Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Vidagdhajirna is a sort of ajirna – indigestion.
The phrase Vidagdhajirna is made up of two phrases –
– Vidagdha – this phrase has many meanings – wiped out, decomposed, spoiled, that which has turned bitter, undigested
– Ajirna – indigestion of meals
So, Vidagdhajirna = Vidagdha + Ajirna = is indigestion brought about when the meals will get wiped out, will get undigested and decomposed with change in its regular style and turning bitter ‘when the agni – digestive fireplace is influenced by morbid pitta’.
The pitta relation and mechanism / pathogenesis of vidagdhajirna
पित्ताद्विदग्धंतृ….| ॥अ.हृसू.८/२६॥
When the agni is influenced by excessive pitta, it causes vidagdha ajirna. Right here, the fireplace may be very intense and ‘all burning’ in nature and would burn the meals as a substitute of digesting it. The sort of agni will likely be tikshnagni i.e. extreme and intense fireplace.
How can elevated pitta trigger agnimandya and ajirna?
We all know that agni – the fireplace and surya – the solar power represented by warmth is represented within the physique within the type of pitta. So, pitta is definitely ‘physique’s fireplace element’. Pitta and its subtypes should not solely liable for metabolism but in addition for all transformations and conversions and lots of different capabilities which could be brought about and controlled by the warmth.
When pitta represents agni within the physique and within the intestine, how can elevated pitta trigger sluggishness of the digestive fireplace and indigestion?
Grasp Charaka tells – ‘Identical to the new water can also postpone the fireplace, pitta, since it’s within the liquid kind and is equal to sizzling water, can postpone the intestine fireplace and trigger indigestion’.
Mechanism
Extreme consumption of pitta aggravating meals and actions
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Aggravation / Vitiation of pitta
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Pitta influences the agni
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Enhance of qualities of pitta, primarily the liquidity (dravatva)
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Ati Dravatva – elevated liquidity of pitta diminishes the ushna – sizzling and teekshna (robust and penetrating) high quality of agni (digestive fireplace)
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Agnimandya – sluggishness of digestive fireplace happens
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It will result in indigestion of meals
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The meals acquired vidagdhata – will get burnt and bitter
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That is referred to as vidagdhajirna
What causes mandagni and ajirna: Decreased pitta or elevated pitta?
Each. We’ve got mentioned how elevated pitta causes low digestive energy and consequent indigestion within the above paragraph. Coming to decreased pitta within the intestine, there will likely be agni and fewer warmth (mandoshmata) – insufficient and weak sufficient to not digest meals correctly. This can even trigger indigestion.
Impact of different doshas on pitta induced ajirna i.e. vidagdhajirna
Together with Pachaka Pitta, Samana Vata which fuels agni (pachaka pitta) and Kledaka Kapha (which moistens the meals and makes it right into a bolus) participate within the digestion exercise within the abdomen and higher a part of the small gut. When all these work in an built-in method, cooperating and complementing one another, the meals is correctly digested. When there may be relative imbalance amongst these doshas the surroundings within the intestine will get tousled.
When there may be extreme kapha within the intestine, it might dilute pitta / agni and therefore would trigger ajirna. When vata within the intestine is weak, it doesn’t flame the fireplace. Even on this situation, the agni would turn out to be weak and trigger ajirna.
However within the context of vidagdhajirna we think about the rise of pitta as attributable to teekshnagni i.e. intense digestive fireplace which additional results in burning up of pitta. When the meals is influenced by such a vidagdha pitta, it’ll result in vidagdhajirna i.e. the meals additionally will purchase vidagdhata i.e. sourness.
Tikshnagni and Vidagdhajirna
When the digestive fireplace may be very intense, as a substitute of digesting the meals correctly, it’ll trigger burning and charring of meals. That is additionally a sort of indigestion whereby the meals will get digested in a untimely method, faster than what’s desired. This burnt meals doesn’t present vitamin and is in a vidagdha state. This could result in vidagdhajirna.
Causes of Vidagdhajirna
– Pitta vriddhikara nidana – etiological elements which might result in pitta enhance
– Kapha vriddhikara nidana – etiological elements which might trigger kapha enhance
– Ajirna nidana – etiological elements talked about to trigger indigestion
– Agnimandya nidana – etiological elements that are talked about to trigger sluggishness of digestive fireplace
– Manasika nidana – situations like krodha – anger, which might enhance pitta
Preventive measures
Avoiding the above mentioned etiological elements / causes of vidagdhajirna are themselves one of the best preventive measures.
Signs of Vidagdhajirna
विदग्धे भ्रमतृण्मूर्च्छाः पित्ताञ्च विविधा रुजः।
उद्गारश्च सधूमाम्लः स्वेदो दाहश्च जायते॥मा.नि.६/११॥
Beneath talked about are the signs of Vidagdhajirna –
– Bhrama – giddiness / dizziness
– Trishna – excessive thirst
– Murcha – fainting
– Vividha Pitta Ruja – varied varieties of pains and troubles of pitta origin
– Sa dhuma amla udgara – belching which seems like smoke (as if smoke is popping out of the mouth) and is bitter in style
– Sveda – extreme sweating
– Daha – extreme burning sensation within the abdomen and physique components
Therapy rules of Vidagdhajirna
Nidana Parivarjana
Retaining away the causative elements of ajirna and people which trigger aggravation of pitta is the important thing for achievement in treating these situations comprehensively.
Vamana or some other appropriate measures as and when wanted
विदग्धेवमनंयद्वायथावस्थंहितंभवेत्| ॥अ.हृ.सू.८/२७॥
Vamana – therapeutic emesis is claimed to be one of the best therapy for Vidagdha Ajirna. It is because there may be loads of burnt (meals digested in a rush), improperly digested and semi digested meals within the abdomen, which can also be acidic in nature owing to the ushna, teekshna properties of pitta. This will irritate the abdomen, trigger belching, heartburn, harm to the abdomen and intestines and may get poisonous if it’s not eliminated shortly from the abdomen. It can additionally trigger the signs of vidagdha ajirna. Such meals turns into troublesome when it neither will get eradicated nor absorbed. It must be expelled as quickly as attainable. Emesis would be the best and handiest remedy on this situation, to take away vidagdha meals and extra pitta from the system. It additionally does abdomen cleaning whereas decreasing the signs.
Yatha Avastham Hitam Bhavet – Other than this, Grasp Vagbhata says ‘implement something which is useful as per the stage of the illness and situation of the affected person’. This contains therapies like Virechana, to flush off the extreme pitta and to take management over its hyper-production and hyperactivity which might trigger extreme inflammatory modifications and burnouts in future. After administering vamana, you will need to management pitta hyperactivity and finetune the abdomen and intestines. Vamana and Virechana would reestablish the well being and regular functioning of the abdomen and intestines. Different vital issues to think about on this are – dosha and illness modifying meals, habits and way of life modifications.
Different issues
– Ajirna Chikitsa – Basic line of therapy of ajirna needs to be thought-about. This contains meals, medicines, therapies and way of life modifications in accordance to the illness and doshas concerned.
– Agnimandya Chikitsa – Line of therapy of agnimandya too shall be thought-about and carried out.
– Teekshna Agni – The digestive fireplace influenced by aggravated Vata will likely be too intense. This agni needs to be addressed.
– Pitta Vriddhi Chikitsa – You will need to fight the pitta aggravation and undertake Pitta balancing measures.
