Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Ama is the complex material formed inside the body either in the gut or cells and tissues due to improper digestion of food. This is formed in the form of immature juices or byproducts of digestion. This ama due to its sticky quality tends to stick to the walls of the cells and channels of the body and cause multiple blocks. Due to these blocks the body tissues become deprived of nutrients. This leads to tissue damage and manifestation of many diseases.
At the same time, ama gets admixed with one or the more of dosha or tissues or excreta and cause life threatening conditions in the body.
Saama Dosha Lakshana
Saama Dosha Lakshanas – Symptoms caused by doshas associated with ama
Srotorodha – means obstruction in the channels, ducts or transport system of the body. The essential nutrients and materials needed for formation and maintenance of all the tissues of the body are carried from one place of the body to the other by srotas.
Ama sticks to the walls of the channels owing to its sticky nature and causes blocks in them. The channels thus blocked fail to supply the nutrients to the place of requirement. This leads to inadequate tissue formation, tissue damage, lack of support to the body, manifestation of diseases and loss of immunity.
Read related: Qualities And Symptoms Of Ama – Ama Guna Lakshana
Mala sanga – means obstruction in expulsion of metabolic wastes i.e. feces, urine and sweat. This happens due to obstruction of channels and passages of the body due to ama sticking within their walls.
Bala Bhramsha – means loss of strength. This happens due to block of channels and deprivation of nutrients to the tissues.
Klama – means tiredness. This happens due to loss of strength resulting from the block of channels by ama.
Gourava – means heaviness. Since ama is undigested food, it is heavy in nature. Since it is not metabolized even in the tissues, it gets stagnated and causes heaviness in the entire body.
Alasya – means lethargy. This is a resultant of heaviness of the body which happens due to the stagnation of ama in the body tissues. As a result all the physical and mental activities will slow down.
Anila Mudhata – means arrest of movements of vata. Vata circulates and moves all through the body, in all channels. It is responsible for free movements of all the elements in the body as it is the driving force of all activities. Since ama cause blocks in the channels of the body, the vayu cannot move freely. As a result it tends to move haphazardly and cause serious troubles.
Apakti – means indigestion. Formation of ama further deteriorates the gut fire and tissue fire. This leads to further worsening of indigestion. Indigestion causes ama and ama worsens indigestion, this cyclic process worsens the morbidity in the body with depletion of nutrition and formation of diseases.
Aruchi – means tastelessness. This happens due to indigestion and weakening of fire.
Nishteeva – means excess formation of contaminated phlegm and also its elimination through mouth. There is a severe urge to spit, frequently. Ama has all qualities of kapha. When the quantity of ama increases in the body, kapha also increases. This increased kapha tends to get expelled from mouth frequently.
Nirama Dosha Lakshanas
Nirama Dosha Lakshanas – Symptoms caused by doshas dissociated from ama
Signs and symptoms of niraama dosha will be opposite to those of saama doshas.
Sroto anavarodha – absence of blocks of channels of the body
Bala abhramsha – no loss of strength
Laghuta – feeling of lightness of the body
Anila sanchara – free movement of vata all through the body
Spurthi – alertness, enthusiasm
Ahara pachana – balanced digestion of food
Mala pravritti – free and effortless expulsion of metabolic wastes
Ruchi – feeling of taste in food
Klama rahitatva – absence of tiredness
Saama Dosha treatment
Treatment principles of Sama Doshas
Pachana – ama liquefying or destroying medicines
Deepana – medicines to enhance the digestive fire
Sneha – administration of medicated ghee for oral intake
Swedana – sweat inducing therapies
Shodhana – cleansing treatments in the form of therapeutic emesis and therapeutic purgation should be administered according to the strength of the patient
Importance of having the knowledge of saama and niraama doshas
The knowledge of saama and niraama doshas is very essential for a physician. They are the types of vitiation of doshas. The symptoms helps in deferentially diagnosing the doshas associated or dissociated with immature digestive juices.
This also will help a physician to draft a proper blueprint for treating these conditions because saama and niraama doshas have to be clinically handled in different ways. When doshas are expelled or tried to expel without separating the association of ama and doshas, they cause serious troubles and complications in the body.
The knowledge of these pathological states helps the physician to logically administer ama dissolving and destroying medicines before administration of shodhana.
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