SCIENTIFIC BASIS FOR SAMSARJANA KRAMA.pptx

Samsarjana Krama is a gradual, sequential dietary regimen in Ayurveda, particularly after purification therapies like Vamana and Virechana, to restore digestive strength and facilitate proper nourishment.

Samsarjana krama explains about diet sequence in which persons should adopt healthy diet from laghu ahara to guru ahara in order to increase agni.

So here an approach is made to understand why this is important and the benefits if it is followed.

1. SCIENTIFIC BASIS FOR SAMSARJANA KRAMA Dr Krishnanunni M S 2 nd year PG scholar Department of PG studies in Swasthavritta JSSAMC Mysuru 1 Dr Krishnanunni M S

2. 2 Sl No Topic Slide number 1. Introduction 3 2. Tarpanadi samsarjana krama 6 3. Rasa samsarjana krama 8 4. Peyadi Krama 10 5. Nutritional values 17 6. Benefits 2 1 7. Scientific approach 22 8. Mechanism of Samsarjana krama 25 9. Articles 29 10. Discussion 34 11. Conclusion 35 12. Reference 36 Contents:- Dr Krishnanunni M S

3. Samsarjana krama explains about diet sequence in which persons should adopt healthy diet from laghu ahara to guru ahara in order to increase agni . INTRODUCTION 3 Dr Krishnanunni M S

4. वमिते वर्धते वह्निः शमं दोषा व्रजन्ति हि|| वमितं लङ्घयेत् सम्यग्जीर्णलिङ्गान्यलक्षयन्| तानि दृष्ट्वा तु पेयादिक्रमं कुर्यान्न लङ्घनम्|| (Ch.Si.6/22-23) The one who has been purified by  vamana  will have augmented  agni , leading to the alleviation of  dosha . He need to undergo fasting till the signs of proper digestion of drugs for  vamana  is seen. For one having those signs,  peyadi kramam  (regulatory diet regimen) has to be initiated. He should not undergo further  langhana   4 Dr Krishnanunni M S

5. संशोधनाभ्यां शुद्धस्य हृतदोषस्य देहिनः| यात्यग्निर्मन्दतां तस्मात् क्रमं पेयादिमाचरेत्|| (Ch.Si.6/24) The individual who is purified after elimination therapy and removal of  dosha  from the body, has his  agni  diminished. Hence it is highly pertinent to institute dietary regimen termed  peyaadi kramam .  Tarpanadi samsarjana krama Rasa samsarjana krama 5 Dr Krishnanunni M S

6. Tarpanadi samsarjana krama कफपित्ते विशुद्धेऽल्पं मद्यपे वातपैत्तिके| तर्पणादिक्रमं कुर्यात् पेयाऽभिष्यन्दयेद्धि तान्|| (Ch.Si.6/24) When there is little elimination of  kapha  and  pitta  through purification therapy, in alcoholics and in persons with predominance of  vata  and  pitta dosha , the dietary regimen called  tarpanaadi kramam  need to be started instead of  peyaadi kramam , as  peyadi  may increase  kapha  causing  abhishyandam 6 Dr Krishnanunni M S

7. Tarpanadi krama is slightly different from peyadhi samsarjana krama. Peya is substituted with swaccha tarpana Vilepi with Ghana tarpana . Preparations: Swaccha tarpana - 1 part of lajja + 14 parts of water Ghana tarpana - 1 part of lajja + 4 parts of water 7 Dr Krishnanunni M S

8. Rasa samsarjana kma स्निग्धाम्लस्वादुहृद्यानिततोऽम्ललवणौरसौ| स्वादुतिक्तौततोभूयःकषायकटुकौततः|| अन्योऽन्यप्रत्यनीकानांरसानांस्निग्धरूक्षयोः| व्यत्यासादुपयोगेनप्रकृतिंगमयेद्भिषक्|| (Cha Si 12/7-8) The patient should be given snigdha  ,amla, swadu and hridya food. A sequence of  rasas  (taste) with sour and salty tastes should be given first, then the food having  swadu  (sweet) and  tikta  (bitter) taste and lastly the food articles having astringent and pungent tastes should be given. 8 Dr Krishnanunni M S

9. CHARAKA SAMHITHA SUSRUTA SAMHITHA (C.36/20 D) RASA INDICATION RASA INDICATION Amla, madhura Vata samsamana Madhura, tikta Vatapittasamana , Agni vardhana Amla, lavana agnivivardhana Amla,lavana , katu Vatakapha samana Tikta , madhura Pitta samana Madhura, tikta Pittavata samana Kashaya. katu Kapha samana Kashaya, katu Kapha samana 9 Dr Krishnanunni M S

10. Peyadi krama:- 1 4 2 5 3 6 PEYA AKRUTA YUSHA VILEPI KRUTA YUSHA KRUTA MAMSA RASA AKRUTA MAMSA RASA पेयां विलेपीमकृतं कृतं च यूषं रसं त्रीनुभयं तथैकम् | क्रमेण सेवेत नरो अन्नकालान् प्रधानमध्यावरशुद्धिशुद्धः || (Ah Su.18) 10 Dr Krishnanunni M S

11. SHUDDHI PRAVARA AVARA MADHYAMA 11 Dr Krishnanunni M S

12. PRAVARA SUDDHI Day 1 st annakala 2 nd annakala 1 - Peya 2 Peya Peya 3 Vilepi Vilepi 4 Vilepi Akruta yusha 5 kruta yusha kruta yusha 6 Akruta rasa Kruta rasa 7 Kruta rasa Normal diet MADHYAMA SUDDHI Day 1 st annakala 2 nd annakala 1 - Peya 2 Peya Vilepi 3 Vilepi Akruta yusha 4 kruta yusha Akruta rasa 5 Kruta rasa Normal diet AVARA SUDDHI Day 1 st annakala 2 nd annakala 1 - Peya 2 Vilepi kruta yusha 3 Kruta rasa Normal diet 12 Dr Krishnanunni M S

13. Peya :- स्वेदाग्निजननी लघ्वी दीपनी बस्तिशोधनी|| क्षुत्तृट्श्रमग्लानिहरी पेया वातानुलोमनी| (Su. Su 26/342) Sweda Janana Agni Deepana Laghu , Basti Shodhani Kshuth -Hari , Trut -Hari , Shramahari Glanihari , Vatanulomana 13 1:14 Dr Krishnanunni M S

14. Vilepi :- विलेपी तर्पणी हृद्या ग्राहिणी बलवर्धनी || पथ्या स्यादुरसा लघ्वी दीपनी क्षुत्तृषापहा | (Su. Su 26/343) Tarpani , Brumhani Hrudya , Madhura Laghu, deepani, kshut and trishnahari 14 1:4 Dr Krishnanunni M S

15. Yusha :- रोचनो दीपनो वृष्यः स्वरवर्णबलाग्निकृत् | प्रस्वेदजननो मुख्यस्तुष्टिपुष्टिसुखावहः यूषः स्नेहोष्णभावाच्च वातं स्नेहकषायतः || ( Ka.Khi 4/15) Rochana (improves taste), Deepana (improves digestion), Vrushya (aphrodisiac) Swarya (improves quality of speech), Varnya (improves complexion) Balya (improves strength), Agni Vardhaka (improves digestion capacity ) Prasweda Janana (induces sweat), Tushti (feeling of contentment) Pusti (nourishes) 15 1:18 Dr Krishnanunni M S

16. Mamsa rasa:- Dravyaguna of Chakrapanidatta , Krutanna Varga, verse 26 Smriti Vardhana (improves intellectual property), Oja Vardhana (improves vitality), Swara Vardhana (improves voice) Brumhana (nutritive), Preenana (nourishment) Vrushya (aphrodisiac), Chakshushya (improves vision). 16 Text Book of Bhaishajya Kalpana, chapter 24: Thick consistency 32:64 Moderate consistency 24:64 Thin consistency 16:64 parts is added and soup is prepared Dr Krishnanunni M S

17. NUTRITIONAL VALUES 17 Dr Krishnanunni M S

18. 18 Nutritional value of Red Rice Serving Size:0.5 cup (98ggrams) Amount Per Serving Calories from Fat 7.3 Calories 109 Total Fat 0.8g Saturated Fat 0.2g Polyunsaturated Fat 0.3g Monounsaturated Fat 0.3g Potassium 77mg Total Carbohydrates 23g Dietary Fibre 1.8g Protein 2.3g Nutrition Facts - Rice, brown, long-grain, cooked Amount Per 100 grams - Calories 111 Total Fat 0.9g Saturated Fat 0.2g Polyunsaturated Fat 0.3g Monounsaturated Fat 0.3g Sodium 5mg Potassium 43mg Total Carbohydrates 23g Dietary Fibre 1.8g Sugar 0.4g Protein 2.6g Nutritional value of raw Mung beans Amount Per 100 grams Calories 347 Total Fat 1.2g Saturated Fat 0.3g Polyunsaturated Fat 0.4g Monounsaturated Fat 0.2g Sodium 15mg Potassium 1246mg Total Carbohydrates 63g Dietary Fibre 16g Sugar 7g Protein 24g Dr Krishnanunni M S

19. 19 Nutritional value of Ghee (/100g) Serving Size:0.5 cup (98ggrams) Total Fat 99.5g Saturated Fat 61.9g Monounsaturated Fat 28.7g Polyunsaturated Fat 3.7g Trans fats 4g Omega-3 fatty acids 1.447g Omega-6 fatty acids 2.247g Omega-9 fatty acids 25.026g Other non-fat nutrients - Amounts per 100 g of ghee Cholesterol 256mg Vitamin A 3069 IU Vitamin E 2.8mg Vitamin K 8.6 μ g Nutrition Facts of Salt Amount Per 100 grams Sodium 38758 mg Potassium 8mg Dr Krishnanunni M S

20. 20 Nutritional value raw Goat meat Amount Per 100 grams Calories 109 Total Fat 2.3g Saturated Fat 0.7g Polyunsaturated Fat 0.2g Monounsaturated Fat 1g Cholesterol 57mg Sodium 82mg Potassium 385mg Protein 21g Cobalamin 18% Iron 15% Nutritional value Black pepper Amount Per 100 grams Calories 251 Total Fat 3.3g Saturated Fat 1.4g Polyunsaturated Fat 1g Monounsaturated Fat 0.7g Sodium 20mg Potassium 1329mg Total carbohydrate 64g Dietary fibre 25g Sugar 0.6g Protein 10g Dr Krishnanunni M S

21. Benefits यथा अणुरग्निः तृणगोमयाद्यैः सन्धुक्ष्यमाणो भवति क्रमेण | महान् स्थिरः सर्वपचस्तथैव शुद्धस्य पेयादिभिरन्तरग्निः || (Ah su.18) Just as a spark of fire after being fed by grass, powder of dry cow dung etc , gets augmented gradually and becomes great, steady, and capable of burning everything - similarly, the internal digestion fire, by the Samsarjana regimen, in the patient who has undergone Vamana karma, gains strength. 21 Dr Krishnanunni M S

22. SCIENTIFIC APPROACH 22 Dr Krishnanunni M S

23. After effects of diarrhea : ( https://www.healthdirect.gov.au/diarrhoea ) Diarrhea may cause dehydration because more fluids are lost than normal. It can also lead to an imbalance in electrolytes (salts and minerals your body needs to function properly.) Ongoing diarrhea can make it difficult for you to absorb nutrients from food and can lead to malnutrition. After effects of vomiting: ( https://www.msdmanuals.com ) C an lead to symptomatic dehydration and electrolyte abnormalities. Can also result in undernutrition, weight loss, and metabolic abnormalities. 23 Dr Krishnanunni M S

24. PEYA Liquid in large quantity + rice (solid) in small quantity Less carbohydrate, easy absorbable VILEPI More rice (solid) + less liquid Carbohydrate AKRUTA YUSHA Pulses without salt and fat Plant protien KRUTA YUSHA Pulses with salt and fat Plant protein + added fat AKRUTA MAMSA Fat without salt and extra fat Animal protein and fat KRUTA MAMSA Fat with salt and extra fat Animal protein and fat and added fat Reduce dehydration Gives energy and maintains glucose level Maintains nutrition Nutrition and electrolyte balancing Nourishment Nourishment and electrolyte balance 24 Dr Krishnanunni M S

25. Mechanism of Samsarjana krama Activity enhances calorie requirement Hence after the Samshodhana procedure the patients are advised to do rest and to minimize activity. Carbohydrates and fats are energy giving, so are required first B ut in lesser amount during Samsarjana Krama as reduced activities are performed by the patient Milk, egg and flesh proteins are rich is essential Amino acids. But they cannot be given soon after procedures because they also require huge amount of enzymes which can again damage the GIT HENCE 25 Dr Krishnanunni M S

26. TO START WITH The Shuka Dhanya are given and that too in the form of Peya (liquid), since liquid requires less HCl compared to solid food Vilepi is semisolid requires more digestive enzymes, but both are Shuka Dhanya (cereals) Yusha ( Shimbi dhanya ) first in the form of simple without spices and the fats is added to stimulate bile secretions. Since now both the enzymes for digesting carbohydrates and fats is secreted and also the mucous is somewhat repaired. 26 Dr Krishnanunni M S

27. After Shuka Dhanya , Shimbi Dhanya is given. What could be the reason ??? R ich amount of methionine in cereals compensates for the lack of methionine in pulses T here is deficiency of lysine in Shuka Dhanya and thus is compensated by the rich amount of lysine from pulse proteins Shimbi Dhanya . Methionine helps in the absorption of essential minerals and proteins 27 Dr Krishnanunni M S

28. Lastly Mamsarasa is given (protein rich) which is heavy to digest needs more enzymes and HCl to denature and also enzymes are secreted. Again the sequence for Samsarjana Krama is first Akrita and then Krita . Krita means with Saindhava , Katu Dravya and Sneha . Sneha is used to increase the bile secretion in order to digest the fats or triglycerides A ll the 3 components of food are supplied (Carbohydrates, proteins and fats) Also all the digestive e nzymes needed to digest the 3 constituents here in gradually increased in the body. So, 28 Dr Krishnanunni M S

29. ARTICLES 29 Dr Krishnanunni M S

30. 30 Dr Krishnanunni M S

31. 31 CONCLUSION: The standardized serving size of Samsarjana Krama is one of the unique methods of serving the diet, which maintains the fasting Blood Sugar (FBS) and Random Blood Sugar (RBS) levels higher than the regular serving group. This method reduces subjective symptoms like headache, cravings for food, giddiness and lethargy, so this standardized dose of Samsarjana Krama based on body frame and Agni can be adopted in post- Vamana/ Virechana procedures. Dr Krishnanunni M S

32. 32 CONCLUSION: The case mentioned above was diagnosed with Vyadhi Sankara in terms of Ayurveda, patient’s condition was deteriorating, because of the Agnimandya . The dietary advice was given on the line of S. krama to improve the status of Agni, which was the root cause for multiple ailments. The Agni improved and also nutritional status Dr Krishnanunni M S

33. 33 Dr Krishnanunni M S

34. Discussion During the Shodhana karma the normal diet will be altered hence it is important to bring back patient to his normal diet without causing any complications. For this purpose, Acharyas have mentioned special diet pattern called samsarjana karma. Samsarjana krama is administration of food in orderly manner based on the gunas of food preparations. Using of oily food at the beginning of Samsarjana krama may cause nausea, vomiting, diarrhea, fever etc because of improper digestion. Firstly introducing carbohydrates and fibers through peya , then proteins through yusha after that fats through mamsa rasa - is the transition from simple to complex food before getting back to normal diet. 34 Dr Krishnanunni M S

35. Conclusion Samsarjana Krama is the sequential diet regimen followed after Vamana and Virechan a Karma to enhance the Jatharagni . It normalizes the Jatharagni and Vayu , provides nutrition and helps to normalize the body tissues, which are weakened due to Samshodhana , by arranging such plans, the diet comprised of all the tastes can be served through meals ( Annakala ) and Dosha becomes normal. Now this shows that, Even if you have undergone proper shodhana karma but if you didn’t follow samsarjana krama you will again become a rogi and it may again worsen your conditions. 35 Dr Krishnanunni M S

36. References Charaka samhitha siddhi sthana Ashtanga hrudaya sutra 18 th chapter Susrutha samhitha Ch. 36 th chapter Journal of Natural & Ayurvedic Medicine https://www.researchgate.net/publication/372890068_SAMSARJANA_KRAMA-A_GRADUATED_AYURVEDIC_DIETPATTERN?enrichId=rgreq-251fb0b3c13f1189211e81f901a14290-XXX&enrichSource=Y292ZXJQYWdlOzM3Mjg5MDA2ODtBUzoxMTQzMTI4MTE3ODkxMDc2MUAxNjkxMTI3ODgzMzc4&el=1_x_2&_esc=publicationCoverPdf 36 Dr Krishnanunni M S

37. THANK YOU 37 Dr Krishnanunni M S