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 precipitated 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 fire 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 hearth may be very intense and ‘all burning’ in nature and would burn the meals as a substitute of digesting it. The type of agni shall be tikshnagni i.e. extreme and intense hearth.
How can elevated pitta trigger agnimandya and ajirna?
We all know that agni – the hearth and surya – the solar power represented by warmth is represented within the physique within the type of pitta. So, pitta is definitely ‘body’s hearth element’. Pitta and its subtypes aren’t solely accountable for metabolism but additionally for all transformations and conversions and plenty of different features which may be precipitated 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 hearth and indigestion?
Grasp Charaka tells – ‘Just like the hot water too can put off the fire, pitta, since it is in the liquid form and is equivalent to hot water, can put off the gut fire and cause 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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Improve of qualities of pitta, primarily the liquidity (dravatva)
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Ati Dravatva – elevated liquidity of pitta diminishes the ushna – scorching and teekshna (robust and penetrating) high quality of agni (digestive hearth)
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Agnimandya – sluggishness of digestive hearth happens
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This may 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 have now mentioned how elevated pitta causes low digestive energy and consequent indigestion within the above paragraph. Coming to decreased pitta within the intestine, there shall 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 approach, cooperating and complementing one another, the meals is correctly digested. When there’s relative imbalance amongst these doshas the surroundings within the intestine will get tousled.
When there’s extreme kapha within the intestine, it will dilute pitta / agni and therefore would trigger ajirna. When vata within the intestine is weak, it doesn’t flame the hearth. Even on this situation, the agni would change into weak and trigger ajirna.
However within the context of vidagdhajirna we take into account the rise of pitta as brought on by teekshnagni i.e. intense digestive hearth which additional results in burning up of pitta. When the meals is influenced by such a vidagdha pitta, it’s going to result in vidagdhajirna i.e. the meals additionally will purchase vidagdhata i.e. sourness.
Tikshnagni and Vidagdhajirna
When the digestive hearth may be very intense, as a substitute of digesting the meals correctly, it’s going to trigger burning and charring of meals. That is additionally a sort of indigestion whereby the meals will get digested in a untimely approach, faster than what’s desired. This burnt meals doesn’t present vitamin and is in a vidagdha state. This may result in vidagdhajirna.
Causes of Vidagdhajirna
– Pitta vriddhikara nidana – etiological elements which might result in pitta improve
– Kapha vriddhikara nidana – etiological elements which might trigger kapha improve
– Ajirna nidana – etiological elements talked about to trigger indigestion
– Agnimandya nidana – etiological elements that are talked about to trigger sluggishness of digestive hearth
– Manasika nidana – situations like krodha – anger, which might improve pitta
Preventive measures
Avoiding the above stated etiological elements / causes of vidagdhajirna are themselves the very best preventive measures.
Signs of Vidagdhajirna
विदग्धे भ्रमतृण्मूर्च्छाः पित्ताञ्च विविधा रुजः।
उद्गारश्च सधूमाम्लः स्वेदो दाहश्च जायते॥मा.नि.६/११॥
Under talked about are the signs of Vidagdhajirna –
– Bhrama – giddiness / dizziness
– Trishna – excessive thirst
– Murcha – fainting
– Vividha Pitta Ruja – varied kinds 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 elements
Therapy rules of Vidagdhajirna
Nidana Parivarjana
Holding 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 the very best remedy for Vidagdha Ajirna. It is because there’s 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 could irritate the abdomen, trigger belching, heartburn, harm to the abdomen and intestines and might get poisonous if it isn’t eliminated shortly from the abdomen. It’s going to additionally trigger the signs of vidagdha ajirna. Such meals turns into troublesome when it neither will get eradicated nor absorbed. It needs to be expelled as quickly as doable. Emesis would be the best and best 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 – Aside from this, Grasp Vagbhata says ‘implement anything which is beneficial as per the stage of the disease and condition of the patient’. 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, it is very important 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 essential issues to contemplate on this are – dosha and illness modifying meals, habits and way of life modifications.
Different concerns
– Ajirna Chikitsa – Normal line of remedy 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 remedy of agnimandya too shall be thought-about and carried out.
– Teekshna Agni – The digestive hearth influenced by aggravated Vata shall 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.
