Concept of Grahani.pptx

Concept of Grahani

1. Concept of Grahani

2. Contents Introduction Two aspects of Grahani Grahani Roga -and Chikitsa Modern correlation Previous works done Conclusion

3. Introduction Grahani is described in the context of Agni. Grahani as a disease.

4. Aetimology The word ‘ Grahani ’ is derived from the root ‘ Graha Upadane ’ means to catch or to get.( Amarakosha ) Ie , the action of holding somethimg firm.

5. Two aspects of Grahani Physiological Pathological Chapters dealing with Grahani - Ashtanga Hr.Sa 3 Charaka Sam.Chi 15 Susruta Sam.Ut . 40 Ashtanga Hr. Ni-8, Chi-10

6. Grahani as a organ It is the seat of Jathara Agni. It is otherwise called as Pittadhara Kala It is so called because it does Annasya Grahana . Function: prevent the entry of undigested food into the Pakwashaya from Amasaya . (A.H.Sa3/50-51)

7. Site of Grahani Sthita Pakwasaya Dwari (A.H Sa 3/50) Amasayastho Visishta Dhamani visesha ( Arunadatta A.H.Sa 3/50) Nabheruparya (Ch Chi 15/56) Pakwamasaya Madhyastha (Su.U.40/169) Between Amasaya and Pakwasaya (Sa.Pu.5/6) Koshtastham , AgnyadhishtanaBhoota Nadi ( Charapani Ch Su 13/67)

8. Cont. Grahani helps to retain the food in the Amasaya for proper digestion and after that it is moved downwards . (A.H.Sa.3/52) Grahani and Agni are complimentary to each other.(A.H Sa 3/53) If there occur Agni Dushti , it may lead to a condition called Grahani Roga ( A.H.Sa 3/53 )

9. Application of Grahani in PK Eg : For Krura Koshta , Grahani is with Ati Ulbana Vata (CH Su.13/67) For Mridu Koshta , Grahani is Udeerna Pitta , Alpa Kapha , Manda Maruta - So Suvirechya (Ch.Su13/69)

10. Grahani – a disease Agni Bala depends on Bala of Grahani and vice versa. If Agni Dushti occurs, may lead to a condition called Grahani Roga ( A.H.Sa 3/53)

11. Two causes of Grahani Roga If Atisara is not proerly treated. Intake of Agni Vidwamsakara Nidana (A.H.Ni8/15)

12. Causes of Agni Dushti Ch Chi 15/42-44

13. Samprapti (Ch Chi 15/42-44) Nidana Apachana AmaUtpati Suktatwam Anna Visha / Ama Visha Grahani Roga

14. Difference between Atisara and Grahani Atisara Grahani Eliminates Mala as Saama or Niraama Atisaranata Aasukari (A.H.NI.8/16-18) Eliminate food which may be digested or undigested Sometimes it will be hard or sometimes loose Chirakari

15. Types of Grahani Roga 4types Vataja , Pittaja , Kaphaja , Sannipataja (A.H.NI 8/18)

16. Purvaroopa Sadana Cirat Pachana Amlaka Praseka Vaktravairasya Aruchi Trit Klama Bhrama Anaha Udara Chardi Karnakshweda Antrakoojana ( A.H.Ni 8/19,20) CH CHI 15/55) (Su U 40/.

17. Samanya Lakshana Karshya Dhoomaka Tamaka Jwara Murcha Siroruk Vishtambha Karapada Swayadhu (A.H Ni8/21)

18. Vatika Grahani Taalu sosha , Timira , karnaswana , Ruk in Parswa , Uru , Vamkshna , greeva Visuchika Sarva Raseshu Grudhi , Kshut , Trishna , Parikartika Geerne Geeryati cha Adhmanam , Bhukte Swasthyam samasnute , Vata Hridroga Gulma Arsa Pleeha Pandutwa sankita . Chirad Dukham Dravam Sushkam Tanu Amam Sabda Phenavat Puna Puna Varcha Sravati . (A H Ni 8/21-24)

19. Pittaja Grahani The colour of feces will be Neela , Peeta etc Puti , Amla udgara Hrid Daha , Kanta Daha Aruchi Trit (A.H.NI 8/25)

20. Kaphaja Grahani Dukhena Annam Pachyate Charddi Arochaka Asyopadeha Nishteeva Kasa Hrillasa Peenasa Varchas - Bhinna , Ama yukta , Kapha samsrishta , Guru Akrisasya Api Dorbalyam (A H Ni 8/26-28)

21. Sannipataja Lakshana of Sarva Dosha in mixed form (A.H Ni 8/28) Antrakoojana , Alasya , Dourbalya , Characters of feces- Dravam , Ghanam,Himam , Snigdham , Ama , Bahu , Picchila , Sasabda , Manda vedana Periodicity – Paksha , Masa , Dasa aha, daily ( M.Ni ) Samgraha Grahani : Diva Prakopa;Ratrou Santi ; Chirakala Anubandhini (Ma. Ni)

22. Chikitsa .... Principle of management is Shodhana , Agni Deepana

23. Vamana Sadyovamana : (Ch.Chi.15/74) With Ushnambu / Madanaphala Kashaya / Pippali+Sarshapa Kashaya In condition of Ama lakshana –like Vishtambha , Praseka , Arti , Vidaha , Aruchi , Gourava . Utklishta Lakshana in Amasaya

24. Virechana Condition:-If Doshas are in Pakvashaya in Leena Avastha With- Deepana dravya yukta Virechanoushadha (Ch chi15/75).

25. Lamghana and Pachana (Ch Chi 15/76) Condition: Sareera Vyapita Ama Lamghana-Upavasam Pachana -with Panchakoladi Shodhana

26. Chikitsa of Vatika Grahani (Ch Chi 15/77-80) First of all observe for Ama pachana ( Ch.Chi 15/76) Deepana - By Sarpi in Alpamatra After Proper Agni Deepti and proper elimination of Mala, Mutra Continue Snehapana for 2-3 days Swedana Niruha Virechana by Eranda taila+Kshara / Tilvaka Ghritam+Kshara Anuvasana -After Shodhana ,( the Asaya will be clean) if Badha varchas – do Anuvasana with Deepaneeya Vataghna Taila . Repeat Snehana (Ch Chi 15/81)

27. Examination of Sama & Nirama Mala (Ch Chi 15/94) The Ama mala will sink in the water, but the Pakwa Mala will Float in water. But in conditions of Ati drava , Ati Samghata , Saitya , Kapha dushti , the Mala will sink eventhough it is Pakwa Importance : If Amalalakshana are present then do Pachana .

28. Importance of Takra in Grahani (Ch Chi15/117) Deepana , Grahi , Laghava Madhura vipaka - Pitta Samana Kashaya , Ushna , Vikasi , Ruksha - Kapha hara Madhura , Amla,Sandra-Vata hara

29. Treatment of Pittaja Grahani Virechana / Vamana . (Ch Ch 15/122). Agni Deepana by Sarpi , Churna etc- Eg - Tiktaka Ghrita , Chandanadi Ghrita , Nagaradi Churna etc

30. Treatment of Kaphaja Grahani (Ch Chi15/141-) Vamana . Agni Vardhana by Katu , Amla , Lavana , Kshara dravyas Takrarishta , Madya , Madhukasava , Duralaphasava , Pindasava , Madhu Arishta etc

31. Treatment of Sannipataja Grahani Panchakarma can be done according to the condition.(CH Ch 15/194) For Agni Deepana various Ghruta , Kshara , Asava , Arishta can be done.

32. Treatment of Grahani is like that of Ajeerna and in Ama condition do the Amapachana like that in Atisara .(A.H.CH.10/2) Treatment of Ajeerna : Ama-Lamghana Vishtabdha-Swedana Vidagdha – Vamana (A.H.Su.8/27)

33. In general Snehana , Swedana , Sodhana , Lamghana , Deepana , Churna rayoga , Lavana Kshara , Arisha , Asava , Takra Prayoga , Deepaneeya Sarpi are choice of selection. (Ch Chi 15/196).

34. Modern view Mal absorption syndrome(MAS ): it is the failure of normal absorption of nutrients from the gut. Types- Generalised malabsorpion &specific malabsorption -Primary &secondary C/F: Steaorrhea,Chronic diarrhoea , abdominal distension, flatulence, anorexia, weight loss,etc Irritable Bowel syndrome (IBS): A functional bowel disorder characterised by abdominal pain, altered bowel habit including constipation and diarhhoea , feeling of incomplete defecation, abdominal disension

35. In addition to altered bowel habit, IBS patient may dedvelop upper GIT symptoms like chest pain, heart burn , dysphagia , fatigue IBD( Inflammatory Bowel Disease) –refers to Crohn’s disease and Ulcerative colitis. Both are similar and is difficult to differentiate. Ulceraive colitis only involve colon,but Crohn’s disease can involve any part. Crohn’s disease: It is an idiopathic chronic ulcerative IBD, characterised by transmural inflammation affecting the segment of terminal ilium or colon, though any part of GIT may be involved.

36. Clinical features: abdominal pain, diarrhoea , and weight loss. Ulcerative colitis: Clinical feature: Bloody diarrhoea First attack is more severe followed by relapse and remission. Some times frequent small volume of fluid stool or constipation or pellety stools. In severe cases anorexia, malaise, weight loss and abdominal pain may occur.

37. Previous works done 1. Management of IBS With Ayurveda and Yoga- A case study- With Samanoushadha+Yoga therapy+Takrabasti . Importance of Agni In the management of Grahani Disease w.s.r to Lavana Bhaskara Churna in Grahani Roga . Efficacy of Takra inn Grahani Roga -a conceptual approach

38. Conclusion: of concept of Grahani Grahani is mentioned in two aspects. Agni and Grahani are inter related. Agni Dushti is the main cause of Grahani Roga Maintaining of Agni is the treatment principle of Grahani Roga .

39. Thank you