Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Shodhana, which is one of the best therapy strategy in Ayurveda which incorporates expulsion of morbid doshas from the physique, is the inspiration for eradication of ailments from their root and likewise to stop their recurrence. Illness modifying medicines, weight-reduction plan, Rasayanas and Vajikarana therapies work on the idea of how a lot and the way greatest the exaggerated doshas are expelled from the physique. Shodhana additionally expels the pointless issues from the system together with the malas and likewise breaks the higher and smaller blocks within the channels of the physique.
Shodhana is the final word weapon for destroying continual and cussed ailments, to reestablish well being and improve immunity.
However the identical shodhana is contraindicated in expelling Sama Doshas.
However why?
That is precisely what we’re discussing on this article.
However earlier than this, we have to know what Sama Dosha is!
Amongst completely different states of doshas, Sama Dosha and Nirama Dosha are two vital states.
Sama Dosha
Sama dosha is a state whereby a dosha is related to ama. Ama is an intermediate substance of metabolism which is fashioned attributable to improper digestion of meals within the abdomen attributable to sluggishness (weak spot) of digestive fireplace. Ama is an improperly processed sticky substance which might stick with the internal partitions of any channel of the physique and trigger blocks therein. When ama will get related to dosha, the dosha too will lose its freedom of motion and would get caught or adhered to the internal partitions of the channels, together with the minutest cells, or small channels like blood vessels or bigger channels like intestine and so forth. Such sama doshas are accountable for causation of many ailments.
When ama is indifferent from its affiliation with dosha, it’s referred to as Nirama Dosha. That is nonetheless a pathological state and the dosha must be addressed.
Ayurveda says that this sama dosha shouldn’t be expelled from the physique by administration of shodhana i.e. cleaning therapies, be it vamana or virechana or vasti.
Allow us to see what Acharya Vagbhata has to say about this.
Ref – A.Hr.Su.13/28, 29
Sama Doshas shouldn’t be expelled by administering Shodana
सर्वदेहप्रविसृतान् सामान् दोषान् न निर्हरेत्।
लीनान् धातुष्वनुत्क्लिष्टान् फलादामाद्रसानिव॥२८॥
आश्रयस्य हि नाशाय ते स्युर्दुर्निर्हरत्वतः।
The sama doshas which have unfold everywhere in the physique will come into contact with a number of of the tissues. These sama doshas would get into the tissues and stay hidden therein by adhering to the tissues. Because the doshas are sticky in nature now, attributable to their affiliation with ama, they might not transfer out of their locations of accumulation i.e. tissues, being adhered therein.
These doshas which have adhered and are lurking throughout the tissues, shouldn’t be forcibly eliminated. The doctor shouldn’t make any try to take away these doshas by means of purificatory measures / Panchakarma therapies like emesis, purgation and so forth. Truly, additionally it is very tough to expel these doshas out.
Acharya Vagbhata explains this with an analogy. When one makes an attempt to extract the juice from an unripe fruit, it doesn’t yield any juice however alternatively, these makes an attempt will certainly destroy the fruit.
Equally, if the sama doshas are tried to forcibly expelled out, they won’t be expelled (identical to the juice can’t be extracted by power from an unripe fruit) however will in flip destroy its place of abode i.e. the tissues / human physique (identical to the tactic of extraction of juice would destroy the fruit). This occurs as a result of we try to power the sama doshas sticking to the physique (tissues) out by administering shodhana.
On this analogy,
– Physique / tissue = unripe fruit
– Sama doshas = juice of unripe fruit
– Shodhana = forcible extraction of juice
– Destruction of physique = destruction of fruit
Seeing it the opposite method, juice may be extracted from the ripe fruit. So, we have to await the ripening.
Equally, we have to await the ripening of immature doshas i.e. sama doshas. The doshas would ripen as soon as the ama is separated from them. This may be achieved by ama pachana and swedana. As soon as ama is separated and destroyed, the doshas are not adhering to the tissues. Now these doshas may be pulled in the direction of the koshta i.e. intestine and expelled by administration of shodhana.
So, a clever doctor ought to by no means expel the sama doshas from the physique.
