Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Amajirna is a sort of ajirna – indigestion.
The phrase Amajirna is made up of two phrases –
– Ama – byproduct of meals shaped 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 brought on by extreme formation or accumulation of ama within the physique ‘when the digestive fireplace is influenced by morbid kapha’ is known as amajirna.
Ama – Ama is brought on by dangerous digestion. This occurs when the digestive fireplace within the intestine is weak and it has misplaced its capability to digest the meals. As a consequence, the meals just isn’t digested correctly. This improperly digested meals varieties ama. The ahara rasa – essence juice of meals thus shaped in amashaya – abdomen can be in an unprocessed type. As a consequence, the primary dhatu which is shaped from the essence of meals i.e. rasa dhatu can be unformed and unprocessed. The tissue fireplace of rasa tissue which has bought weakened because of suggestions from the weak central / intestine fireplace will add to this disturbed processing. In the long term, all the opposite tissues too will get affected.
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 comparable substances. They share similar properties.
Irregular Kapha enhance within the amashaya – abdomen may have a pacifying impact on the agni. The features of agni are just like the features of pitta. Agni resides in pitta and pitta represents agni within the physique in line with Ayurveda scriptures. To be exact, the pachaka pitta positioned within the abdomen will digest the meals with the assistance and coordination of samana vata. For this to occur additionally they want the cooperation of kapha positioned 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 steadiness between the three doshas and mutual cooperation is a should if the meals must be correctly digested, transformed and remodeled 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 traditional surroundings of sizzling 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 known as agnimandya – deficit energy of digestive fireplace. This could result in ajirna – indigestion.
Right here we are able to see that the digestive fireplace is influenced by excessively current kapha within the abdomen. So, mathematically the ajirna – indigestion on this case is prompted because of the affect of kapha.
To place it into easy phrases – ‘The indigestion prompted as a result of extreme presence of kapha in amashaya – abdomen and its affect on agni – digestive fireplace is known as amajirna’.
This situation is known as amajirna due to similar properties of kapha and ama. Additionally, because of the affect of kapha on the agni and consequent ajirna, loads of ama – semi digested or improperly processed meals (intermediate merchandise of digestion) is shaped within the abdomen.
Causes of amajirna
– Kapha vriddhikara nidana – etiological components which might result in kapha enhance
– 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 fireplace
– Manasika nidana – circumstances like avasada – despair, enhance of tamo guna and many others which could trigger enhance of kapha
Preventive measures
Avoiding the above stated etiological components / causes of amajirna are themselves the perfect preventive measures.
Signs of Amajirna
तत्रामे गुरुतोत्क्लेदः शोथो गण्डाक्षिकूटगः।
उद्गारश्च यथाभुक्तमविदग्धः प्रवर्तते॥मा.नि.६/१०॥
Beneath 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 just like these which come up instantly after taking the meals i.e. clear belching
– Praseka – extreme salivation
Therapy ideas of Amajirna
Nidana Parivarjana
Preserving away the causative components of ajirna is the important thing for achievement 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 prompted as a result of deficit / weakening of agni and predominant with ama, langhana ought to be administered within the type of ‘fasting’ or ‘methodically retaining away from meals or large parts of meals’. This could kindle the digestive fireplace and in addition assist in combating ama. That is most popular 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 decreased the observe up medicines and weight loss plan prescribed to strengthen the digestive fireplace and the intestine ought to be administered within the type of Deepana Chikitsa.
Different issues
– Ajirna Chikitsa – Normal line of therapy of ajirna when it comes to meals, life-style adjustments 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 must also be adopted.