Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
The states of doshas are many. Two most necessary states from a therapy perspective are – Sama Doshas and Nirama Doshas.
Sama doshas – It is a state whereby the doshas are related to ama. Aggravated doshas are as such dangerous for the physique however when these doshas get related to ama, they type a harmful mixture. Sama doshas are a state whereby the ama coats the dosha. Ama is a sticky substance and doshas after their affiliation with ama too change into sticky, like doshas having an outer coating of glue. On this state, the doshas would adhere to the tissues and refuse to maneuver away from there.
Ama is a substance fashioned within the amashaya – abdomen. That is brought about when weak digestive fireplace acts on meals and improperly digests it. Then, there may be formation of raw (unprocessed), foul smelling and severely sticky in nature. It could possibly persist with something, like a glue, with dosha, dhatu, mala, inside srotas and in all places. By adhering, it might probably trigger blocks within the channels of the physique and this deprives diet to the elements of the physique. Doshas related to ama are referred to as sama dosha. Equally sama dhatu, sama mala and so forth are fashioned.
As a rule, sama doshas can’t be expelled from the physique, truly shouldn’t be expelled. It isn’t simple to do it since doshas are adhered to the tissues and pulling them forcibly to expel them would injury the tissues and likewise the physique in the long term.
So, a sensible doctor ought to know deal with the sama-dosha state of affairs. First precept can be to digest the ama related to the dosha and separate it. When the doshas change into nirama, i.e. devoid of affiliation with ama, they are often eradicated out of the physique by administration of shodhana therapies.
Allow us to see what Grasp Vagbhata has to say about this.
A.Hr.Su.13/29, 30
Rules of Treating Sama Doshas
पाचनैर्दीपनैः स्नेहैस्तान् स्वेदैश्च परिष्कृतान्॥२९॥
शोधयेच्छोधनैः काले यथासन्नं यथाबलम्।
That is the entire rationalization of how sama doshas ought to be handled in a methodical approach.
Step one could be to arrange and course of the sama doshas and make them able to get expelled from the physique.
This preparation includes administering the under talked about –
– Pachana – medicines to digest the ama ought to be administered. These medicines additionally assist in detaching the doshas from their affiliation with ama. The doshas would change into nirama, devoid of ama. Now, they are often expelled from the physique by administration of shodhana.
– Dipana – includes administration of herbs and medicines which might improve and steadiness the digestive fireplace within the abdomen. This fireplace would digest the meals correctly and make it possible for no extra ama is fashioned. By way of a suggestions mechanism, the hearth kindled within the intestine would additionally kindle the hearth within the tissues.
– Snehana – oleation is run to swell up the ama i.e. sama doshas within the tissues. It’s because medicated fat have related high quality as that of ama. Sneha, on reaching the tissues, would provoke the sama dosha to swell up. The swollen sama dosha is able to exit the tissues now or we are able to inform that the tissues now endure strain of swollen sama dosha and would get able to push them out.
– Swedana – Sudation administered after oleation, would soften the swollen sama doshas within the tissues and make them able to movement out of the tissues, in the direction of the intestine.
All these steps are included within the preparation of sama doshas (digesting the ama related to dosha, to separate the ama from dosha, to destroy ama and make the dosha nirama) to get expelled.
Shodhana
The sama doshas are delivered to maturity by the above-mentioned therapies. The doshas are devoid of ama. These doshas now movement in the direction of the abdomen / intestine. The morbid doshas ought to now be expelled out by administration of shodhana therapies, primarily emesis and purgation, at correct time, from the closest routes. Morbid Kapha ought to be faraway from the route nearest to the abdomen (which is the seat of kapha) i.e. by mouth, by administration of vamana – emesis. Likewise, morbid pitta ought to be faraway from the route nearest to the small gut (seat of pitta) i.e. by anal route, by administering virechana – purgation. These therapies ought to be deliberate in accordance with the power of the affected person.
So, that is the tactic of coping with sama doshas. To sum up, the measures to be administered are on this chronology – Pachana, Deepana, Snehana, Swedana and Shodhana (emesis or purgation).
