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HAVEKnowledgeClinical importance of   Pittadhara Kala   Guest lecture at AMC, Davangere   Dr. K. Shiva Rama Prasad        ...
Need to knowKala are very much neglected in the clinicalmedicineKala possess major importance in the bodyMany diseases of ...
Many a times we never think ofunderstanding the structural disturbancesin the body and rectification of thestructural inte...
Pittadhara Kala       Pitta & Agni            Ama      Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa...
Saptakala VijnanaKala are seven in numberKala lies in between the Dhatu andAshayaKala are like pith of the steam in theTis...
Kala Nomenclature            The fluid between the Dhatu            and Ashaya subjected to the            heat developed ...
Kala Division1)   Mamsadhara kala2)   Raktadhara kala3)   Medodhara kala4)   Shleshmadhara kala5)   Pureeshadhara kala6)  ...
Difference of opineKala is defined as a layer between – Rasa-Rakta – Mamsa – Medo- Asti – Majja –Shukra, 7 dhatu and Vata ...
Pittadhara Kala Pittadhara Kala is 6th in order Receives when the food is propelled from Amashaya Holds in the Pakwashaya ...
Structural Aspect of                      Pittadhara KalaIn between Pakwashaya and AmashayaHolds the food at PakwashayaThe...
As the Sigmoid colonand Rectum aretermed with “PureeshaVaha srotas” and linedby “PureeshadharaKala” – these parts ofGIT ar...
From mouth till to and in theAmashaya – 4 food varietiesare passed in undigested form– thus comfortably can betermed as Am...
Consideration of AmashayaAmashaya is with undigested foodContemporary science explains as –carbohydrate digestion starts a...
The part betweenJejunum and Sigmiodcolon is the Ileum –Pakwa-Amashayamadhya is the partanatomically to consideras Grahani ...
Functional Aspect of                             Pittadharakala It digests the 4 verities of food Digestion in terms of – ...
Enumeration & Examination                of FunctionsFunctions of Pittadharakala are enumerated by -Grahana - collection (...
Grahana - collectionThe collection anomalies (Functional orOrganic) are subjected to the movementsof the stomach to make t...
Pachana - digestionThe digestion disturbances are wellnarrated in Ayurveda and many Agni interlinked diseases are explaine...
Summary ofchemicalevents indigestion             doctorksrprasad@gmail.com   19
Vivechana & Mumunchana– Separation & AbsorptionWater, electrolytes, and vitamins can beabsorbed without preliminary proces...
triglycerides, in company with absorbedsteroids and phospholipids, are then coatedwith proteins, creating complexes known ...
Here I wish to make a commentAyurveda and Contemporary medicines areappropriative and doesn’t fit one to another aslike Re...
Secretion andwaterabsorption inthe Digestivetract - suggeststhe placementof thePittadhara     Pittadhara KalaKalaphysiolog...
Pittadhara Kala       Pitta & Agni            Ama      Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa...
Examination of Pitta & AgniThere is no other Agni available in thebody other than that of Pitta 1Agni is examined by the “...
Food in connection with           digestionAahaarasakti (Pachana Pittadhara kala)means the capacity to the intake of food ...
AVIPAAKAH (Indigestion) is resultant of improper AgniAjarakamAjeernamApaakahApaktisaktihPaktinaasah are the synonyms ofAvi...
Impaired Pittadhara Kala meansimpaired Agni and development            of AmaAma Produces at GIT and also in Dhatusat Bioc...
Pittadhara Kala       Pitta & Agni            Ama      Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa...
Ama DefinitionBy definition Ama is -Apakwa Ahara - undigested foodShukta Ahara - fermented foodVisharoopa Ahara - toxic li...
Enumeration and Examination of AmaIt is difficult to enumerate quantitatively Ama inclinical aspectBut it is not an Imposs...
Ama Lakshana (A.H.Su.13/24)Srotorodha - obstruction to channelsBalabhramsha - loss of strengthGourava - heavinessAnila moo...
Srotorodha examinationOut of the 13 srotas explained each andevery srotas are individually examinedalong with specificity ...
Malasanga examinationMala are Pureesha - Mootra - Swedaat present context Pittadhara Kala separates the Malaand Sara in ge...
Anila Moodhata examinationThe neural output proceeds via theparasympathetic division of the ANS and reachesthe stomach by ...
Skin in the examination of AmaThe importance of the Twacha should notbe forgotten as the “Ushma” is regulatedby the it sel...
Twak Gourawa, Twak Rodhata, Prabha-Chaya nasha, twakgata vata (Vyana)karma hani, Non absorbability of skin, skinfatigue, D...
Clinical Identification of AmaWhere ever Ama is seated there -Sthambha - immobilityGourava - HeavinessStaneeya Deha Vishes...
Pittadhara Kala     Pitta & Agni           AmaAma Pradoshaja Pittadhara   kala Janya VyadhiPittadhara Kala Chikitsa       ...
Ama Pradoshaja VyadhiIf spreads upward - VishuchikaIf spreads down ward - Alasakawith the Ajeerna it is called as Amavisha...
Vardhakya & Pittadhara KalaAGING AND THE DIGESTIVE SYSTEMThe rate of epithelial stem cell divisiondeclines The digestive e...
Smooth muscle tone decreasesGeneral motility decreases (Anila Moodhata), and peristaltic contractions are weaker.These cha...
Straining to eliminate compacted fecalmaterials can stress the less-resilient wallsof blood vessels, producing hemorrhoids...
The effects of cumulative damage becomeapparent A familiar example is the gradual loss of teethdue to dental caries or gin...
Cancer rates increase. Not surprisingly, cancersare most common in organs in which stem cellsdivide to maintain epithelial...
Ama (Mandagni) Nadi Ajeerna, Ama Dosha, invasion of Fever, Appetite, Vitiated Vata, Pitta and Kapha are known by the Hasta...
Agnimandya and                               Grahani roga NadiAt Mandagni Nadi is always slowlike a Swan – butin Agnimandy...
Pittadhara Kala       Pitta & Agni            Ama      Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa...
Normal patterns of Management     Nidana Parivarjana     Pachana     Deepana     snehana     swedana     Shodhana     Are ...
ÌmɨÉkÉUÉMüsÉÉ LuÉqÉç qÉeeÉÉkÉUÉMüsÉÉ             Pitta vs VataThe contextual thoughts of theinterference of Vata and Majj...
Anulomana (Minor purgation) is thetreatment for the Vata and Virechana(Major purgation) for that of Pitta andbased upon As...
The present discussion opens newthoughts as such –No specific patterns of treatment is used toeliminate the “Pittadhara ka...
As the problems of Grahana –Pachana – Vivechana –Mumunchana are individual; at astreach management is notadoptable What to...
Deepaneya– Churna– Arista– Ghruta – according to the situation has to be administered SÏmÉlÉÏrÉÉÌlÉ xÉuÉÉïÍhÉ cÉÔhÉÉïËU¹bÉ...
Agnikarma – will it be a good        treatment?It is told as when a disease of thePittadhara Kala is not possible to betre...
Forgotten but best evennot available for the divine -The Buttermilk – Takram is the bestfor any of the Pittadhara kala jan...
Kayasya Antaragni chikitsa is KayachikitsaAgni and Pitta are similar according toSusrutaNo other Agni is available in the ...
Amashayastha Grahana Pittadharakala– in comparison with the intrinsic factoris having the Rakta kala maryada(Blood)Pachyam...
After hearing all one has to decide whatmanagement protocol is to be adopted    for an individual disease entity of Pittad...
HAVEKnowledge    mÉëÑccÉMåülÉ ÍvÉwrÉÉæ xÉÇvÉrÉÌlÉuÉëѨÉåÅÌmÉ aÉÑÂ:    aÉÑ ÌuÉlÉ lÉ ÍvÉwrÉÉ: ÍvÉwrÉÌuÉlÉÉ lÉ aÉÑ      Har...
It is from            HAVE             Knowledge      doctorksrprasad@sify.comdoctorksrprasad@gmail.com           61
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Pittadhara ksr

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Clinical importance of Pittadhara Kala

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Pittadhara ksr

  1. 1. HAVEKnowledgeClinical importance of Pittadhara Kala Guest lecture at AMC, Davangere Dr. K. Shiva Rama Prasad M.D.(KC), M.A, Ph.D (Jyo) doctorksrprasad@gmail.com 1
  2. 2. Need to knowKala are very much neglected in the clinicalmedicineKala possess major importance in the bodyMany diseases of present day are specificallyKala concern, such as –Grahani (Pittadharakala)Durmedas (Medodhara Kala)Infertility (Sukra dhara kala)Musculo skeletal problems (Mamsadhara kala)I.B.S ( Pureeshadhara kala) etc. doctorksrprasad@gmail.com 2
  3. 3. Many a times we never think ofunderstanding the structural disturbancesin the body and rectification of thestructural integrity disturbed by the doshain the bodyApart from the rectification andpacification of the dosha out of srotodustilakshana – Atipravrutti & Apravrutti(Sanga) – Sira granthi & Vimargagamanaare essential to examine in detailRectify the structural and functionaldisturbances of Kala With specialreference to Kayachikitsa doctorksrprasad@gmail.com 3
  4. 4. Pittadhara Kala Pitta & Agni Ama Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 4
  5. 5. Saptakala VijnanaKala are seven in numberKala lies in between the Dhatu andAshayaKala are like pith of the steam in theTissuesMüsÉÉ: ZÉsuÉÌmÉ xÉmiÉxÉqpÉuÉÎliÉ kÉÉiuÉÉvÉrÉÉliÉU qÉrÉÉïSÉ:rÉjÉÉ ÌWû xÉÉU: MüɹåwÉÑÎccɱqÉÉlÉåwÉÑ SìÓvriÉå - xÉÑ.vÉÉ 4/5 doctorksrprasad@gmail.com 5
  6. 6. Kala Nomenclature The fluid between the Dhatu and Ashaya subjected to the heat developed from Ushma gives rise the Kala The Kala is covered by the layer of phlegmkÉÉiuÉÉvÉrÉÉliÉUYsÉåS: ÌuÉmÉYuÉ: xuÉÇ xuÉqÉÔwqÉhÉÉ vsÉåwqÉxlÉÉruÉmÉUÉcNû³É: MüsÉÉZrÉ: MüɹxÉÉUuÉiÉç, iÉÉxxÉmiÉ –A.¾Òû.vÉÉ 3/9 doctorksrprasad@gmail.com 6
  7. 7. Kala Division1) Mamsadhara kala2) Raktadhara kala3) Medodhara kala4) Shleshmadhara kala5) Pureeshadhara kala6) Pittadhara kala7) Shukradhara kala doctorksrprasad@gmail.com 7
  8. 8. Difference of opineKala is defined as a layer between – Rasa-Rakta – Mamsa – Medo- Asti – Majja –Shukra, 7 dhatu and Vata – Pitta – Shleshma– Ama – Mala – Mootra – Raktashaya of 7Ashayas2nd opine is – dhatu means Mamsa – Rakta –Medas – Shleshma and Sukra along with theAshaya as Pittashaya, Pakwashaya.Both of the above are considered & needsfurther discussion to specify any one of them doctorksrprasad@gmail.com 8
  9. 9. Pittadhara Kala Pittadhara Kala is 6th in order Receives when the food is propelled from Amashaya Holds in the Pakwashaya - The four verities of food ingested – viz. Asita, Khadiata, Peeta and LeedawɹÏÌmɨÉkÉUÉ lÉÉqÉ, rÉÉ cÉiÉÑÌuÉïkÉqɳÉmÉÉlÉqÉÑmÉrÉÑ£üqÉÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ -xÉÑ.vÉÉ 4/17 doctorksrprasad@gmail.com 9
  10. 10. Structural Aspect of Pittadhara KalaIn between Pakwashaya and AmashayaHolds the food at PakwashayaThese statements refer to the activityconcern and states that the Pittadhara kala isas such below to that of the Ashaya whichholds the undigested food and in the Ashayawhich propels the digested food forabsorption With the function of assimilationmÉYuÉÉqÉÉvÉrÉqÉkrÉxjÉÉaÉëWûhÉÏ mÉËUMüÐÌiÉïiÉÉ –AÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ -xÉÑ.vÉÉ 4/17 doctorksrprasad@gmail.com 10
  11. 11. As the Sigmoid colonand Rectum aretermed with “PureeshaVaha srotas” and linedby “PureeshadharaKala” – these parts ofGIT are ruled out ofthe discussion ofpittadharakala doctorksrprasad@gmail.com 11
  12. 12. From mouth till to and in theAmashaya – 4 food varietiesare passed in undigested form– thus comfortably can betermed as Amashaya doctorksrprasad@gmail.com 12
  13. 13. Consideration of AmashayaAmashaya is with undigested foodContemporary science explains as –carbohydrate digestion starts at mouth andprotein at stomach and fats at duodenumAs the fat digestion is continued till to that ofJejunum – it has to be considered even theduodenum is also as a part of AmashayaEven at the Jejunum, absorption doesn’t takesplace thus till to that of Ileum jejunum junction –Amashaya extends doctorksrprasad@gmail.com 13
  14. 14. The part betweenJejunum and Sigmiodcolon is the Ileum –Pakwa-Amashayamadhya is the partanatomically to consideras Grahani orPittadhara Kala doctorksrprasad@gmail.com 14
  15. 15. Functional Aspect of Pittadharakala It digests the 4 verities of food Digestion in terms of – Pachana – Vivechana – Mumchana All the functions of Pitta are attributed to Pittadharakala based on the concept of Adhara-Adheya bhava. The integrity of the Pittadhara kala (Grahani) depends upon the proper function of Agni so it can be termed as even “Agnidhra Kala”aÉëWûhrÉÉoÉsÉqÉÎalÉÌWïû ---- iÉxqÉÉSalÉå mÉëSÕÌwÉiÉå aÉëWûhÉÏxÉÇmÉëSÕwrÉiÉÏÌiÉ- xÉÑ.E¨ÉU- QûsWûhÉ 40/170 doctorksrprasad@gmail.com 15
  16. 16. Enumeration & Examination of FunctionsFunctions of Pittadharakala are enumerated by -Grahana - collection (GrahanaPittadharakala - Amashayastha)Pachana - digestion (PachanaPittadharakala - Pachyamanashayastha)Vivechana & Mumunchana – Separation& Absorption (Vivechana Pittadharakala- Pakwashayastha) doctorksrprasad@gmail.com 16
  17. 17. Grahana - collectionThe collection anomalies (Functional orOrganic) are subjected to the movementsof the stomach to make the food asamalgam andTo initiate the normal peristalticmovements in the intestinesMain diseases pertained are of Grahaniroga – Kosta stabdhata - sroto sanga(carcinoma, etc) - etc,. Even Dosha wisediseases can be enumerated doctorksrprasad@gmail.com 17
  18. 18. Pachana - digestionThe digestion disturbances are wellnarrated in Ayurveda and many Agni interlinked diseases are explainedTo initiate the normal Agni, examination ofAgni is necessaryMain diseases pertained to Agni are -Agnimandya, Ajeerna, Parinamashoola, Annadrava shoola, etc,. doctorksrprasad@gmail.com 18
  19. 19. Summary ofchemicalevents indigestion doctorksrprasad@gmail.com 19
  20. 20. Vivechana & Mumunchana– Separation & AbsorptionWater, electrolytes, and vitamins can beabsorbed without preliminary processing, butspecial transport mechanisms are commonlyinvolved.The intestinal epithelium then absorbs themonosaccharides by facilitated diffusion andcotransport mechanisms.cells lining the small intestine will continue toabsorb glucose when glucose concentrationsinside the cells are much higher than they are inthe intestinal contents. doctorksrprasad@gmail.com 20
  21. 21. triglycerides, in company with absorbedsteroids and phospholipids, are then coatedwith proteins, creating complexes known aschylomicronsamino acids, as well as those produced bythe pancreatic enzymes, are absorbedthrough both facilitated diffusion andcotransport mechanismsThe anions chloride, iodide, bicarbonate, andnitrate may be absorbed through diffusion orcarrier-mediated transport. Phosphate andsulfate ions enter epithelial cells onlythrough active transport. doctorksrprasad@gmail.com 21
  22. 22. Here I wish to make a commentAyurveda and Contemporary medicines areappropriative and doesn’t fit one to another aslike Relative theory and Quantum theoryAyurveda is like a Relative theory of Einsteen,which speaks about the “G” – GravityOn the other hand – contemporary medicalsciences speak of Quantum theory of –Electromagnetism, Strong force and Weak forceA major exercise is necessary to understand andbind the two poles of Health sciences doctorksrprasad@gmail.com 22
  23. 23. Secretion andwaterabsorption inthe Digestivetract - suggeststhe placementof thePittadhara Pittadhara KalaKalaphysiologicallyafter the PureeshadharaDuodenum Kalaand before tothe IleoceacalValve doctorksrprasad@gmail.com 23
  24. 24. Pittadhara Kala Pitta & Agni Ama Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 24
  25. 25. Examination of Pitta & AgniThere is no other Agni available in thebody other than that of Pitta 1Agni is examined by the “Jarana shakti”Jarana Shakti is the capacity of digestionin terms of food taken under thestipulations and normsFor this only questionnaire are sufficientFew of the concern terms are -1 lÉZÉsÉÑ ÌmɨÉurÉÌiÉUåMüÉSlrÉÉåÅÎalÉÂmÉsÉprÉiÉå - xÉÑ.xÉÔ.21/8 doctorksrprasad@gmail.com 25
  26. 26. Food in connection with digestionAahaarasakti (Pachana Pittadhara kala)means the capacity to the intake of food anddigestionHow much a person can consume food withoutany discomfort is considered asAbhyavaharana sakti (Grahana Pittadharakala)The proper digestion of food in time with out anydiscomfort is considered as the capacity of hisdigestion is Jarana sakti (VivechanaPittadhara kala) doctorksrprasad@gmail.com 26
  27. 27. AVIPAAKAH (Indigestion) is resultant of improper AgniAjarakamAjeernamApaakahApaktisaktihPaktinaasah are the synonyms ofAvipaka. doctorksrprasad@gmail.com 27
  28. 28. Impaired Pittadhara Kala meansimpaired Agni and development of AmaAma Produces at GIT and also in Dhatusat Biochemical expression Ama can be Improperly metabolized intermediate byproducts Increased antigenicity Free radicals doctorksrprasad@gmail.com 28
  29. 29. Pittadhara Kala Pitta & Agni Ama Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 29
  30. 30. Ama DefinitionBy definition Ama is -Apakwa Ahara - undigested foodShukta Ahara - fermented foodVisharoopa Ahara - toxic like foodMala sanchaya - eliminative accumulationAhara rasa shesha - left of rasa inAmashayafirst stage of Dosha DustiAmÉcrÉqÉÉlÉÇ vÉÑ£üiuÉÇ rÉÉirɳÉÇ ÌuÉwÉÃmÉiÉÉqÉç - cÉ.ÍcÉ.15/42 doctorksrprasad@gmail.com 30
  31. 31. Enumeration and Examination of AmaIt is difficult to enumerate quantitatively Ama inclinical aspectBut it is not an Impossible taskThe normal terms come across are - Ushma -Adyadhatu and AmashayaHere the Ushma - Heat is the concernUshma maintenance is done by Pitta ofAmashaya (Pachakapitta) and Pitta of Twak(Bhrajakapitta)So, to examine Ama clinically is possible byexamining the contextual Ama Lakshana andTwak doctorksrprasad@gmail.com 31
  32. 32. Ama Lakshana (A.H.Su.13/24)Srotorodha - obstruction to channelsBalabhramsha - loss of strengthGourava - heavinessAnila moodhata - loss of impulsesAalasya - lazinessApakti - loss of digestionNisteeva -spittingMalasanga - accumulation of wasteAruchi - tastelessnessKlama - fatigue -out of these except Srotorodha, Anila Moodhata andMalasanga rest are self explainable doctorksrprasad@gmail.com doctorksrprasad@gmail.com 32 32
  33. 33. Srotorodha examinationOut of the 13 srotas explained each andevery srotas are individually examinedalong with specificity of Rasa and Raktaas they are related to pittadharakaladirectly.Any Atipravrutti - Apravrutti with reference tofunctions andSira Granthi and Vimarga Gamana with thestructure is considered doctorksrprasad@gmail.com 33
  34. 34. Malasanga examinationMala are Pureesha - Mootra - Swedaat present context Pittadhara Kala separates the Malaand Sara in general is impaired to accumulate the Malaand obstructs oranother understanding is the mala which is formed is notseparated by the Pittadhara KalaThe Mala are - biological end products which interferethe digestion and metabolism -eg. Enteroendocrine cells (Glands in the pylorus)produce at least seven different hormones, most notablythe hormone gastrin (G cells) in the gastric pits of thepyloric antrum. The pyloric glands also contain D cells,which release somatostatin a hormone that inhibitsgastrin release. doctorksrprasad@gmail.com 34
  35. 35. Anila Moodhata examinationThe neural output proceeds via theparasympathetic division of the ANS and reachesthe stomach by means of the vagus nervesAs par Ayurveda - the Vata (Samana) in the Kostais responsible for the Anna Grahana, Pachana,Vivechanathus the Kostashrita Vata is much clinicallyevaluatedWhen Vagatomy or any surgical procedures undertaken impulsive nerve reflexes lessens theenzymatic secretion in the Stomach or vice versa doctorksrprasad@gmail.com 35
  36. 36. Skin in the examination of AmaThe importance of the Twacha should notbe forgotten as the “Ushma” is regulatedby the it selfSkin respires eventhe examination of Twacha includes withthe - temperature variances, Temperaturedisturbances over the enzyme secretionsand digestion doctorksrprasad@gmail.com 36
  37. 37. Twak Gourawa, Twak Rodhata, Prabha-Chaya nasha, twakgata vata (Vyana)karma hani, Non absorbability of skin, skinfatigue, Depositions of eliminativematerials (Malasanga) – sweda abhavata– are common conditions of Ama in TwakAt the time of Abhyanga - the Drugdesignated is absorbed and assimilatedwell by the Skin is witnessed as anexample through Bhrajaka Pitta (Agni) doctorksrprasad@gmail.com 37
  38. 38. Clinical Identification of AmaWhere ever Ama is seated there -Sthambha - immobilityGourava - HeavinessStaneeya Deha Vishesha VikaraDosha vishesha Saama LakshanaDhatu vishesha Saama Lakshana -are seen doctorksrprasad@gmail.com 38
  39. 39. Pittadhara Kala Pitta & Agni AmaAma Pradoshaja Pittadhara kala Janya VyadhiPittadhara Kala Chikitsa doctorksrprasad@gmail.com 39
  40. 40. Ama Pradoshaja VyadhiIf spreads upward - VishuchikaIf spreads down ward - Alasakawith the Ajeerna it is called as AmavishaAmadosha, Amavatagrahani (Sangrahagrahani), Amavata, etc are considered asAmaja VyadhiApart from all the basic definition of“Amaya” includes all diseases in Amawith special reference to the PittadharaKala Janya vydhi doctorksrprasad@gmail.com 40
  41. 41. Vardhakya & Pittadhara KalaAGING AND THE DIGESTIVE SYSTEMThe rate of epithelial stem cell divisiondeclines The digestive epithelium becomes moresusceptible to damage by abrasion, acids, orenzymes. Amlapitta, Parinama Shoola etc, AcidPeptic disorders, therefore become more likely.In the mouth, esophagus, and anus, the stratifiedepithelium (Pittadhara Kala) becomes thinnerand more fragile. doctorksrprasad@gmail.com 41
  42. 42. Smooth muscle tone decreasesGeneral motility decreases (Anila Moodhata), and peristaltic contractions are weaker.These changes slow the rate of fecal movement and promote constipation (Malasanga)Sagging and inflammation of the haustra in the colon can produce symptoms of diverticulosis (Vimargagamana) doctorksrprasad@gmail.com 42
  43. 43. Straining to eliminate compacted fecalmaterials can stress the less-resilient wallsof blood vessels, producing hemorrhoids(Arshas)Problems are not restricted to the lowerdigestive tract. For example, weakening ofmuscular sphincters can lead to esophagealreflux and frequent bouts of "heartburn."(Apakti-Amlodgara) doctorksrprasad@gmail.com 43
  44. 44. The effects of cumulative damage becomeapparent A familiar example is the gradual loss of teethdue to dental caries or gingivitis.Cumulative damage can involve internal organsas well.Toxins (visha) such as alcohol and otherinjurious chemicals that are absorbed by thedigestive tract are transported to the liver forprocessing (Bhutagnipaka). The cells of the liverare not immune to these toxic compounds, andchronic exposure can lead to cirrhosis or othertypes of liver disease. doctorksrprasad@gmail.com 44
  45. 45. Cancer rates increase. Not surprisingly, cancersare most common in organs in which stem cellsdivide to maintain epithelial cell populations. Ratesof colon cancer and stomach cancer rise in theelderly; oral and pharyngeal cancers are particularlycommon among elderly individuals who smoke.Changes in other systems have direct or indirecteffects on the digestive system. For example, thereduction in bone mass and calcium content inthe skeleton is associated with erosion of the toothsockets and eventual tooth loss. The decline in olfactory and gustatory sensitivitywith age can lead to dietary changes that affect theentire body. doctorksrprasad@gmail.com 45
  46. 46. Ama (Mandagni) Nadi Ajeerna, Ama Dosha, invasion of Fever, Appetite, Vitiated Vata, Pitta and Kapha are known by the Hasta Nadi - Basava RajeeyamAeÉÏhÉïqÉÉqÉ SÉåwÉÇcÉ euÉUxrÉaÉqÉlÉÇ ¤ÉÑjÉÉÇ, uÉÉiÉÌmɨÉMüTüÉlÉçSÒ¹ÉlÉç WûxiÉlÉÉQûÏ ÌlÉSvÉïrÉåiÉç - oÉxÉuÉUÉeÉÏrÉqÉç doctorksrprasad@gmail.com 46
  47. 47. Agnimandya and Grahani roga NadiAt Mandagni Nadi is always slowlike a Swan – butin Agnimandya and Grahani roga(Pittadhara Kala vikruti) Nadi at feetis like swan- slow, rhythmic(Mandagni Nadi) and at hand like afrog - jumpingqÉÇSÉalÉÉæ ¤ÉÏhÉiÉÉÇ rÉÉÌiÉ lÉÉQûÏ WûÇxÉÉ¢ÑüÌiÉxiÉjÉÉmÉÉSåcÉ WûÇxÉaÉqÉlÉÉ MüUå qÉÇQÕûMüxÉÇmsÉuÉÉiÉxrÉÉalÉåUÇSiÉÉ SåWåûiuÉkÉuÉÉ aÉëWûhÉÏ aÉS:- lÉÉQûÏlɤɧÉqÉÉsÉ doctorksrprasad@gmail.com 47
  48. 48. Pittadhara Kala Pitta & Agni Ama Ama PradoshajaPittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 48
  49. 49. Normal patterns of Management Nidana Parivarjana Pachana Deepana snehana swedana Shodhana Are they sufficient to combat Pittadhara Kala Disease, which is deep rooted, wide spread and embedded with Ama? doctorksrprasad@gmail.com 49
  50. 50. ÌmɨÉkÉUÉMüsÉÉ LuÉqÉç qÉeeÉÉkÉUÉMüsÉÉ Pitta vs VataThe contextual thoughts of theinterference of Vata and Majjadhara kalamakes panic to one – who wish to treatAma in Vata Vyadhi (Pakshaghata)As already it is discussed about Ca+absorption from the Ileum (PittadharaKala) is the right answer – that the Ca+interference with the synape at Neuro-muscular junctions makes to either vitiateor pacify the vata (Expressional) doctorksrprasad@gmail.com 50
  51. 51. Anulomana (Minor purgation) is thetreatment for the Vata and Virechana(Major purgation) for that of Pitta andbased upon Ashrayasrayee bhavaeven to that of the Pittadhara KalaThus it is evident that the Ama ofPittadhara kala can be nullifiedappropriately used “Virechana –elimination” along with Deepana andPachana doctorksrprasad@gmail.com 51
  52. 52. The present discussion opens newthoughts as such –No specific patterns of treatment is used toeliminate the “Pittadhara kala” associateddiseases of either exclusively structural orof functionalApart from above problem – Uthana andLeena Ama dosha is also seatedAmashaya/Pakwashaya (Pittadhara Kala)and Dhatus respectively doctorksrprasad@gmail.com 52
  53. 53. As the problems of Grahana –Pachana – Vivechana –Mumunchana are individual; at astreach management is notadoptable What to do then? doctorksrprasad@gmail.com 53
  54. 54. Deepaneya– Churna– Arista– Ghruta – according to the situation has to be administered SÏmÉlÉÏrÉÉÌlÉ xÉuÉÉïÍhÉ cÉÔhÉÉïËU¹bÉëÑiÉÉÌlÉ cÉ mÉëÌuÉpÉerÉ rÉjÉÉuÉxjÉÇ rÉÉåeÉrÉåSèaÉëWûhÉÏaÉSå – oÉxÉuÉ UÉeÉÏrÉqÉç Ìu doctorksrprasad@gmail.com 54
  55. 55. Agnikarma – will it be a good treatment?It is told as when a disease of thePittadhara Kala is not possible to betreated with normal protocols – adopt“Agnikarma”Agnikarma has to be performed at“Veenasti moola - Trika” or 2 inches belowto the Umbilicus doctorksrprasad@gmail.com 55
  56. 56. Forgotten but best evennot available for the divine -The Buttermilk – Takram is the bestfor any of the Pittadhara kala janyaVikaraThis is not Lassi – A shaken CurdButter milk is to be prepared withalways with 1 part of curd to 4 parts ofwater churned well and filtered with acloth and with Hingu, Jeera,Saindhava, Sarshapa (BhavaPrakasha) doctorksrprasad@gmail.com 56
  57. 57. Kayasya Antaragni chikitsa is KayachikitsaAgni and Pitta are similar according toSusrutaNo other Agni is available in the bodyother than that of PittaPittadhara Kala associates with PittaPitta management is adoptable forPittadhara kala Diseases evenProper care of Pittadhara Kala can preventthe Dosha Vitiation and Diseasemanifestation doctorksrprasad@gmail.com 57
  58. 58. Amashayastha Grahana Pittadharakala– in comparison with the intrinsic factoris having the Rakta kala maryada(Blood)Pachyamanashayastha PachanaPittadharakala has the relation with theRasa Kala MaryadaPakwashayastha VivechanaPittadharakala establishes therelationship with Majja kala maryada byabsorbing Ca+The kala maryada is used to establishthe disease entity to treat appropriately doctorksrprasad@gmail.com 58
  59. 59. After hearing all one has to decide whatmanagement protocol is to be adopted for an individual disease entity of Pittadhara Kala at the interference of Dosha and Ama in the continuity of Amashaya – Annavaha srotas and beginning of the Pakwashaya - Pureesha Vaha srotas – Pureeshadhara Kala – appropriately according to the situation and the symptomatology doctorksrprasad@gmail.com 59
  60. 60. HAVEKnowledge mÉëÑccÉMåülÉ ÍvÉwrÉÉæ xÉÇvÉrÉÌlÉuÉëѨÉåÅÌmÉ aÉÑÂ: aÉÑ ÌuÉlÉ lÉ ÍvÉwrÉÉ: ÍvÉwrÉÌuÉlÉÉ lÉ aÉÑ Haral’s Academy of Vedic Education, Hyderabad doctorksrprasad@gmail.com 60
  61. 61. It is from HAVE Knowledge doctorksrprasad@sify.comdoctorksrprasad@gmail.com 61

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