Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Debility is without doubt one of the most necessary problems of any long-standing illness. The illness goes away with remedy. The signs additionally get decreased. The affected person is glad that issues are again to regular. Alternatively, the doctor too is happy with what outcomes he did get in dealing with that given illness or illness. However most instances, what’s disregarded within the backdrop is the footprints of the illness. These could also be delicate and exit of discover from the standpoint of a doctor. Alternatively, the affected person will take the reduction 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 day by day chores.
Snehana In acute circumstances
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 folks both to get well or to consider that they’ve recovered fully. Debility can also 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 simple affair to take care of, as a result of the individual ‘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 instances, 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 circumstances, the physique is not going to get adequate time to reboot and rejuvenate. The continuing pathological reversion is not going to get assist it must reshine. Alternatively, the residual morbidity will take alternative from the individual 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 laborious.
In each circumstances, the pathogenesis can re-trigger and plenty of problems can happen, some noticeable and plenty of not, some spelt and plenty of ignored. The primary type of individual complains, the second ignores.
Debility: Some extent of concern
Debility is one such level of concern which might be ongoing within the backdrop for a lot of days to months. Individuals get alerted when it bothers lots and meddles with day by 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 pricey ones or perhaps 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 way in which. It might be an indicator of sure tissues, organs or organ techniques slowly compromising. It is a signal of a latent ongoing illness course of, slowly however steadily, ready for a possibility to hit again.
Power Debility in continual and recurring ailments
Debility of long-standing nature is harmful and must be addressed as quickly as potential.
Under talked about are the factors of concern –
– If the illness is continual
– Illness having recurring nature – a frequent customer
– Ailments through which the remedy is ongoing
– Debility not getting addressed by consumption of excellent meals or illness particular medicines
– Affected person not taking the remedy correctly – unhealthy follow-ups
– Affected person making an attempt to handle the debility with residence cures or over-the-counter medicines
– Ailments having extreme lack of tissues
– Ailments through which the immunity has been compromised
– Ailments which haven’t obtained 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 necessary, 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 lots of 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 are going to solely deal with the subject of dialogue and contact upon the significance of snehana in combating debility precipitated as a consequence of continual ailments (or acute ailments), particularly that precipitated as a consequence of dhatu kshaya – depletion of tissues.
This clarification 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 continual 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 – will be understood as
a. ‘these debilitated by ailments’ – right here, the remedy precept of administering snehana is for acute or continual ailments or
b. ‘these affected by debility attributable to dhatu kshaya occurring in continual ailments’ – right here, the remedy precept of administering snehana is proscribed for continual 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 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
Kinds of Sneha to be administered to fight debility precipitated as a consequence of continual ailments
The above talked about two primary objectives or functions of administering the Sneha in these debility circumstances itself will give us two varieties of Sneha which should 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 belly origin, are precipitated as a consequence of sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic problems and there’s nothing nearly 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 primary high quality of fat is to offer oleation to all tissues and organs. Snehana is counted among the many therapies which give energy and endurance.
How does Sneha work right here? – The precept of use of Sneha
Sneha, when administered in continual debility precipitated as a result of ailments or depletion of tissues protecting 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 build up 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, may also 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 manner. This can set up dhatu samya – equilibrium of tissues. Now, the physique would achieve energy, endurance and immunity.
When the agni of the individual is sweet, however the individual nonetheless has debility, Sneha which might predominantly enrich the energy of the individual must be administered.
The largest plus level is that, a lot of the instances, Sneha given for both function might be bi-phasic and multidimensional. That is as a result of formulations which might be brilliantly designed by our Acharyas.
What kind of Sneha must be given right here?
Although the main points about which kind of Sneha must 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 will be most popular right here. The supposed Sneha will be given combined with meals.
Nitya Sneha – This description by Acharya additionally seems like ‘day by day consumption of metered doses of sneha’ somewhat than a ‘snehapana’ kind of formatting. Snehana will be given every day, in small portions.
Vicharana Sneha – Sneha will be given with nutritious meals which can add to the multidimensional motion of the Sneha.
In what dose Sneha must be given?
Often, a dose which is the same as or lower than hrisiyasi matra must be given, following the opposite ideas 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 isn’t obligatory, since it isn’t snehapana.
When to cease Sneha?
The Sneha will be stopped as soon as the individual 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 will be taken day by day, all through the life.
Which Sneha type must be taken?
All Sneha kinds will be taken based on prescription or suitability, as really helpful by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and combos.
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
