basu ppt AMJARIRNA CASE DISCUSSION.new one.pptx

CASE DISCUSSION ON
AMAJIRNA
PRESENTER,
Dr.Kusuma S Kambalimath
PG III Year,
Dept Of Samhita & Siddhanta
GUIDED BY,
Dept. Of Samhita & Siddhanta
Dr.Suchitra Kalyanshetty, MD [Ayu ]
HOD &Professor
Dr.B.H.Katti ,MD [Ayu] Professor
Dr.Pushpa Biradar,MD [Ayu] Asso Professor
Dr. Shilpa Nimbal ,MD [Ayu] Asst Professor
Dr, Meghavati Awati ,MD [Ayu] Asst Professor
Dr, Jyotilaxmi Patavari,MD [Ayu] Asst Professor

ROGI VIVARANA
 NAME: Mr.abc SL NO:41
 AGE: 35 yrs. OPD NO:op2516708
 GENDER: Male
 RELIGION: Hindu
 OCCUPATION: Software engineer
 ECONOMIC STATUS: Middle class
 MARITAL STATUS: Married
 DATE OF
COMMENCEMENT OF TREATMENT: 15-05-25
 DATE OF
COMPLETION OF TREATMENT: 22-05-25
 PHONE NUM:xxxxxxxxxx
 ADDRESS: Vijayapura

SAMANYA PRASHNA PAREEKSHA
 PRADHANA VEDANA: guruta in the abdomen after having
food,praseka,utklesha and Yatha bhukta udgara since 5 days
 ANUBANDHI VEDANA: shareera gourava ,aruchi
 VEDANA VRITTANTA: - The patient was apparently healthy 6
months back later he developed symptoms as mentioned above so he
consulted nearby physician and took treatment but the symptoms not
subsided completely and repeatedly he suffered the same and 5 days
back the symptoms occur again and worsen with each meal so he came
to our hospital for further treatment.
 POORVA VYADHI VRITTANTA: Na vishesha .

• KOUTUMBHIKA VRITTANTA: Na vishesha
• CHIKITSA VRITTANTA: No H/O HTN or DM
• NO surgical history
• VAIYAKTIKA VRITTANTA:
 Ahara: Frequent intake of guru, snigdha or deep fried foods like pizza ,burger,
paneer-based items, high consumption of sweets ,chocolates, sugary drinks or
bakery products, cold beverages like ice cream, cold coffee and refrigerated items,
snacking while doing work, eating late at night due to long working hours.
 Agni: Mandagni
 koshta: Madhyama
 Nidra: Disturbed
 Vysana: no habit of smoke,alcohol or tobacco chewing
 Mala pravrutti: once a day
 Mutra pravrutti: 5-6 times a day

SAMANYA PAREEKSHA (GENERAL
EXAMINATION)
 BP: 130/70 mm of hg
 PR: 68 bpm
 RR:20 cpm
 Height: 5.4 ft
 Weight: 65 kg
 Temp: 97° f
 Edema: Generalized- absent
 Localized - (periorbital) absent
 Lymphadenopathy: absent
 Pallor: absent
 Icterus: absent
 Clubbing: absent
 Cyanosis: absent

SYSTEMIC EXAMINATION
 RS: NVBS
 CVS: S1 &S2 Present
 CNS: Conscious And Oriented
 P/A: Soft, Non -Tender

ASHTAVIDHA PAREEKSHA
1. NADI: kapha
2. MALA: once a day
3. MUTRA: 5-6 times a day
4. JIHWA: Lipta
5. SHABDHA: Na vishesha
6. SPARSHA: Na vishesha
7. DRIK: Na vishesha
8. AKRUTI: Madhyama

DASHA VIDHA PAREEKSHA
1. PRAKRUTI: kapha vata
2. VIKRUTI: Dosha - kapha . Dushya - Rasa Dhatu
3. SARA: Madhyama
4. SATWA: Madhyama
5. SAMHANA: Madhyama
6. SATMYA: Madhyama
7. AHARASHAKTI: Abhyavarashakti :Avara
Jaranashakti: Avara
8. VYAYAMASHAKTI: Madhyama
9. VAYA: Madhyama
10. PRAMANA: Madhyama

SROTO PAREEKSHA
Annavaha srotas:
Aruchi, Guruta, Utklesha, Udgara, Avipaka
Rasavahasrotas:
Angamarda, Praseka

NIDANA PANCHAKA
1) NIDANA:
Aharaja: Frequent intake of guru ,snigdha bhojana
Or deep fried foods like Pizza ,burger, paneer-based
items, high consumption of sweets ,chocolates,
sugary drinks or bakery products, cold beverages like
ice cream, cold coffee and refrigerated items,
Viharaja: working late into night and waking up
late, Day sleep, prolonged sitting for work without
breaks,
Manasika :
2) POORVARUPA: Praseka
3) ROOPA: Yatha bhukta udgara, Aruchi, Guruta,
Utklesha

Nidana sevana
Madhuryam anna or ama formation
Obstruction of anna vaha &rasa vaha
srotas
Amajirna
4) SAMPRAPTI:
Kapha dosha prakopa(kledaka
kapha)
Produces laxana like Yatha bhukta
udgara,praseka,guruta

UPASHAYA-ANUPASHAYA
 UPASHAYA:
Langhana or laghu bhojana eg.manda,peya
Ushna jala pana
Deepana ,pachana dravya,
Mild walking after food
 ANUPASHAYA:
Guru ahara like curd, fried foods etc.,
Sheeta ahara
Adhyashana
Divaswapna
Stress

SAMPRAPTI GHATAKA
 DOSHA: Kapha
 DUSHYA: Rasa Dhatu ,
 SROTAS: Annavaha, Rasavaha
 AGNI: Mandagni
 SROTODUSHTI PRAKARA: Sanga
 ROGAMARGA: Abhyantara
 UDBHAVASTHANA: Amashaya
 VYAKTASTHANA: Mukha,amashaya
 ADHISHTANA: Amashaya

VYADHI VYAVACHEDANA
Sl
no
Diseases Laxana Differences
1 Vidagdhajir
na
Daha (burning), Tikta Udgara (bitter belching),
Amla Pāka
Pitta dominant;
2 Vishtabdhaji
rna
Vata symptoms like Adhmāna (distension),
Antrakūjana (gurgling), Vibandha (constipation)
Vata dominant,No heaviness or
Ama symptoms;
3 Rasasheshaj
irna
Anna dwesha, shuddhi ugara,hrudaya avishuddhi
and guruta ,
Incomplete digestion without
Ama formation,shuddha udgara
4 Grahani Atisrushta ,vibaddha or drava yukta
malatyaga,trushna,arochaka,mukha
vairsya,praseka,shoonapadakara,sasthi
parvaruk,chardana,jwara
Chronic state, often post-
Amajirna stage
5 Amaja
atisara
Sadrava,pichhila,bahala,putigandha purisha-
gourava agnimandhya,daha,shoola
Mainly vata-kaphaja with ama
obstructing agni,
udbhava sthana is pakwashaya
6 Arochaka Rasa ajnana i.e loss of taste and loss of desire to eat
even when he felt hunger
Pathology mainly includes mana
In amajirna it is inability to digest
food
Amajirna is mainly due to
mandagni
7 Agni
mandhya
Ama may present or may not be There will be presence of ama

UPADRAVA: Not specific
VYADHI VINISHCHAYA: Amajirna
SADHYASADHYATA: sadhya

5) CHIKITSA:
• Procedure: shamana chikitsa- antah parimarjana
• Method of administration: oral
• Drug & dosage: Haritaki Shunti yoga[ 2gms /bd ] before food,
[Haritaki +shunti+guda ] in its churna form with ratio of 1:1:2
• Duration:7 days
• Anupana: ushna jala
• During treatment follow up: on 3rd
day
• follow up: after 7 days
With continuation of Haritaki Shunti yoga for 7 days by reducing the dose to 1

PATHYA & APATHYA
PATHYA
AHARA- Manda, peya, mudga yusha,yavagu
Warm water,saindhava lavana etc.,
VIHARA- eating only when felt hungry and
slow eating,light walking after food, time
Maintain in eating ,mild physical activity
Or yoga,
 APATHYA
AHARA- milk shakes,cold drinks, fried food
Bakery items,sugar/sweets in excess
VIHARA-Divaswapna,
ratri jagarana,

RESULT
 Patient improved moderately well with improved
appetite relief from praseka,utklesha , Yatha bhukta
udgara symptoms by 3rd
day of treatment along
with following pathya.

DISCUSSION
Amajirna is caused by formation of ama primarily due to mandagni ,in this
condition the agni fails to digest the ahara properly resulting to Amajirna
HARITAKI:
DEEPANA & PACHANA-As Haritaki stimulates jatharagni,helping to
rekindle digestion
It also promotes ama pachana,
RECHANA-Due to its rechana property gently cleanses the bowel ,aiding
removal of accumulated ama .
TRIDOSHAHARA: Kapha is the main doshas involved in amajirna by this
tridosha hara property it corrects vitiated doshas
RASAYANA: by its rasayana effect it improves long term digestive strenght
and prevents reoccurrence and enhances overall vitality

SHUNTI:
• Shunti has properties like deepana ,pachana,vatakaphhara,shula
prashamana,anulomana
• By these properties it works in amajirna treatment by rekindle the
mandagni, digest & eliminates ama, reduces guruta ,Utklesha
GUDA:
• Guda acts as vatanulomana by regulating apana Vayu and easing
bowel movement
• By its DEEPANA, property it stimulates agni
• ANUPANA property of Guda helps in enhancing absorption ,with
combination of Haritaki and Shunti which are ruksha Guda
provides snigdata and improves palatability and digestion, and
soften the mala assisting in its easy expulsion

CONCLUSION
 The presented case of amajirna was managed successfully using shamana
chikitsa principles,
 Classical therapies such as langhana,deepana,pachana were applied
appropriately based on kapha-ama dominance
 The patient improved well with improved appetite, relief from Praseka
Utklesha, guruta and Yatha bhukta udgara.
 Timely diagnosis and early ayurvedic intervention prevented the progression
to complications like Grahani, ama jwara
 Pathya apathya advice played a key role in preventing recurrence and
restoring agni bala
 So amajirna if diagnosed early and treated with proper ayurvedic shamana
therapy is sadhya and offers long term relief with minimal risk of recurrence.

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