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Grahani_Ayurveda_Presentation.pptx slide
- 1. Grahani in Ayurveda Presentedby: Vaidya Alok Satyaprakash Pandey MD (Ayurveda), Kayachikitsa K.G. Mittal Ayurvedic College, Mumbai
- 2. Introduction • • Grahani:An important Mahasrotas Vyadhi • • Both an organ (small intestine) and a disease • • Seat of Agni and root of Annavaha Srotas • • Occurs due to Agni Dushti and Srotorodha • Reference: Charaka Chikitsa 15/44
- 3. Definition • Grahani isa disease occurring due to vitiation of Agni resulting in improper digestion and absorption, causing Ama formation and altered bowel habits. • Reference: Charaka Chikitsa 15/44
- 4. Synonyms • • GrahaniRoga • • Ajeerna Janya Vyadhi • • Amaja Vyadhi
- 5. Nidana (Causes) • •Vishama Ahara Vihara • • Ajirna Bhojana • • Ama Sevana • • Adhyashana • • Vishamashana • • Mandagni • • Grahani Kshaya • • Chronic digestive disorders
- 6. Samprapti (Pathogenesis) • NidanaSevana → Agni Dushti → Ama Utpatti → Grahani Dushti → Annavaha Srotas Dushti → Atisara, Vibandha, Ama Pachana Sthana Dushti • Reference: Sushruta Nidana 6
- 7. Samprapti Ghataka • •Dosha: Tridosha (mainly Pitta & Vata) • • Dushya: Rasa, Rakta, Mamsa, Meda • • Agni: Mandagni/Vishamagni • • Srotas: Annavaha, Purishavaha • • Roga Marga: Abhyantara • • Srotodushti: Sanga
- 8. Types of Grahani •• Vataja Grahani: Vata • • Pittaja Grahani: Pitta • • Kaphaja Grahani: Kapha • • Sannipataja Grahani: Tridosha
- 9. Lakshana (Symptoms) • •Aruchi • • Ajirna • • Ama Mala • • Muhur Muhur Mala Pravritti • • Trishna • • Udara Shoola • • Vibandha • • Daurbalya, Utklesha
- 10. Bheda (Types basedon symptoms) • • Vataja: Dry, frothy stools, pain, flatulence • • Pittaja: Loose, yellowish, foul stools, burning • • Kaphaja: Slimy, mucus-laden, heaviness • • Sannipataja: Mixed symptoms
- 11. Sadhya-Asadhyata (Prognosis) • •Sadhya: Vataja, Pittaja, Kaphaja (acute) • • Kricchra Sadhya / Asadhya: Sannipataja, chronic cases • Reference: Charaka Chikitsa 15/52
- 12. Chikitsa Siddhanta (Treatment Principle) •• Agni Deepana, Ama Pachana • • Srotoshodhana • • Dosha Pratyanika Chikitsa • • Rasayana in chronic Grahani • • Sanshodhana (if indicated)
- 13. Treatment Line • •Ama Present: Deepana, Pachana • • After Ama Pachana: Tridosha Shamana • • If Balavan Roga: Mridu Virechana • • Chronic Grahani: Rasayana
- 14. Important Formulations • •Chitrakadi Vati • • Panchakola Churna • • Takra Siddha Guda • • Bilwadi Leha • • Kutajarishta • • Dadimashtaka Churna • • Shankha Vati • • Pippali Rasayana
- 15. Panchakarma Procedures • •Virechana — in Pittaja, Ama Grahani • • Basti — in Vataja Grahani • • Takra Basti — chronic Grahani
- 16. Pathya-Apathya (Diet &Lifestyle) • Pathya: • • Laghu, easily digestible food • • Takra, Yavagu, Manda • • Avoid cold, heavy, oily, spicy foods • Apathya: • • Ajirna Sevana • • Vishamashana • • Day-sleep, suppression of natural urges
- 17. Modern Correlation • •Malabsorption Syndrome • • IBS • • Chronic Diarrhea • • Sprue, Celiac Disease
- 18. Conclusion • • Grahaniis a disease of Agni Dushti and Srotodushti • • Requires Deepana, Pachana, Sanshodhana • • Panchakarma effective in chronic cases • • Rasayana ensures recurrence prevention
- 19. References • • CharakaSamhita Chikitsa Sthana 15 • • Ashtanga Hridaya Chikitsa 9 • • Sushruta Samhita Nidana 6 • • Bhavaprakasha Madhyama Khanda
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