Etiopathogenesis of ama formation and role of shamana therapy in the management

a review

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Journal name: World Journal of Pharmaceutical Research
Original article title: Etiopathogenesis of ama formation and role of shamana therapy in the management
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a review

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Author:

Shrikant Sahu, Dr. Aradhana Kande and Dr. Shikha Pendro


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Etiopathogenesis of ama formation and role of shamana therapy in the management

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201815-12990


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Summary of article contents:

1) Introduction

Ama is a concept in Ayurvedic medicine that refers to the presence of improperly digested food substances in the body, primarily caused by a reduced digestive capacity known as Mandagni. This condition can lead to various diseases, including Madhumeha (diabetes), Vatarakta (gout), and Amavata (rheumatoid arthritis), among others. The development of Ama is often attributed to factors such as dietary indiscretion and emotional stress, both of which can disrupt the body's neurohormonal mechanisms and impair Agni (digestive fire). The treatment of Ama is categorized based on its severity, and Shamana therapy is emphasized as a beneficial approach to manage and prevent the formation of Ama through various diets and lifestyle modifications.

2) Understanding Ama and Its Properties

Ama is characterized as a substance that remains undigested and undergoes neither anabolic nor catabolic processes, leading to its formation in the body as a byproduct of incomplete metabolism. Defined variously by several Ayurvedic scholars, Ama is linked to hypo functioning of Agni, which is responsible for digestion. It possesses qualities such as liquidity, stickiness, heaviness, and the ability to produce foul odors. These properties are critical for recognizing Ama's impact on health and diagnosing associated conditions, as they contribute to various ailments when Ama accumulates and obstructs bodily functions.

3) Etiology and Formation of Ama

The formation of Ama is primarily driven by disturbances in Agni, which can stem from direct causes such as improper dietary habits (e.g., incompatible foods or excessive food intake) and indirect causes that lead to overall weakness in the digestive system. The developmental stages of Ama can be understood through the Satkriyakala framework, which includes stages such as Chaya (accumulation), Prakopa (exacerbation), Prasara (spreading throughout the body), and Sthanasamshraya (settling in specific tissues), each of which denotes a different phase of disease progression. Recognizing these stages helps in effective diagnosis and guides the treatment protocols in Ayurvedic practice.

4) Role of Shamana Therapy in Managing Ama

Shamana therapy plays a critical role in managing Ama by employing various techniques that support the digestive system without overwhelming it. Langhana (lightening) actions, such as abstaining from heavy foods and unnecessary fluid intake, help restore Agni and facilitate the self-resolution of Ama. Other methods include Upavasa (fasting) and Vyayama (exercise), which aid in detoxifying the body and improving digestive strength. Additionally, Dipana (appetizer) and Pachana (digestive) medicines are implemented to enhance digestion and resolve Ama, demonstrating the holistic approach of Ayurveda to restore health.

5) Conclusion

In conclusion, Ama formation is a significant concern in Ayurvedic medicine, underscoring the necessity of maintaining a balanced Agni for overall health. The interplay of various factors that contribute to Ama emphasizes the importance of dietary and lifestyle choices in prevention and treatment. Shamana therapy stands out as the most fitting management strategy for addressing mild to moderate Ama conditions, reinforcing the need for a comprehensive understanding of its etiopathogenesis and the application of specific practices to facilitate recovery and prevent future occurrences. Employing these Ayurvedic principles can lead to enhanced health and well-being by addressing the root causes of digestive imbalances.

FAQ section (important questions/answers):

What does the term 'Ama' refer to in Ayurveda?

Ama refers to improperly digested food substances resulting from the hypofunctioning of Agni, leading to various diseases.

What are the main causes of Ama formation?

The main causes of Ama formation include dietetic indiscretions, emotional stress, and factors disrupting Agni, especially Mandagni and Vishamagni.

How is Ama classified based on severity?

Ama is classified into mild, moderate, and severe conditions. Shamana therapy is appropriate for mild and moderate conditions, while Langhana and Shodhana are used for more severe cases.

What role does Shamana therapy play in managing Ama?

Shamana therapy is essential in managing Ama conditions, particularly for preventing its formation and promoting digestion without overloading the Agni.

What dietary practices are recommended for Ama-related conditions?

Recommended practices include Upavasa (fasting), limiting fluid intake, and consuming light foods to help digest Ama and restore Agni.

What are the symptoms associated with Ama conditions?

Symptoms include general weakness, heaviness, indigestion, constipation, anorexia, and obstruction of bodily functions, leading to various diseases.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Etiopathogenesis of ama formation and role of shamana therapy in the management”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Roga:
Roga refers to diseases or conditions that affect the body. In Ayurveda, each roga has unique characteristics influenced by factors like dosha imbalances, ama formation, and agni's functionality. Understanding roga is crucial for diagnosis and treatment, guiding the choice of therapies and lifestyle modifications to restore health.

2) Agni:
Agni denotes the digestive fire or metabolic energy in the body, fundamental to maintaining health. It ensures proper digestion, absorption, and transformation of food into energy and bodily tissues. Dysfunctional agni, especially mandagni (weak digestion), can lead to ama formation and various diseases, highlighting its importance in treatment.

3) Langhana (Lamghana):
Langhana signifies a therapeutic approach in Ayurveda focused on reducing excessive body mass or ama. It encompasses practices like fasting or light diets to enhance digestion and metabolism. Langhana is critical for tackling conditions stemming from ama, allowing agni to function effectively and resolve the underlying imbalance.

4) Sama (Shama):
Sama refers to a balanced or homogenous state within the body, indicating health and proper functioning of doshas and agni. In contrast to 'ama', it denotes the absence of toxins or disturbances, emphasizing a state where digestion and metabolism occur optimally, crucial for overall wellness.

5) Ahara:
Ahara translates to food or dietary intake and is considered a pillar of health in Ayurveda. The quality, quantity, and compatibility of ahara impact digestion and the formation of ama. Proper ahara allows sustenance of agni, aiding overall health, while improper choices can lead to disease.

6) Karma (Karman):
Karmas signify actions or therapeutic measures employed to influence health in Ayurveda. This encompasses a diverse range of practices aimed at restoring balance and addressing health issues, critical for effective Ayurvedic treatments.

7) Sahu:
Sahu is the last name of Shrikant Sahu, the corresponding author of this research on ama formation and shamana therapy. His contributions to the study highlight the collaborative efforts within Ayurvedic research, indicating a team approach in many scholarly endeavors aimed at exploring holistic health solutions.

8) Disease:
Diseases in Ayurveda represent imbalances in doshas, dhatus, or the presence of ama. They arise from disturbances in agni, dietary indulgences, or emotional factors. Recognizing the root cause of disease is vital in Ayurvedic practice to tailor appropriate interventions, including dietary changes and lifestyle adjustments.

9) Mandagni (Manda-agni, Mamdagni):
Mandagni refers to a weak or diminished digestive fire, leading to improper digestion and the accumulation of ama in the body. Mandagni is often a primary cause of various diseases, making its restoration crucial in treatment plans that aim to resolve underlying health issues effectively.

10) Samana (Shamana):
Shamana encompasses the therapeutic measures aimed at alleviating symptoms and balancing doshas in Ayurveda. It includes gentle treatments that stabilize the body's condition without severe interventions. Shamana therapy is particularly effective in addressing mild to moderate ama conditions, aiding in the restoration of health.

11) Dravya:
Dravya refers to the individual medicinal substances or materials used in Ayurvedic preparations. It is a fundamental concept in Ayurveda, considering not only herbs but also the properties and actions of substances in therapeutic practices, contributing significantly to diagnosis and treatment outcomes.

12) Dipana:
Dipana refers to substances or therapies that stimulate digestive fire (agni) without causing irritation. Dipana helps prepare the digestive system for the processing of food and aids in preventing ama formation. It plays a key role in Ayurvedic treatments, ensuring optimal digestion and metabolism.

13) Dosha (Dosa):
Dosa denotes the fundamental energies influencing bodily functions in Ayurveda. Understanding dosas is essential for diagnosing imbalances, guiding treatment strategies, and promoting overall health and well-being.

14) Rasa (Rasha):
Rasa indicates the taste or essence of food and its role in dietary practices. In Ayurveda, rasa impacts digestion, metabolism, and the formation of dhatus. Each rasa influences the body's constitution and efficacy of treatments, highlighting the importance of balance in dietary choices.

15) Guna:
Gunas, as plural, emphasize the multiple qualities of substances in Ayurveda that define their actions and therapeutic effects. These qualities guide the selection of appropriate treatments and dietary adjustments, aiming to restore balance and health within the individual’s constitution.

16) Accumulation (Accumulating, Accumulate):
Accumulated indicates the buildup of harmful substances, like ama, in the body, often due to impaired digestion and lifestyle choices. Recognizing accumulated toxins is crucial for determining treatment strategies aimed at detoxification and rejuvenation.

17) Vyayama:
Vyayama means physical exercise or activity, crucial for maintaining physical and mental health in Ayurveda. Regular vyayama aids in digestion, enhances metabolism, and prevents the accumulation of ama. It contributes to maintaining balance in doshas and supports overall well-being.

18) Amavata (Ama-vata):
Amavata refers to a specific condition characterized by joint pain and inflammation resulting from ama accumulation. It is considered a form of arthritis in Ayurveda. Treatment focuses on eliminating ama and restoring agni to alleviate symptoms and improve joint function.

19) Pipasa:
Pipasa denotes a therapeutic approach that includes restriction of fluid intake. It is employed during langhana treatments to help reduce the quantity of ama and support the digestive process. Pipasa must be administered carefully to avoid dehydration while promoting digestion.

20) Substance:
Substances, in a broad context, encompass materials used in Ayurvedic formulations, including herbs and minerals. Recognizing the different substances and their properties is essential for effective treatment plans, ensuring they align with individual health needs and dosha configurations.

21) Shodhana (Sodhana):
Shodhana represents the purification or detoxification processes in Ayurveda, aimed at eliminating accumulated ama or toxins. This therapeutic approach reestablishes balance within the body, facilitating healing and enhancing the effectiveness of subsequent treatments to restore health.

22) Vikriti (Vikrti):
Vikriti refers to the individual's unique health state or imbalance, which can result from dosha disturbances, external factors, or lifestyle choices. Understanding vikriti enables the practitioner to design personalized treatment plans addressing the specific needs and conditions of the individual.

23) Shri (Sri, Sr):
Shri is a term often used to denote respect, auspiciousness, or honor in Sanskrit. In academic contexts, it often precedes the names of scholars or researchers, indicating their contributions and significance in their respective fields, including Ayurveda research and practice.

24) Vikara:
Vikara refers to alterations or disturbances in the body's natural state, often resulting in health issues. These alterations can manifest in various forms, including physical, emotional, or energetic imbalances. Recognizing vikara is vital for effective diagnosis and treatment in Ayurveda.

25) Ajirna:
Ajirna denotes a state of indigestion, indicating an inability to assimilate or properly process food. It is often associated with ama formation and reflects a compromised agni. Addressing ajirna is essential in Ayurveda to prevent the escalation of health issues and restore digestive balance.

26) Laghu:
Laghu signifies lightness in quality and is often used to describe food or substances that are easy to digest and do not burden the digestive system. Laghu ahara is encouraged in ama conditions to aid quicker digestion and recovery of agni.

27) Vata:
Vata represents one of the three doshas, characterized by qualities of dryness, lightness, and mobility. Vata governs movement and communication in the body. Imbalances in vata can lead to various health issues, making its regulation crucial for overall wellness.

28) Pain:
Pain is a symptom indicating underlying imbalances or health conditions within the body. In Ayurveda, it is often associated with ama accumulation or dosha disturbances. Understanding the nature of pain is essential for developing effective treatment strategies aimed at alleviating discomfort.

29) Abhyantara (Abhyamtara):
Abhyantara refers to the internal or deep-seated conditions within the body. Treatments addressing abhyantara issues focus on internal cleansing and revitalization of the body's systems, essential for addressing ama and restoring health effectively.

30) Alpahara (Alpa-ahara):
Alpa-ahara implies a minimal or light dietary intake, often recommended during therapeutic treatments to avoid overwhelming the digestive system. This approach helps facilitate digestion, improving agni's function and preventing ama formation in the body.

31) Amadosha (Amadosa, Ama-dosha):
Ama-dosa represents the qualities and characteristics of ama that resemble dosha imbalances. Understanding ama-dosa is essential for effective diagnosis and treatment in Ayurveda, focusing on eliminating toxins while restoring balance in the body.

32) Madhyama:
Madhyama signifies a moderate or balanced state concerning health and conditions. It is a concept within Ayurveda to prescribe treatments that cater to individuals in a moderate state, ensuring a tailored approach that balances health needs without excessive intervention.

33) Lakshana (Laksana):
Lakshana refers to the clinical features or symptoms associated with specific health conditions. In Ayurveda, identifying lakshana is essential for accurate diagnosis and treatment, allowing practitioners to discern the underlying imbalances or ama presence effectively.

34) Amavisha (Amavisa):
Amavisha denotes toxic accumulation in the body resulting from improperly digested food (ama), leading to various health issues. It is akin to the concept of a potent poison that disrupts the body's natural balance and requires urgent therapeutic intervention to restore health.

35) Alasaka:
Alasaka is a condition characterized by lethargy or lack of energy, often associated with ama or stale metabolic processes. It indicates a need for revitalizing treatments, including measures that stimulate agni and reduce ama accumulation.

36) Prakopa:
Prakopa signifies the stage where the doshas become aggravated and ready to manifest in the body, leading to potential diseases. Recognizing prakopa is essential for timely intervention in Ayurvedic treatments to prevent further progression of health issues.

37) Amasaya (Amashaya, Ama-ashaya):
Amasaya refers to the space or site where ama accumulates in the body, typically within the digestive system. Understanding amasaya is fundamental in Ayurveda for identifying where digestive disturbances may occur and addressing them effectively through targeted therapies.

38) Shotha (Sotha):
Shotha denotes swelling or inflammation in the body, often resulting from ama accumulation and vata disturbances. In Ayurveda, treating shotha requires addressing the underlying causes, enhancing digestion, and eliminating toxins to restore normal function.

39) Udara:
Udara translates to abdominal conditions or issues, specifically related to the internal organs. In Ayurveda, udar roga often involves ama accumulation and requires careful assessment and treatment strategies to alleviate symptoms and address underlying imbalances.

40) Ushna (Usna):
Ushna refers to heat or warmth in Ayurvedic context, often associated with enhancing digestive fire. Ushna qualities are vital in treatments aimed at increasing agni or facilitating digestion, playing a crucial role in reducing ama and restoring balance in the body.

41) Marga:
Marga indicates the path or route that diseases take in the body in Ayurveda. Understanding the marga of a condition aids practitioners in diagnosing and formulating efficient treatment plans that target the root cause effectively.

42) Dhatu:
Dhatu signifies the fundamental bodily tissues that are essential for physical structure and function in Ayurveda. There are seven primary dhatus, and maintaining their balance is vital for health, as disturbances can lead to various diseases and impaired bodily functions.

43) Paka:
Paka translates to the process of cooking or transformation, particularly in the context of digestion. Proper paka signifies adequately processed food and digestion, preventing ama formation. In contrast, inadequate paka leads to the creation of ama, disrupting health.

44) Mala:
Mala refers to waste products or residues generated in the body, playing a significant role in health. Proper elimination of mala is vital to prevent ama accumulation. In Ayurveda, managing mala is essential to maintain detoxification and overall wellness.

45) Alpa:
Alpa signifies smallness or minimal amount, often used to describe quantities of food or medication in Ayurvedic prescriptions. Alpa ahara is encouraged in detoxification processes to ensure the digestive system is not overloaded, aiding in effective treatment.

46) Food:
Food in Ayurveda embodies not just sustenance but also healing properties, as it directly influences digestion and overall health. The quality, preparation, and combination of food can significantly affect an individual's health and susceptibility to diseases like ama.

47) Fish:
Fish, as a food source, is considered in Ayurveda for its protein-rich properties but may be viewed with caution due to potential compatibility issues with certain other foods. Its inclusion in a diet must consider an individual's dosha and overall health condition.

48) Drug:
Drug refers to the medicinal substances used for treatment in Ayurveda. Understanding the right drug based on dosha imbalances and individual health conditions is essential for effective interventions and promoting therapeutic outcomes within a holistic healthcare framework.

49) Sthanasamshraya (Sthanasamsraya, Sthana-samshraya):
Sthanasamshraya refers to the localization of ama or toxins within the body. This concept is crucial in understanding where imbalances manifest, aiding in diagnosing the site of disease and guiding targeted treatments in Ayurveda to alleviate symptoms effectively.

50) Shadangapaniya (Sadangapaniya, Shadanga-paniya):
Shadangapaniya refers to a specific medicinal preparation used to aid digestion and combat ama. Such treatments demonstrate the application of Ayurvedic principles where food and herbs are strategically combined to enhance health, assist in detoxification, and restore balance within the body.

51) Madhuramla (Madhura-amla):
Madhura-amla signifies the sweet and sour tastes, respectively, which have distinct influences on digestion and health in Ayurveda. Understanding these tastes helps in formulating balanced diets that harmonize with an individual's dosha, enhancing overall well-being.

52) Pakshaghata (Paksaghata, Paksha-ghata, Paksha-aghata):
Pakshaghata refers to a condition characterized by paralysis or weakness, stemming from ama and vata disturbances. Treatment focuses on addressing ama and restoring balance within the body, illustrating the interconnectedness of doshas and the role of ama in various ailments.

53) Samshodhana (Samsodhana):
Samshodhana signifies the cleansing or detoxification processes in Ayurveda. This method is crucial for eliminating ama, restoring balance, and preparing the body for subsequent therapeutic interventions, emphasizing the importance of regularly purifying the body for optimal health.

54) Lavanarasa (Lavana-rasa):
Lavana-rasa translates to the salty taste, which has specific effects on digestion and health in Ayurveda. While it aids digestion, excessive intake can lead to imbalances. Understanding lavana’s role in diet is essential for maintaining dosha equilibrium and preventing health issues.

55) Vishamashana (Visamasana, Vishamasana):
Vishamasana denotes irregular or incompatible dietary habits that disrupt digestion and contribute to ama formation. It emphasizes the need for dietary discipline and awareness of food combinations in Ayurveda to maintain health and prevent disease.

56) Kaphapitta (Kapha-pitta):
Kapha and pitta are two of the three doshas in Ayurveda, each representing distinct qualities and functions in the body. An imbalance between these doshas can lead to various health issues, making their recognition and management essential for restoring health.

57) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya represents a state of diminished digestive fire, often leading to poor digestion and the formation of ama. Understanding agnimandya is essential for addressing gastrointestinal issues and restoring metabolic health through appropriate paddya and therapeutic interventions.

58) Jatharagni (Jathara-agni):
Jatharagni refers to the primary digestive fire located in the stomach, responsible for processing food. Maintaining an optimal jatharagni is crucial for digestion and preventing the formation of ama, as it influences the overall strength of agni in the body.

59) Rasadhatu (Rasa-dhatu):
Rasa-dhatu signifies the essential fluid that nourishes the body, serving as the first dhatu formed after digestion. Proper formation and assimilation of rasa-dhatu are crucial for overall health, reflecting the effective functioning of agni and the absence of ama.

60) Vishamagni (Vishama-agni, Visamagni):
Vishamagni denotes irregular digestive fire that may fluctuate between extremes of hyperactivity and underactivity. This inconsistency can lead to poor digestion and ama formation, necessitating treatment strategies aimed at stabilizing agni's function within the body.

61) Tikshnagni (Tiksnagni, Tikshna-agni):
Tikshnagni refers to a sharp or strong digestive fire known for its capability to handle various food types effectively. Maintaining tikshnagni is essential for optimal digestion and preventing the development of ama, showcasing the importance of ensuring balanced agni.

62) Urustambha (Uru-stambha):
Urustambha signifies stiffness or pain in the legs often associated with ama accumulation affecting the joints. Understanding urustambha aids in addressing joint health and tailoring treatments aimed at restoring mobility and alleviating associated discomfort.

63) Udararoga (Udara-roga):
Udara-roga translates to abdominal diseases caused by ama or digestive disturbances. Recognizing udara-roga is critical in Ayurvedic practice to implement appropriate interventions that address the root causes and restore digestive and overall health.

64) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha represents the dosha characterized by qualities of movement, dryness, and coldness. Vata imbalances can lead to various health issues due to their influence on bodily functions. Understanding vata is critical for devising effective treatments and lifestyle adjustments.

65) Tantumatva:
Tantumatva refers to the thread-like quality of ama, indicating its sticky and residual nature in the body. Recognizing tantumatva is crucial in diagnosing ama-related conditions and implementing therapies to eliminate ama from the system effectively.

66) Developing:
Developing in this context refers to the processes leading to health conditions influenced by various factors, including improper digestion, lifestyle choices, and emotional stress. Addressing the origins of developing conditions is fundamental in Ayurvedic practice to restore balance and health.

67) Vatarakta (Vata-rakta):
Vatarakta refers to a specific ailment characterized by joint pain and inflammation associated with vata dosha imbalances. It highlights the interplay between doshas and ama, requiring targeted approaches to alleviate symptoms and restore health.

68) Adhyashana (Adhyasana):
Adhyasana signifies overindulgence or improper quantity of food intake, leading to digestive disturbances. Recognizing adhyasana is crucial for prevention and management, emphasizing the need for mindful eating habits to maintain health and prevent ama accumulation.

69) Amlapitta (Amla-pitta):
Amlapitta is a condition characterized by acidity and digestive discomfort due to ama and pitta imbalances. Understanding amlapitta is vital for developing effective dietary and therapeutic interventions aimed at restoring balance and alleviating symptoms.

70) Amatisara (Ama-atisara):
Amatisara refers to a condition characterized by diarrhea due to ama accumulation. Recognizing amatisara is essential for cultivating appropriate treatments that focus on detoxification, digestion, and restoring normal bowel function within the body.

71) Vilambika:
Vilambika signifies delayed digestion or sluggish metabolic processes. This term underscores the importance of prompt and effective treatment approaches to restore digestive efficiency and prevent the further development of ama-related health issues.

72) Durgandha (Dur-gandha, Durgamdha):
Durgandha indicates the foul smell associated with ama, serving as a diagnostic marker in Ayurveda. Recognizing durgandha aids practitioners in understanding the severity of ama and applying appropriate treatment strategies to eliminate accumulated toxins.

73) Vishtabdha (Vistabdha):
Vistabdha refers to the obstruction of bodily channels due to ama accumulation. Identifying vistabdha is crucial for addressing the root causes of blockages in normal physiological functions, ensuring effective treatment regimens that restore balance.

74) Vibandha:
Vibandha signifies constipation or difficulty in bowel movements, often resulting from ama or dosha imbalances. Addressing vibandha is vital in Ayurveda, as it directly affects overall health and the efficiency of detoxification processes.

75) Utklesha (Utklesa):
Utklesha implies exacerbation or intense symptoms associated with ama conditions. Recognizing utklesha serves as a critical marker for practitioners to assess the severity of a condition and adjust treatment approaches accordingly to effectively manage health issues.

[Note: The above list is limited to 75. Total glossary definitions available: 152]

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Discover the significance of concepts within the article: ‘Etiopathogenesis of ama formation and role of shamana therapy in the management’. Further sources in the context of Science might help you critically compare this page with similair documents:

Shamana Therapy, Ama formation, Langhana therapy, Pachana therapy, Formation of Ama, Dietetic indiscretions, Properties of Ama, Vyayama therapy, Dipana dravyas.

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