Truptighna mahakashaya is the remedy for Functional Dyspepsia
Journal name: Ayushdhara
Original article title: Truptighna mahakashaya is the remedy for Functional Dyspepsia
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Summary of article contents:
Introduction
Functional dyspepsia (FD) is a prevalent clinical condition characterized by various symptoms such as upper abdominal discomfort, early satiety, nausea, and bloating, without any identifiable organic disease. FD affects around 20% of the global population, while in India, this figure varies between 7-49%. Traditional treatment options include proton pump inhibitors, H2 blockers, and probiotics. However, Ayurveda offers an alternative approach grounded in symptom-based treatments, particularly through the use of specific herbal formulations like the Truptighna Mahakashaya, which comprises ten herbal preparations that aim to alleviate symptoms associated with FD. This article explores the properties and actions of the drugs in the Truptighna Mahakashaya class and their clinical significance in managing functional dyspepsia.
Truptighna Mahakashaya: A Promising Ayurvedic Formulation
The Truptighna Mahakashaya includes ten medicinal herbs classified by Charaka, which act synergistically to address symptoms like early satiety and gastrointestinal discomfort. Each of these drugs possesses unique properties, such as promoting digestive fire (Agni), alleviating abdominal heaviness, and balancing the body's doshas, particularly Kapha. The formulation targets multiple aspects of FD, including post-prandial distress and epigastric pain. For instance, Shunti (Zingiber officinale) enhances digestion, while Vidanga (Embelia ribes) exhibits anti-parasitic actions that may be beneficial against associated bacterial infections like H. pylori. The comprehensive approach of Truptighna Mahakashaya makes it a suitable remedy for modern patients grappling with functional dyspepsia.
Addressing Overlapping Conditions
Functional dyspepsia often overlaps with conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and bloating. The Truptighna Mahakashaya class has been subdivided into groups based on their effectiveness against these overlapping conditions. For example, specific herbs within the formulation have been identified to act on symptoms associated with IBS and GERD, further broadening the applicability of this Ayurvedic remedy. The medicinal properties of the constituent herbs not only ensure relief from discomfort but also promote gut health by enhancing gut flora balance and addressing dysbiosis. This highlights the holistic nature of Ayurvedic treatments, which take into account the multifaceted nature of dyspeptic disorders.
Conclusion
The exploration of Truptighna Mahakashaya demonstrates its potential as an effective treatment modality for managing functional dyspepsia in modern clinical practice. This ancient Ayurvedic formulation, characterized by its synergistic blend of ten herbal preparations, addresses the root causes of various dyspeptic symptoms. Its multi-action properties can provide patients with relief without the side effects associated with conventional pharmacological treatments. As more patients seek holistic approaches to health, there is a pressing need to revisit traditional remedies like Truptighna Mahakashaya, promoting a synthesis of ancient wisdom and modern medical science to better manage complex gastrointestinal disorders.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Karnam Chandrashekhar
Professor, Department of Dravyaguna, V.Y.D.S Ayurveda Mahavidyalaya, Khurja, Uttar Pradesh, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Truptighna mahakashaya is the remedy for Functional Dyspepsia
Year: 2023 | Doi: 10.47070/ayushdhara.v10iSuppl2.1201
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
FAQ section (important questions/answers):
What is Functional Dyspepsia (FD) and its symptoms?
Functional Dyspepsia is a complex of symptoms including postprandial upper abdominal discomfort, early satiety, nausea, and vomiting, without any organic disease present. It can be divided into two types: Epigastric Pain Syndrome (EPS) and Post-prandial Distress Syndrome (PDS).
How does Ayurveda approach the treatment of FD?
Ayurveda uses a holistic approach to treat FD by employing a group of herbs known as Truptighna Maha Kashaya. This remedy targets symptoms like early satiety and abdominal discomfort, and the herbs have multiple beneficial pharmacological effects that help alleviate various symptoms of FD.
What are the key ingredients in Truptighna Maha Kashaya?
Truptighna Maha Kashaya consists of ten key botanical ingredients, including Shunti (Zingiber officinale) and Pippali (Piper longum). Each ingredient possesses unique properties that aid digestion, relieve symptoms of dyspepsia, and help regulate gastric functions.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Truptighna mahakashaya is the remedy for Functional Dyspepsia”. 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) Drug:
In the context of Ayurveda, a drug is a substance used to treat various health conditions. The paper discusses several drugs like 'Shunti,' 'Pippali,' and 'Guduchi,' each having specific pharmacological and therapeutic benefits for treating conditions such as functional dyspepsia.
2) Kashaya (Kasaya):
[see source text or glossary: Kashaya]
3) Katu:
Katu is one of the six tastes (Rasa) in Ayurveda, characterized as pungent. It is commonly found in drugs like 'Shunti,' 'Chitraka,' and 'Pippali.' These Katu-tasting drugs are used for their digestive and stimulating properties.
4) Mahakashaya (Mahakasaya, Maha-kashaya):
'Mahakashaya' refers to the classification of 50 groups of 10 herbs each in Charaka Samhita. The 'Truptighna Mahakashaya' is highlighted for its applicability in treating functional dyspepsia.
5) Maha (Maha°):
[see source text or glossary: Maha]
6) Zingiber officinale:
Zingiber officinale, commonly known as 'Shunti' or ginger, is extensively studied for its gastroprotective, anti-ulcerogenic, and anti-inflammatory effects. It is a crucial component in the 'Truptighna Maha-kashaya' for treating functional dyspepsia.
7) Ushna (Usna):
Ushna refers to the hot potency (Virya) of Ayurvedic drugs. Many herbs in the 'Truptighna Maha-kashaya,' like 'Shunti' and 'Chitraka,' have Ushna virya, which helps in digestion and alleviating symptoms of functional dyspepsia.
8) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian healthcare system focused on balancing the doshas (Vata, Pitta, Kapha) through herbal treatments and lifestyle practices. This paper discusses Ayurvedic treatment for functional dyspepsia using groups like 'Truptighna Maha-kashaya.'
9) Vata:
Vata is one of the three doshas in Ayurveda, responsible for all movement in the body. The paper explores how Vata imbalance contributes to functional dyspepsia and how herbs like 'Guduchi' help in normalizing Vata.
10) Pain:
Pain, specifically epigastric pain, is a symptom of Functional Dyspepsia treated by drugs in the 'Truptighna Maha-kashaya,' including 'Guduchi' and 'Shunti,' which have Shula-prashamana (pain-relieving) properties.
11) Madhura:
[see source text or glossary: Madhura]
12) Pippali (Pippalin):
Pippali, or Piper longum, is praised for its Shula-prashamana (pain-relieving), deepana (stimulative), and pachana (digestive) actions. It is used for treating functional dyspepsia symptoms such as epigastric pain and early satiety.
13) Patola:
Patola, or Trichosanthes dioica, possesses gastroprotective and anti-inflammatory properties. It is effective in managing symptoms of functional dyspepsia, especially when GERD overlaps with the condition.
14) Laghu:
Laghu refers to the light quality (Guna) of some Ayurvedic herbs. Many drugs in 'Truptighna Maha-kashaya,' like 'Shunti' and 'Mustaka,' are characterized as Laghu, making them effective in alleviating symptoms of functional dyspepsia.
15) Tikta:
Tikta, or bitter taste, is a key attribute of many anti-dyspeptic drugs. Herbs like 'Guduchi' and 'Murva' with Tikta rasa are effective in pacifying Pitta and improving digestion in functional dyspepsia.
16) Tinospora cordifolia:
Tinospora cordifolia, or Guduchi, is known for its anti-inflammatory and gastroprotective properties. It is a core component of the 'Truptighna Maha-kashaya,' addressing epigastric pain and dyspepsia associated with FD.
17) Trichosanthes dioica:
Trichosanthes dioica, known as Patola, is used for its gastroprotective and anti-inflammatory activities. It is particularly effective in alleviating symptoms of Functional Dyspepsia, especially when overlapping with GERD.
18) Vidanga (Vidamga):
Vidanga, or Embelia ribes, is highly valued for its krimighna (anti-parasite) properties in Ayurveda. It is a part of 'Truptighna Maha-kashaya,' effective in treating symptoms of functional dyspepsia, particularly those linked to infections.
19) Musta (Mushta):
Musta, or Cyperus rotundus, is appreciated for its deepana (digestive), pachana (digestive), and Sangrahi (retentive) properties. It is used in 'Truptighna Maha-kashaya' to manage functional dyspepsia symptoms, especially when overlapping with IBS.
20) Disease:
Functional Dyspepsia is the primary disease discussed, characterized by symptoms like epigastric pain, early satiety, and bloating. Ayurvedic herbs grouped under 'Truptighna Maha-kashaya' are proposed as effective remedies.
21) Pitta:
Pitta is a dosha related to metabolism and digestion. Herbs that pacify Pitta, like 'Guduchi' and 'Patola,' are crucial for treating functional dyspepsia, especially when symptoms like epigastric burning pain are prominent.
22) Krimi (Krmi):
Krimi in Ayurveda refers to parasites, including bacteria like H. pylori. The study highlights drugs in 'Truptighna Maha-kashaya,' such as 'Vidanga' and 'Chitraka,' for their krimighna (anti-parasitic) properties, useful in treating H. pylori-associated dyspepsia.
23) Cyperus rotundus:
Cyperus rotundus, known as Musta, is used for its deepana, pachana, and Sangrahi properties. It is highlighted in 'Truptighna Maha-kashaya' for treating functional dyspepsia, especially with IBS overlapping symptoms.
24) Piper longum:
[see source text or glossary: Piper longum]
25) Snigdha:
Snigdha refers to the unctuous quality (Guna) of some Ayurvedic herbs. Snigdha drugs like 'Shunti' help alleviate symptoms of functional dyspepsia by normalizing Vata and aiding digestion.
26) Ruksha (Ruksa):
[see source text or glossary: Ruksha]
27) Vipaka:
Vipaka is the post-digestive effect of a substance. Drugs in 'Truptighna Maha-kashaya' like 'Shunti' and 'Pippali' have Madhura or Katu vipaka, beneficial for treating functional dyspepsia by balancing doshas and improving digestion.
28) Kapha:
Kapha is one of the three doshas responsible for stability and structure. Many herbs in 'Truptighna Maha-kashaya,' like 'Chitraka' and 'Shunti,' possess Kapha-pacifying properties, making them effective in treating functional dyspepsia.
29) Murva:
Murva, or Marsdenia tenacissima, has properties like Tikta and Kashaya rasa, useful for Ama digestion. It is a part of 'Truptighna Maha-kashaya,' particularly effective against GERD-related symptoms in functional dyspepsia.
30) Vaca:
[see source text or glossary: Vaca]
31) Rasa (Rasha):
[see source text or glossary: Rasa]
32) Plumbago zeylanica:
Plumbago zeylanica, known as Chitraka, is appreciated for its deepana (stimulative) and krimighna (anti-parasitic) properties. It is an important herb in 'Truptighna Maha-kashaya' for treating various symptoms of functional dyspepsia.
33) Embelia ribes:
Embelia ribes, or Vidanga, is well-known for its krimighna (anti-parasitic) properties. It is included in 'Truptighna Maha-kashaya' for effectively treating symptoms of functional dyspepsia, especially those linked to infections.
34) Samgrahin (Sangrahi, Samgrahi):
[see source text or glossary: Sangrahi]
35) Dosha (Dosa):
Doshas (Vata, Pitta, Kapha) are fundamental bio-elements in Ayurveda. The paper discusses how herbs in 'Truptighna Maha-kashaya' help balance these doshas to treat functional dyspepsia.
36) Acorus calamus:
[see source text or glossary: Acorus calamus]
37) Karnam:
[see source text or glossary: Karnam]
38) Medhya:
[see source text or glossary: Medhya]
39) Nirama:
[see source text or glossary: Nirama]
40) Grahin (Grahi):
[see source text or glossary: Grahi]
41) India:
India is mentioned as the origin of Ayurveda. The study by an Indian author from V.Y.D.S Ayurveda Mahavidyalaya explores Ayurvedic remedies like 'Truptighna Maha-kashaya' for functional dyspepsia.
42) Kumar:
[see source text or glossary: Kumar]
43) Agni:
Agni refers to the digestive fire in Ayurveda. Drugs in 'Truptighna Maha-kashaya' like 'Shunti' and 'Pippali' have deepana properties that help in stimulating Agni for better digestion.
44) Shulaprashamana (Sulaprasamana, Shula-prashamana):
Shulaprashamana refers to pain-relieving properties. Drugs in 'Truptighna Maha-kashaya' like 'Shunti' and 'Pippali' have these properties, making them effective in treating epigastric pain in functional dyspepsia.
45) Pharmacological:
The study discusses the pharmacological actions of Ayurvedic herbs in 'Truptighna Maha-kashaya,' highlighting their anti-inflammatory, gastroprotective, and deepana properties useful in treating functional dyspepsia.
46) Prashamana (Prasamana):
[see source text or glossary: Prashamana]
47) Krimighna (Krmighna, Krimi-ghna):
Krimighna refers to anti-parasitic properties. Herbs like 'Vidanga' and 'Chitraka' in 'Truptighna Maha-kashaya' are valued for their effectiveness against parasites, including H. pylori, in functional dyspepsia.
48) Amlapitta (Amla-pitta):
"Amlapitta" refers to a condition similar to acid reflux or GERD. Herbs in 'Truptighna Maha-kashaya' are effective in treating this condition, particularly 'Trichosanthes dioica' and 'Zingiber officinale.'
49) Vibandha:
[see source text or glossary: Vibandha]
50) Nighantu (Nighamtu):
[see source text or glossary: Nighantu]
51) Samhita:
[see source text or glossary: Samhita]
52) Grahani:
Grahani is an Ayurvedic term for Irritable Bowel Syndrome (IBS). Drugs with deepana, pachana, and Medhya properties in 'Truptighna Maha-kashaya' are effective in treating grahani overlapping with functional dyspepsia.
53) Dravya:
[see source text or glossary: Dravya]
54) Nausea:
Nausea is one of the symptoms of functional dyspepsia. Ayurvedic herbs in 'Truptighna Maha-kashaya' like 'Shunti' and 'Guduchi' help alleviate nausea through their digestive and anti-inflammatory properties.
55) Shula (Sula):
[see source text or glossary: Shula]
56) Guru:
[see source text or glossary: Guru]
57) Sara (Shara):
[see source text or glossary: Sara]
58) Gana:
Gana refers to a group of herbs classified based on their pharmacological actions in Ayurveda. 'Truptighna Mahakashaya' is a gana used for treating functional dyspepsia.
59) Fire:
[see source text or glossary: Fire]
60) Bhavaprakashanighantu (Bhavaprakasanighantu, Bhavaprakasha-nighantu):
[see source text or glossary: Bhavaprakasha-nighantu]
61) Grahanidosha (Grahanidosa, Grahani-dosha):
[see source text or glossary: Grahani-dosha]
62) Shakrimutra (Shakrit-mutra, Shakrinmutra, Sakrmutra):
[see source text or glossary: Shakrit-mutra]
63) Chemotherapy:
The paper mentions that 'Marsdenia tenacissima' is studied as an adjuvant to chemotherapy, highlighting its potential beyond treating functional dyspepsia.
64) Mahaushadha (Mahausadha, Maha-aushadha):
[see source text or glossary: Mahaushadha]
65) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya means weak digestive fire in Ayurveda. Drugs in 'Truptighna Maha-kashaya' like 'Shunti' and 'Pippali' have deepana properties to combat Agnimandya, aiding in digestion and alleviating functional dyspepsia symptoms.
66) Rasadhatu (Rasa-dhatu):
[see source text or glossary: Rasa-dhatu]
67) Dravyaguna (Dravya-guna):
Dravyaguna is the study of the properties and actions of drugs in Ayurveda. The paper explores the Dravyaguna of herbs in 'Truptighna Maha-kashaya' for treating functional dyspepsia.
68) Triptighna (Trptighna, Tripti-ghna):
'Truptighna' means 'that which destroys Trupti (early satiety).' The 'Truptighna Maha-kashaya' contains 10 herbs that relieve early satiety and other symptoms of functional dyspepsia.
69) Discussion:
The discussion section of the paper explores the classifications and actions of herbs in 'Truptighna Maha-kashaya,' highlighting their roles in treating various subtypes of functional dyspepsia.
70) Irritation:
[see source text or glossary: Irritation]
71) Apanavata (Apana-vata):
[see source text or glossary: Apanavata]
72) Lakshana (Laksana):
[see source text or glossary: Lakshana]
73) Vatahara (Vata-ahara):
[see source text or glossary: Vatahara]
74) Vomiting:
Vomiting is one of the symptoms of functional dyspepsia discussed in the paper. Ayurvedic herbs like 'Shunti' and 'Guduchi' from 'Truptighna Maha-kashaya' have anti-emetic properties to address this symptom.
75) Gururaja (Gururajan, Guru-rajan):
[see source text or glossary: Gururaja]
[Note: The above list is limited to 75. Total glossary definitions available: 100]