Review of sansarjana krama
Journal name: World Journal of Pharmaceutical Research
Original article title: Review of sansarjana krama
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Dr. Seema Bahatkar, Dr. Anita A. Patil and Dr. Suresh G. Dahiphale
World Journal of Pharmaceutical Research:
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Full text available for: Review of sansarjana krama
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20221-22655
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Summary of article contents:
Introduction
Panchakarma is a purification therapy in Ayurveda aimed at detoxifying the body and eliminating vitiated doshas, which are believed to be the root causes of various diseases. It is instrumental in maintaining both physical and mental health. The therapy comprises several procedures, including Vamana, Virechana, Basti, Nasya, and Raktamokshana. Following these detoxification methods, a graduated diet known as Sansarjana Krama is introduced, transitioning the individual from lighter, liquid foods to heavier, solid foods. This dietary adjustment addresses Mandagni, or decreased digestive capacity, which often occurs post-treatment. The study expounds on the significance and systematic approach of Sansarjana Krama in restoring digestive health.
The Importance of Sansarjana Krama
Sansarjana Krama, also referred to as Peyadi Krama, is critical after detoxification procedures, specifically Vamana and Virechana. Once these treatments are administered, there's a high likelihood of agnimandya or weakened metabolic capacity. Sansarjana Krama is then employed to stimulate and normalize Agni (digestive strength) and Prana (nutritive status). The gradual return to a normal diet is essential for transitioning from a state of depleted digestive capacity to robust digestive health, allowing the body to recuperate effectively after the cleansing processes. The methodical reintroduction of foods is aimed at enhancing digestion and ensuring the body regains its strength without overwhelming its restorative processes.
Classification of Sansarjana Krama
Sansarjana Krama is categorized into three types based on the degree of Shuddhi (purification) achieved: Pradhana (superior), Madhyama (medium), and Avara (inferior) Shuddhi. The classification is determined by the extent of doshic imbalance and the corresponding dietary requirements. In Avara Suddhi, a lighter diet such as Yavagu is administered once, while in Madhyama Suddhi, the same diet is provided twice, and in Pradhana Suddhi, it is repeated thrice within specified durations. This classification helps practitioners to optimize dietary regimens according to the extent of detoxification and the patient's specific needs, ensuring a tailored recovery process.
Complications of Neglecting Sansarjana Krama
Failing to adhere to Sansarjana Krama can lead to various complications, including fever, metabolic disturbances, jaundice, anemia, skin diseases, and digestive issues. The purposeful follow-through on the Sansarjana Krama is essential to ensure that the benefits of the purification processes are not undermined, as abrupt reintroduction of a regular diet may overwhelm the compromised digestive system. Additionally, alternative approaches such as Tarpanadi Krama can be considered for patients who exhibit specific imbalances and do not meet the criteria for Sansarjana Krama, emphasizing the need for individualized treatment.
Conclusion
The successful implementation of Sansarjana Krama is paramount for enhancing and stabilizing digestive power post-Panchakarma treatments. By gradually increasing the complexity of the diet, this method effectively reignites digestive strength, preparing the body to handle diverse food preparations. This structured approach is rooted in Ayurvedic principles and mirrors the gradual rejuvenation of fire by incrementally adding fuel, thereby optimizing digestive capacity. Sansarjana Krama not only ensures a seamless transition back to a normal diet but also safeguards overall health, reinforcing the necessity of a careful approach in post-detoxification dietary management.
FAQ section (important questions/answers):
What is Sansarjana Krama in Ayurveda?
Sansarjana Krama is a graduated dietary regimen introduced after purification therapies like Vamana and Virechana. It involves gradually transitioning the diet from lighter to heavier foods to restore digestive power and health.
What conditions require Sansarjana Krama?
Sansarjana Krama is necessary after purification treatments when 'Agnimandhya' or low digestive capacity occurs, ensuring the body can process food effectively without complications.
What are the types of foods used in Sansarjana Krama?
Foods in Sansarjana Krama include Manda, Peya, Vilepi, Yavagu, and Yusha, which are prepared according to the individual’s digestive capacity and specific needs post-purification.
What happens if Sansarjana Krama is not followed?
Failure to follow Sansarjana Krama can lead to complications like fever, jaundice, anemia, digestive disturbances, and other health issues, impacting overall recovery.
How is Agni affected by Sansarjana Krama?
Sansarjana Krama aims to enhance 'Agni', or digestive fire, by gradually reintroducing food, allowing the body to regain its ability to digest heavier foods effectively.
What is the indication for Tarpanadi Krama?
Tarpanadi Krama is indicated when there is an incomplete purification process, alcohol consumption, or a dominance of Kapha and Pitta doshas, as it aids digestion without causing excess load.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Review of sansarjana krama”. 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) Samhita:
Samhita refers to ancient texts in Ayurveda, primarily composed of medical knowledge, theories, and practices. The texts like Charaka Samhita and Sushruta Samhita provide guidelines on health, the significance of balance in bodily humors, and therapeutic methodologies. They form the foundational literature for understanding Ayurvedic principles and practices.
2) Vamana:
Vamana is one of the Panchakarma therapies in Ayurveda, focusing on therapeutic vomiting. It is employed to expel excess Kapha dosha, thus clearing toxins from the body and facilitating detoxification. Vamana enhances digestion and can improve overall health by correcting imbalances in the body's doshas.
3) Yusa (Yusha):
Yusha refers to a type of liquid food or soup, often made from cooked pulses or meat. In the context of Sansarjana Krama, Yusha is introduced progressively after detoxification to help restore digestive strength. It is integral for transitioning from liquid to solid diets post Panchakarma procedures.
4) Agni:
Agni represents the digestive fire in Ayurveda, crucial for metabolism and overall health. The strength of Agni determines nutrient absorption and waste elimination. Proper Agni is essential for maintaining balance within the body; imbalances can result in various health issues or diseases.
5) Peya:
Peya is a thin, watery preparation used in the Ayurvedic dietary regimen, especially useful for individuals recovering from Panchakarma treatments. It serves to nourish and hydrate the body while being easy to digest, facilitating the gradual reintroduction of nutrients post detoxification.
6) Vilepi:
Vilepi is a type of semi-solid food in Ayurveda, typically made from cooked grains or pulses that are ground to a paste. It is consumed in the recovery phase after detoxification therapies, as it is nourishing yet gentle on the stomach, aiding digestion and assimilation.
7) Dosha (Dosa):
Doshas are the fundamental bodily humors in Ayurveda—Vata, Pitta, and Kapha. They govern physiological and psychological functions in the body. An imbalance among the doshas can lead to diseases, thus understanding and managing them is vital for maintaining health and well-being.
8) Shodhana (Sodhana):
Shodhana refers to the purification processes in Ayurveda aimed at detoxifying the body and eliminating vitiated doshas. Methods like Vamana and Virechana fall under this category, helping restore balance and improve overall health before commencing any therapeutic interventions.
9) Manda (Mamda):
Manda is a thin gruel or soup made from boiled grains, used as a nourishment option in Ayurveda. It is often recommended as the first meal after detoxification procedures, providing essential nutrients while being easy to digest, thereby supporting the recovery of Agni.
10) Mamsarasa (Mamsa-rasa):
Mamsa-rasa denotes the broth or essence derived from meat, known for its rich nutrient content. In Ayurvedic dietary practices, it is introduced progressively during recovery after detoxification to enhance nutritive support and digestive strength.
11) Diet:
In Ayurveda, diet is emphasized as a key factor influencing health. The dietary regimens proposed in texts determine the quality and balance of food that can restore or maintain doshic harmony. Proper diet, aligned with individual constitution, is crucial for preventing and managing diseases.
12) Food:
Food represents the sustenance required for maintaining life and health. In Ayurvedic practice, quality, preparation, and timing of food intake are essential considerations. Food is viewed not just as nourishment but also as a means of achieving balance within the body’s doshas.
13) Disease:
Diseases in Ayurveda are viewed as imbalances within the body, particularly among the doshas, dhatus, or malas. Treatment approaches targeting these imbalances aim to restore health and prevent further complications, following a holistic and personalized methodology.
14) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to a state of weakened digestive fire, leading to poor metabolism. It is often a consequence of undergoing intense cleansing therapies like Shodhana. Addressing Agnimandya post-treatment is crucial to restore digestive capacity and improve the individual’s overall health and vitality.
15) Yavagu:
Yavagu is a porridge or gruel made from grains, utilized in Ayurvedic diets for its nourishing yet easily digestible properties. It is often included in the post-detox recovery phase to gently reintroduce solid foods, allowing the digestive system to adjust gradually.
16) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is a foundational text of Ayurveda focusing on surgical techniques, healing practices, and the principles of medicine. It complements Charaka Samhita, emphasizing the practical aspects of treatment, including detoxification, surgical procedures, and the importance of diet.
17) Karma (Karman):
Karma denotes actions or treatment methodologies in Ayurveda that lead to specific outcomes. Each therapeutic approach, such as Shodhana or Shamana, is considered a Karma aimed at restoring balance within the body and promoting health through prescribed procedures.
18) Laghu:
Laghu translates to 'light' in Ayurveda and refers to foods that are easily digestible. Incorporating Laghu foods is essential during recovery phases or when addressing conditions of Agnimandya, as they support digestion without overwhelming the digestive fire.
19) Rakta:
Rakta refers to blood in Ayurvedic terminology and is one of the seven dhatus (tissues). The balance of Rakta is essential for overall health as it nourishes the body, provides energy and sustenance, and plays a role in detoxification processes.
20) Krita (Krta):
Krita refers to well-prepared or processed food in Ayurveda. It signifies food that has been correctly cooked and seasoned, making it suitable for consumption and digestion, especially during recovery phases following detoxification or cleansing processes.
21) Mandagni (Mamdagni, Manda-agni):
Mandagni signifies a reduced or sluggish digestive fire. This condition usually arises after intense detoxification processes, necessitating careful attention to dietary management to enhance digestive capacity and restore metabolic balance effectively.
22) Mudga:
Mudga refers to mung beans, a pulse commonly used in Ayurvedic nutrition for its light and nutritious properties. It is often recommended in recovery regimens due to its easy digestibility and ability to nourish the body while providing essential nutrients.
23) Basti:
Basti is an important Ayurvedic therapy that involves administering medicated oils or decoctions via the rectum. It is part of the Panchakarma detoxification process and is designed to purify the body, resolve doshic imbalances, and restore health.
24) Shali (Sali):
Shali refers to rice, particularly the older varieties valued for their digestibility and nutritional content in Ayurveda. It is often recommended as a staple in various diets, especially during recovery phases or after cleansing treatments like Shodhana.
25) Kala:
Kala denotes time or phases in Ayurvedic practice, particularly relating to meal timings and the sequencing of dietary adjustments during treatment. Timing is pivotal in ensuring optimal digestion and assimilation of nutrients, aligning with the body's natural rhythms.
26) Raktamokshana (Rakta-mokshana, Raktamoksana):
Rakta-mokshana is a therapeutic bloodletting procedure in Ayurveda aimed at purifying the blood of toxins and balancing doshas. It focuses on treating conditions related to vitiation in blood, thus promoting overall health and wellness.
27) Niruhabasti (Niruha-basti):
Niruha basti is a specific type of Basti therapy that involves administering a medicinal enema primarily made with herbal decoctions or oils to cleanse the intestines and alleviate dosha imbalances, facilitating detoxification and improving digestion.
28) Purification:
Purifications encompass various detoxification practices in Ayurveda, such as Shodhana. These methods are essential for cleansing the body of toxins and restoring balance among the doshas, thus contributing significantly to maintaining health and preventing disease.
29) Madhyama:
Madhyama means 'moderate' or 'middle' in Ayurvedic classifications. It is used to denote a type of dietary adjustment or therapeutic intervention that balances the effects of both Pradhana (higher) and Avara (lower) approaches, ensuring a gradual, balanced transition in treatment and recovery.
30) Vitiation (Vitiated):
Vitiation pertains to the disturbance or imbalance of doshas in Ayurveda, leading to disease. Identifying vitiation is fundamental for implementing appropriate treatments to restore balance and promote health.
31) Langhana (Lamghana):
Langhana refers to the therapeutic method of 'lightening' or reducing the body's weight by promoting fasting or consuming light foods. It aims to enhance digestion and eliminate excess doshas, particularly useful in managing conditions like obesity or digestive disturbances.
32) Bhojana:
Bhojana refers to the act of eating in Ayurveda, encompassing the methods, timings, and types of food consumed. It goes beyond mere sustenance, emphasizing the importance of appropriate nourishment for maintaining health and balancing the body's doshas.
33) Prastha (Prashtha):
Prastha is a traditional Ayurvedic measurement unit equivalent to approximately 648 grams or 13.5 Pala. Knowledge of such measurements is crucial for properly administering herbs, food, and medicinal preparations, ensuring accuracy in treatments and dietary recommendations.
34) Samanya:
Samanya translates to 'common' or 'general' in Ayurveda and is often used to describe standard dietary practices or therapeutic guidelines that apply broadly to a population or generally recommended practices for fostering health and balance.
35) Pravara:
Pravara denotes 'superior' or 'best' quality and is used in Ayurvedic texts to categorize dietary recommendations or treatments that are most effective for restoring health, particularly after significant purification processes.
36) Grahini:
Grahini describes the digestive processes or the status of the digestive tract within the Ayurvedic framework. An individual's Grahini state affects nutrient absorption and overall health, necessitating careful management of diet and treatment protocols.
37) Akrita (Akrta):
Akrita refers to unprepared or unprocessed foods in Ayurveda, typically lacking necessary cooking or seasoning that makes them suitable for consumption. Such foods may be more challenging to digest and are therefore introduced gradually after detoxification processes.
38) Niruha:
Niruha signifies an enema therapy in Ayurveda, particularly focusing on cleansing the lower gastrointestinal tract. This cleansing technique is employed during detoxification processes to remove accumulated toxins and vitiated doshas from the body.
39) Avara:
Avara translates to 'lower' or 'inferior' and is used in Ayurveda to classify certain treatments or dietary approaches that are less intensive in nature, typically appropriate for patients with less severe doshic imbalances or those in early recovery.
40) Table:
Table refers to organized data, such as the various classifications of food items and their preparation methods laid out in Ayurveda. Tables are utilized to provide clear, accessible information on dietary recommendations and therapeutic practices in Ayurvedic texts.
41) Rice (Rce):
Rice, particularly types like Rakta-shali, holds a significant place in Ayurvedic nutrition due to its digestibility and nutritional value. It is a staple food considered essential for maintaining energy, health, and supporting recovery during Ayurvedic treatments.
42) Raktashali (Raktasali, Rakta-shali):
Rakta-shali refers to a variety of red rice valued in Ayurveda for its high nutrient content and digestibility. It is often recommended in dietary regimens following detoxification to help restore strength and balance.
43) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine focused on holistic health, well-being, and the union of body, mind, and spirit. It utilizes principles of balance among the doshas, dietary practices, and therapeutic techniques to promote health and prevent disease.
44) Vagbhata:
Vagbhata refers to an ancient Ayurvedic scholar whose work, such as Ashtanga Hridaya, contributed significantly to the understanding and practice of Ayurveda. His teachings emphasize the integration of practical and theoretical aspects of medicine, enhancing Ayurvedic knowledge.
45) Tridosha (Tri-dosha, Tridosa):
Tridosha is the concept of three primary doshas in Ayurveda: Vata, Pitta, and Kapha. Each dosha corresponds to specific physical and psychological traits. Understanding these doshas is fundamental to diagnosing health conditions and tailoring treatments in Ayurveda.
46) Pradhana:
Pradhana means 'primary' or 'dominant' and is used to classify treatments or dietary interventions that take precedence due to the severity of a condition. Pradhana treatments are crucial for addressing significant imbalances in doshas and restoring health.
47) Activity:
Activity in Ayurveda pertains to bodily and mental functions influenced by the equilibrium of doshas and Agni. Engaging in suitable physical and mental activities is essential for maintaining health and vitality, complementing dietary and therapeutic practices.
48) Shamyaka (Samyaka):
Samyaka translates to 'proper' or 'suitable,' denoting appropriateness in Ayurvedic practices. It signifies achieving successful balance in dietary regimens and treatments to promote effective recovery and health maintenance.
49) Samana (Shamana):
Shamana refers to the palliative approach in Ayurveda aimed at soothing or pacifying doshic imbalances. Instead of elimination, this method focuses on alleviating symptoms, enhancing comfort, and maintaining health without aggressive detoxification.
50) Dravya:
Dravya refers to substances used in Ayurvedic treatments, including herbs, minerals, and foodstuffs. Each Dravya carries specific properties and effects, central to formulating therapies and dietary recommendations tailored to individual health needs.
51) Adhaka:
Adhaka is a term used to describe a specific amount of food, often involved in dietary calculations or preparations in Ayurveda. This term is essential for ensuring proper nutritional intake according to individual health and treatment requirements.
52) Adhaki:
Adhaki refers to a food preparation or substance that is highly nutritious or beneficial, often indicated in Ayurvedic texts for its properties in promoting health and restoring balance during or after treatment procedures.
53) Lavana:
Lavana denotes salt in Ayurveda, recognized for its specific therapeutic properties. It plays a crucial role in culinary practices and is used to enhance the digestive process, ensuring proper flavor and aid in nutrient absorption.
54) Kulthi:
Kulthi, or horse gram, is an important pulse in Ayurveda, known for its diuretic and detoxifying properties. It is often included in therapeutic diets to assist in detoxification, digestion, and maintaining metabolic health.
55) Pitta:
Pitta is one of the three doshas and represents the elements of fire and water, associated with metabolism and transformation in the body. Understanding Pitta's qualities and functions helps manage various conditions tied to heat and digestion.
56) Odana:
Odana denotes rice preparation or porridge in Ayurveda, serving as a staple food item. Depending on its preparation and qualities, Odana can be used to nourish and support recovery or promote balanced digestion post detoxification.
57) Nasya (Nashya):
Nasya is a therapeutic nasal administration in Ayurveda, used to deliver herbal medicines. It is part of Panchakarma therapies and aims at clearing nasal passages, enhancing sensory faculties, and supporting overall health by balancing doshas.
58) Mamsa (Mamsha):
Mamsa refers to meat in Ayurvedic terminology and is considered nurturing and energizing. Depending on the individual’s health needs and doshic balance, Mamsa is introduced in diets for its nutritional benefits post detoxification.
59) Balya:
Balya signifies food or substances that promote strength and vitality. Foods categorized as Balya are often recommended in Ayurvedic practices to nourish the body effectively and assist in recovery from ailments.
60) Water:
Water is considered essential for sustaining life and health in Ayurveda. It plays a key role in digestion, metabolism, and maintaining balance among the doshas. Proper hydration supports detoxification and the overall functionality of bodily systems.
61) Prana (Pran):
Prana refers to the vital life force or energy in Ayurveda, influencing physical, emotional, and spiritual well-being. Understanding Prana’s balance within the body is essential for maintaining health and vitality, informing treatment and lifestyle choices.
62) Guru:
Guru refers to heavy or dense foods in Ayurveda, typically indicating items that require significant digestive effort. Such foods are introduced cautiously, especially post detoxification, to avoid overwhelming the digestive system and aggravating Agnimandya.
63) Kaya:
Kaya translates to the body in Ayurveda. It encompasses the physical aspect necessary for health and healing practices. Maintaining physical health through appropriate diet, lifestyle, and therapies is central to Ayurvedic principles.
64) Rasa (Rasha):
Rasa denotes flavor and essence derived from food in Ayurveda. It plays a significant role in determining the therapeutic properties of diets and their impact on the body's doshas, critical for catering dietary recommendations.
65) Fire:
Fire represents Agni, the essential factor for digestion and metabolism in Ayurveda. It symbolizes transformation and energy, with emphasis on maintaining a balanced Agni for optimal health and disease prevention.
66) Mental health:
Mental health is recognized in Ayurveda as equally important as physical health, with a clear connection to doshic balance. Emotional well-being is central to achieving overall health, with strategies to manage stress and emotional disturbances included in treatment.
67) Kashyapasamhita (Kasyapasamhita, Kashyapa-samhita):
Kashyapa Samhita is an Ayurvedic text focusing on pediatrics and women's health, enriching the traditional wisdom with information on maternal and child care. It serves as a crucial reference for practitioners in addressing specific health concerns related to this demographic.
68) Bastishodhana (Bastisodhana, Basti-shodhana):
Bastishodhana refers to the purification process of the urinary bladder and gastrointestinal tract in Ayurveda, usually involving Basti therapies aimed at clearing toxins and facilitating the elimination of excess doshas and impurities from the body.
69) Kushthaghna (Kusthaghna):
Kushthaghna refers to substances or treatments effective in treating skin diseases (Kusta) in Ayurveda. Recognizing the role of skin health is crucial for holistic treatment approaches addressing both physical and aesthetic concerns.
70) Abhishyanda (Abhisyanda):
Abhishyanda refers to a condition marked by excessive moisture and heaviness in the body, often resulting from imbalances in Kapha dosha. It signifies the need for specific treatment approaches to restore balance and mitigate symptoms.
71) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma represents the therapeutic use of enemas in Ayurveda, which aid in cleansing and detoxification processes. It is a crucial component of the Panchakarma regimen, targeting various doshic imbalances for restoring health.
72) Shramahara (Sramahara, Shrama-hara):
Shramahara refers to treatments or dietary practices intended to alleviate fatigue and restore energy levels. It focuses on rebuilding strength and vitality, essential in Ayurvedic health and recovery protocols.
73) Vatapitta (Vata-pitta):
Vata-pitta indicates a doshic imbalance involving both Vata and Pitta, often leading to conditions like inflammation or excessive heat. Recognizing this dual involvement is essential for diagnosing and tailoring effective Ayurvedic treatments.
74) Discussion:
Discussion in Ayurvedic contexts involves sharing insights on treatment methodologies, principles, and outcomes related to health practices. Engaging in discussions fosters enhanced understanding and collaboration in improving therapeutic approaches and patient care.
75) Kukshiroga (Kukshi-roga, Kuksiroga):
Kukshiroga refers to diseases associated with the abdominal region in Ayurveda. Understanding such conditions is crucial for diagnosis and treatment to restore proper function and balance to this vital part of the body.
[Note: The above list is limited to 75. Total glossary definitions available: 131]
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Agnimandya, Agnivardhana, Panchakarma Therapy, Vamana and Virechana, Shodhana Treatment, Sansarjana Krama, Shamana treatment, Tarpanadi Krama, Agni importance, Mandagni condition, Types of Suddhi, Symptoms of Samyaka, Complications of Sansarjana, First meal after Sansodhana, Deepaniya Dravya, Types of food preparations, Ayurveda definition of health, Hrita Dosha, Prana Vardhana, Manda preparation, Specific Ayurvedic texts, Proper Shuddhi.