Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Debility is among the most essential issues of any long-standing illness. The illness goes away with remedy. The signs additionally get decreased. The affected person is comfortable that issues are again to regular. Alternatively, the doctor too is glad with what outcomes he did get in dealing with that given illness or illness. However most occasions, what’s not noted within the backdrop is the footprints of the illness. These could also be refined and exit of discover from the perspective of a doctor. Alternatively, the affected person will take the reduction with no consideration if all troublesome signs of the illness have settled down and she or he is succesful sufficient to hit again to work and day by day chores.
Snehana In acute situations
Bodily or mentally weak individuals would complain of tiredness and debility even after having recovered from the ailments. It takes a very long time for these individuals both to get well or to consider that they’ve recovered fully. Debility may be a mindset or an excuse for individuals who procrastinate or push issues an excessive amount of forward and wish to spend extra hours or days in relaxation. From a doctor’s perspective, that is a straightforward affair to take care of, as a result of the particular person ‘complains’.
Stronger people by physique and thoughts are the opposite class of individuals. Even 60% betterment in signs of the illness is sufficient for them to ‘get going’. These individuals, many occasions, wouldn’t full the remedy schedule fully. They won’t adhere to the dietetic and exercise restrictions. They hate resting and wish to bounce again into the enterprise of life. In such situations, the physique is not going to get enough time to reboot and rejuvenate. The continued pathological reversion is not going to get assist it must reshine. Alternatively, the residual morbidity will take alternative from the particular person hitting again to regular life in a rush, when she or he tries to shortly bounce again into common meals and actions and push themselves too exhausting.
In each instances, the pathogenesis can re-trigger and lots of issues can happen, some noticeable and lots of not, some spelt and lots of ignored. The primary sort of particular person complains, the second ignores.
Debility: A degree of concern
Debility is one such level of concern which will likely be ongoing within the backdrop for a lot of days to months. Individuals get alerted when it bothers quite a bit and meddles with day by day exercise, not till then. Robust individuals attempt to handle the debility by consuming extra meals and infrequently extra relaxation, prompted by close to and expensive ones or possibly by Google. However debility could also be greater than what it seems to be. It might be a silent indicator of one thing sinister coming in the best way. It might be an indicator of sure tissues, organs or organ techniques slowly compromising. This can be a signal of a latent ongoing illness course of, slowly however steadily, ready for a possibility to hit again.
Persistent Debility in power and recurring ailments
Debility of long-standing nature is harmful and ought to be addressed as quickly as potential.
Under talked about are the factors of concern –
– If the illness is power
– Illness having recurring nature – a frequent customer
– Ailments during which the remedy is ongoing
– Debility not getting addressed by consumption of fine meals or illness particular medicines
– Affected person not taking the remedy correctly – dangerous follow-ups
– Affected person attempting to handle the debility with residence cures or over-the-counter medicines
– Ailments having extreme lack of tissues
– Ailments during which the immunity has been compromised
– Ailments which haven’t acquired correct or full remedy
– Ailments whereby the samprapti has not been damaged fully – i.e. has latent ongoing pathogenesis
– Affected person taking debility casually and never bringing it to the discover of the doctor – ‘This isn’t essential, I’ll care for myself’ kind of individuals
– Ailments involving the Marmas
– Ailments whose Samprapti is powerful sufficient to interrupt by fully, particularly so in weak individuals having sturdy pathogenesis
– Doshas and malas not flushed out of the system
Snehana for combating ‘illness induced debility’
There are various Ayurveda interventions for combating debility. The trigger, pathogenesis, dosha or illness within the backdrop of debility wants a cautious scrutiny earlier than beginning the remedy for a similar.
On this article, we is not going to talk about the remedy choices for combating debility. We’ll solely give attention to the subject of dialogue and contact upon the significance of snehana in combating debility precipitated on account of power ailments (or acute ailments), particularly that precipitated on account of dhatu kshaya – depletion of tissues.
This rationalization is in accordance with a reference from Ashtanga Hridaya.
Grasp Vagbhata emphasizes utilization of Sneha – medicated fat, for combating the debility or tissue loss occurring as a result of affect of power ailments.
Reference – Ashtanga Hridaya Sutra Sthana – Chapter 16, verse 45
Understanding the reference and context
क्षीणानां त्वामयैरग्निदेहसन्धुक्षणक्षमान्॥४५॥
Right here, Acharya Vagbhata mentions the indication as ‘amaya ksheenanam’.
The phrase ‘ksheena’ means –
– Debility
– Depletion of tissues
– Debility attributable to depletion of tissues
To place it brief, Amaya ksheenanam – may be understood as
a. ‘these debilitated by ailments’ – right here, the remedy precept of administering snehana is for acute or power ailments or
b. ‘these affected by debility attributable to dhatu kshaya occurring in power ailments’ – right here, the remedy precept of administering snehana is proscribed for power ailments solely
Objectives of administering sneha on this context
Administration of Sneha, for Amaya ksheena people is finished primarily with two functions –
– To extend the power of the digestive fireplace i.e. to boost the digestion / metabolism capability of the intestine and consequently within the tissues
– To extend the power of the physique of the affected person
Forms of Sneha to be administered to fight debility precipitated on account of power ailments
The above talked about two primary objectives or functions of administering the Sneha in these debility situations itself will give us two varieties of Sneha which must be used herein –
1. Agni Sandhukshana Kshaman – the medicated fat which have the capability to boost the agni and in flip the digestion capability of the person. This precept coincides with the precept – ‘all ailments, primarily these of stomach origin, are precipitated on account of sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic problems and there may be nothing pretty much as good as Sneha to do this, ‘the gasoline for fireplace’ precept.
2. Deha Sandhukshana Kshaman – the medicated fat which have the capability to boost the power of the affected person. Each cell has a layer of fats round it. The principle high quality of fat is to offer oleation to all tissues and organs. Snehana is counted among the many therapies which offer power and endurance.
How does Sneha work right here? – The precept of use of Sneha
Sneha, when administered in power debility precipitated as a result of ailments or depletion of tissues conserving into consideration each the above stated functions, will assist the physique to get well from the debility, primarily owing to the properties of Sneha – that are supportive for increase the physique tissues and enhancing the metabolism.
Firstly, the Sneha would kindle the weak agni. It will improve the capability of the digestive fireplace to digest the meals correctly. In flip, the correctly digested meals will get absorbed and distributed to the tissues. By suggestions mechanism, the agni which has been kindled by Sneha, may even enrich and kindle the dhatu agni. The kindled dhatu agni – tissue fires, will make use of the diet supplied to them and construct up the relative dhatus in a wholesome approach. It will set up dhatu samya – equilibrium of tissues. Now, the physique would acquire power, endurance and immunity.
When the agni of the particular person is sweet, however the particular person nonetheless has debility, Sneha which may predominantly enrich the power of the particular person ought to be administered.
The most important plus level is that, many of the occasions, Sneha given for both objective will likely be bi-phasic and multidimensional. That is as a result of formulations which can be brilliantly designed by our Acharyas.
What kind of Sneha ought to be given right here?
Although the small print about which sort of Sneha ought to be given to boost power and digestive capability in individuals affected by post-disease debility has not been given, it may be inferred that Brimhana kind of Sneha may be most popular right here. The supposed Sneha may be given blended with meals.
Nitya Sneha – This description by Acharya additionally seems to be like ‘day by day consumption of metered doses of sneha’ quite than a ‘snehapana’ kind of formatting. Snehana may be given every day, in small portions.
Vicharana Sneha – Sneha may be given with nutritious meals which can add to the multidimensional motion of the Sneha.
In what dose Sneha ought to be given?
Normally, a dose which is the same as or lower than hrisiyasi matra ought to be given, following the opposite ideas and guidelines of snehapana. 10-15 grams / ml is right. The dose must be customised in accordance to prakriti, vikriti, age, tolerance / compatibility and so forth of the affected person, although it’s not obligatory, since it’s not snehapana.
When to cease Sneha?
The Sneha may be stopped as soon as the particular person recovers from debility, fully. Opinion of the doctor does matter.
There is no such thing as a hurt in persevering with to make use of Sneha in small portions day by day, for a very long time, particularly whether it is Ghrita – ghee, as a result of it’s a Nitya Rasayana – Rasayana which may be taken day by day, all through the life.
Which Sneha kind ought to be taken?
All Sneha kinds may be taken in keeping with prescription or suitability, as advisable by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and mixtures.
Can plain – Achcha Sneha be used?
Completely sure!
Necessary Medicated Sneha to be thought-about
– Indukantham Ghrtam
– Guggulutiktakam Ghrtam
– Ashwagandha Ghrtam
– Shatavari Ghrta
– Dhanwantara Ghrta
– Triphala Ghrta
– Amrtaprasha Ghrta
– Mahasneha
– Bala Taila / Ksheerabala Taila
