Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Debility is without doubt one of the most necessary issues of any long-standing illness. The illness goes away with therapy. The signs additionally get decreased. The affected person is comfortable that issues are again to regular. However, the doctor too is happy with what outcomes he did get in dealing with that given illness or illness. However most occasions, what’s neglected within the backdrop is the footprints of the illness. These could also be refined and exit of discover from the perspective of a doctor. However, the affected person will take the reduction as a right if all troublesome signs of the illness have settled down and she or he is succesful sufficient to hit again to work and each day chores.
Snehana In acute situations
Bodily or mentally weak individuals would complain of tiredness and debility even after having recovered from the ailments. It takes a very long time for these individuals both to recuperate or to imagine that they’ve recovered utterly. Debility may be a mindset or an excuse for individuals who procrastinate or push issues an excessive amount of forward and need to spend extra hours or days in relaxation. From a doctor’s perspective, that is a straightforward affair to cope with, as a result of the particular person ‘complains’.
Stronger people by physique and thoughts are the opposite class of individuals. Even 60% betterment in signs of the illness is sufficient for them to ‘get going’. These individuals, many occasions, wouldn’t full the therapy schedule utterly. They won’t adhere to the dietetic and exercise restrictions. They hate resting and need to bounce again into the enterprise of life. In such situations, the physique is not going to get adequate time to reboot and rejuvenate. The continuing pathological reversion is not going to get help it must reshine. However, the residual morbidity will take alternative from the particular person hitting again to regular life in a rush, when she or he tries to rapidly bounce again into common meals and actions and push themselves too arduous.
In each circumstances, the pathogenesis can re-trigger and plenty of issues can happen, some noticeable and plenty of not, some spelt and plenty of ignored. The primary form of particular person complains, the second ignores.
Debility: Some extent of concern
Debility is one such level of concern which will probably be ongoing within the backdrop for a lot of days to months. Folks get alerted when it bothers lots and meddles with each day exercise, not till then. Sturdy individuals attempt to handle the debility by consuming extra meals and infrequently extra relaxation, prompted by close to and expensive ones or perhaps by Google. However debility could also be greater than what it seems to be. It might be a silent indicator of one thing sinister coming in the way in which. It might be an indicator of sure tissues, organs or organ programs slowly compromising. This can be a signal of a latent ongoing illness course of, slowly however steadily, ready for a chance to hit again.
Persistent Debility in power and recurring ailments
Debility of long-standing nature is harmful and needs to be addressed as quickly as attainable.
Beneath talked about are the factors of concern –
– If the illness is power
– Illness having recurring nature – a frequent customer
– Illnesses wherein the therapy is ongoing
– Debility not getting addressed by consumption of fine meals or illness particular medicines
– Affected person not taking the therapy correctly – unhealthy follow-ups
– Affected person making an attempt to handle the debility with residence treatments or over-the-counter medicines
– Illnesses having extreme lack of tissues
– Illnesses wherein the immunity has been compromised
– Illnesses which haven’t acquired correct or full therapy
– Illnesses whereby the samprapti has not been damaged utterly – i.e. has latent ongoing pathogenesis
– Affected person taking debility casually and never bringing it to the discover of the doctor – ‘This isn’t necessary, I’ll handle myself’ sort of individuals
– Illnesses involving the Marmas
– Illnesses whose Samprapti is powerful sufficient to interrupt by means of utterly, particularly so in weak individuals having sturdy pathogenesis
– Doshas and malas not flushed out of the system
Snehana for combating ‘illness induced debility’
There are numerous Ayurveda interventions for combating debility. The trigger, pathogenesis, dosha or illness within the backdrop of debility wants a cautious scrutiny earlier than beginning the therapy for a similar.
On this article, we is not going to focus on the therapy choices for combating debility. We are going to solely deal with the subject of debate and contact upon the significance of snehana in combating debility triggered on account of power ailments (or acute ailments), particularly that triggered on account of dhatu kshaya – depletion of tissues.
This rationalization is in accordance with a reference from Ashtanga Hridaya.
Grasp Vagbhata emphasizes utilization of Sneha – medicated fat, for combating the debility or tissue loss occurring because of the impression of power ailments.
Reference – Ashtanga Hridaya Sutra Sthana – Chapter 16, verse 45
Understanding the reference and context
क्षीणानां त्वामयैरग्निदेहसन्धुक्षणक्षमान्॥४५॥
Right here, Acharya Vagbhata mentions the indication as ‘amaya ksheenanam’.
The phrase ‘ksheena’ means –
– Debility
– Depletion of tissues
– Debility brought on by depletion of tissues
To place it brief, Amaya ksheenanam – might be understood as
a. ‘these debilitated by ailments’ – right here, the therapy precept of administering snehana is for acute or power ailments or
b. ‘these affected by debility brought on by dhatu kshaya occurring in power ailments’ – right here, the therapy precept of administering snehana is restricted for power ailments solely
Targets of administering sneha on this context
Administration of Sneha, for Amaya ksheena people is finished primarily with two functions –
– To extend the energy of the digestive fireplace i.e. to reinforce the digestion / metabolism capability of the intestine and consequently within the tissues
– To extend the energy of the physique of the affected person
Kinds of Sneha to be administered to fight debility triggered on account of power ailments
The above talked about two primary objectives or functions of administering the Sneha in these debility situations itself will give us two kinds of Sneha which should be used herein –
1. Agni Sandhukshana Kshaman – the medicated fat which have the capability to reinforce the agni and in flip the digestion capability of the person. This precept coincides with the precept – ‘all ailments, primarily these of stomach origin, are triggered on account of sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic issues and there may be nothing nearly as good as Sneha to try this, ‘the gasoline for fireplace’ precept.
2. Deha Sandhukshana Kshaman – the medicated fat which have the capability to reinforce the energy of the affected person. Each cell has a layer of fats round it. The principle high quality of fat is to supply oleation to all tissues and organs. Snehana is counted among the many therapies which offer energy and endurance.
How does Sneha work right here? – The precept of use of Sneha
Sneha, when administered in power debility triggered because of the ailments or depletion of tissues protecting into consideration each the above stated functions, will assist the physique to recuperate from the debility, primarily owing to the properties of Sneha – that are supportive for increase the physique tissues and enhancing the metabolism.
Firstly, the Sneha would kindle the weak agni. This can improve the capability of the digestive fireplace to digest the meals correctly. In flip, the correctly digested meals will get absorbed and distributed to the tissues. By suggestions mechanism, the agni which has been kindled by Sneha, will even enrich and kindle the dhatu agni. The kindled dhatu agni – tissue fires, will make use of the vitamin offered to them and construct up the relative dhatus in a wholesome manner. This can set up dhatu samya – equilibrium of tissues. Now, the physique would achieve energy, endurance and immunity.
When the agni of the particular person is nice, however the particular person nonetheless has debility, Sneha which might predominantly enrich the energy of the particular person needs to be administered.
The most important plus level is that, many of the occasions, Sneha given for both goal will probably be bi-phasic and multidimensional. That is because of the formulations which are brilliantly designed by our Acharyas.
What sort of Sneha needs to be given right here?
Although the main points about which kind of Sneha needs to be given to reinforce energy and digestive capability in individuals affected by post-disease debility has not been given, it may be inferred that Brimhana sort of Sneha might be most popular right here. The supposed Sneha might be given combined with meals.
Nitya Sneha – This description by Acharya additionally appears like ‘each day consumption of metered doses of sneha’ somewhat than a ‘snehapana’ sort of formatting. Snehana might be given every day, in small portions.
Vicharana Sneha – Sneha might be given with nutritious meals which is able to add to the multidimensional motion of the Sneha.
In what dose Sneha needs to be given?
Often, a dose which is the same as or lower than hrisiyasi matra needs to be given, following the opposite ideas and guidelines of snehapana. 10-15 grams / ml is good. The dose must be customised in accordance to prakriti, vikriti, age, tolerance / compatibility and so on of the affected person, although it’s not necessary, since it’s not snehapana.
When to cease Sneha?
The Sneha might be stopped as soon as the particular person recovers from debility, utterly. Opinion of the doctor does matter.
There isn’t any hurt in persevering with to make use of Sneha in small portions each day, for a very long time, particularly whether it is Ghrita – ghee, as a result of it’s a Nitya Rasayana – Rasayana which might be taken each day, all through the life.
Which Sneha type needs to be taken?
All Sneha varieties might be taken in line with prescription or suitability, as really useful by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and combos.
Can plain – Achcha Sneha be used?
Completely sure!
Essential Medicated Sneha to be thought of
– Indukantham Ghrtam
– Guggulutiktakam Ghrtam
– Ashwagandha Ghrtam
– Shatavari Ghrta
– Dhanwantara Ghrta
– Triphala Ghrta
– Amrtaprasha Ghrta
– Mahasneha
– Bala Taila / Ksheerabala Taila