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 therapy. The signs additionally get decreased. The affected person is completely happy that issues are again to regular. However, the doctor too is happy with what outcomes he did get in dealing with that given illness or illness. However most occasions, what’s overlooked within the backdrop is the footprints of the illness. These could also be delicate and exit of discover from the perspective of a doctor. However, the affected person will take the aid without any consideration if all troublesome signs of the illness have settled down and she or he is succesful sufficient to hit again to work and every day chores.
Snehana In acute situations
Bodily or mentally weak individuals would complain of tiredness and debility even after having recovered from the illnesses. It takes a very long time for these folks both to get well or to imagine that they’ve recovered utterly. Debility may additionally be a mindset or an excuse for individuals who procrastinate or push issues an excessive amount of forward and need to spend extra hours or days in relaxation. From a doctor’s perspective, that is a simple 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 folks, many occasions, wouldn’t full the therapy schedule utterly. They won’t adhere to the dietetic and exercise restrictions. They hate resting and need to soar again into the enterprise of life. In such situations, the physique won’t get adequate time to reboot and rejuvenate. The continued pathological reversion won’t get assist it must reshine. However, 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 soar 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 form of particular person complains, the second ignores.
Debility: Some extent of concern
Debility is one such level of concern which can be ongoing within the backdrop for a lot of days to months. Folks get alerted when it bothers lots and meddles with every day exercise, not till then. Robust folks attempt to handle the debility by consuming extra meals and sometimes 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 could be a silent indicator of one thing sinister coming in the best way. It could 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.
Power Debility in power and recurring illnesses
Debility of long-standing nature is harmful and needs to be addressed as quickly as attainable.
Under talked about are the factors of concern –
– If the illness is power
– Illness having recurring nature – a frequent customer
– Ailments by which the therapy is ongoing
– Debility not getting addressed by consumption of excellent meals or illness particular medicines
– Affected person not taking the therapy correctly – dangerous follow-ups
– Affected person attempting to handle the debility with house cures or over-the-counter medicines
– Ailments having extreme lack of tissues
– Ailments by which the immunity has been compromised
– Ailments which haven’t acquired correct or full therapy
– Ailments whereby the samprapti has not been damaged utterly – 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 way of utterly, 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 therapy for a similar.
On this article, we won’t talk about the therapy choices for combating debility. We are going to solely concentrate on the subject of dialogue and contact upon the significance of snehana in combating debility brought on because of power illnesses (or acute illnesses), particularly that brought on because 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 impression of power illnesses.
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 – might be understood as
a. ‘these debilitated by illnesses’ – right here, the therapy precept of administering snehana is for acute or power illnesses or
b. ‘these affected by debility attributable to dhatu kshaya occurring in power illnesses’ – right here, the therapy precept of administering snehana is proscribed for power illnesses solely
Objectives of administering sneha on this context
Administration of Sneha, for Amaya ksheena people is completed primarily with two functions –
– To extend the energy of the digestive fireplace i.e. to boost the digestion / metabolism capability of the intestine and consequently within the tissues
– To extend the energy of the physique of the affected person
Sorts of Sneha to be administered to fight debility brought on because of power illnesses
The above talked about two foremost targets or functions of administering the Sneha in these debility situations itself will give us two forms 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 illnesses, primarily these of stomach origin, are brought on because of sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic issues and there may be nothing pretty much as good as Sneha to do this, ‘the gas for fireplace’ precept.
2. Deha Sandhukshana Kshaman – the medicated fat which have the capability to boost the energy of the affected person. Each cell has a layer of fats round it. The principle high quality of fat is to supply oleation to all tissues and organs. Snehana is counted among the many therapies which offer energy and endurance.
How does Sneha work right here? – The precept of use of Sneha
Sneha, when administered in power debility brought on as a result of illnesses or depletion of tissues maintaining into consideration each the above mentioned 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. This can 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, will even enrich and kindle the dhatu agni. The kindled dhatu agni – tissue fires, will make use of the vitamin supplied to them and construct up the relative dhatus in a wholesome means. This can set up dhatu samya – equilibrium of tissues. Now, the physique would achieve energy, 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 energy of the particular person needs to be administered.
The largest plus level is that, many of the occasions, Sneha given for both goal can be bi-phasic and multidimensional. That is as a result of formulations which can be brilliantly designed by our Acharyas.
What kind of Sneha needs to be given right here?
Although the main points about which kind of Sneha needs to be given to boost energy and digestive capability in folks affected by post-disease debility has not been given, it may be inferred that Brimhana kind of Sneha might be most well-liked right here. The supposed Sneha might be given combined with meals.
Nitya Sneha – This description by Acharya additionally seems to be like ‘every day consumption of metered doses of sneha’ slightly than a ‘snehapana’ kind of formatting. Snehana might be given every day, in small portions.
Vicharana Sneha – Sneha might be given with nutritious meals which can add to the multidimensional motion of the Sneha.
In what dose Sneha needs to be given?
Normally, a dose which is the same as or lower than hrisiyasi matra needs to be given, following the opposite rules and guidelines of snehapana. 10-15 grams / ml is good. The dose must be customised in accordance to prakriti, vikriti, age, tolerance / compatibility and so forth of the affected person, although it’s not necessary, since it’s not snehapana.
When to cease Sneha?
The Sneha might be stopped as soon as the particular person recovers from debility, utterly. 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 every day, for a very long time, particularly whether it is Ghrita – ghee, as a result of it’s a Nitya Rasayana – Rasayana which might be taken every day, all through the life.
Which Sneha type needs to be taken?
All Sneha varieties might be taken in response to prescription or suitability, as advisable by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and combos.
Can plain – Achcha Sneha be used?
Completely sure!
Vital Medicated Sneha to be thought of
– Indukantham Ghrtam
– Guggulutiktakam Ghrtam
– Ashwagandha Ghrtam
– Shatavari Ghrta
– Dhanwantara Ghrta
– Triphala Ghrta
– Amrtaprasha Ghrta
– Mahasneha
– Bala Taila / Ksheerabala Taila
