By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Avipakaja Shula means ache brought about as a consequence of indigestion of meals. It is usually referred to as by the title anna dosha samudbhava shula i.e. ache within the stomach brought on by contaminated meals or meals by doshas. Avipaka – indigestion, Shula – ache / colic
Grasp Sushruta has defined this painful situation and thought of it as one among the many several types of shoola – colic / ache within the stomach.
Learn – Shoola Varieties, Signs, Remedy, Medicines, Treatments
Causes
Extreme consumption of meals is claimed to be the causative issue of this situation. ‘Extreme meals’ right here means ‘consumption of meals in a amount of what’s greater than required or a couple of’s capability’.
All of us are inclined to overeat at instances. However everybody who has consumed extreme meals needn’t endure from this situation.
Grasp Sushruta additional specifies that ‘consumption of extreme meals within the presence of weak digestion’ is the reason for avipaka shula.
Grasp Vagbhata additionally has quoted that ‘nearly all illnesses are brought about as a consequence of sluggish digestive capability / weak digestive fireplace, primarily the belly issues’. Colic defined in avipaka shula additionally happens within the stomach.
Weak digestive fireplace is the most important reason behind many systemic issues. Kaya Chikitsa is a department of Ayurveda which goals at curing illnesses by correcting the digestive fireplace and its subunits within the physique.
Digestive fireplace would possibly get weak once we devour extreme meals in distinction to what and the way a lot we’d like as per our capability and structure. Extreme meals consumption is without doubt one of the most essential causes for indigestion of meals. Due to this fact additionally it is a direct in addition to an oblique trigger for belly ache additionally.
We could contemplate extreme meals consumption in relation to belly colic in two methods –
- Extreme consumption of meals in presence of weak digestive fireplace will result in indigestion and subsequent manifestation of belly ache.
- Extreme meals consumption as an everyday follow could cause weak spot of digestive fireplace. This weak fireplace won’t have the capability to digest meals correctly. Undigested meals stays and will get stagnated within the intestine and causes ache.
In a means placing these two situations collectively the colic brought on by extreme consumption of meals could be a cyclic course of whereby the identical chain of occasions maintain repeating by themselves if not addressed correctly.
Learn – Annadrava Shoola: Definition, Remedy, Treatments
Pathogenesis
- The meals which has been consumed in extra of 1’s capability would get stagnated within the colon because of the sluggishness of digestive fireplace.
- The stagnated meals will get matted and adhered to the partitions of the colon
- Consequentially vata will get aggravated
- The aggravated vata envelopes and blocks this inadequately digested meals (within the higher colon) and feces (within the decrease colon)
- This undigested meals blocked by the aggravated vata will produce extreme ache within the stomach and this situation is named as avipakaj shoola
Learn – Parinama Shoola : Definition, Varieties, Remedy, Medicines
Signs
Tivram shulam – extreme ache within the stomach
Murcha – fainting
Adhmanam – distension of stomach
Vidaha – burning sensation within the stomach
Hrdaya utklesha – nausea / discomfort within the cardiac (coronary heart) area
Vilambika – the meals contaminated by aggravated kapha and vata will get stagnated within the center a part of the intestine with out getting eradicated both from the higher or decrease passages (mouth or anus)
Virechana – diarrhea
Chardi – vomiting
Kampana – tremors
Moha – confusion
Avipaka – indigestion
Learn – Indigestion Causes, Signs, Remedy
Sanskrit Verses
Remedy
Vamana – therapeutic emesis
Langhanam – fasting / lightening therapies
Swedanam – sudation
Pachanam – ama digesting measures, medicines and eating regimen
Phalavarti – suppositories
Kshara – Alkali
Churna – Natural powders
Gutika – Natural tablets
It is vitally essential to deal with these painful situations after having thought of the completely different etiological elements, structure of the affected person, predominance of dosha, geography, time interval and many others elements.
Learn – Roga, Rogi Pareeksha: Examination Of Illness And Affected person
Different therapy
This situation shall be handled on the strains of –
Treating ajirna i.e. indigestion (since indigestion is the principle reason behind this ache)
Deepana-pachana – medicines and eating regimen for correcting digestive fireplace and in addition to destroy ama
Vamana and virechana – therapeutic emesis and purgation to throw out the contaminated Doshas and in addition to cleanse the intestine, strengthen the organs and forestall recurrences
Shula chikitsa – treating belly ache
Pathya kalpanas – skinny digestible gruels that are ready with appetizing and ama digesting herbs and in addition gentle to digest
Learn – Significance Of Food plan (Pathya) For Particular Illnesses
Fashionable correlation
Ache within the stomach gentle to reasonable depth has been talked about among the many signs of indigestion even in fashionable texts.
Different signs of indigestion embody –
Early fullness throughout a meal, bloating and uncomfortable fullness after a meal, defined as adhmana and vilambika in Ayurveda amongst the signs of avipakaja shula
Discomfort within the higher stomach which additionally consists of ache
Burning sensation within the higher stomach defined as vidaha
Nausea and vomiting defined as hrit utklesha and chardi
Heartburn defined as hrdaya utklesha
There are lots of causes for indigestion. Overeating or consuming meals too rapidly has been talked about as one of many causes of indigestion even in fashionable texts. Avipakaj Shool seems to be the reason of belly ache as a consequence of this trigger. Causes additionally embody sure belly issues like gastritis, peptic ulcers, celiac illness, constipation, intestinal blockage, pancreatitis, intestinal ischemia and many others. subsequently indigestion could not solely be the trigger but in addition the impact of different situations.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)
