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That means, causes, signs, therapy choices


Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S

Amajirna is a kind of ajirna – indigestion.

That means, causes, signs, therapy choices

The phrase Amajirna is made up of two phrases –

–        Ama – byproduct of meals fashioned as a result of improper digestion which is sticky, unformed, undigested, foul smelling, poisonous and tends to clog the channels within the physique and trigger excessive tiredness and fatigue
–        Ajirna – indigestion of meals

So, Amajirna = Ama + Ajirna = Indigestion attributable to extreme formation or accumulation of ama within the physique ‘when the digestive hearth is influenced by morbid kapha’ is named amajirna.

Ama – Ama is attributable to unhealthy digestion. This occurs when the digestive hearth within the intestine is weak and it has misplaced its capability to digest the meals. As a consequence, the meals will not be digested correctly. This improperly digested meals kinds ama. The ahara rasa – essence juice of meals thus fashioned in amashaya – abdomen can also be in an unprocessed type. As a consequence, the primary dhatu which is fashioned from the essence of meals i.e. rasa dhatu can also be unformed and unprocessed. The tissue hearth of rasa tissue which has bought weakened because of suggestions from the weak central / intestine hearth will add to this disturbed processing. In the long term, all the opposite tissues too will get affected.

Associated Studying – ‘Ama’

The kapha relation and mechanism / pathogenesis of amajirna

अजीर्णं च कफादामं…| ॥अ.हृसू.८/२५॥

The definition of amajirna is incomplete with out the point out of kapha.

Kapha and ama are related substances. They share an identical properties.

Irregular Kapha improve within the amashaya – abdomen can have a pacifying impact on the agni. The features of agni are much like the features of pitta. Agni resides in pitta and pitta represents agni within the physique in accordance with Ayurveda scriptures. To be exact, the pachaka pitta situated within the abdomen will digest the meals with the assistance and coordination of samana vata. For this to occur in addition they want the cooperation of kapha situated within the abdomen i.e. kledaka kapha. This kapha helps in moistening the meals coming into the abdomen and making ready it to get digested by the motion of pachaka pitta / jathara agni together with the assistance of samana vata. Kapha additionally acts like a buffer and protects the abdomen from the aggressive and corrosive motion of pitta and dryness of vata. This stability between the three doshas and mutual cooperation is a should if the meals must be correctly digested, transformed and reworked into substances that are acceptable to the physique cells.

When this kapha / kledaka kapha will increase past its regular permissible limits, the coldness and dampness within the abdomen exceeds the conventional surroundings of scorching and dryness appropriate for digestion of meals. Now, the kapha will dominate the image within the abdomen and can pacify pitta / agni, each being antagonistic to one another.

This state of pacified pitta / agni is named agnimandya – deficit energy of digestive hearth. This is able to result in ajirna – indigestion.

Right here we are able to see that the digestive hearth is influenced by excessively current kapha within the abdomen. So, mathematically the ajirna – indigestion on this case is precipitated as a result of affect of kapha.

To place it into easy phrases – ‘The indigestion precipitated as a result of extreme presence of kapha in amashaya – abdomen and its affect on agni – digestive hearth is named amajirna’.

This situation is named amajirna due to an identical properties of kapha and ama. Additionally, as a result of affect of kapha on the agni and consequent ajirna, loads of ama – semi digested or improperly processed meals (intermediate merchandise of digestion) is fashioned within the abdomen.

Causes of amajirna

–        Kapha vriddhikara nidana – etiological components which might result in kapha improve
–        Ama nidana – etiological components which could trigger formation of extreme ama
–        Ajirna nidana – etiological components talked about to trigger indigestion
–        Agnimandya nidana – etiological components that are talked about to trigger sluggishness of digestive hearth
–        Manasika nidana – circumstances like avasada – melancholy, improve of tamo guna and so forth which could trigger improve of kapha

Preventive measures

Avoiding the above mentioned etiological components / causes of amajirna are themselves one of the best preventive measures.

Signs of Amajirna

तत्रामे गुरुतोत्क्लेदः शोथो गण्डाक्षिकूटगः।
उद्गारश्च यथाभुक्तमविदग्धः प्रवर्तते॥मा.नि.६/१०॥

Under talked about are the signs of Amajirna –

–        Guruta / Gurutva – heaviness of the physique
–        Utkleda / Utklesha – water brash / nausea
–        Ganda Akshi Shotha – oedematous swelling within the cheeks and across the eyes (orbit)
–        Yatha bhuktam avidagdha udgara – belching in accordance to the style of the meals and devoid of sourness

Further Signs talked about by Grasp Vagbhata (Vagbhata, A.Hr.Su.8/25)

अजीर्णं च कफादामं तत्र शोफोऽक्षिगण्डयोः।
सध्योभुक्तं इवोद्गारः प्रसेकोत्क्लेशगौरवम्॥अ.हृसू.८/२५॥

–        Sadhyobhuktam iva udgarah – belching much like these which come up instantly after taking the meals i.e. clear belching
–        Praseka – extreme salivation

Remedy rules of Amajirna

Nidana Parivarjana

Retaining away the causative components of ajirna is the important thing for fulfillment in treating these circumstances comprehensively.

Langhana

लङ्घनं कार्यमामे तु…॥अ.हृ.सू.८/२७॥

There are 10 types of therapies which might induce lightness within the physique. However in circumstances precipitated as a result of deficit / weakening of agni and predominant with ama, langhana ought to be administered within the type of ‘fasting’ or ‘methodically conserving away from meals or huge parts of meals’. This is able to kindle the digestive hearth and likewise assist in combating ama. That is most well-liked if there are much less proportions of ama or dosha / kapha aggravation or within the preliminary section of ama or amajirna.

Langhana-Pachana – If the doshas or ama inflicting ajirna or kapha is reasonably aggravated, pachana – medicines and measures which assist in digesting ama ought to be mixed with langhana.

Shodhana – In amajirna if the dosha i.e. kapha is excessively aggravated and is in a state of excitation, it shall be expelled by administering therapeutic emesis – vamana.

Deepana Chikitsa

After the signs of amajirna have diminished the comply with up medicines and weight-reduction plan prescribed to strengthen the digestive hearth and the intestine ought to be administered within the type of Deepana Chikitsa.

Different issues

–        Ajirna Chikitsa – Basic line of therapy of ajirna by way of meals, way of life modifications and medicines ought to be thought-about within the administration of amajirna.
–        Agnimandya Chikitsa – Line of therapy of agnimandya too shall be thought-about on this context.
–        Kapha Vriddhi Chikitsa – Measures defined to fight kapha aggravation also needs to be adopted.



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