right amount of food, with correct opposing qualities of hot and cold, causes re-balancing of this increase / decrease.
UPADHATUS
• Breast milk (Stanya)and menstrual blood (Arthava) are formed out of Rasa
• Kandara (tendons) and vessels (Sira) are formed out of Rakta
• Vasa (muscle fat) and 6 layers of skin are formed out of Mamsa and
Snayus (sinew / ligament) are formed out of medo-dhatu.
DHATU MALA
1. Anna (food) yields stool and urine as waste products
2. Rasa Dhatu yields Kapha (phlegm) as waste products
3. Rakta (blood) gives out pitta (bile of liver)
4. Mamsa (muscle tissue) kha-mala (waste products excreted from the cavities like ears, eyes, nose, mouth and genital organs)
5. Medas (fat tissue) – sweat
6. Asthi (bone) – kesha (hair) and loma ( small hair / body hairs)
7. Majja (bone-marrow) the unctuous substance present in the eyes, stool and skin
Nutrient fraction and waste products – these 2 categories of products arise out of DhatuPaka (digestion at the level of tissues.)
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INTRODUCTION
Rasa is the first tissue formed in the sequence of tissue formation as explained in Ayurvedic texts. It is formed immediately and directly from the food juices formed after the digestion of the food. The tissues are formed one after the other and one from the other according to the concepts explained in Ayurveda pertaining to chronology of tissue formation.
If RasDhatu is properly formed in terms of its quality and quantity, the successive tissues too will be formed in a proper and healthy way.
The Rasa is produced soon after digestion. It is the essence part of the food that circulates all over the body and nourishes all the body tissues. It is grossly compared to plasma part of blood. Its basic function is Preenana – to nourish all the body tissues.
It is controlled by KaphaDosha. Usually KaphaDosha increase causes increase of Rasa Dhatu and Kapha decrease leads to Rasa dhatu decrease.
After completion of digestion process, the food is divided into essence part and waste part. The essence part is called as Rasa Dhatu. It is the nourishing fluid, which circulates all over the body and nourishes all the body parts. The nourishing action is brought about by Kapha.
• This is the first tissue to get nourished
• It constantly circulates in the body
• It is formed in 24 hrs.
• The main function of rasa dhatu is nourishment so that the other 6 dhatus can be formed accordingly
• The essence part of food – entering into blood stream, from Gastro intestinal tract = Rasa Dhatu
• It circulates all over the body by the pumping of heart. (VyanaVata).
RASA DHATU KSHAYA
Rasa is the first tissue that is formed as a result of food digestion. After food is digested, the essence part of the food is called as Rasa dhatu. Some compare this with blood plasma.
Rasa dhatu and Kaphadosha are directly connected. Increase or decrease of Kaphadosha directly causes the same in Rasa Dhatu.
Decrease of Rasa dhatu indicates dehydration, and lack of nutrients.
The symptoms are –
Ghattate -patient becomes restless,
SahateShabdam Na – he does not stand loud sounds, becomes intolerant;
Hrudrava – palpitation,
HrudayamTamyatiAlpaCheshtasyaApi – cardiac pain, exhaustion even with the slightest exertion.
All these symptoms can be correlated with the symptoms of dehydration / lack of nutrition.
SAAMA RASA LAKSHANA
Saama Rasa Lakshanas – Ama mixed with nutritious part of food, in blood circulation
Symptoms of lymph or plasma associated with immature juices of food derived due to bad digestion include – lack of interest in food, anorexia, nausea, heaviness of the body, anemia, fever, premature graying of hairs, emaciation etc
RASA PRADOSHAJA ROGA
When Rasa is contaminated by doshas or by ama, it causes many diseases. These diseases are called RasPradoshajVkaras.
Below enlisted are the diseases caused by contaminated Rasa tissue –
Ashraddha – loss of interest towards taking food
Aruchi / Arochaka – tastelessness, anorexia
Avipaka – indigestion of food
Aasyavairasya – manifestation of opposite tastes, i.e. when food of one taste is taken it is actually perceived as some other taste, example – when sweet taste is consumed it tastes bitter or salty
Arasagnataa – not able to perceive taste of the food in its actual sense
Hrillasa – nausea
Gouravam – heaviness of the body parts
Trupti – early satiety even before adequate quantity of food is consumed
Tandra – drowsiness
Angamarda – pain in the body parts as if someone has beaten
Jwara – fever
Tama – feel as if one is entering into the darkness
Pandutvam – pallor, anemia due to the improper formation of blood tissue which is the second in the series to be formed after Rasa
HritRoga – heart diseases
Srotasaamrodaha / Margoparodha – obstruction in the channels of the body
Klaibyam – impotence
Angasaada / Saada – weakness of the body parts
Krushangata / Kaarshya – emaciation of the body parts
Naashoagnehe – deterioration of digestive fire
Ayathakalavali – premature wrinkling of skin
Ayathakalapalita – premature graying of hairs
IMPORTANT POINT
Simultaneous contamination of rasa, kapha and ama in rasa pradosha – Most of the symptoms of rasa pradoshaja diseases resemble the kaphaincrease symptoms. This is because rasa is a tissue which belongs to the kapha category of body elements and both these share ashrayaashrayi relationship i.e. among many tissues in which kapha resides, rasa is one. Contamination of rasa will also increase kapha located in rasa. Both these elements will contaminate each other. Therefore the symptoms like slow digestion, heaviness of the body, indigestion, early satiety, weakness, lethargy, drowsiness etc are manifested. The same symptoms are also the symptoms of formation of ama.
Contamination of rasa and disturbance of digestion process takes place interchangeably, cyclically and in the form of feedback mechanism – Most of the symptoms like anorexia, indigestion, lack of interest in food, feeling opposite tastes or not feeling taste of food at all, nausea, heaviness of the body, feeling of early satiety, all these point towards the slowing down of digestive mechanism in the stomach and subsequent formation of ama.
This leads to contamination of rasa tissue by ama and kapha, subsequent weakening of the rasa tissue fire and disturbed metabolism within the said tissue. Since the rasa is not converted into the next tissue i.e. blood tissue there is stagnation in the rasa. As a negative feedback there is lack of interest in the food, tastelessness and relative indigestion. This continues as a vicious cycle. Thus, rasa is contaminated following sluggish digestion and in turn the contaminated rasa would lead to metabolic disturbances apart from not forming the subsequent tissues.
Rasa contamination directly related to cardiac disorders – Rasa circulates through heart. Heart is one of the chief roots for rasavahasrotas i.e. channels responsible for carrying rasa. Therefore rasa contamination causes heart diseases.
Contaminated rasa causes blocks in the body leading to many diseases and complications – Rasa contaminated with ama and kapha tends to block the channels and ducts of the body. Due to this the body will be deprived of nutrition and essential components like oxygen etc. this will eventually result in manifestation of body pain, feeling of weakness and darkness in front of the eyes, premature graying and wrinkling, and emaciation.
Rasa Dhatu contamination manifests in the form of fever – Rasa contamination causes indigestion and metabolic disorders of stomach. The fire in the stomach gets displaced to the periphery and causes fever.
Rasa vitiation causes deficit formation of blood and other tissues – Manifestation of anemia points towards the inadequate formation of blood tissue from rasa. Impotence indicates that the subsequent tissues are also not formed.
Rasa vitiation leads to malnutrition and emaciation – Emaciation is a consequence of deficit formation of all the tissues due to contamination of rasa.
Vata and Pitta too may be involved in certain rasa borne diseases – It is not a rule that only kapha contaminates the rasa. When vata contaminates rasa it may cause body pain, weakness, emaciation, untimely wrinkles of skin, impotence, loss of interest in food etc symptoms. Similarly when pitta contaminates rasa, it may cause symptoms like indigestion, premature graying of hairs, heart diseases, pallor, anemia, fever, etc conditions.
INTRODUCTION
It is compared directly with blood and its components. It is formed by receiving the nourishment from Rasa Dhatu. Its main function is Jeevana – enlivening. It is directly related with Pitta Dosha. Pitta Dosha increase leads to Rakta increase and vice versa.
• The name “raktadhatu” indicates the red colour of this tissue. This tissue gets it red colour due to the action of Pitta.
• Rasa Dhatu gets coloured to become RaktaDhatu
• RaktaDhatu is influenced by Pitta Dosha.
• Pitta in good condition = good quality blood tissue.
• The term Rakta implies the liquid that gets nourished by essence part of food, which is the cause for skin complexion, strength and immunity in the body. Ayurveda opines that blood originates from liver and spleen. Hence, blood, Pitta, liver disorders and skin conditions are inter-related.
• Following seasonal and daily regimens of wholesome foods and activities is a basic pre-requisite for healthy blood tissue.
Features of people having normal blood:
• Clarity and uniformity in skin complexion,
Normal functioning of sense organs
unobstructed digestion and bowel evacuation, happiness, contentment, nourishment and strength.
• Blood is responsible for strength and immunity, skin complexion, happiness, comfort and longevity of the individual. It plays a very vital role in the sustenance of Vital force of life.
RAKTA DHATU KSHAYA
Blood tissue gets its nourishment from Rasa Dhatu. Rakta and Pitta are directly related. Increase / decrease of Pitta dosha directly causes the same with blood tissue.
Depletion of blood tissue causes symptoms of anemia, which are explained as –
Parusha – Roughness,
Sphutita – cracks,
Mlana- dullness,
TvakRukshata – skin dryness.
SAAMA RAKTA LAKSHANA
Sama Rakta Dhatu Lakshanas – Ama with blood tissue
Symptoms of blood tissue associated with immature juices of food derived due to bad digestion include – skin diseases, herpes, menorrhagia, spleen enlargement, abscess, pigmentation disorders, gout, piles etc
RAKTA PRADOSHAJA ROGA
Rakta Pradoshaja Rogas – Diseases caused by contaminated Blood tissue
When blood tissue is contaminated by doshas or by ama, it causes many diseases. These diseases are called RaktaPradoshajVikaras.
Blood vitiated disorders are –
Kushta – skin diseases, leprosy
Visarpa – herpes
Raktapitta – bleeding disorders
Asrugdhara – menorrhagia i.e. excessive bleeding during monthly periods in women
Gudapaka – suppuration and inflammation of anus, rectum and lower colon
Medhrapaka – suppuration of penis
Asyapaka – ulcers in the mouth, stomatitis
Pleeha – enlargement of spleen
Gulma – abdominal tumors
Vidradhi – abscesses
Neelikaa – blue colored raised eruptions on the skin of face, cyanosis, blue moles
Kamala – jaundice
Vyanga – freckles
Piplu – port wine mark
Tilakalaka – black moles
Mashaka – painless, hard, elevated mole
Dadru – tinea, ringworm infestation
Charmadala – peeling of skin
Shwitra – leucoderma, vitiligo
Pama – scabies, itching in groin
Kotha – urticaria
Asru mandala – red colored elevated patches over the skin, red colored wheels
Indralupta – circular patchy balding over the scalp, alopecia
Vatashonita – gout arthritis
Arsha – piles
Arbuda – tumors
Angamarda – body pains as if someone has beaten
IMPORTANT POINT
Simultaneous contamination of blood and pitta in blood vitiated disorders – looking carefully, many symptoms mentioned in blood vitiated diseases resemble the symptoms caused due to vitiation of pitta. This happens because blood, according to Ayurveda, belongs to the pitta category of body elements. Blood and pitta are related by ashrayaashrayi relationship i.e. blood is one of the tissues of the body in which pitta resides.
Inflammatory diseases are predominantly seen in Blood vitiated diseases – Blood and Pitta contaminate each other i.e. contamination of blood will increase pitta and vice versa. Due to this, the symptoms and diseases caused by vitiation of blood and pitta predominantly present with inflammation. This is because of increased heat in the body which is the basic nature and quality of both morbid elements involved in causation of pathology of these diseases. Example, eruptions, inflammation of anus, penis and oral cavity, red colored patches, gouty arthritis, piles, body pains etc
Mutual contamination of blood and pitta causes excessive bleeding – as already said pitta and blood mutually contaminate each other. When, due to this their quantity increases, they tend to overflow and cause excessive bleeding from all orifices of the body including anus, oral cavity, nose, eyes, ear, skin pores etc as in Raktapitta and in menorrhagia.
Contaminated and vitiated blood causes wide array of disorders of skin, hairs, hair follicles and skin appendeges – Bhrajaka Pitta is one of the subtypes of pitta and when blood and pita are vitiated this subtype of pitta is affected as much as other type of pittas are affected. The skin immunity is lost along with loss of blood supply or excessive congestion and inflammation in skin and soft tissues leading to the manifestation of skin diseases like leprosy, leucoderma, herpes, scabies, urticaria, peeling of skin red inflammatory patches, scabies, inflammation etc
Contaminated blood gives rise to many types of pigmentation disorders – many pigmentation disorders like freckles, port wine marks, blue moles, black moles, elevated moles etc are manifested due to contamination of ranjaka and bhrajaka subtypes of pitta whose normalcy keeps the skin healthy and in good complexion.
Liver and Spleen disorders are manifested due to blood contamination – liver and spleen are the chief sites of pitta, mainly the ranjaka subtype of pitta. When this pitta is afflicted the spleen and liver are damaged. This leads to diseases like jaundice and enlargement of spleen.
Vata and Kapha too may be involved in certain blood borne diseases – It is not a rule that only pitta contaminates the blood. Vata contamination of blood may take place in diseases like gouty arthritis, skin diseases, herpes, menorrhagia, abdominal tumors, body pains etc. Similarly kapha contaminated blood may cause many diseases like skin diseases, some pigmentation disorders, abscess, tinea, scabies, urticaria etc.
Read related: Raktamokshana Benefits, Types, Procedure, Indications
Contamination of blood gives scope for frequent infections – when the blood is contaminated by pitta and kapha frequent infections of skin and other organs can occur leading to certain types of infective and stubborn inflammatory skin conditions, scabies, ringworm infestations, abscesses etc.
INTRODUCTION
It is compared with muscle tissue. It gets its nourishment from RaktaDhatu. Its main function is Lepana – It gives shape to the body parts and it sticks to the bones, helping in locomotor activities. It is controlled by KaphaDosha.
When the blood tissue is acted upon by normal tissue fire of blood, a part of it is forms blood tissue, another part forms the muscle tissue while ear wax, eye discharges, nasal discharges, oral debris, sebum and smegma are formed as tissue excreta. Along with this, the sub-tissues of muscle tissue i.e. muscle and skin are formed.
The muscle tissue is formed in its optimum quality and quantity only if the previous tissue i.e. blood is properly formed. Therefore the normalcy of blood and its fire is the key for muscle formation, maintenance and equilibrium.
Balanced and normal quantum of muscles is said to be one of the indicators of health and immunity.
Muscle tissue is the third tissue to be formed in the sequence of tissue formation according to Ayurvedic literature. It is formed from its predecessor tissue blood.
Usually Kapha Dosha increase and decrease leads to Mamsa Dhatu increase and decrease respectively.
• Gets nourished by RaktaDhatu.
• Influenced by KaphaDosha.
• It is made up predominantly of the earth element
• Lepana (smearing) is the most important function
• The bulk, strength, composure of muscle tissues is due to KaphaDosha.
Muscle tissues are responsible for
• Locomotion – skeletal muscles
• Heart beat – cardiac muscles
• Functioning of organs such as blood vessel, urinary bladder, kidney, esophagus, stomach, small intestine etc.
MAMSA DHATU KSHAYA
Mamsa Dhatu Kshaya – depletion of muscle tissue –
Muscle tissue gets its nutrition by RaktaDhatu.
Depletion of muscle tissue directly causes weakening of limbs and causes –
Sphik, GreevaUdaraShushkata – emaciation of the buttocks, neck and abdomen.
SAAMA MAMSA LAKSHANA
SAMA MAMSA DHATU LAKSHANAS – AMA WITH MUSCLE TISSUE
Symptoms of muscle tissue associated with immature juices of food derived due to bad digestion include – tumors, muscle overgrowth, neck swellings, lymphadenitis, goiter, etc
MAMSA PRADOSHAJA ROGAS
When muscle tissue is contaminated by doshas or ama, it causes many diseases. These diseases are called Mamsa Pradoshaja Rogas.
Adhimamsa – overgrowth of muscular tissue, granuloma
Arbuda – tumors, myoma
Keela – outward growth of muscles appearing in the shape of nails, piles
Gala shaaluka – granular eruptions within the throat, uvulitis,
Gala shundika – tonsillitis
Putimamsa – gangrene, sloughing of muscle tissue
Alajee – boils in muscle tissue
Galaganda – goiter
Gandamala – swelling of lymph glands around the neck region giving it an appearance of a garland or necklace
Upajihwika – cystic swelling of tongue
MAMSA DHATU TREATMENT
For muscle tissue disorders,
Samshuddhi – Panchakarma purification treatment
Shastrakarma – surgery
Ksharakarma – application of Kshara (water insoluble ash of herbs)
Agnikarma – cautery treatment
IMPORTANT POINTS
Simultaneous vitiation of mamsa and kapha in mamsapradosha leads to muscle outgrowths – muscle tissue and kapha share ashrayaashrayi relationship i.e. muscle tissue is one of the tissues of the body in which kapha is located.
Due to this relationship there is always a chance that kapha and mamsa contaminate each other. When kapha increase add up to the increase of muscle tissue, there may be overgrowth of muscle tissue in many places of the body. Example, granuloma, myoma, piles, goiter, cystic swelling of tongue, enlargement and elongation of uvula etc
Overgrowth of body organs which looks muscular in nature is the characteristic feature of mamsapradosha – muscle tissue vitiated by the morbid doshas will present as bulges which are muscular in appearance and texture. This may occur in any organ or around any tissues, orifices or channels.
This may occur due to accumulation of kapha and ama in the muscle cells or inflammation occurring in the muscle tissue which has been contaminated by pitta.
Example, piles, granuloma, epiglottitis, myoma, elongated uvula etc appear like muscle outgrowths.
Read related: Muscle cramps: Causes, Symptoms, Ayurvedic Treatment, Herbs
Goiter, cervical lymphadenitis, uvulitis, tonsillitis etc are glandular swellings due to inflammation or otherwise are actually not muscular outgrowths, but by touch, appearance and texture they would appear like muscular outgrowths. Therefore they are included under diseases caused by contaminated muscle tissue.
Vata and Pitta too may be involved in certain contaminated muscle borne diseases – Not only the kapha which resides in the muscle tissue but also the vitiated vata and pitta causes many diseases when they contaminate the muscles.
When Vata contaminates the muscles, there is loss of muscle mass and degeneration or weakness and pain in the muscles.
Example, the dry form of piles, granular eruptions in throat etc.
Similarly when the morbid pitta vitiates the muscles it causes inflammation in the muscles and causes many diseases of the muscles including uvulitis, tonsillitis, piles, boils, lymphadenitis, epiglotitis etc.
Excessive contamination of muscles by pitta and kapha will cause decaying of muscles and susceptibility for infection – this happens due to excessive inflammation and accumulation of contaminated fluids in the muscles and soft tissues around it or in muscular compartments.
The inflammation and decay of muscle and related tissues makes them susceptible to infection. This will lead to many conditions like gangrene, decaying of muscle tissue, sloughing of muscle tissue, boils etc.
INTRODUCTION
It is compared to fat tissue. It gets nourished by MamsaDhatu. Its main function is Snehana – lubrication. Its increase and decrease is influenced by KaphaDosha. Hence, Kaphadosha dominant person is usually rich in fat tissue.
• The word “meda” is derived from the Sanskrit word meaning oleation / to apply oil, it is an unctuous dhatu like ghee
• Oily, soft food products undergo digestion and immediately produce meda
• Meda has the following qualities: Unctuousness, softness, heaviness and stability
• It is influenced by KaphaDosha. Hence, Kapha dominant foods increase fat tissue.
Fat tissue / adipose tissue is present
– Subcutaneous layer deep to skin
– Around the heart
– Around the kidneys
– Yellow marrow of the long bones
– Padding around the joints
– Inside the eye-socket, posterior to the eyeball.
• Adipose tissue acts as an insulating layer, helping to reduce heat loss through skin
• It also has a protective function, providing mechanical protection (“padding”) and support around some of the major organs, e.g. kidneys.
• Adipose tissue is also a means of energy storage.
Food that is excess to requirements is converted into fat and stored within adipose tissue in the body.
MedaDhatu means fat tissue. Fat forms insulation to many tissues and organs and thus provides protection from wear and tear. Excessive accumulation of fat tissue in the body tissues and tummy leads to overweight and obesity. Both these conditions are dangerous for health. They are root causes for many systemic and autoimmune diseases.
In a pathological condition called as MedoRoga, it is quoted as ‘Medasaavrutamaargatvaatpushyantianyenadhatavah’ i.e. when the fat obstructs the passages and channels of transportation of the body, other tissues will not be nourished. This leads to abnormal decrease and imbalance of tissues leading to loss of strength and immunity. This provides an ideal platform and backdrop for manifestation of many systemic diseases.
Atisthula i.e. excessively obese person is one among the ashtaninditapurushas i.e. 8 categories of despicable people in the society.
At the same time when the fat deteriorates in the body, the defensive mechanism of the body takes a beating. This leads to emaciation and degeneration of tissues with increased susceptibility for inflammations and degeneration.
Fat tissue is the fourth tissue to be formed in the sequence of tissue formation according to Ayurvedic literature. It is formed from its previous tissue muscle tissue.
When the muscle tissue is acted upon by normal muscle tissue fire of muscle tissue located in the muscle, a part of it forms muscle tissue, and another part forms the fat tissue while sweat is formed as tissue excreta. Along with this the sub-tissues of fat tissue i.e. ligaments, tendons and bone joints are formed.
Read related:
The fat tissue is formed in its best and optimum quantity and quality only if its previous tissue i.e. muscle tissue is properly formed in terms of its quality and quantity. Therefore for the formation, maintenance and balanced status of fat tissue it is very important that the muscle tissue and its health be in best status.
When the fat tissue is contaminated by the doshas or ama it leads to the manifestation of many diseases. These diseases are called medopradoshajarogas.
MEDO DHATU KSHAYA
Fat tissue gets nourishment by MamsaDhatu. Depletion of this causes thinness of the body.
Sandhi sphutana – cracking of the joints,
Glani – Lassitude,
AkshnoAyasa – tired eyes,
Udaratanutva – thinness of the abdomen.
SAAMA MEDA LAKSHANA
Symptoms of fat tissue associated with immature juices of food derived due to bad digestion include – 8 types of despicable, abused personalities, premonitory symptoms of diabetes, cysts, tumors, obesity, excessive sweating, goiter etc.
MEDO PRADOSHAJA ROGAS
Granthi – cysts
Vriddhi – hernia, enlargement of organs and tissues, hydrocele,
Galaganda – goiter
Arbuda – tumor
Medojaoshtakopa – lip disorders caused by contaminated fat tissue
Madhumeha – diabetes, urinary disorders
Atisthoulya – excessive obesity
Atisweda – excessive sweating
Ashta Nindita Purushas – Eight types of despicable people of the society are considered to be the conditions caused by contamination of fat tissue by the doshas. They are –
• Atisthula – excessive obesity
• Atikrisha – excessive emaciation
• Atideergha – gigantism
• Atihrisva – dwarfism
• Atiloma – excessive presence of body hairs
• Aloma – deficit or absence of body hairs
• Ati Krishna – excessively dark complexion
• Atigoura – excessively fair complexion, albinism
Prameha Purvarupas – the premonitory symptoms of diabetes or urinary disorders are also categorized under the diseases caused by contaminated fat tissue. They are as enlisted below –
• Jathilakesha – matting of hairs
• Aasyamaadhurya – feeling of sweet taste in the mouth in spite of not having consumed sweets
• Kara padadaha – burning sensation in the hands and feet
• Kara padasupti – numbness in the hands and feet
• Mukhashosha – dryness in the mouth
• Talushosha – dryness of the palate
• Kanthashosha – dryness of the throat
• Pipaasa – excessive thirst
• Aalasya – excessive tiredness
• Mala adhikya – excessive formation of excreta in the body
• Kaayachidreshuupadeha – coating of fat and blocks in the body tissues, channels and orifices
• Angeshuparidaaha – severe burning sensation in the body parts
• Suptataamangeshu – numbness in the body parts
• Shatpadapipeelikaabhih cha shareeramutraabhisarana – flies and ants will be attracted towards the body and urine
• Mutre cha mutradoshaan – contamination and infection of urine
• Visrashareeragandha – foul smell from the body
• Sarvakaalamnidraa – always feeling to sleep
• Sarvakaalamtandra – always feeling drowsy
IMPORTANT POINTS
Simultaneous vitiation of meda and kapha in medapradosha leads to many systemic disorders – the fat tissue and kapha share ashrayaashrayi relationship i.e. the fat tissue in one of the tissues of the body in which kapha resides.
Being closely related to each other they always tend to contaminate each other i.e. when kapha gets vitiated it contaminates the fat and when the fat tissue contaminates it contaminates kapha. Therefore in comparison to other doshas the fat tissue always is susceptible to be made morbid by the company of vitiated kapha.
Kapha increase will also lead to increase in fat and thus cause many diseases related to fat contamination. Similarly ama is another element which has similar qualities as that of kapha and meda. Therefore ama too can cause fat contamination.
Many kapha related symptoms are seen in medapradosha, like those seen in premonitory symptoms of diabetes like excessive sleep and drowsiness, excessive sweetness in the mouth, matting of hairs and excessive body hairs, gigantism, albinism, excessive tiredness, blocks in cells and channels, etc
Contaminated fat causes abrupt, abnormal and scattered fat deposition in the body – the contaminated fat deposits at abnormal sites and in an abnormal way causing disfiguration due to imbalanced scattering of fat tissue. This causes diseases like fatty lips, overweight, obesity, neck swelling and goiter, lipoma, fatty coating and blocks in cells, orifices and channels of the body etc
Fat contaminated with kapha and pitta causes accumulation of unwanted material, fluids and tissues in the body – and causes certain pathological conditions like cysts, tumors, hydrocele, hernia, urine stagnation, obesity etc.
Contaminated fat when contaminates the excreta causes many diseases related to them – when the contaminated fat vitiates urine it causes urinary infections, excessive formation of urine, retention of urine, urinary disorders, diabetes and premonitory symptoms of diabetes, insects, flies and ants attracted towards the body and urine etc conditions. Similarly when it contaminates the feces it causes excessive formation of feces. Since sweat is the waste byproduct of fat, fat contamination leads to excessive sweating.
Contamination of fat by vata and pitta causes serious symptoms – it is not essential that only kapha should contaminate the fat tissue. Pitta and vata too contaminate fat tissue and cause serious symptoms.
When fat tissue is contaminated by morbid vata, one would have symptoms and diseases like numbness of hands, feet and body parts, dryness of mouth, palate and throat, thirst, excessive tiredness, emaciation, excessive darkening of body, emaciation, deficit hairs on the body etc. similarly contamination of fat tissue by pitta leads to pathological symptoms like burning sensation of hands, albinism, feet and body parts and foul smell from the body.
INTRODUCTION
It is compared to bone tissue. It gets nourished by MedaDhatu. Its main function is Dharana – to hold the body up straight. It is influenced by VataDosha. But VataDosha increase leads to AsthiDhatu decrease and VataDosha decrease leads to AsthiDhatu increase. This is why, in old age, when Vata is increased, bone tissue degeneration occurs.
• This is the hardest and firmest dhatu in the body
• Gets its nourishment from Medadhatu
• It is predominantly made up of Pruthvi Mahabhuta (Pruthvi or Prithvi means “earth”)
• The qualities of this dhatu are strong, rough, dry and hard
• The function of asthi dhatu is “dharana” or support; it keeps the body erect
• All the soft structures like muscle, vessels and nerves are found around this Dhatu
• Asthi dhatu gives shape to the skeletal body and protects vital organs such as the heart, lungs etc.
• Asthi dhatu is the main site of Vata dosha. But increase of Vata decreases AsthiDhatu.
Bones
• Forms the framework of the body
• Locomotion – walking, jogging etc
• Voluntary motions of hands and legs
• Holds the muscles in their place
o Protects body organs –
–skull – brain,
–rib cage – heart and lungs
–Vertebra – spinal cord
Bone tissue is the fifth tissue to be formed in the sequence of tissue formation according to Ayurvedic literature. It is formed from its previous tissue i.e. medadhatu or fat tissue.
When the fat tissue is acted upon by normal tissue fire of fat tissue located in the fat, a part of it forms fat tissue, and another part forms the bone tissue while body hairs and nails are formed as tissue excreta.
If the bone tissue is to be formed in its optimum quality and quantity, its predecessor tissue i.e. fat tissue should have been formed in its best quality and quantity. Hence, for the formation, maintenance and balanced status of bone tissue it is very important that the fat tissue should be at its healthiest best.
When the bone tissue is contaminated by the doshas or ama it leads to the manifestation of many diseases. These diseases are called asthipradoshajarogas.
ASTHI DHATU KSHAYA
As per Ayurveda, bone tissue gets nourishment by fat tissue. This is why, oral administration of oil, ghee etc are advised during osteoporosis, osteo arthritis etc.
Bone tissue is inversely related with VataDosha. This means that, increase of Vatadosha causes depletion of bone tissue and vice versa.
Ayurveda explains that teeth, nail, mustache are also related with bone tissue. Hence, depletion of bone tissue exhibits the following symptoms. –
Kesha, Loma, Nakha, Shmashru, Dvijaprapatana – falling of hair, nails hair of the beard including mustaches and teeth,
Shrama – tiredness,
Sandhi shaithilya – looseness of joints.
SAAMA ASTHI LAKSHANA
Symptoms of bone tissue associated with immature juices of food derived due to bad digestion include – bone overgrowth, tooth overgrowth, bone pain, discoloration, excessive hair fall etc
ASTHI PRADOSHAJA ROGA
Adhyasthi – Hypertrophy of the bones
Adhidanta – excess teeth,
Dantabheda – cracking sensation in the teeth
Asthibheda, Shoola – crackling sensation and pain in bone,
Vivarnata – discoloration of hair
Deformity of hair of head, body hairs, nail as well as beard.
IMPORTANT POINTS
Simultaneous vitiation of asthi and vata in asthipradosha leads to many types of bone related pathologies and malformations – according to the concept of ashrayaashrayi relationship explained in Ayurveda, bone is the only tissue of the body in which vata resides with the authority. As vata and bone tissue are closely related, they always tend to contaminate each other easily i.e. when vata gets contaminated it causes bone related morbidity. Similarly when the bone tissue undergoes pathological increase or decrease it disturbs the vata.
Bone tissue and vata also share reverse relationship unlike other tissues and their related doshas. This means to tell that when vata increases, the bone tissue decreases in quantity and density while when vata decreases; there is an increase in quantity of bone tissue.
When we see the other tissues, their relationship with their related doshas is proportional.
Example, when pitta increases, the blood tissue increases, likewise when kapha increases, its tissues i.e. muscle, fat etc gain increase.
Read related: AsthiShareera – Definition, Anatomy, Types Of Bones
Different types of bone pain, malformations of bone like in superadded bone etc are examples of mutual contamination of bone tissue and vata.
Contamination of bones lead to deformities of its sub-tissues – since body hairs and nails are the sub-tissues of bone tissue, the contamination of bones also leads to deformities of these sub-tissues including deformities and disorders of hairs of the body and nail bed infections and other type of nail deformities.
Read related: Sandhi Shareera: Study of Bone Joints As Per Ayurveda
Contamination of bones will cause deformities and diseases of tooth, nails and skin due to genetic connectivity – all hard tissues of the body are said to be having a paternal lineage i.e. they come from the genes of the father i.e. pitruja bhavas. Thus bones are connected to the hard tissues like hairs, body hairs, nails and tooth genetically.
Therefore pathology in one element will lead to the deformity and pathology in the other.
Example – pain and cracks in tooth, pain and cracks in bones, deformities of body hair, hair and moustache, deformities of tooth etc.
Contamination of bone tissue by pitta will cause various bone related deformities and diseases – Infection of nails and nail bed takes place due to contamination of bones and nails by pitta resulting in inflammation and suppuration. Involvement of vata and pitta will also cause discoloration of tooth and nails.
INTRODUCTION
Majja Dhatu means bone marrow. The bone marrow fills in the bones. It is a site wherein blood cells are formed. Even the brain tissue is called as Mastulunga and is described as bone marrow like substance. Bone marrow, according to Ayurveda is one among the four types of best unctuous substances useful in treating many diseases (the other three unctuous substances are ghee, oil and muscle fat).
Bone marrow is the sixth tissue to be formed in the sequence of tissue formation according to Ayurvedic treatises and literatures. Bone marrow is formed from its predecessor tissue i.e. bone tissue.
When the bone tissue is acted upon by normal bone tissue fire located in the bone, a part of it forms bone tissue and another part forms the bone marrow tissue. On the other hand, the sebaceous secretions of the skin, thick eye secretions and mucus of the feces are formed as tissue wastes.
If the bone marrow tissue is to be formed in its optimum quality and quantity, bone tissue i.e. bone marrow’s previous tissue should have been formed in its best quantity and quality and also should have been maintained in its optimum and healthy levels. Therefore, for the proper formation, maintenance and balance of bone marrow tissue it is mandatory that the bone tissue should be at its healthiest best.
When the bone marrow tissue is contaminated by the doshas or ama it leads to the manifestation of many diseases. These diseases are called majjapradoshajarogas.
• Majja or bone marrow is filled in the cavity of long bones
• Bone tissue nourishes MajjaDhatu.
• It is predominantly made up of water and earth
• The most important function of majja dhatu is “purana” which means to fill the cavities inside the long bones
• MajjaDhatu is controlled by KaphaDosha.
• Bone marrow is present inside the shaft / cavity of long bones
• The major function of bone marrow is to generate red and white blood cells.
• Bone marrow also produces fat, cartilage, fibrous connective tissue (found in tendons and ligaments), stromal cells that support blood formation, and bone cells.
• Marrows remove old cells from circulation.
MAJJA DHATU KSHAYA
As per Ayurveda, marrow gets its nourishment by Asthidhatu.
depletion of Majjadhatu causes –
AsthiSheeryata – emptiness of bones,
Durbala, LaghuAsthi – thinness,weakness, and lightness of the bones,
VataRoga – frequent affliction with Vata imbalance disorders.
SAAMA MAJJA LAKSHANA
Symptoms of bone marrow tissue associated with immature juices of food derived due to bad digestion include – pain in small joints of the hands, giddiness, loss of consciousness etc
MAJJA PRADOSHAJA ROGAS
When the bone marrow tissue is contaminated by doshas or ama, it causes many diseases. These diseases are called MajjaPradoshajaRogas.
RukParvanaam – Pain in interphalangeal joints of the hands and feet
Bhrama – giddiness
Murcha – unconsciousness
Tama darshana – feeling as if entering into darkness
Arumshika – seborrhic dermatitis or boils on head, eruptions on scalp, dandruff
Sthoolamoolaamparvajaanaam – enlargement at bony joints of fingers and toes
Netra abhishyanda – conjunctivitis
MAJJA AND SHUKRA DHATU TREATMENT
Majja (marrow) and ShukraDhatu (reproductive system) treatment:
Majja and Shukra Dhatu diseases are treated with diets of sweet and bitter tastes, sexual intercourse, exercise and timely elimination of Doshas (Panchakarma) in proper quantity.
IMPORTANT POINTS
Simultaneous vitiation of bone marrow tissue and kapha in majjapradosha leads to many types of bone marrow related pathologies and malformations – According to Ayurveda, the doshas and tissues of the body are connected by an inseparable ashrayaashrayi relationship in which the tissues form the abode in which the doshas reside.
Each dosha resides in particular tissue which shares common qualities and properties with it. In this instance, the bone marrow tissue and kaphadosha share such relationship wherein both are alike in nature.
Kapha resides in bone marrow (among many other tissues in which it resides). As kapha and bone marrow tissue are closely related to each other and share a relationship very closely they always contaminate each other easily. This means to tell that when kapha gets vitiated it causes diseases related to bone marrow.
Similarly when the bone marrow tissue undergoes vitiation in the form of pathological increase it causes disturbance in kapha. Example, giddiness, unconsciousness, feeling of darkness in front of the eyes, scalp boils etc
Contamination of bone marrow by vata and pitta will produces symptoms related to those morbid doshas – apart from the resident dosha i.e. kapha, the bone marrow will also be afflicted by vata and pitta. When this happens, the symptoms of vata and pitta will be manifested in the conditions caused by contaminated bone marrow tissue.
Examples of such conditions are manifestation of pain and swelling in the interphalangeal joints of hands and feet, giddiness etc caused by contamination of bone marrow by vitiated vata, fainting, vertigo, unconsciousness, scalp boils and conjunctivitis caused by contamination of bone marrow by vitiated pitta etc.
Bone marrow contamination chiefly afflicts small bones, bony joints, brain, eyes and scalp – contamination of bone marrow causes diseases related to
• Bones and bony joints of hands and feet – like pain in interphalangeal joints of hands and feet, swelling in interphalangeal joints etc
• Brain – fainting, giddiness, vertigo, unconsciousness, feeling of darkness in front of the eyes etc
• Eyes – conjunctivitis
• Scalp – scalp boils
This shows that the health of these structures is related to the health and balance of bone marrow tissue. This also shows that Ayurveda sees the brain as a representative of bone marrow.
INTRODUCTION
It is compared to male and female reproductive system and its secretions. Its main function is Garbhotpadana – reproduction. It is controlled by KaphaDosha. It gets nourishment from MajjaDhatu.
• The word Shukra is derived from the Sanskrit word “shucha” which means pure
• Gets nourished by MajjaDhatu.
• Shukra pervades the entire body
• It is controlled by KaphaDosha.
• Male and female reproductive system
• Sex hormones – estrogen, progesterone, testosterone
• Semen, Sperm, Ovum
SHUKRA DHATU KSHAYA
As per Ayurveda, Shukradhatu comprises of male and female reproductive system. It gets its nourishment by MajjaDhatu.
Its depletion causes –
Daurbalya – weakness,
MukhaShosha – dryness of mouth,
Pandutva – pallor,
Sadana – lassitude,
Shrama – tiredness,
Klaibya – impotency and
ShukraAvisarga – non-ejaculation of semen, non-ovulation.
Understanding body depletion symptoms helps in better understanding of disease process and this article is a small step in that direction.
SAAMA SHUKRA LAKSHANA
Symptoms of reproductive tissue associated with immature juices of food derived due to bad digestion include – impotency, lack of sexual interest, formation of immature fetus, seminal vesicles etc
SHUKRA PRADOSHAJA ROGA
Due to the vitiation of Shukra or semen the individual suffers from
Klaibya – impotent
Aharshana – lack of erection and enjoyment in sex
His progeny, if any, will be sick, sterile, short lived and disfigured.
Either there is no conception or there will be abortion or miscarriage. Thus the vitiation of Shukra (semen) brings misery to the couple and progeny.
MAJJA AND SHUKRA DHATU TREATMENT
Majja (marrow) and ShukraDhatu (reproductive system) treatment:
Majja and Shukra Dhatu diseases are treated with diets of sweet and bitter tastes, sexual intercourse, exercise and timely elimination of Doshas (Panchakarma) in proper quantity.
INTRODUCTION
As per Ayurveda, waste matters of the body are as important as body tissues for maintenance of good health and longevity. Ayurveda explains specific functions of these waste matters.
DEFINITION AND MEANING OF MALA
Those which pollute other components of the body are called malas, being themselves the waste products of the food.
Those which bring about purification of the body after getting expelled from the body are called malas.
Need of having the knowledge of SamaMalas
It is important for the physician to know about the difference between the saama excreta and the normal excreta. The normal excreta formed in proper proportions following proper digestion will be eliminated with ease, doesn’t produce any symptoms of discomfort and pass off easily. On the other hand, the saamamalas will be troublesome.
When we attempt to throw out the saamamalas, they may damage the system because they are not easily excreted. They produce damage to the organs and tissues. The physician should be administering the ama digesting medicines before expelling them out.
TRI MALAS
The three major excreta of the body which are the waste products of metabolism. They are –
• Pureesha – stools
• Mutra – urine
• Sweda – sweat
These three are formed on daily basis and keep the body healthy and fit by getting excreted out of the body at proper time and in right quantity. If they remain in the body they would cause many diseases.
TRIMALA IMPORTANCE
Importance of Trimala – 3 waste material in the body – in a nutshell
Now, when the excreta are neither the structural components nor the functional components of the body, in fact are the waste materials of the body, we get a doubt about their role in the body and contribution towards comprehensive health. We shall discuss about the same in the coming passages.
The excreta contribute towards good health by getting eliminated in time – For the body to enjoy its health, the excreta should be thrown out of the body in right proportions and in right time. Malas are like noisy students of the classroom. They can help the class by being out of the class. If they are in, they disturb the whole learning environment. The same is the case with the excreta. When they go out, they keep the body healthy.
They also keep the mind and senses pleasant and healthy. We can imagine the status of the person who has constipation or urinary obstructionof the urinary bladder as in benign prostate hypertrophy etc. They are physically upset, at the same time, their mind and senses too are disturbed.
The excreta when stagnated in the body disturb all functions and causes diseases – when these three major excreta gets stagnated in the body or get excreted in deficit amounts, they get vitiated and produce many health problems. The vayu gets vitiated. In turn the vayu moves haphazardly in opposite and non-desirous directions.
The pitta and kapha are disturbed and replaced. The pressure shifts to the upper parts of the body i.e. belly and chest organs and later to the head, brain and sense organs. Many diseases are produced therein. Metabolism and various other activities like circulation, respiration etc are put in pressure and are disturbed.
Excreta which has got retained in the body imparts pressure and causes blocks on the channels of transport in the body – the excreta blocked in the body will impart pressure on many channels and ducts and prevent the smooth functioning of the body, be it circulation, respiration or excretion.
This leads to deficit nutrition and aeration in the body, the body toxins will not be thrown out and the body will become a victim of many diseases.
The excreta provide strength and endurance to the body – In certain diseases like Rajayakshma / Kshaya i.e. tuberculosis, phthisis, wasting diseases, the excreta is said to be bala i.e. strength to the body. Ayurveda advocates utmost precaution to be taken during the treatment of this disease. In treatment of rajayakshma the physician should take care to protect and conserve the mala, especially feces in the body. Medicines which evacuate bowel and throw out excreta should not be administered. Since everything which is consumed is converted into feces in this disease, the feces itself guards the body by providing the strength. When excreta are thrown out in excess, it poses threat to the life.
It is said ‘Shukrayattambalampumsaam, malayattamtujeevitam…’ which means ‘the balance of semen provides strength to a person and the balance of excreta will guard one’s life’.
The excreta contaminated by the doshas will lead to diseases – the tissues and excreta together are called as dushyas i.e. the components of the body which tend to be contaminated by doshas. Thus, feces, urine and sweat too are contaminated by doshas. When this happens, these contaminated excreta produce certain diseases called mala pradoshajarogas.
The contamination or blocks in channels excreting the excreta will cause diseases pertaining to those excreta – Each excreta will have its channels of excretion, which carry them, they are called mala vahasrotas. The passages for excretion of feces is called pureeshavahasrotas, those which form and void urine are called mutravahasrotas and those which cause sweating are called swedavahasrotas. When these channels are contaminated diseases like constipation, diarrhea, dysentery, diabetes, dysuria, excessive or deficit sweating, skin diseases etc are formed.
Pathological increase and decrease of excreta too will cause diseases – the excreta should be maintained in a balanced state in terms of its formation and excretion. They should be maintained in normal quality, quantity and consistency. When the quantity of feces, urine and sweat exceed or decrease beyond normal limits they lead to various diseases.
OTHER SIGNIFICANT POINTS
Malas, along with the tissues and doshas are considered as the mulas i.e. roots of the human body. The body is formed and maintained by their balance.
‘Sama mala kriya’ i.e. proper elimination of excreta is one of the signs of proper health i.e. swasthyalakshana.
The doshas and tissues too, when imbalanced are called malas because they tend to contaminate the body, cause damage and diseases. Thus, the term mala is interchangeably used for doshas, dhatus and malas.
The pitta located in between pakwashaya i.e. colon and amashaya i.e. stomach segregates the food which we consume into dosha, rasa i.e. essence of digestion or food juices, urine and feces. (Su.Su.15/4)
There is also a reference that the maladhara kala i.e. the membranes and layers which hold, form and classify the excreta is located in the pakwashaya i.e. colon. Thus, purishadhara kala is the functional component of formation and segregation of excreta. (Su.Sha.4/16)
Feces and Mutra i.e. urine are said to be excreta derived after the useful part of digested food has been segregated. They are called ahara mala. (Su.Su.46 & Cha.Chi.15/18)
The useful part of the food which nourishes the body are called rasa. The waste part of the food derived after digestion of food is called kitta or mala. The excreta nourish sweat, urine and stools. This also gives a reference that the sweat is also a excreta produced from metabolism or digestion of food. Sweat is also excreta of meda i.e. fat tissue. It is formed during fat metabolism. (Cha.Su.28)
The rasa dhatu formed after digestion carries aharasara i.e. essence of food. The excreta are devoid of this essence of food. (Sha.Pu.6/6)
Forcible suppression of the urge of defecation and urination will cause diseases related to the vegadharana or controlled urges. They are called pureeshavegaavarodhajanyarogas and mutravegavarodhajanyarogas respectively. They are also types and causes of udavarta i.e. abnormal movement of vayu.
The small quantities of excreta formed as an effect of tissue metabolism are called dhatu mala or sukshma mala.
NIRAMA MALA SYMPTOMS
SYMPTOMS OF NIRAMA MALA I.E. EXCRETA DEVOID OF AMA ASSOCIATION
Symptoms of excreta devoid of ama will be the opposite of those associated with ama. Feces devoid of ama will float on water, will not have undigested food, mucus or blood associated with it, easily gets expelled in time, doesn’t take time to get expelled, doesn’t cause trouble, doesn’t emit foul smell and brings about lightness in the body.
The urine devoid of ama will not cause urinary disorders, infections and difficulty in passage of urine, the urine gets void easily and it will be devoid of foul smell and abnormal colors and consistency. The sweat devoid of ama will get eliminated properly and will not cause fever, skin diseases etc and will cause lightness of the body.
SAAMA MALA
SAAMAMALAS – THE EXCRETA ASSOCIATED WITH AMA
All three forms of major excreta should be eliminated regularly so that the body functions keep going smoothly and rhythmically. On the other hand if they are stagnated in the body or improperly excreted, they can cause many diseases in the body.
The association of ama makes it difficult for the excreta to get expelled from the system in an easy way. We can find many people finding it difficult to void stools or urine in proper way. Some may even regularly experience dissatisfaction or feel of incomplete evacuation of metabolic wastes even after spending quality time in the voiding rooms. Similarly many people would not sweat properly and would land up with serious skin and blood related diseases. All these things happen due to the improper or incomplete evacuation of excreta because the excreta associated with ama get adhered to the walls of the excretory passages and channels. Thus the feces may stick to the walls of colon and the urine may stay back for long time in the urinary bladder or urethra refusing to go out in totality.
SAAMA PUREESHA
SAAMAPUREESHA – FECES MIXED WITH AMA
The feces associated with ama will be heavy in nature. Due to its heaviness the feces sinks in the water while the feces devoid of ama would float on the surface of water since it is light in nature. This feces mixed with ama will have foul smell and sticky in nature. It will neither be properly formed nor will it be excreted in a mass. In fact, the feces take lot of time to get excreted. This means to tell that the sama mala is eliminated with difficulty. It may also produce pain in the belly or anal region, distension, flatulence, belching, indigestion and other symptoms of indigestion and other forms of discomfort.
On the other hand, if the feces is loose or too hard, cold or contaminated with excessive kapha it becomes difficult to judge if the feces is associated with ama or not.
SAAMA MUTRA
SamaMutra – urine mixed with ama
When the urine is associated with ama, it gets contaminated. The urine gets dense and heavy, gets dirty and develops abnormal color and foul odor. The urine will not be voided easily and the person feels as if he has not voided the urine completely in spite of finishing the act of micturation.
Many urinary disorders of the types of ikshumeha, pishtameha, etc 20 types of prameha i.e. urinary disorders or diabetes, stones in the urine etc will be manifested along with difficulty in passing the urine.
SAAMA SWEDA
SaamaSweda – sweat mixed with ama
When the sweat gets associated with ama it is eliminated with difficulty. This sweat blocks the sweat ducts and apparatus and also clogs the skin pores. The unwanted salts and water in the body is thus not eliminated properly.
They get deposited in the deeper layer of the skin and make the skin susceptible to various infections and damages. The blood supply and nerve conductivity to the cell are hampered and the skin’s perception of touch, temperature and pain is meddled with. As a result the immunity of the skin is lost. Its color, texture, luster and complexion fade with time. The skin becomes victim of many diseases.
As an effect of saamamalas one may also suffer from the mala pradoshajarogas i.e. diseases caused by contamination of excreta.
PRINCIPAL OF TREATMENT
In the condition wherein the excreta are associated with ama, they will not be properly expelled from the body leading to stagnation of excreta in the system. This happens because the excreta get adhered to the walls of the excretory passages. In this condition if we administer the shodhana i.e. cleansing and evacuatory treatments or medicines, the excreta while forcibly getting expelled will cause serious damage to the organs and passages through which they pass. As a result the colon, urinary bladder and urethra and skin will be damaged.
Therefore cleansing strategies should not be adopted at the beginning of treatment. Initially the ama should be dissolved and destroyed using amapachana medicines and foods i.e. the medicines and foods which separate the ama from the excreta. As a result the excreta get detached from their attachment to the walls of the organs and passages. Now it would be easy to expel these excreta by administering suitable cleansing treatments including virechana, i.e. therapeutic purgation or vasti i.e. herbal enemas. These treatments will help in expulsion of feces and urine properly and keep the body healthy and fit.
Meanwhile deepana medicines i.e. medicines which would kindle the digestive fire shall also be given. These medicines will strengthen the gut fire and enable it to digest the food properly and also will avoid the formation of ama.
Treatments over the skin to restore its health including abhyanga i.e. massage, dhara i.e. stream pouring of medicated liquids, milks, oils, decoctions etc over the skin, lepana i.e. anointment or application of medicinal pastes etc shall be done after the ama gets separated. This will help in proper elimination of sweat and also will restore the color and complexion of the skin.
INTRODUCTION
OJAS – THE ESSENCE OF DHATUS
Ojas is the essence of the Dhatus;
It is mainly located in the heart. It is present all over the body and regulates health.
QUALITIES
Snigdha – unctuous, oily
Somatmaka – watery
Shuddha – clear (transparent),
IshatLohitaPeetakam – slight reddish yellow in colour;
Loss of Ojas leads to loss of life.
All aspects of health are related to Ojas.
CAUSE FOR DECREASE OF OJAS
Ojas undergoes decrease in quantity by anger, hunger (starvation), worry, grief, exertion etc.,
OTHER CAUSES FOR OJAS DECREASE
Many more causes of decrease of Ojas have been mentioned in other texts of Ayurveda, they are
Ativyayama – too much exercise
Anashana – fasting for long periods of time
Alpashana – eating less quantities of food
Rookshapana (intake of alcoholic beverages which cause dryness),
Pramitashana (intake of mixture of good and bad foods),
Bhaya (fear),
Prajagara (waking up at night),
Abhighata (injury),
Abhishanga (assault by evil spirits; micro organisms like bacteria, virus etc.), Dhatukshaya (depletion of tissues such as by haemorrhage etc.),
Ativisarga (too much of elimination) of Kapha, Sonita (blood), Sukra (semen) and Mala (waste products);
Visha (ingestion of poison)
Increase of Ojas makes for contentment, nourishment of the body and increase of strength.
SYMPTOMS OF OJAS DECREASE
The person becomes fretful, debilitated, repeatedly worries without any reason, feels discomfort in sense organs, develops bad complexion, negative thoughts and dryness;
TREATMENT
Use of drugs of Jivaniya group (Enlivening) (mentioned in chapter 15), milk, meat juice etc.
INTRODUCTION
Doshas, tissues and excreta would be associated with ama and make way for complicated diseases on long run. Association of ama makes body elements stick to the walls of cells, tissues, organs and channels in a stubborn way.
Ama also creates multiple blocks in body channels depleting tissues of their nutrition and essential elements needed to run the body factory. Thus most of functions of the body would be shut down or slow down. Organs, channels and tissues will be damaged and excreta will get piled up in body while toxins accumulate in all tissues.
Morbid doshas and excreta should be expelled from body to keep it clean and healthy.
They can be easily eliminated by suitable medications and treatments like emesis and purgation.
But when same doshas and excreta are associated with ama, they cannot be eliminated from body easily and directly because doshas and excreta are sticking to the walls of channels and passages.
If we forcibly try to push these doshas from body, they will cause damage to the structures to which they are adhering. Similarly tissues associated with ama should also be treated delicately.
SAAMA
When any element of the body is associated with ama, it will be called saama. Saama = sa + ama i.e. with association of ama.
• SaamaDoshas – Doshas associated with ama, are called as SaamaDoshas.
Example – SaamaVata, Saama Pitta, SaamaKaphaetc
• SaamaDhatus – Tissues associated with ama, are called as SaamaDhatus.
Example – Saama Rasa, SaamaRakta, SaamaMamsaetc
• SaamaMalas – Excreta of the body associated with ama, are called as SaamaMalas.
Example – SaamaPureesha, SaamaMutra, SaamaSwedaetc
Dushyas is the name given to tissues and excreta collectively. Thus the tissues and metabolic wastes associated with ama are collectively called as saamadushyas.
NIRAAMA
When any element of the body is not associated with ama, it will be called niraama. Niraama = nir + ama i.e. without the association of ama.
NiraamaDoshas – Doshas dissociated from ama, they are called as NiraamaDoshas.
Example – NiraamaVata, Niraama Pitta, NiraamaKaphaetc
NiraamaDhatus – Tissues dissociated from ama, are called as NiraamaDhatus.
Example – Niraama Rasa, NiraamaRakta, NiraamaMamsaetc
NiraamaMalas – Excreta dissociated from ama, are called as NiraamaMalas.
Example – NiraamaPureesha, NiraamaMutra, NiraamaSwedaetc
The tissues and metabolic wastes dissociated from ama are collectively called as niraamadushyas.
ASSOCIATIONS OF ANNA VISHA
Anna visha or toxins derived from improper digestion of food is synonymous with ama. Therefore in this context it is apt to discuss about the association of food derived toxins with doshas, tissues and excreta since they too are forms of saamadoshas, tissues and excreta.
With Pitta
When it gets associated with pitta, it causes –
• Daha – burning sensation
• Trishna – severe thirst
• Mukhaamaya – diseases of oral cavity
• Amlapitta – gastritis
• Aparapittajagada – other pittaja disorders
With Kapha
When it gets associated with kapha, it causes –
• Yakshma – tuberculosis
• Peenasa – cold, rhinitis
• Meha – urinary disorders, diabetes
• Kaphajarogas – other diseases caused due to high kapha
With Vata
When it gets associated with vata, it causes vata disorders.
With Mala
When associated with urine, it causes urinary disorders.
When associated with feces, it causes abdominal and pelvic disorders.
With Dhatu
When associated with the tissues, it causes diseases pertaining to the tissues.
SAAMA ROGA
The diseases caused by saamadoshas, tissues or metabolic wastes are called as SaamaRogas. Example, amajwara, amatisaraetc
The symptoms of diseases associated with ama –
• Alasya – lethargy
• Tandra – drowsiness
• Aruchi – anorexia
• Mukhavairasya – manifestation of abnormal tastes in the mouth
• Arati – restlessness
• Gaurava – heaviness of the body
• Klama – tiredness
• Agnimandhya – weakness of digestive fire
The symptoms of relieve from ama
• Laghutva – feeling of lightness in the body
• Indriyaprasannata – feeling of pleasantness in the mind and senses
• Ruchi – taste in food
• Vataanulomana – free and effortless expulsion of vayu flatus
PRINCIPAL OF TREATMENT
Remedy is to separate this association of ama and body elements.
Before expelling doshas or excreta from body, they should be separated from their association with ama.
Even in case of samadoshas located in tissues, the ama should be first digested with help of ama digesting or destroying medicines and measures.
Later doshas devoid of ama should be brought to stomach.
From stomach they can be thrown out by administering emesis or purgation.
Thus, dealing with ama is like removing a cloth which has fallen over thorny bush. Cloth should be delicately removed so that thorns do not tear away the cloth. To do so, cloth should not be pulled in a hurry. It should be slowly separated from thorns and gradually lifted up.
Treatment principles of ama and sama elements of body
Below mentioned principles and methods of treating ama holds good for treating samadoshas, tissues and excreta. Same principles are followed while treating diseases caused due to ama or association of ama.
Generally most diseases are treated through –
– Santarpana i.e. strengthening treatments
– Apatarpana i.e. depleting treatments
Treatment is also of 6 types which are very popular strategies in Ayurveda.
They are called Shad Upakramas i.e. 6 sub-treatments
– Brimhana – bulk promoting treatments
– Snehana – unctuousness producing treatments
– Stambhana – constipating treatments, checking therapies
– Langhana – lightening therapies
– Swedana – sudation therapy
– Rukshana – drying therapies
Among these, first three i.e. brimhana, snehana and stambhana serve purpose of strengthening treatment while later three therapies i.e. langhana, swedana and rukshana serve the purpose of depleting therapy.
Depleting treatments are said to be best treatment of choice in diseases caused due to ama or samadoshas.
Thus, the key steps in treatment of ama or amadosha or ama diseases are –
– Langhana
– Swedana and
– Rukshana
This is possible only if physician is wise enough in discriminating between a diseases associated and not associated with ama.
If without the knowledge of ama and saama if physician administers strengthening treatments in ama and saama diseases, conditions will become worse and create lot of complications because it becomes incompatible and opposite treatment for ama.
Strenthening treatment increase ama and its complications in body while depleting therapies will digest and destroy ama and cure diseases and conditions caused by it.
Planning of depleting treatment in Ama conditions
Though all three inclusions of depleting therapy i.e. langhana, swedana and rukshana are highly effective in treating diseases caused by ama, langhana forms most important strategy in treating these conditions.
Depleting therapy is once again of three types.
– Langhana – Lightening therapies
– LanghanaPachana – Combination of lightening and ama digesting therapies
– Doshaavasechana – elimination of doshas from body by administering cleansing treatments
LANGHANA
Only lightening therapies should be administered when small quantities of doshas / ama are aggravated or when aggravated doshas have less strength to produce disease in a large scale.
Langhana increases fire and vata in body.
Just like intensity of heat of sun and breeze evaporates small quantity of water in pond, langhana also destroys small quantity of doshas.
LANGHANA PACHANA
Combination of lightening and digestive therapy should be administered when moderate quantities of doshas / ama are aggravated or when the vitiated doshas are moderately strong.
Just like when layers of dust and gravel is put in pond having moderate amount of water absorbs all water when combined with heat of sun and breeze, langhana and pachana will destroy moderately aggravated doshas / ama.
Just like Sun and breeze evaporates water, lightening therapy evaporates moderately aggravated doshas and as dust absorbs water, digestive measures absorbs doshas.
DOSHA AVASECHANA
When doshas are severely aggravated, doshavasechana i.e. expulsion of morbid doshas and ama should be done by administering cleansing treatments like emesis, purgation etc.
Just like water stagnated in fields cannot be eliminated without breaking barriers and constrictions, doshas which have severely aggravated cannot be controlled without expelling them by administering panchakarma treatments.
ROLE OF SWEDANA
ROLE OF SUDATION AND DRYING THERAPY IN TREATING AMA
Sudation and drying therapy are important strategies of dealing with ama. They are part of depleting treatment.
RukshaSweda or dry sudation can be provided in form churnapindasweda, valukaswedaetc to give instant relief from ama symptoms.
Drava sweda in the form of Nadisweda or bashpasweda is administered to mobilize doshas detached from ama towards stomach.
From stomach these niramadoshas are expelled out of body by administering emesis or purgation.
Drying therapy almost does same task as that of dry sweating but can be administered in form of dryness producing and ama depleting medicines, diet and lifestyle.
It is beneficial in tackling mild to moderate quantity of doshas.
CHRONOLOGY OF TREATING AMA AND SAMA DISEASES AS EXPLAINED BY VAGBHATA
Acharya Vagbhata has discussed treatment of ama and diseases caused by ama or doshas associated with ama in a chronological way. It is very important for physician to know about chronology of this intervention, not only to treat these conditions effectively but also to prevent complications arising from erroneous treatment.
It is very important to remove and expel doshas hidden and stuck within tissues. But doshas associated with ama which are adherent within tissues should not be forcibly removed.
Simily – When we try to extract juice from unripe fruit, fruit is destroyed but it doesn’t yield juice. Similarly when we forcibly try to pull doshas associated with ama from tissues, they will not come out but in fact destroy tissues and organs made up of those tissues.
The following treatments should be administered in chronological way –
PACHANA
Ama digesting medicines should be administered initially.
This will help in digesting ama and separating it from its association with body elements i.e. tissues, doshas and excreta.
This is very essential in order to expel morbid doshas from body because doshas associated with ama cannot be removed from body.
DEEPANA
Simultaneously, medicines and measures for kindling digestive fire, to improve appetite and digestion should be administered. This is because if fire is not kindled, the weak fire can once again produce ama.
SNEHANA
Oleation in form of internal consumption of medicated ghee in metered and increasing dose should be given for 3-7 days or until proper symptoms of oleation are seen.
This causes swelling of doshas in tissues and also will increase their quantity temporarily.
This is very essential because by increasing quantity of doshas we will be preparing them to get expelled from tissues.
Snehana also will produce pressure on tissues to expel doshas.
SWEDANA
Sudation in form of steaming or sweating treatment is administered for 1-7 days.
It will dissolve swollen morbid doshas in tissues.
Sudation should be given after oleation therapy.
Once the doshas get dissolved in tissues, they will overflow and come into stomach or intestines. From here, doshas can be removed from nearest passages i.e. mouth or anus in case of kapha predominant and pitta predominant doshas respectively by administration of emesis and purgation respectively.
In case of morbid doshas located in neck and head, oleation and sudation will enable movement of doshas towards nose or mouth to get expelled from those passages.
MOBILIZATION OF DOSHAS FROM TISSUES TOWARDS VISCERAL ORGANS AND ADMINISTRATION OF SHODHANA
After administration of above mentioned treatments, doshas detached from association with ama move towards stomach or intestines, they are expelled out of body by administering shodhana i.e. cleansing treatments after considering place and time and after analyzing strength of patient.
DOSHAS SHOULD BE EXPELLED FROM THE NEAREST ROUTES –
Cleansing should be from nearest route. Doshas from stomach should be expelled through mouth because mouth is nearest opening to stomach.
If the doshas are located in intestines, they should be eliminated from anal passage because anus is nearest to small intestine.
– Doshas and ama in stomach should be expelled by administering emesis, through mouth.
– Doshas and ama in neck and head should be removed by administering nasal instillation, through nose.
– When located in intestines and colon should be expelled by administering purgation, through anus.
– Doshas and ama which are ready to get expelled by themselves should not be stopped forcibly.
In fact they should be facilitated to get expelled. Only healthy diet should be consumed during this period.
DIGESTIVE AND CLEANSING THERAPY IN SEVERE ACCUMULATION OF DOSHAS –
If there is severe accumulation of amadoshas in body, strong ama digesting medicines and measures should be administered.
Apart from that, timely shodhana or cleansing treatments should be administered to constantly remove accumulated ama from body.
The knowledge of this chronology of treatment will enable the physician to conquer ama in quick time and save the body from serious complications and consequences.