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Dr. Vikram Chauhan - MD (Ayurveda)

Showing posts with label Ama In Ayurveda. Show all posts
Showing posts with label Ama In Ayurveda. Show all posts

Thursday, September 14, 2023

Concept Of Aama (Toxins) In Ayurveda - Prevention & Management

ABSTRACT

The Concept of Aama is often not clear amongst our minds. What is the role of Aama? How does it affect our body? Aama plays a crucial role in our digestive system. To understand Aama it is important to know about Agni-The Digestive Fire as well. Our Acharyas have talked about Aama in the texts under Ayurveda and Diseases and Treatment related to Aama. Let's understand in detail about Aama, how it affects our body and its prevention and treatment.

Concept of Ama, Ama, Concept Of Toxin, Metabolic Toxin, Ama In Ayurveda, Herbal Remedies, Symptoms, Treatment, Ayurveda, Ayurvedic Treatment, Diagnosis

INTRODUCTION

Aama is the result of incomplete digestion and poor metabolism. Digestion is defined as the process of conversion of food into useful components and nutrients absorbed by the body for proper functioning and healthy living. If the process of digestion or metabolism of the body is poor or slow naturally, or affected due to some other associated disease then Aama can be produced. The undigested juice present in the body is Aama. Now the Question is How? We consume food and after digestion our body obtains the nutrition from the food which nourishes the cells of the body, we all are aware about it but due to pathological reasons or some etiological factors Aama is formed instead, and this aama enters up to subcellular level in the body instead of nutrition and leads to various Auto-Immune Diseases. As one consumes food depending on the digestion either nutrition reaches the subcellular level for healthy functioning of the body or due to Manda-Agni (low digestive fire) or Aajirna(indigestion) Aama is produced which after reaching the subcellular level interferes with normal functioning of the body leading to Auto-Immune Diseases. On the basis of absence and presence of aama it is described as Sa-aama awastha (associated with aama) and Nir-aama awastha (not associated with aama).In other words, Aama can be referred to as the Endo-toxins present in the body. It develops as 'Apakwa'(undigested) rasa in the body. Let's learn a bit about Agni (Digestive Fire) as well. Every being has a different kind of Digestive Fire. Acharya Charak has classified Agni's as- Manda Agni- Kafa Dominant (Low Digestive Fire), Tikshna Agni - Pitta Dominant (High Digestive Fire) and Sama Agni- Samya Dosha (Normal Digestive Fire). Our capacity of food intake and digestion depends on the kind of Agni one holds, which varies person to person.

CAUSES

Due to the following reasons the digestive fire is not able to work properly and leads to indigestion which ultimately develops Ama Dosha in the body.

ON THE BASIS OF FOOD

  • Fasting
  • Intake of Toxic food Combinations (Viruddha-Ahara) Eg. Fish+Milk, Watermelon+Milk etc. These kinds of food combinations are not advised together.
  • More food intake on Indigestion
  • Overeating
  • Excess intake of heavy and cold food products
  • Lack of nutritious or balanced diet

Due to a bad eating routine the body will not get the proper amount of nutrition required and one will become more prone to diseases which eventually affects the immunity of the body.

ON THE BASIS OF LIFESTYLE

  • Holding the natural urges (Vegavdharan)
  • Laziness
  • Change of environment and food (While travelling)

MENTAL STATUS

It is important to consume food with good mental health and if a person is consuming food with some kind of stress in mind, anger, fear, grief or any other mental issues then it can become one of the reasons for development of aama.

DISEASES CAUSED BY AAMA

Aama can be one of the reasons for the development of Gastrointestinal Diseases, Diarrhoea, Udara Rog (Diseases of Abdomen), Alaska (Sluggish Bowels) etc.

DISEASES CAUSED BY AAMA

Aama can be one of the reasons for the development of Gastrointestinal Diseases, Diarrhoea, Udara Rog (Diseases of Abdomen), Alaska (Sluggish Bowels) etc.

CONCEPT OF VIRUDDHA-AHARA

The Concept of Viruddh aahar is mentioned by our acharyas and is defined as intake of food with opposite properties together. Let's make it clear in our minds with the help of examples.

1. GUNA VIRUDDH

  • Intake of seafood with milk, jaggery, sesame seeds, Lotus Stalk etc.
  • Milk Intake with foods like Radish, Garlic etc,

Everybody loves consuming Food like Pizzas, Burgers but we never think about how it is made, what kind of ingredients are combined together. With this thought, let's talk about Sanyong and Sanskar Viruddha.

2. SANYOG AND SANSKAR VIRUDDHA

The word sanyog implies combination and sanskar implies cooked together. If a person is consuming Sattu (roasted gram flour powder mixed in water) right after having dairy products (Eg. Kheer) then it is considered sanyog viruddha. Let's take a more common eg, if we are consuming a pizza that means we are having dairy product (cream) combined with sauces (citrus) and this kind of combination is mentioned as a viruddha aahar in Ayurvedic texts as these combinations does not combine well and lead to aama dosha. It is contraindicated to consume Jaggery and corn together. Citrus fruits like Mango, Lemon, blackberry (Jamun) etc should not be consumed with milk. So next time be choosy while having shakes and pancakes.

3. DESH AND KAALA VIRUDDHA

Different countries have different eating patterns according to the weather and lifestyle. Ayurvedic texts state that one should develop or adapt eating habits according to weather. For eg. People living in coastal areas should not consume cold and snigdha (brings oil, softness in the body) food. During Winters it is always advised to consume til(sesame), Gudh(Jaggery), hot and heavy products and foods like sattu (Roasted Gram Flour),Light and Fibrous diet is recommended in summers. If a person is not following it then it will cause health problems.

4. SWABHAV VIRUDDHA

There are some food items which can be consumed in a particular way. We can not heat honey and consume it as it is considered a poison. It is contraindicated to drink hot water after consuming honey or adding honey in equal amounts of ghee all this is contraindicated. Honey is a sweetener and is not supposed to be consumed in these ways.

5. KOSHTHA VIRUDDHA

Every person has different digestive power and if a person with low digestive power will consume a heavy diet and a person with good digestive power will consume less diet then required, it will ultimately lead to poor health.

It is very important to know what we are consuming, whether it is healthy or not. The concept of Virudh aahar prevents us from numerous diseases and Aama as well. Nowadays people are experimenting and trying to cook different recipes but are those recipes healthy, the food combinations used are correct or poisonous. Ayurveda explains it all.

SIGNS & SYMPTOMS

After Aama Formation Patient experiences the following sign and symptoms-

  • Stasis of Faecal matter
  • Nausea or Vomiting
  • Stiffness (Could be Abdominal)
  • Headaches
  • Indigestion
  • Anorexia (not willing to eat)
  • Thirst
  • Fever
  • Laziness, Lethargy and Yawning frequently
  • Vertigo or Fainting

TREATMENT

Under Ayurvedic Texts Treatment of aama is considered as Prtyakhyaya i.e. Difficult to cure. The reason given by acharyas behind this context is, as aama is considered as a toxic agent or a kind of poison formed in the body so keeping that in mind the suitable treatment against poison is 'Sheeta Chikitsa' which includes Rukshana, Stambhana etc but this treatment works against Aama and if we keep the causes of aama in mind then the treatment should be 'Ushana Chikitsa' which includes swedana therapy etc. So, to rule out one there is a risk of an increase of another so that is why our acharyas have considered it under Asadhya Rogas particularly Pratyakhyaya which means symptomatic treatment can be given according to the condition of the patient. Keeping in mind what our Acharyas have said the following herbs are useful to cure aama-

  • Deepan (Appetiser), Pachan (Digestion) Aushadhi. For Eg. Shatapushpa (Anethum sowa), Guduchi (Tinospora cordifolia), Nimba (Azadirachta indica), Pippali (Piper longum), Shunthi (Zingiber officianalis).
  • Langhan (fasting) is considered a good way to cure aama by resting the stomach and then consuming a light diet when hungry. This will ease the problem.
  • Swedana or Abhyanga (Therapeutic Massage) prevents aama formation.
  • Aptarpana Chikitsa - It includes Langhan, Sweden, Rukshana and is specifically used to cure Aama Awastha.
  • Use of Triphla (Haradh, Bahedha, Amla) along with ghee eases digestion.
  • Medications like-Amalaki Rasayana (One Capsule Twice Daily with warm water), Mahashankh Vati (One Tablet Twice a day 10 minutes before meal with warm water), Aganitundi Vati(1-2 tablets twice a day with lukewarm water.

The above formulations include herbs that work in managing the aama dosha, supports the digestive system and also works on our immunity.

PRECAUTIONS

  • Avoid overeating, animal foods like fish, meat etc. and consume a balanced diet.
  • Whole grain food like barley, quinoa, millets etc and sour fruits are helpful to cure Aama.Vitamin-C is a good source to remove toxins from the body.
  • Aloe Vera juice, Fresh lime juice, 1-2 tbsp of apple cider vinegar is beneficial to avoid heartburn, indigestion.
  • Adapt a daily active routine which includes-Yoga, Brisk walking, and exercise daily. Do mindful activities and meditate to overcome stress.
  • Mental problems like stress and anxiety worsen the conditions so avoid these problems by meditation, listening to good music, reading, massage.

CONCLUSION

It is very important to release the toxins out of the body to lead a healthy life and for that it is essential to understand Aama.The bottom line is that by knowing the concept of Aama which is only mentioned in our Ayurvedic texts, one can be prevented from AutoImmune diseases by taking the precautions and treatment guided above. For more information you can visit www.PlanetAyurveda.com

Monday, August 28, 2023

What Is The Concept of Ama (Metabolic Toxin) in Ayurveda

Abstract

In Ayurveda, ama is the outcome of improper digestion. It is a very vital concept in the ayurvedic field. It is the cause of many diseases. It plays a vital role in the manifestation of many pathological conditions. Ama is a harmful metabolic toxin which obstructs the multiple channels in the body like blood vessels, genito-urinary tract, lymphatic system, gastrointestinal tract and others too. Incomplete or partial digestion of food leads to ama. So today we will read about the concept of ama in brief in this article.

Ama, Concept Of Toxin, Metabolic Toxin, Ama In Ayurveda, Herbal Remedies, Symptoms, Treatment, Ayurveda, Ayurvedic Treatment, Diagnosis

Introduction

इषत अम्यते पच्यते इति आम:।

According to the above shloka:- Incomplete or partial digestion of food leads to ama.

अम्यते पीडयते स्रोतोसमूहो अनेन इति आम:।

According to the above shloka:- Product which brings discomfort in srotas is ama.

Ama is a word that represents the impaired digestion and metabolism due to hypo-functioning of jatharagni (digestive fire). Wherever ama goes it gives rise to pain and initiates reactions among doshas, dushayas, srotas etc. present in that particular area and it can be understood by the presence of symptoms due to ama. Due to impaired agni food does not digest properly and develop the unprocessed rasa. It leads to an advanced condition known as amavisa.

The result of ama inside the body is called ama dosha. Manifestation of certain reactions inside the body due to underprocessed anna rasa is called ama pradosha. When ama comes in contact with dosha leading to vitiation of sarira by manifesting various kinds of diseases.

Causes Of Developing Ama

  • Consumption of food substances in excess, along with not following the rules and regulation of dietetics described under astavidha ahara visesayatana (eight factors pertaining to food intake) leads to formation of ama.
  • Intake of food having following qualities:-
    • Heavy
    • Unctuous
    • Cold
    • Dry
    • Despicable
    • Constipation
    • Irritant
    • Unclean
  • Intake of food in improper time
  • Intake of food if person afflicted with following mental morbidity
    • Excessive passion for sexual pleasure
    • Anger
    • Greed
    • Confusion
    • Bashfulness
    • Grief
    • Indigestion
    • Anxiety and fear

Biophysical Properties Of Ama

  • Liquid
  • Heavy
  • Attain different colors
  • Etiological factor for almost all diseases
  • Slimy
  • Viscid
  • Thread-like
  • Sticky nature
  • Various kinds of pain
  • Yields foul smell

Other qualities like increased sourness, excess in quantity, thick, increased turbidity, obstruct various pathways etc.

Prodromal Features Of Ama

  • Stiffness
  • Anorexia
  • Excessive sleep
  • Excessive pallor
  • Dullness
  • Continuous aversion from play, food, sleep

General Symptoms Of Ama

  • Obstruction in channels
  • Diminution of strength
  • Heaviness
  • Disturbance in the normal movements of vata dosha
  • Drowsiness
  • Indigestion
  • Fatigue
  • Sticky thick tongue
  • Lethargy
  • Pain
  • Excessive spitting of saliva
  • Obstruction for urine and stool
  • Loss of appetite
  • Depression
  • Lack of desire towards food
  • Exhaustion

Sama

Sama manifests due to amalgamation of dosha and dushya resulting in formation of various kinds of disorders. It causes obstruction in channels, decreased body strength, heaviness, disturbances in normal movement of vata, laziness, indigestion, constipation, excessive exhaustion. In later stages, it gives rise to the origin of certain diseases.

Sama Vata Lakshana

The following are the characteristics signs and symptoms of sama vata:-

  • Obstruction for mala (waste products) and urine (mutra)
  • Diminished functions of Agni
  • Stiffness
  • Increased bowel sounds
  • Pain all over the body
  • Swelling
  • Piercing/pricking/stinging types of pain
  • Gradually manifest malaise all over the body
  • The agitated vayu (air) circulates all over the body and produces diseases when a favorable situation arises.
  • Anointing body both externally and internally, sunrise, cloudy season and night, aggravates ama condition.

Sama Pitta Lakshana

The following are the characteristics signs and symptoms of sama pitta:-

  • Foul smell
  • Greenish discoloration
  • Light blackish
  • Sour taste
  • Doesn’t spread in water (thick)
  • Heavy
  • Sour eructation
  • Burning sensation in throat
  • Burning sensation in cardiac region

Sama Kapha Lakshana

The following are the characteristics signs and symptoms of sama kapha:-

  • Increased turbidity in stool, urine and other waste substances of the body
  • Thread-like
  • Thick, stagnates in the throat
  • Foul smell
  • Complete lack of appetite
  • Complete obstruction for eructation

Sama Rasadhatu Lakshana

The following are the characteristics signs and symptoms of sama rasadhatu:-

  • Lack of interest or desire toward food
  • Anorexia
  • Feeling loss of taste in mouth
  • Lack of taste sensing capacity
  • Nausea
  • Heaviness
  • Drowsiness, fatigue
  • Malaise, body-ache
  • Fever
  • Darkness in front of eyes
  • Anemia
  • Obstruction of body channels
  • Impotency 
  • Heaviness of body
  • Emaciation
  • Loss of digestion strength
  • Premature wrinkling of skin and graying of hairs

Sama Raktadhatu Lakshana

The following are the characteristics signs and symptoms of sama raktadhatu:-

  • Skin diseases
  • Acute spreading diseases of the skin
  • Carbuncle
  • Bleeding diseases
  • Menorrhagia
  • Inflammation and suppuration in rectum and penis
  • Mouth ulcers
  • Disease of the spleen
  • Tumors in abdomen
  • Abscess
  • Blue moles
  • Jaundice
  • Blackish discoloration on face
  • Port wine mark
  • Black mole
  • Ringworm, dermatitis, leucoderma, papules, urticaria, red circular patches
  • Alopecia
  • Gout

Sama Mamsadhatu Lakshana

The following are the characteristics signs and symptoms of sama mamsadhatu:-

  • Hypertrophy of the muscles
  • Myoma
  • Piles
  • Uvulitis
  • Tonsillitis
  • Sloughing of flesh
  • Boils
  • Goiter
  • Cervical adenitis
  • Inflammation of epiglottis
  • Hypertrophy of the tongue
  • Gum boil
  • Inflammation of lips

Sama Medadhatu Lakshana

The following are the characteristics signs and symptoms of sama medadhatu:-

  • Astanindit prusha that is too tall, too short, over hairy, hairless, too black, over fair, over obese, over emaciation are the symptoms of sama meda.
  • Premonitory signs and symptoms of prameha (diabetes)
  • Benign and malignant tumors, internal growths
  • Enlargement of scrotum
  • Goiter
  • Tumor/cancer
  • Accumulation of meda (fat) in lips
  • Diabetes mellitus
  • Obesity
  • Excessive perspiration

Sama Asthidhatu Lakshana

The following are the characteristics signs and symptoms of sama asthidhatu:-

  • Hypertrophy of the bones
  • Excess teeth
  • Crackling sensation and pain in teeth
  • Crackling sensation and pain in bone
  • Discoloration of hair
  • Deformity of hair of head, body hairs, nail and beard
  • Diseases in nails

Sama Majjadhatu Lakshana

The following are the characteristics signs and symptoms of sama majjadhatu:-

  • Pain in small joints
  • Giddiness
  • Fainting
  • Seeing darkness in front of eyes
  • Manifestation of deep-seated abscesses in joints
  • Inflammation in eyes

Sama Sukradhatu Lakshana

The following are the characteristics signs and symptoms of sama sukradhatu:-

  • Non erection of penis
  • Incapability to indulge in sex in spite of erection too
  • Diseased progeny having short lifespan or deformed/disfigured
  • No conception or if conception there will be abortion or miscarriage
  • Manifests infertility and brings misery to his entire family

Sama Mutra Lakshana

The following characteristic properties indicate sama condition of mutra are as follows:-

  • Excessive urination
  • Urine attain different colors
  • Slimy urine
  • Viscid urine
  • Thread like urine
  • Strained urination
  • Various kinds of pain while passing urine
  • Foul smell urine
  • Increased frequency of urine
  • Increased turbidity

Sama Purisha Lakshana

The following characteristics properties indicate sama condition of purisha are as follows:-

  • Excessive stool evacuation
  • Stool attain different colors
  • Slimy stool
  • Viscid stool
  • Thread like stool
  • Constipation
  • Various kinds of pain while passing stool
  • Foul smell stool
  • Increased frequency of stool
  • Watery stool
  • Various kinds of sounds while passing stool
  • Frothy stool
  • When it combines with doshas, dhatus and other malas manifests diseases accordingly
  • Sinks in water

Sama Sweda Lakshana

The following characteristics properties indicate sama condition of sama sweda are as follows:-

  • Excessive sweat formation
  • Sweat attain different colors
  • Slimy sweat
  • Obstruction for sweat
  • Foul smell sweat
  • Increased frequency of sweat
  • Itching
  • Burning sensation in skin
  • Roughness of skin

Nirama

Nirama term is used when there is absence of undigested food particles (devoid of ama).

Nirama Vata Lakshana

निरामो विषदो रुक्षो निर्विबंधोअल्प वेदन:।
विपरीत गुणे: शान्तिं स्निग्धैयार्ति विशेषत:।

Reference - A.H.Su.13/27-28

The following are the characteristics signs and symptoms of nirama vata:-

  • Clear/transparent
  • Unctuous
  • Free from obstruction to normal movements of vata
  • Mild pain
  • Subsides by vata alleviating therapies like oleation

Nirama Pitta Lakshana

The following are the characteristics signs and symptoms of nirama pitta:-

  • Slight coppery
  • Yellowish color
  • Markedly increased warmthness
  • Pungent taste
  • Which spreads and mixes with water easily
  • Doesn’t yield bad smell
  • Enhances taste
  • Enhances the strength of bio digestive fire

Nirama Kapha Lakshana

The following are the characteristics signs and symptoms of nirama kapha:-

  • Frothy
  • Free from threads
  • Pallor
  • Clear light substance
  • Free from foul smell
  • Which is properly digested
  • Cleanses oral cavity

Nirama General Symptoms

  • No obstruction in channels
  • Regaining strength
  • Lightness
  • Vata (air) moves freely in its own path
  • Active
  • Proper digestion
  • No excessive secretions from oral cavity
  • No obstruction for urine, stool, flatus
  • Desire to take food
  • Free from exhaustion

Amavisa

If a person consumes incompatible foods, eats before the digestion of previous meals, during the state of indigestion, whatever is taken by the individual at this stage gets transformed to sourness. Leading to development of following sentence:-

  • Ama liberates certain poisons in amashaya (stomach) leading to manifestation of symptoms of food poisoning.
  • Incurable
  • Onset become insidious
  • Treatment becomes antagonist because if hot substances are employed for the management of ama condition, then ama visa exacerbates, if cold substances are given, which enhances ama condition. Due to contradiction in the lines of treatment of both the conditions, prognosis becomes difficult or incurable.

Treatment Of Ama

Desaturation is of three types:- reducing (langhan), reducing cum digesting (langhan pachnam), letting out of doshas (doshab avsechan). Amongst them, reducing therapy is recommended for those having doshas with a little strength. By reducing therapy agni and vata are increased which dry up the little dosha like the wind and the sun drying up the little water. The reducing cum digesting therapy is prescribed in case of doshas with medium strength. By this therapy, the moderate doshas are dried up in the same way as the moderate quantity of water is dried up by the sun-heat and wind and also by sprinkling dust and ashes. In the case of abundant doshas, only letting out doshas is prescribed, there is no remedy for overflowing a small pool except by breaking down field barriers. The therapy of letting out doshas works in the same way. Dry sudation is also very effective in ama. It is a therapy that reduces the obstruction in the channels and reduces pain and inflammation. There are various herbs which are effective in aam like guduchi, cumin, turmeric, garlic, ginger, aloe vera, black pepper, bhallataka, etc.

Conclusion

In this article we read about the concept of ama that is incomplete or partial digestion of food. The main factor for the formation of ama is deranged functions of agnis. Ama develops inside the amashaya (stomach). If it remains for a longer duration in the stomach in due course of time it attains suktatva, which is termed as ama pradosa or ama visa. Ama, ama dosha and amavisa play an important role in the pathogenesis as well as prognosis of diseases. Abnormal increase in the normal values of blood, urine, stool, semen, sputum, cerebrospinal fluid, salivary juice, etc may be understood as a condition. We can manage this disease in ayurveda by langhan (fasting), langhan pachana (reducing cum digesting) and doshas avsechan (letting out of doshas). In case of any query kindly visit www.PlanetAyurveda.com