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AYURVEDIC ANATOMY OF GIT

PRESENTER
DR. THRIJIL KRISHNAN E M
DEPT. OF SHAREERA RACHANA
GUIDE
DR. UMA B GOPAL
ASSOCIATE PROFESSOR
DEPT. OF SHAREERA RACHANA
Contents
•Introduction
•Definition of GIT
•Development of GIT
•Structures including under the
heading GIT
•Concept of Kostanga
•Concept of Asaya
•Conclusion
•References
GIT
• The human gastrointestinal tract is the
stomach and intestine, sometimes including all
the structures from the mouth to the anus.
• The "digestive system" is a broader term that
includes other structures, including the
accessory organs of digestion
• Synonym : Alimentary tract or Alimentary
canal
The digestive system perform
six basic functions
1.
2.
3.
4.
5.
6.

Ingestion
Secretion
Mixing and propulsion
Digestion
Absorption
Defecation

5
• In an adult male human, the
gastrointestinal (GI) tract is 5
-7 metres long in a live
subject

• Up to 7-9 metres without
the effect of muscle tone,
and consists of the upper and
lower GI tracts.
6
HUMAN GASTRO INTESTINAL TRACT

7
Upper GIT
– Oral cavity
– Pharynx
– Oesophagus

Lower GIT
– Stomach
– Small intestine
– Large intestine

Accessory digestive organs
–
–
–
–
–
–

Teeth
Tongue
Salivary glands
Liver
Gall bladder
Pancreas

8
 PRIMITIVE GUT – 14TH Day.
*Differentiation of primitive gut
into
Foregut,
Midgut
Hind gut
- 3RD Week
 FOREGUT
*Stomatodeum and oral membrane.
*Rupture during 4th week to
communicate with
the exterior through the oral cavity
*Pharynx, Esophagus, Stomach & A
part of
Duodenum
9
MID GUT
*Opens into the yolk sac – 5th week
*After 5th week, yolk sac constricts, detaches
from midgut & midgut seals.
*Remaining part of duodenum, jejunum, ileum,
portion of large intestine.
HIND GUT
*Proctodaeum & Cloacal membrane– rupture &
communicate with exterior through anus.
*Remaining part of the large intestine
10
11
• LAYERS OF THE GI TRACT
1.MUCOSA
EPITHELIUM
THE LAMINA PROPRIA
MUSCULARIS MUCOSA

2.SUBMUCOSA
3.MUSCULAR
4.SEROSA

12
Introduction To Ayurvedic
Anatomy
•

Su Su 3/17

•

•

Su. Sha. 5 /3
13
DESCRIPTIONS OF BODY PARTS
BY BHAVAMISRA
•
•
•
•
•
•
•
•
•

Instead of Shadanga - Ashtanga
1.Shira
2.Greeva
3.Bahu Yugalam
4.Vaksha
5.Udaram
6. Parswadwayam
7.Prishtavamsam & Prishtam
8. 2 Sakthi
14
DEVELOPMENT OF ORGANS ACC. TO AYURVEDA

Su Sha 4 /23
15
DEVELOPMENT ACC. TO
AYURVEDA……
•
•
•

•
•

Su Sha. 4/26-30
16
KOSHTA AND ASAYA

17
Importance of koshta
• MüÉå¸ - MÑüwÉç AÉuÉUhÉå
• mÉÑÇÍxÉ MüÉå¸ÉåÅliÉeÉïPûUÇ…|
• MÑüwrÉiÉå | MÑüwÉÌlÉwMüwÉåï. AqÉUMüÉåwÉ-3/3/40
• Maha srothas
• Shareera madhya
• Mahanimna
• Amasaya
• Pakwasaya
• Abhyantara rogamarga
•
cha.soo. 11/48
Acc to Susrutha
• xjÉÉlÉÉÌlÉ AÉqÉÎalÉmÉYuÉÉlÉÉÇ qÉÔ§ÉxrÉ ÂÍkÉUxrÉ cÉ|
WØûSÒhQÒûMüÈ TÑümmÉÑxÉ¶É MüÉå· CirÉÍpÉkÉÏrÉiÉå|| su.chi
2/9
18
STRUCTURES MENTIONED IN CLASSICS
RELATED TO KOSTA
Mandhyamanga 117 types of Asthi –
Su Sha. 5
59 types of kostagatha asthi sandhi
explainedSu sha 5
230 types of snayu explained by
Susrutha
• 66 type of mamsa pesi in kosta
guda = 3
One among the vrana adhisthana
is kosta
19
Kostangas according to different
acharyas
• mÉgcÉSvÉ MüÉå·ÉXçaÉÉÌlÉ; iɱiÉÉ-lÉÉÍpɶÉ, ¾ÕûSrÉÇ cÉ, YsÉÉåqÉ cÉ,
rÉM×üccÉ, msÉÏWûÉ cÉ, uÉ×YMüÉæ cÉ,
oÉÎxiɶÉç, mÉÑUÏwÉÉkÉÉU¶É,
AÉqÉÉvÉrɶÉ, mÉYuÉÉvÉrÉ¶É E¨ÉUaÉÑSÇ
cÉ, AkÉUaÉÑSÇ cÉ, ¤ÉÑSìÉl§ÉÇ cÉ,
xjÉÔsÉÉl§ÉÇ cÉ, uÉmÉÉuÉWûlÉÇ cÉåÌiÉ ||
cÉ.vÉÉ.7/10
• MüÉå·XçaÉÉÌlÉ ÎxjÉiÉÉlrÉåwÉÑ WØûSrÉÇ
YsÉÉåqÉ TÑümmÉÑxÉqÉç|
rÉM×üimsÉÏWûÉåhQÒûMüÇ uÉÚMüÉæ

20
Kostangas according to different acharyas
CHARAKA

SUSRUTHA

ASTANGA
HRIDAYAM

ASTANGA
SANGRAHAM

NABHI

UTTARAGUDHA

AMASAYA

HRIDAYAM

HRIDAYA

HRIDAYA

ADHARAGUDHA

AGNI ASAYA

KLOMA

KLOMA

KLOMA

KUSHDRANTHRAM

PAKWASAYA

PHUPHUSA

PHUPPUSA

YAKRITH

STOOLANDRAM

MOOTRASAYA

YAKRITH

YAKRITH

PLEEHA

VAPAVAHANAM

RUDHIRASAYA

PLEEHA

PLEEHA

VRIKKA

HRIDAYAM

UNDUKAM

UNDUKA

VASTHI

UNDUKAM

VRIKKAs

VRIKKA

PUREESHADARA

PHUPPUSAM

NABHI

ANTHRA

AMASAYA

DIMBHA

PAKWASAYA

ANTHRA
PAYU
21
KOSTA BHINNA
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

MOORCHA
HRIDPARSWA VEDANA
JWARA
DAHA
TRID
ADMANAM
BHAKTHASYA ANABHUNANDANAM
SWASA
SWEDA
AKSHIRAKTHATHA
ASASYA LOHAGANDHATWAM
GATRA VIGANTHADA
Su. Chi 2/13-15
22
KOSHTA BHEDAM
• 1. KLISHTANDRAM
• 2. CHINNANTHRAM

23
Concept of Ashaya in Ayurveda
• Adhistana
•

…………

24
Asayas acc to different Acharyas
Susrutha

Astanga sangraha

sarangadhara

1

Raktasaya

Rakthasaya

Jeevarakthasaya

2

Sleshmasaya

Kaphasaya

Sleshmasaya

3

Amasaya

Amasaya

Amasaya

4

Pittasaya

Pittasaya

Agniyasaya

5

Pakwasaya

Pakwasaya

Malasaya

6

Vatasaya

Vatasaya

Pavanasaya

7

Mootrasaya

Mootrasaya

mootrasaya
25
DESCRIPTION OF ORGANS RELATED TO GIT
ACCORDING TO AYURVEDA

26
• Mukha:
• oshta,ganda,dantha,danthamool, jihwa,talu ,gala
& sarvasyam all together constitute the Mukha,
which helps in annagrahana, charvana, kledana,
swalpa pachana
Ah. Utta. 21/65
• 2 Srikkani – charaka
Susruth measurement
• Mukha greevam – 24 anguli –
• Mukhaayamam – 12 Anguli
Su. Soo. 35
27
Ostha:
• The pair of lips which the muscular organs partially covered
with skin and partially by mucous layer helps in the
articulation of the speech and also securing the food
materials in the mouth during mastication by mutual
fastening.
2 oshta explained by Acharya charaka- Angapratyanga
vivarana
2 mamsa pesi present in oshta

Ganda
kapala type of Asthi is seen
2 ganda – charaka Angapratyanga vivarana
2 type Asthi present- susrutha Shareera 5
1 Asthi sandhi – Susrutha Shareera 5
2 mamsa pesi present 28
•

•
•
•
• Ulookhala type of Asthi sandhi – Su
• Length of Dasana 2 Angula
• 12 snayus in Uttara and adhara dantha mamsam
29
•
•
•

•
•
•
•
•
•

Kapha stanam jihwa
Shad rasam importance
1 sevani is present in Jihva
1 mamsa pesi present in Jihva – su
5 types of snayu – acc to AS
16 types of siras - AS . Sharee 6/8
30
TALU
• Talu and cloma are the moolastana of udakavaha
srothas
• Manso stanam above the thalu according to Bhela
• Kapala type of asthi seen
• 1 talu – Charaka Angapratyanga vivarana
• 2 asthi- charaka in the contest of Asthi sankhya
• 2 mamsa pesi present

GALA OR KANTA
kanta one among the Dasapranayathana
4 types of Kanta nadi explained by susrutha
1 mamsa pesi present

31
Asthi

Dhamani

Mamsa peshi

Asthi sandhi

mukha
Oshta

2

Ganda

2(Su)

Danta

32
32 ( hanyo
ulookhalani)

Jihva
Talu

Gala

2

32 ( danta
moola)

2
2 ( cha)
1 ( Su)

1

1
2

1

3

32
MAIN ANATOMICAL STRUCTURES
FORMING GIT

33
AMASHAYA –

Sushira type of snyau – End of pakwasaya, Amasaya and vasti
Situated inbetween nabhi and sthana.

ÌmɨÉxjÉÉlÉåvÉÑ AÉqÉÉvÉrÉ CÌiÉ AqÉÉvÉrÉÉã AkÉÉãpÉÉaÉÈ |
vsÉãwqÉxjÉÉlÉåvÉÑ AÉqÉÉvÉrÉÈ AqÉÉvÉrÉÉãkuÉïpÉÉaÉÈ || cÉ¢üÈ, cÉ
xÉÔ 20.

1.Urdhwa amashaya – kaphasthana – kledaka kapha.
2.Adhoamashaya – pittasthana- pachakapitta.
34
Urdhwa amashaya- kledaka kapha.
Aharakledana.
Annasanghata.
Avastha pakam- madhuree bhutham
Adhoamashaya

35
• Diseases in Amasaya
– Jwara & chardhi
– Atisara
– Swasa
– Kamala

36
Grahani
•

• Agi adistanam
• Pitta dhara kala
• Agni asayam

37
•

38
•

•

–

39
Summarize Grahani
•
•
•
•
•
•

Above the nabhi
Between pakwasaya and amasaya
At the gate of pakwasaya
Receptor of food
Seat of Agni
separates and digests the undigested food

40
Antra
• Antra’s formed by Matruja bhava
• Two types
– Kshudrantram
– Stoolandram
• Su Sha 5/9

– 3.5 vyama - male
– 3 vyama - female
– Saragadhara openion antra is lined by
Pureeshadharakala
– Antra vridhi diseases explained..
– Anthra Pravesana Explain By Acharya
– Rudrantram- ( BR)
SHOCK- PARADA VASTHI
41
Unduka
•

•

42
•
•
•

Pakwasayasta Raktam
Sasoola Gauravam
Nabhyo Adastaseetatwam
Kheda: Raktasya Agama
43
• mÉYuÉÉqÉÉvÉrÉÉåqÉïkrÉå ÍxÉUÉ mÉëpÉuÉÉ,
lÉÉÍpÉÈ, iɧÉÉÌmÉ xɱÉåqÉUhÉqÉç||
xÉÑ.vÉÉ.6/26
• lÉÉÍpÉ
mÉëirÉXûaÉÉÈ A.xÉÇ.vÉÉ.5/1
• iÉxrÉÉliÉUåhÉ lÉprÉåxiÉÑ erÉÉåÌiÉÈ x lÉÇ
kÉëÑuÉÇ xqÉ×iÉqÉç
• lÉÉÍpÉÈ xÉuÉïÍxÉUÉhÉÉÇ xrÉÉSÉkÉÉUÈ |
AÂhÉS¨É-A.WØû.vÉÉ 3/12
• lÉÉÍpÉxjÉÉ: mÉëÉÍhÉlÉÉqÉç mÉëÉhÉÉ:
44
Guda
•
•

aÉÑSè Ì¢üQûÉrÉÉqÉç iÉ aÉÑ qÉsÉÉåixÉaÉåï || zÉoS MüsmÉSìÓqÉç
aÉÑS + iÉ + aÉÑ - aÉÑS

• The place for accommodation and elimination of the faeces.
•

According to Ayurveda Guda has been explained in many aspects like
•
•
•
•
•
•
•
•

Pranayatana
sadhya pranahara marma
Kostanga
mula sthana of purishavaha srothas
martuja avayava
bahirmukha srothas
sthana of apana vata
karmendriya

45
•

46
•

47
• According to sarangadhara
• Total length of gudavali = 41/2 angula
•
•
•
•

Pravahini – 1 ½ angula
Visargini - 1 ½ angula
Grahika - 1 angula
Guda mukham – ½ angula

48
Charaka divided the Guda
into two parts i,e
Uttaraguda
Adhara Guda
According to Chakrapani
Uttaraguda is the place where
purisha is temporarily stored.
Adharaguda is the place which
helps in passing the purisha.

49
• According to Harita the situated apana vayu in
its normal place does vishodhana of
maladvara. This resided vayu creates opening
in different directions, and the navadvaras are
formed in the body and the guda is one
among them.

50
Importance of guda marma
•
•
•
•

Dasa pranayathana
Mamsa marma / dhamani marma
Sadyapranahara
4 angulam paramana

Diseases
Arsa
Parikarthika
Bhagandhara
Guda Bramsam

51
ADDITIONAL ANATOMICAL
STRUCTURES RELATED TO GIT

52
Concept of kala
• MüsÉÉ ZÉsuÉÌmÉ xÉmiÉxÉÇpÉuÉÇÌiÉ
kÉÉiuÉÉvÉrÉÉliÉUqÉrÉÉïSÉÈ | xÉÑ.vÉÉ. 4/4
• iuÉcÉÈ xÉmiÉÈ MüsÉÉÈ xÉmiÉWû……| xÉÑ.vÉÉ.
5/5
•

rÉjÉÉ ÌWû xÉÉUÈ MüɸåwÉÑ ÍNû±qÉÉlÉåwÉÑ
SØvrÉÇiÉå |
iÉjÉÉ kÉÉiÉÑÌWûï qÉÉÇxÉåwÉÑ
ÍNû±qÉÉlÉåwÉÑ SØvrÉÇiÉ || xÉÑ.vÉÉ. 4/5

•
53
FUNCTIONAL ENTITIES RELATED
TO GIT

54
PACHAKA PITTA

•

55
SAMANAVAYU

•

56
KLEDAKA KAPHA
•

BODHAKA KAPHA

57
SROTHAS RELATED TO GIT
– UDAKA VAHA SROTHAS
– ANNAVAHA SROTHAS
– PUREESHAVAHA SROTHAS

58
DISCUSSION …….
AYURVEDIC APPROCH

MODERN APPROCH

Kanthatdi Guda Taken As A Part Of GIT

The human gastrointestinal tract is the
stomach and intestine, sometimes including
all the structures from the mouth to the
anus

With The help Of Bodhaka Kapha Digestion
Starts

Digestion of the food starting from the
mouth itself with the help of salivary glands

Annanadi reference is in Atreya Samhithaby Vaidyaka Kalpa Sindhu

Oesophagus helps to move the food to the
stomach region

Amasaya is the place where food materials
will be in the form of amavastha

Stomach doing the function of receiving
the food from oesophagus and passs in to
the duodenal area

Between the amasaya and pakwasaya
Grahani is seen

Connection between the stomach and small
intestine is duodenum
59
Inside the Grahani seperation of digested All the chemical and mechanical phase of
digestion are directed towards changing food
and undigested food
in to forms that can pass through the
epithelial cells lining the mucosa into
underlining blood and lymphatic vessels.

From Grahani food is transferred to Pakwasaya

From small intestine digested food materials
passing to large intestine

In Pakwasaya the Sthanaof Purishadhara Kala
has a very close relation with other viscera like
Antra The Mala Vibhajan process is carried out

Large intestine starting from the iliocecal
junction.
Inside the large intestine water absorpttion
and fecal formation starts

Last part of stoolantra is connected with guda
1. Uttara guda
2. Adhara guda

Fecal matter is temporarily stored in the
Sigmoid colon
defecation urge is due to the mass peristalsis
and the stool is passed to the rectum
Made of circular muscles
Surrounds 3 cm of anal canal
Thickness : 2-5 mm
Ends at Hiltons line
When exposed looks pearly white in colour

Inside the guda three valis present ( mamsa
pesi)

60
CONCLUSION
• According to Ayurveda, the organs coming under the
spectrum of GIT can be considered from mukha to guda .
• Predominant structure in these parts are two nimna region
ie, Amasaya and Pakwasaya.
• GIT can be called as the mahasrothas.
• GIT includes the structures which have close relationship
with Pureeshavaha, Annavaha & Udakavaha srothas
• It can be consider as the abhyantara rogamarga
• Structurally demarcation can be well undestood in the
context of Dosha and Vipaka
• Anatomy of GIT will be better understood under the
headings of Kosta & Asaya
61
PHYSIOLOGY

62
ARTICLE REVIEW
• A critical review of ayurvedic concept of Agnimandhya by Singh Akilesh
Kumar
• Lectures-the anatomy of the intestinal canal and peritoneum in man.
Frederick treves,
• A Body Of Knowledge: TheWellcome Ayurvedic Anatomical Man And His
Sanskrit Context by Dominik Wujastyk
• Concepts of Human Physiology in Ayurveda by Kishor Patwardhan
• Concept of Pitta by Surama Mishra
• Concept of Grhani by Dr.KSR Prasad
• Clinical importance of Pittadhara Kala Dr. K. Shiva Rama Prasad
• Revalidation Of The Functions Of Ranjakapitta,Dr Sudha Gopal

63
REFERENCES

• Acharya J T. Charaka Samhita Ayurveda Deepika commentary of
ChakrapaniDatta. Reprint ed. Varanasi (India): Chaukhambha
orientalia ; 2011
• Acharya Y T. Sushruta Samhita with Nibhandhasangraha
commentary of Dalhanacharya and Nyayachandrika Panjika of Sri
Gayadasacharya on Nidanasthana. Reprinted ed. Varanasi (India):
Chaukambha Sankrit Sansthan; 2011
• Singh Inderbir ,Pal GP. Human Embryology, 8th ed.Reprint.Newdelhi:
Macmillan Publishers India ltd;2010
• WilliamsMM, Sanskrit – English dictionary. Motilalbanarasi das
publications delhi 1999
• Ayurvedalankar SreeSathyapala Bhishakacharya .Kasyapasamhitha
Vridhajeevakeeyam ThandramMaharshiMarichaKasyapanirdhishtam
.Reprinted ed. Varanasi: Choukambha Sanskrit Samsthan; 2009
• Paradakara HSS. Ashtanga Hrudayam with Sarvanga Sundaram of
Arunadatta and Ayurveda Rasayana of Hemadri.9 th ed. Varanasi
(india): Chaukumbha Sanskrit Orientalia;2005

64
Ayurvedic anatomy of  Gastero intestinal Tract

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Ayurvedic anatomy of Gastero intestinal Tract

  • 1.
  • 2. AYURVEDIC ANATOMY OF GIT PRESENTER DR. THRIJIL KRISHNAN E M DEPT. OF SHAREERA RACHANA GUIDE DR. UMA B GOPAL ASSOCIATE PROFESSOR DEPT. OF SHAREERA RACHANA
  • 3. Contents •Introduction •Definition of GIT •Development of GIT •Structures including under the heading GIT •Concept of Kostanga •Concept of Asaya •Conclusion •References
  • 4. GIT • The human gastrointestinal tract is the stomach and intestine, sometimes including all the structures from the mouth to the anus. • The "digestive system" is a broader term that includes other structures, including the accessory organs of digestion • Synonym : Alimentary tract or Alimentary canal
  • 5. The digestive system perform six basic functions 1. 2. 3. 4. 5. 6. Ingestion Secretion Mixing and propulsion Digestion Absorption Defecation 5
  • 6. • In an adult male human, the gastrointestinal (GI) tract is 5 -7 metres long in a live subject • Up to 7-9 metres without the effect of muscle tone, and consists of the upper and lower GI tracts. 6
  • 8. Upper GIT – Oral cavity – Pharynx – Oesophagus Lower GIT – Stomach – Small intestine – Large intestine Accessory digestive organs – – – – – – Teeth Tongue Salivary glands Liver Gall bladder Pancreas 8
  • 9.  PRIMITIVE GUT – 14TH Day. *Differentiation of primitive gut into Foregut, Midgut Hind gut - 3RD Week  FOREGUT *Stomatodeum and oral membrane. *Rupture during 4th week to communicate with the exterior through the oral cavity *Pharynx, Esophagus, Stomach & A part of Duodenum 9
  • 10. MID GUT *Opens into the yolk sac – 5th week *After 5th week, yolk sac constricts, detaches from midgut & midgut seals. *Remaining part of duodenum, jejunum, ileum, portion of large intestine. HIND GUT *Proctodaeum & Cloacal membrane– rupture & communicate with exterior through anus. *Remaining part of the large intestine 10
  • 11. 11
  • 12. • LAYERS OF THE GI TRACT 1.MUCOSA EPITHELIUM THE LAMINA PROPRIA MUSCULARIS MUCOSA 2.SUBMUCOSA 3.MUSCULAR 4.SEROSA 12
  • 13. Introduction To Ayurvedic Anatomy • Su Su 3/17 • • Su. Sha. 5 /3 13
  • 14. DESCRIPTIONS OF BODY PARTS BY BHAVAMISRA • • • • • • • • • Instead of Shadanga - Ashtanga 1.Shira 2.Greeva 3.Bahu Yugalam 4.Vaksha 5.Udaram 6. Parswadwayam 7.Prishtavamsam & Prishtam 8. 2 Sakthi 14
  • 15. DEVELOPMENT OF ORGANS ACC. TO AYURVEDA Su Sha 4 /23 15
  • 18. Importance of koshta • MüÉå¸ - MÑüwÉç AÉuÉUhÉå • mÉÑÇÍxÉ MüÉå¸ÉåÅliÉeÉïPûUÇ…| • MÑüwrÉiÉå | MÑüwÉÌlÉwMüwÉåï. AqÉUMüÉåwÉ-3/3/40 • Maha srothas • Shareera madhya • Mahanimna • Amasaya • Pakwasaya • Abhyantara rogamarga • cha.soo. 11/48 Acc to Susrutha • xjÉÉlÉÉÌlÉ AÉqÉÎalÉmÉYuÉÉlÉÉÇ qÉÔ§ÉxrÉ ÂÍkÉUxrÉ cÉ| WØûSÒhQÒûMüÈ TÑümmÉÑxÉ¶É MüÉå· CirÉÍpÉkÉÏrÉiÉå|| su.chi 2/9 18
  • 19. STRUCTURES MENTIONED IN CLASSICS RELATED TO KOSTA Mandhyamanga 117 types of Asthi – Su Sha. 5 59 types of kostagatha asthi sandhi explainedSu sha 5 230 types of snayu explained by Susrutha • 66 type of mamsa pesi in kosta guda = 3 One among the vrana adhisthana is kosta 19
  • 20. Kostangas according to different acharyas • mÉgcÉSvÉ MüÉå·ÉXçaÉÉÌlÉ; iɱiÉÉ-lÉÉÍpɶÉ, ¾ÕûSrÉÇ cÉ, YsÉÉåqÉ cÉ, rÉM×üccÉ, msÉÏWûÉ cÉ, uÉ×YMüÉæ cÉ, oÉÎxiɶÉç, mÉÑUÏwÉÉkÉÉU¶É, AÉqÉÉvÉrɶÉ, mÉYuÉÉvÉrÉ¶É E¨ÉUaÉÑSÇ cÉ, AkÉUaÉÑSÇ cÉ, ¤ÉÑSìÉl§ÉÇ cÉ, xjÉÔsÉÉl§ÉÇ cÉ, uÉmÉÉuÉWûlÉÇ cÉåÌiÉ || cÉ.vÉÉ.7/10 • MüÉå·XçaÉÉÌlÉ ÎxjÉiÉÉlrÉåwÉÑ WØûSrÉÇ YsÉÉåqÉ TÑümmÉÑxÉqÉç| rÉM×üimsÉÏWûÉåhQÒûMüÇ uÉÚMüÉæ 20
  • 21. Kostangas according to different acharyas CHARAKA SUSRUTHA ASTANGA HRIDAYAM ASTANGA SANGRAHAM NABHI UTTARAGUDHA AMASAYA HRIDAYAM HRIDAYA HRIDAYA ADHARAGUDHA AGNI ASAYA KLOMA KLOMA KLOMA KUSHDRANTHRAM PAKWASAYA PHUPHUSA PHUPPUSA YAKRITH STOOLANDRAM MOOTRASAYA YAKRITH YAKRITH PLEEHA VAPAVAHANAM RUDHIRASAYA PLEEHA PLEEHA VRIKKA HRIDAYAM UNDUKAM UNDUKA VASTHI UNDUKAM VRIKKAs VRIKKA PUREESHADARA PHUPPUSAM NABHI ANTHRA AMASAYA DIMBHA PAKWASAYA ANTHRA PAYU 21
  • 22. KOSTA BHINNA 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. MOORCHA HRIDPARSWA VEDANA JWARA DAHA TRID ADMANAM BHAKTHASYA ANABHUNANDANAM SWASA SWEDA AKSHIRAKTHATHA ASASYA LOHAGANDHATWAM GATRA VIGANTHADA Su. Chi 2/13-15 22
  • 23. KOSHTA BHEDAM • 1. KLISHTANDRAM • 2. CHINNANTHRAM 23
  • 24. Concept of Ashaya in Ayurveda • Adhistana • ………… 24
  • 25. Asayas acc to different Acharyas Susrutha Astanga sangraha sarangadhara 1 Raktasaya Rakthasaya Jeevarakthasaya 2 Sleshmasaya Kaphasaya Sleshmasaya 3 Amasaya Amasaya Amasaya 4 Pittasaya Pittasaya Agniyasaya 5 Pakwasaya Pakwasaya Malasaya 6 Vatasaya Vatasaya Pavanasaya 7 Mootrasaya Mootrasaya mootrasaya 25
  • 26. DESCRIPTION OF ORGANS RELATED TO GIT ACCORDING TO AYURVEDA 26
  • 27. • Mukha: • oshta,ganda,dantha,danthamool, jihwa,talu ,gala & sarvasyam all together constitute the Mukha, which helps in annagrahana, charvana, kledana, swalpa pachana Ah. Utta. 21/65 • 2 Srikkani – charaka Susruth measurement • Mukha greevam – 24 anguli – • Mukhaayamam – 12 Anguli Su. Soo. 35 27
  • 28. Ostha: • The pair of lips which the muscular organs partially covered with skin and partially by mucous layer helps in the articulation of the speech and also securing the food materials in the mouth during mastication by mutual fastening. 2 oshta explained by Acharya charaka- Angapratyanga vivarana 2 mamsa pesi present in oshta Ganda kapala type of Asthi is seen 2 ganda – charaka Angapratyanga vivarana 2 type Asthi present- susrutha Shareera 5 1 Asthi sandhi – Susrutha Shareera 5 2 mamsa pesi present 28
  • 29. • • • • • Ulookhala type of Asthi sandhi – Su • Length of Dasana 2 Angula • 12 snayus in Uttara and adhara dantha mamsam 29
  • 30. • • • • • • • • • Kapha stanam jihwa Shad rasam importance 1 sevani is present in Jihva 1 mamsa pesi present in Jihva – su 5 types of snayu – acc to AS 16 types of siras - AS . Sharee 6/8 30
  • 31. TALU • Talu and cloma are the moolastana of udakavaha srothas • Manso stanam above the thalu according to Bhela • Kapala type of asthi seen • 1 talu – Charaka Angapratyanga vivarana • 2 asthi- charaka in the contest of Asthi sankhya • 2 mamsa pesi present GALA OR KANTA kanta one among the Dasapranayathana 4 types of Kanta nadi explained by susrutha 1 mamsa pesi present 31
  • 32. Asthi Dhamani Mamsa peshi Asthi sandhi mukha Oshta 2 Ganda 2(Su) Danta 32 32 ( hanyo ulookhalani) Jihva Talu Gala 2 32 ( danta moola) 2 2 ( cha) 1 ( Su) 1 1 2 1 3 32
  • 34. AMASHAYA – Sushira type of snyau – End of pakwasaya, Amasaya and vasti Situated inbetween nabhi and sthana. ÌmɨÉxjÉÉlÉåvÉÑ AÉqÉÉvÉrÉ CÌiÉ AqÉÉvÉrÉÉã AkÉÉãpÉÉaÉÈ | vsÉãwqÉxjÉÉlÉåvÉÑ AÉqÉÉvÉrÉÈ AqÉÉvÉrÉÉãkuÉïpÉÉaÉÈ || cÉ¢üÈ, cÉ xÉÔ 20. 1.Urdhwa amashaya – kaphasthana – kledaka kapha. 2.Adhoamashaya – pittasthana- pachakapitta. 34
  • 35. Urdhwa amashaya- kledaka kapha. Aharakledana. Annasanghata. Avastha pakam- madhuree bhutham Adhoamashaya 35
  • 36. • Diseases in Amasaya – Jwara & chardhi – Atisara – Swasa – Kamala 36
  • 37. Grahani • • Agi adistanam • Pitta dhara kala • Agni asayam 37
  • 40. Summarize Grahani • • • • • • Above the nabhi Between pakwasaya and amasaya At the gate of pakwasaya Receptor of food Seat of Agni separates and digests the undigested food 40
  • 41. Antra • Antra’s formed by Matruja bhava • Two types – Kshudrantram – Stoolandram • Su Sha 5/9 – 3.5 vyama - male – 3 vyama - female – Saragadhara openion antra is lined by Pureeshadharakala – Antra vridhi diseases explained.. – Anthra Pravesana Explain By Acharya – Rudrantram- ( BR) SHOCK- PARADA VASTHI 41
  • 43. • • • Pakwasayasta Raktam Sasoola Gauravam Nabhyo Adastaseetatwam Kheda: Raktasya Agama 43
  • 44. • mÉYuÉÉqÉÉvÉrÉÉåqÉïkrÉå ÍxÉUÉ mÉëpÉuÉÉ, lÉÉÍpÉÈ, iɧÉÉÌmÉ xɱÉåqÉUhÉqÉç|| xÉÑ.vÉÉ.6/26 • lÉÉÍpÉ mÉëirÉXûaÉÉÈ A.xÉÇ.vÉÉ.5/1 • iÉxrÉÉliÉUåhÉ lÉprÉåxiÉÑ erÉÉåÌiÉÈ x lÉÇ kÉëÑuÉÇ xqÉ×iÉqÉç • lÉÉÍpÉÈ xÉuÉïÍxÉUÉhÉÉÇ xrÉÉSÉkÉÉUÈ | AÂhÉS¨É-A.WØû.vÉÉ 3/12 • lÉÉÍpÉxjÉÉ: mÉëÉÍhÉlÉÉqÉç mÉëÉhÉÉ: 44
  • 45. Guda • • aÉÑSè Ì¢üQûÉrÉÉqÉç iÉ aÉÑ qÉsÉÉåixÉaÉåï || zÉoS MüsmÉSìÓqÉç aÉÑS + iÉ + aÉÑ - aÉÑS • The place for accommodation and elimination of the faeces. • According to Ayurveda Guda has been explained in many aspects like • • • • • • • • Pranayatana sadhya pranahara marma Kostanga mula sthana of purishavaha srothas martuja avayava bahirmukha srothas sthana of apana vata karmendriya 45
  • 48. • According to sarangadhara • Total length of gudavali = 41/2 angula • • • • Pravahini – 1 ½ angula Visargini - 1 ½ angula Grahika - 1 angula Guda mukham – ½ angula 48
  • 49. Charaka divided the Guda into two parts i,e Uttaraguda Adhara Guda According to Chakrapani Uttaraguda is the place where purisha is temporarily stored. Adharaguda is the place which helps in passing the purisha. 49
  • 50. • According to Harita the situated apana vayu in its normal place does vishodhana of maladvara. This resided vayu creates opening in different directions, and the navadvaras are formed in the body and the guda is one among them. 50
  • 51. Importance of guda marma • • • • Dasa pranayathana Mamsa marma / dhamani marma Sadyapranahara 4 angulam paramana Diseases Arsa Parikarthika Bhagandhara Guda Bramsam 51
  • 53. Concept of kala • MüsÉÉ ZÉsuÉÌmÉ xÉmiÉxÉÇpÉuÉÇÌiÉ kÉÉiuÉÉvÉrÉÉliÉUqÉrÉÉïSÉÈ | xÉÑ.vÉÉ. 4/4 • iuÉcÉÈ xÉmiÉÈ MüsÉÉÈ xÉmiÉWû……| xÉÑ.vÉÉ. 5/5 • rÉjÉÉ ÌWû xÉÉUÈ MüɸåwÉÑ ÍNû±qÉÉlÉåwÉÑ SØvrÉÇiÉå | iÉjÉÉ kÉÉiÉÑÌWûï qÉÉÇxÉåwÉÑ ÍNû±qÉÉlÉåwÉÑ SØvrÉÇiÉ || xÉÑ.vÉÉ. 4/5 • 53
  • 58. SROTHAS RELATED TO GIT – UDAKA VAHA SROTHAS – ANNAVAHA SROTHAS – PUREESHAVAHA SROTHAS 58
  • 59. DISCUSSION ……. AYURVEDIC APPROCH MODERN APPROCH Kanthatdi Guda Taken As A Part Of GIT The human gastrointestinal tract is the stomach and intestine, sometimes including all the structures from the mouth to the anus With The help Of Bodhaka Kapha Digestion Starts Digestion of the food starting from the mouth itself with the help of salivary glands Annanadi reference is in Atreya Samhithaby Vaidyaka Kalpa Sindhu Oesophagus helps to move the food to the stomach region Amasaya is the place where food materials will be in the form of amavastha Stomach doing the function of receiving the food from oesophagus and passs in to the duodenal area Between the amasaya and pakwasaya Grahani is seen Connection between the stomach and small intestine is duodenum 59
  • 60. Inside the Grahani seperation of digested All the chemical and mechanical phase of digestion are directed towards changing food and undigested food in to forms that can pass through the epithelial cells lining the mucosa into underlining blood and lymphatic vessels. From Grahani food is transferred to Pakwasaya From small intestine digested food materials passing to large intestine In Pakwasaya the Sthanaof Purishadhara Kala has a very close relation with other viscera like Antra The Mala Vibhajan process is carried out Large intestine starting from the iliocecal junction. Inside the large intestine water absorpttion and fecal formation starts Last part of stoolantra is connected with guda 1. Uttara guda 2. Adhara guda Fecal matter is temporarily stored in the Sigmoid colon defecation urge is due to the mass peristalsis and the stool is passed to the rectum Made of circular muscles Surrounds 3 cm of anal canal Thickness : 2-5 mm Ends at Hiltons line When exposed looks pearly white in colour Inside the guda three valis present ( mamsa pesi) 60
  • 61. CONCLUSION • According to Ayurveda, the organs coming under the spectrum of GIT can be considered from mukha to guda . • Predominant structure in these parts are two nimna region ie, Amasaya and Pakwasaya. • GIT can be called as the mahasrothas. • GIT includes the structures which have close relationship with Pureeshavaha, Annavaha & Udakavaha srothas • It can be consider as the abhyantara rogamarga • Structurally demarcation can be well undestood in the context of Dosha and Vipaka • Anatomy of GIT will be better understood under the headings of Kosta & Asaya 61
  • 63. ARTICLE REVIEW • A critical review of ayurvedic concept of Agnimandhya by Singh Akilesh Kumar • Lectures-the anatomy of the intestinal canal and peritoneum in man. Frederick treves, • A Body Of Knowledge: TheWellcome Ayurvedic Anatomical Man And His Sanskrit Context by Dominik Wujastyk • Concepts of Human Physiology in Ayurveda by Kishor Patwardhan • Concept of Pitta by Surama Mishra • Concept of Grhani by Dr.KSR Prasad • Clinical importance of Pittadhara Kala Dr. K. Shiva Rama Prasad • Revalidation Of The Functions Of Ranjakapitta,Dr Sudha Gopal 63
  • 64. REFERENCES • Acharya J T. Charaka Samhita Ayurveda Deepika commentary of ChakrapaniDatta. Reprint ed. Varanasi (India): Chaukhambha orientalia ; 2011 • Acharya Y T. Sushruta Samhita with Nibhandhasangraha commentary of Dalhanacharya and Nyayachandrika Panjika of Sri Gayadasacharya on Nidanasthana. Reprinted ed. Varanasi (India): Chaukambha Sankrit Sansthan; 2011 • Singh Inderbir ,Pal GP. Human Embryology, 8th ed.Reprint.Newdelhi: Macmillan Publishers India ltd;2010 • WilliamsMM, Sanskrit – English dictionary. Motilalbanarasi das publications delhi 1999 • Ayurvedalankar SreeSathyapala Bhishakacharya .Kasyapasamhitha Vridhajeevakeeyam ThandramMaharshiMarichaKasyapanirdhishtam .Reprinted ed. Varanasi: Choukambha Sanskrit Samsthan; 2009 • Paradakara HSS. Ashtanga Hrudayam with Sarvanga Sundaram of Arunadatta and Ayurveda Rasayana of Hemadri.9 th ed. Varanasi (india): Chaukumbha Sanskrit Orientalia;2005 64