Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Debility is likely one of the most essential issues of any long-standing illness. The illness goes away with remedy. The signs additionally get lowered. The affected person is completely happy 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 unnoticed within the backdrop is the footprints of the illness. These could also be refined and exit of discover from the viewpoint of a doctor. Alternatively, the affected person will take the aid 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 each 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 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 occasions, wouldn’t full the remedy schedule utterly. They won’t adhere to the dietetic and exercise restrictions. They hate resting and need to bounce again into the enterprise of life. In such situations, the physique won’t get ample time to reboot and rejuvenate. The continuing pathological reversion won’t 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 rapidly bounce again into common meals and actions and push themselves too exhausting.
In each circumstances, 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 individual complains, the second ignores.
Debility: A degree of concern
Debility is one such level of concern which will probably be ongoing within the backdrop for a lot of days to months. Folks get alerted when it bothers lots and meddles with each day exercise, not till then. Sturdy folks attempt to handle the debility by consuming extra meals and infrequently extra relaxation, prompted by close to and pricey 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 way in which. It could be an indicator of sure tissues, organs or organ methods slowly compromising. It is a signal of a latent ongoing illness course of, slowly however steadily, ready for a possibility to hit again.
Continual Debility in persistent and recurring illnesses
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 persistent
– Illness having recurring nature – a frequent customer
– Ailments wherein 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 making an attempt to handle the debility with house treatments or over-the-counter medicines
– Ailments having extreme lack of tissues
– Ailments wherein the immunity has been compromised
– Ailments which haven’t acquired correct or full remedy
– 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 handle myself’ kind of individuals
– Ailments involving the Marmas
– Ailments whose Samprapti is powerful sufficient to interrupt via utterly, particularly so in weak individuals having robust 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 won’t talk about the remedy choices for combating debility. We are going to solely give attention to the subject of dialogue and contact upon the significance of snehana in combating debility brought about on account of persistent illnesses (or acute illnesses), particularly that brought about on account 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 affect of persistent 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 quick, Amaya ksheenanam – could be understood as
a. ‘these debilitated by illnesses’ – right here, the remedy precept of administering snehana is for acute or persistent illnesses or
b. ‘these affected by debility attributable to dhatu kshaya occurring in persistent illnesses’ – right here, the remedy precept of administering snehana is proscribed for persistent illnesses solely
Targets 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 reinforce the digestion / metabolism capability of the intestine and consequently within the tissues
– To extend the energy of the physique of the affected person
Varieties of Sneha to be administered to fight debility brought about on account of persistent illnesses
The above talked about two major targets or functions of administering the Sneha in these debility situations 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 reinforce 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 about on account of sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic problems and there’s 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 reinforce 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 persistent debility brought about as a result of illnesses 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 build up 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 also enrich and kindle the dhatu agni. The kindled dhatu agni – tissue fires, will make use of the diet offered to them and construct up the relative dhatus in a wholesome method. It will set up dhatu samya – equilibrium of tissues. Now, the physique would acquire energy, endurance and immunity.
When the agni of the individual is sweet, however the individual nonetheless has debility, Sneha which may predominantly enrich the energy of the individual must be administered.
The most important plus level is that, many of the occasions, Sneha given for both goal will probably 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 small print about which kind of Sneha must be given to reinforce energy and digestive capability in folks affected by post-disease debility has not been given, it may be inferred that Brimhana kind of Sneha could be most popular right here. The supposed Sneha could be given blended with meals.
Nitya Sneha – This description by Acharya additionally appears to be like like ‘each day consumption of metered doses of sneha’ slightly than a ‘snehapana’ kind of formatting. Snehana could be given each day, in small portions.
Vicharana Sneha – Sneha could 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 right. The dose must be customised in accordance to prakriti, vikriti, age, tolerance / compatibility and so forth of the affected person, although it isn’t necessary, since it isn’t snehapana.
When to cease Sneha?
The Sneha could be stopped as soon as the individual recovers from debility, utterly. Opinion of the doctor does matter.
There isn’t a hurt in persevering with to make use of Sneha in small portions each day, for a very long time, particularly whether it is Ghrita – ghee, as a result of it’s a Nitya Rasayana – Rasayana which could be taken each day, all through the life.
Which Sneha kind must be taken?
All Sneha types could be taken in line with prescription or suitability, as really helpful by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and mixtures.
Can plain – Achcha Sneha be used?
Completely sure!
Essential 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
