SlideShare una empresa de Scribd logo
1 de 61
Descargar para leer sin conexión
HAVE
Knowledge



Clinical importance of
   Pittadhara Kala
   Guest lecture at AMC, Davangere

   Dr. K. Shiva Rama Prasad
               M.D.(KC), M.A, Ph.D (Jyo)
            doctorksrprasad@gmail.com      1
Need to know
Kala are very much neglected in the clinical
medicine
Kala possess major importance in the body
Many diseases of present day are specifically
Kala concern, such as –
Grahani (Pittadharakala)
Durmedas (Medodhara Kala)
Infertility (Sukra dhara kala)
Musculo skeletal problems (Mamsadhara kala)
I.B.S ( Pureeshadhara kala) etc.
                doctorksrprasad@gmail.com       2
Many a times we never think of
understanding the structural disturbances
in the body and rectification of the
structural integrity disturbed by the dosha
in the body
Apart from the rectification and
pacification of the dosha out of srotodusti
lakshana – Atipravrutti & Apravrutti
(Sanga) – Sira granthi & Vimargagamana
are essential to examine in detail
Rectify the structural and functional
disturbances of Kala With special
reference to Kayachikitsa
             doctorksrprasad@gmail.com    3
Pittadhara Kala
       Pitta & Agni
            Ama
      Ama Pradoshaja
Pittadhara kala Janya Vyadhi

 Pittadhara Kala Chikitsa
         doctorksrprasad@gmail.com   4
Saptakala Vijnana
Kala are seven in number
Kala lies in between the Dhatu and
Ashaya
Kala are like pith of the steam in the
Tissues

MüsÉÉ: ZÉsuÉÌmÉ xÉmiÉxÉqpÉuÉÎliÉ kÉÉiuÉÉvÉrÉÉliÉU qÉrÉÉïSÉ:
rÉjÉÉ ÌWû xÉÉU: MüɹåwÉÑÎccɱqÉÉlÉåwÉÑ SìÓvriÉå - xÉÑ.vÉÉ 4/5

                        doctorksrprasad@gmail.com               5
Kala Nomenclature
            The fluid between the Dhatu
            and Ashaya subjected to the
            heat developed from Ushma
            gives rise the Kala
            The Kala is covered by the
            layer of phlegm

kÉÉiuÉÉvÉrÉÉliÉUYsÉåS: ÌuÉmÉYuÉ: xuÉÇ xuÉqÉÔwqÉhÉÉ vsÉåwqÉ
xlÉÉruÉmÉUÉcNû³É: MüsÉÉZrÉ: MüɹxÉÉUuÉiÉç, iÉÉxxÉmiÉ –
A.¾Òû.vÉÉ 3/9           doctorksrprasad@gmail.com            6
Kala Division

1)   Mamsadhara kala
2)   Raktadhara kala
3)   Medodhara kala
4)   Shleshmadhara kala
5)   Pureeshadhara kala
6)   Pittadhara kala
7)   Shukradhara kala

           doctorksrprasad@gmail.com      7
Difference of opine
Kala is defined as a layer between – Rasa-
Rakta – Mamsa – Medo- Asti – Majja –
Shukra, 7 dhatu and Vata – Pitta – Shleshma
– Ama – Mala – Mootra – Raktashaya of 7
Ashayas
2nd opine is – dhatu means Mamsa – Rakta –
Medas – Shleshma and Sukra along with the
Ashaya as Pittashaya, Pakwashaya.
Both of the above are considered & needs
further discussion to specify any one of them
               doctorksrprasad@gmail.com   8
Pittadhara Kala
 Pittadhara Kala is 6th in order
 Receives when the food is propelled from
 Amashaya Holds in the Pakwashaya -
 The four verities of food ingested – viz.
 Asita, Khadiata, Peeta and Leeda


wɹÏÌmɨÉkÉUÉ lÉÉqÉ, rÉÉ cÉiÉÑÌuÉïkÉqɳÉmÉÉlÉqÉÑmÉrÉÑ£ü
qÉÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ -
xÉÑ.vÉÉ 4/17
                    doctorksrprasad@gmail.com              9
Structural Aspect of
                      Pittadhara Kala
In between Pakwashaya and Amashaya
Holds the food at Pakwashaya
These statements refer to the activity
concern and states that the Pittadhara kala is
as such below to that of the Ashaya which
holds the undigested food and in the Ashaya
which propels the digested food for
absorption With the function of assimilation

mÉYuÉÉqÉÉvÉrÉqÉkrÉxjÉÉaÉëWûhÉÏ mÉËUMüÐÌiÉïiÉÉ –
AÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ -
xÉÑ.vÉÉ 4/17 doctorksrprasad@gmail.com                10
As the Sigmoid colon
and Rectum are
termed with “Pureesha
Vaha srotas” and lined
by “Pureeshadhara
Kala” – these parts of
GIT are ruled out of
the discussion of
pittadharakala




                         doctorksrprasad@gmail.com   11
From mouth till to and in the
Amashaya – 4 food varieties
are passed in undigested form
– thus comfortably can be
termed as Amashaya




                         doctorksrprasad@gmail.com   12
Consideration of Amashaya
Amashaya is with undigested food
Contemporary science explains as –
carbohydrate digestion starts at mouth and
protein at stomach and fats at duodenum
As the fat digestion is continued till to that of
Jejunum – it has to be considered even the
duodenum is also as a part of Amashaya
Even at the Jejunum, absorption doesn’t takes
place thus till to that of Ileum jejunum junction –
Amashaya extends

                  doctorksrprasad@gmail.com           13
The part between
Jejunum and Sigmiod
colon is the Ileum –
Pakwa-Amashaya
madhya is the part
anatomically to consider
as Grahani or

Pittadhara Kala




                doctorksrprasad@gmail.com   14
Functional Aspect of
                             Pittadharakala
 It digests the 4 verities of food
 Digestion in terms of – Pachana –
 Vivechana – Mumchana
 All the functions of Pitta are attributed to
 Pittadharakala based on the concept of
 Adhara-Adheya bhava. The integrity of
 the Pittadhara kala (Grahani) depends
 upon the proper function of Agni so it can
 be termed as even “Agnidhra Kala”

aÉëWûhrÉÉoÉsÉqÉÎalÉÌWïû ---- iÉxqÉÉSalÉå mÉëSÕÌwÉiÉå aÉëWûhÉÏ
xÉÇmÉëSÕwrÉiÉÏÌiÉ- xÉÑ.E¨ÉU- QûsWûhÉ 40/170
                         doctorksrprasad@gmail.com              15
Enumeration & Examination
                of Functions
Functions of Pittadharakala are enumerated by -
Grahana - collection (Grahana
Pittadharakala - Amashayastha)
Pachana - digestion (Pachana
Pittadharakala - Pachyamanashayastha)
Vivechana & Mumunchana – Separation
& Absorption (Vivechana Pittadharakala
- Pakwashayastha)

                  doctorksrprasad@gmail.com       16
Grahana - collection
The collection anomalies (Functional or
Organic) are subjected to the movements
of the stomach to make the food as
amalgam and
To    initiate the    normal    peristaltic
movements in the intestines
Main diseases pertained are of Grahani
roga – Kosta stabdhata - sroto sanga
(carcinoma, etc) - etc,. Even Dosha wise
diseases can be enumerated
               doctorksrprasad@gmail.com   17
Pachana - digestion
The digestion disturbances are well
narrated in Ayurveda and many Agni inter
linked diseases are explained
To initiate the normal Agni, examination of
Agni is necessary
Main diseases pertained to Agni are -
Agnimandya,         Ajeerna,     Parinama
shoola, Annadrava shoola, etc,.

              doctorksrprasad@gmail.com   18
Summary of
chemical
events in
digestion




             doctorksrprasad@gmail.com   19
Vivechana & Mumunchana
– Separation & Absorption
Water, electrolytes, and vitamins can be
absorbed without preliminary processing, but
special transport mechanisms are commonly
involved.
The intestinal epithelium then absorbs the
monosaccharides by facilitated diffusion and
cotransport mechanisms.
cells lining the small intestine will continue to
absorb glucose when glucose concentrations
inside the cells are much higher than they are in
the intestinal contents.
                  doctorksrprasad@gmail.com      20
triglycerides, in company with absorbed
steroids and phospholipids, are then coated
with proteins, creating complexes known as
chylomicrons
amino acids, as well as those produced by
the pancreatic enzymes, are absorbed
through both facilitated diffusion and
cotransport mechanisms
The anions chloride, iodide, bicarbonate, and
nitrate may be absorbed through diffusion or
carrier-mediated transport. Phosphate and
sulfate ions enter epithelial cells only
through active transport.
               doctorksrprasad@gmail.com      21
Here I wish to make a comment
Ayurveda and Contemporary medicines are
appropriative and doesn’t fit one to another as
like Relative theory and Quantum theory
Ayurveda is like a Relative theory of Einsteen,
which speaks about the “G” – Gravity
On the other hand – contemporary medical
sciences speak of Quantum theory of –
Electromagnetism, Strong force and Weak force
A major exercise is necessary to understand and
bind the two poles of Health sciences

                doctorksrprasad@gmail.com    22
Secretion and
water
absorption in
the Digestive
tract - suggests
the placement
of the
Pittadhara     Pittadhara Kala
Kala
physiologically
after the
                  Pureeshadhara
Duodenum
                       Kala
and before to
the Ileoceacal
Valve
                    doctorksrprasad@gmail.com   23
Pittadhara Kala
       Pitta & Agni
            Ama
      Ama Pradoshaja
Pittadhara kala Janya Vyadhi

 Pittadhara Kala Chikitsa
         doctorksrprasad@gmail.com   24
Examination of Pitta & Agni
There is no other Agni available in the
body other than that of Pitta 1
Agni is examined by the “Jarana shakti”
Jarana Shakti is the capacity of digestion
in terms of food taken under the
stipulations and norms
For this only questionnaire are sufficient
Few of the concern terms are -
1 lÉZÉsÉÑ ÌmɨÉurÉÌiÉUåMüÉSlrÉÉåÅÎalÉÂmÉsÉprÉiÉå - xÉÑ.xÉÔ.21/8
                          doctorksrprasad@gmail.com               25
Food in connection with
           digestion
Aahaarasakti (Pachana Pittadhara kala)
means the capacity to the intake of food and
digestion
How much a person can consume food without
any discomfort is considered as
Abhyavaharana sakti (Grahana Pittadhara
kala)
The proper digestion of food in time with out any
discomfort is considered as the capacity of his
digestion is Jarana sakti (Vivechana
Pittadhara kala)
                 doctorksrprasad@gmail.com     26
AVIPAAKAH (Indigestion) is
 resultant of improper Agni

Ajarakam
Ajeernam
Apaakah
Apaktisaktih
Paktinaasah are the synonyms of
Avipaka.


         doctorksrprasad@gmail.com   27
Impaired Pittadhara Kala means
impaired Agni and development
            of Ama

Ama Produces at GIT and also in Dhatus
at Biochemical expression Ama can be

  Improperly metabolized intermediate byproducts
  Increased antigenicity
  Free radicals


                 doctorksrprasad@gmail.com         28
Pittadhara Kala
       Pitta & Agni
            Ama
      Ama Pradoshaja
Pittadhara kala Janya Vyadhi

 Pittadhara Kala Chikitsa
         doctorksrprasad@gmail.com   29
Ama Definition
By definition Ama is -
Apakwa Ahara - undigested food
Shukta Ahara - fermented food
Visharoopa Ahara - toxic like food
Mala sanchaya - eliminative accumulation
Ahara rasa shesha - left of rasa in
Amashaya
first stage of Dosha Dusti
AmÉcrÉqÉÉlÉÇ vÉÑ£üiuÉÇ rÉÉirɳÉÇ ÌuÉwÉÃmÉiÉÉqÉç - cÉ.ÍcÉ.15/42
                           doctorksrprasad@gmail.com             30
Enumeration and Examination of Ama
It is difficult to enumerate quantitatively Ama in
clinical aspect
But it is not an Impossible task
The normal terms come across are - Ushma -
Adyadhatu and Amashaya
Here the Ushma - Heat is the concern
Ushma maintenance is done by Pitta of
Amashaya (Pachakapitta) and Pitta of Twak
(Bhrajakapitta)
So, to examine Ama clinically is possible by
examining the contextual Ama Lakshana and
Twak                 doctorksrprasad@gmail.com       31
Ama Lakshana (A.H.Su.13/24)
Srotorodha - obstruction to channels
Balabhramsha - loss of strength
Gourava - heaviness
Anila moodhata - loss of impulses
Aalasya - laziness
Apakti - loss of digestion
Nisteeva -spitting
Malasanga - accumulation of waste
Aruchi - tastelessness
Klama - fatigue -
out of these except Srotorodha, Anila Moodhata and
Malasanga rest are self explainable
                    doctorksrprasad@gmail.com
                  doctorksrprasad@gmail.com       32
                                                  32
Srotorodha examination

Out of the 13 srotas explained each and
every srotas are individually examined
along with specificity of Rasa and Rakta
as they are related to pittadharakala
directly.
Any Atipravrutti - Apravrutti with reference to
functions and
Sira Granthi and Vimarga Gamana with the
structure is considered

                  doctorksrprasad@gmail.com       33
Malasanga examination
Mala are Pureesha - Mootra - Sweda
at present context Pittadhara Kala separates the Mala
and Sara in general is impaired to accumulate the Mala
and obstructs or
another understanding is the mala which is formed is not
separated by the Pittadhara Kala
The Mala are - biological end products which interfere
the digestion and metabolism -
eg. Enteroendocrine cells (Glands in the pylorus)
produce at least seven different hormones, most notably
the hormone gastrin (G cells) in the gastric pits of the
pyloric antrum. The pyloric glands also contain D cells,
which release somatostatin a hormone that inhibits
gastrin release.       doctorksrprasad@gmail.com         34
Anila Moodhata examination
The neural output proceeds via the
parasympathetic division of the ANS and reaches
the stomach by means of the vagus nerves
As par Ayurveda - the Vata (Samana) in the Kosta
is responsible for the Anna Grahana, Pachana,
Vivechana
thus the Kostashrita Vata is much clinically
evaluated
When Vagatomy or any surgical procedures under
taken impulsive nerve reflexes lessens the
enzymatic secretion in the Stomach or vice versa
                  doctorksrprasad@gmail.com    35
Skin in the examination of Ama
The importance of the Twacha should not
be forgotten as the “Ushma” is regulated
by the it self
Skin respires even
the examination of Twacha includes with
the - temperature variances, Temperature
disturbances over the enzyme secretions
and digestion

              doctorksrprasad@gmail.com   36
Twak Gourawa, Twak Rodhata, Prabha-
Chaya nasha, twakgata vata (Vyana)
karma hani, Non absorbability of skin, skin
fatigue, Depositions of eliminative
materials (Malasanga) – sweda abhavata
– are common conditions of Ama in Twak
At the time of Abhyanga - the Drug
designated is absorbed and assimilated
well by the Skin is witnessed as an
example through Bhrajaka Pitta (Agni)

               doctorksrprasad@gmail.com   37
Clinical Identification of Ama
Where ever Ama is seated there -
Sthambha - immobility
Gourava - Heaviness
Staneeya Deha Vishesha Vikara
Dosha vishesha Saama Lakshana
Dhatu vishesha Saama Lakshana -
are seen

             doctorksrprasad@gmail.com   38
Pittadhara Kala
     Pitta & Agni
           Ama
Ama Pradoshaja Pittadhara
   kala Janya Vyadhi

Pittadhara Kala Chikitsa
        doctorksrprasad@gmail.com   39
Ama Pradoshaja Vyadhi
If spreads upward - Vishuchika
If spreads down ward - Alasaka
with the Ajeerna it is called as Amavisha
Amadosha, Amavatagrahani (Sangraha
grahani), Amavata, etc are considered as
Amaja Vyadhi
Apart from all the basic definition of
“Amaya” includes all diseases in Ama
with special reference to the Pittadhara
Kala Janya vydhi
              doctorksrprasad@gmail.com     40
Vardhakya & Pittadhara Kala
AGING AND THE DIGESTIVE SYSTEM

The rate of epithelial stem cell division
declines
 The digestive epithelium becomes more
susceptible to damage by abrasion, acids, or
enzymes. Amlapitta, Parinama Shoola etc, Acid
Peptic disorders, therefore become more likely.
In the mouth, esophagus, and anus, the stratified
epithelium (Pittadhara Kala) becomes thinner
and more fragile.

                 doctorksrprasad@gmail.com     41
Smooth muscle tone decreases
General motility decreases (Anila
 Moodhata), and peristaltic contractions
 are weaker.
These changes slow the rate of fecal
 movement and promote constipation
 (Malasanga)
Sagging and inflammation of the haustra
 in the colon can produce symptoms of
 diverticulosis (Vimargagamana)
               doctorksrprasad@gmail.com   42
Straining to eliminate compacted fecal
materials can stress the less-resilient walls
of blood vessels, producing hemorrhoids
(Arshas)
Problems are not restricted to the lower
digestive tract. For example, weakening of
muscular sphincters can lead to esophageal
reflux and frequent bouts of "heartburn."
(Apakti-Amlodgara)

               doctorksrprasad@gmail.com   43
The effects of cumulative damage become
apparent
 A familiar example is the gradual loss of teeth
due to dental caries or gingivitis.
Cumulative damage can involve internal organs
as well.
Toxins (visha) such as alcohol and other
injurious chemicals that are absorbed by the
digestive tract are transported to the liver for
processing (Bhutagnipaka). The cells of the liver
are not immune to these toxic compounds, and
chronic exposure can lead to cirrhosis or other
types of liver disease.
                 doctorksrprasad@gmail.com     44
Cancer rates increase. Not surprisingly, cancers
are most common in organs in which stem cells
divide to maintain epithelial cell populations. Rates
of colon cancer and stomach cancer rise in the
elderly; oral and pharyngeal cancers are particularly
common among elderly individuals who smoke.
Changes in other systems have direct or indirect
effects on the digestive system. For example, the
reduction in bone mass and calcium content in
the skeleton is associated with erosion of the tooth
sockets and eventual tooth loss.
  The decline in olfactory and gustatory sensitivity
with age can lead to dietary changes that affect the
entire body.
                    doctorksrprasad@gmail.com      45
Ama (Mandagni) Nadi

 Ajeerna, Ama Dosha, invasion of Fever,
 Appetite, Vitiated Vata, Pitta and Kapha
 are known by the Hasta Nadi - Basava
 Rajeeyam

AeÉÏhÉïqÉÉqÉ SÉåwÉÇcÉ euÉUxrÉaÉqÉlÉÇ ¤ÉÑjÉÉÇ, uÉÉiÉÌmɨÉMüTüÉlÉç
SÒ¹ÉlÉç WûxiÉlÉÉQûÏ ÌlÉSvÉïrÉåiÉç - oÉxÉuÉUÉeÉÏrÉqÉç



                       doctorksrprasad@gmail.com                   46
Agnimandya and
                               Grahani roga Nadi
At Mandagni Nadi is always slow
like a Swan – but
in Agnimandya and Grahani roga
(Pittadhara Kala vikruti) Nadi at feet
is like swan- slow, rhythmic
(Mandagni Nadi) and at hand like a
frog - jumping
qÉÇSÉalÉÉæ ¤ÉÏhÉiÉÉÇ rÉÉÌiÉ lÉÉQûÏ WûÇxÉÉ¢ÑüÌiÉxiÉjÉÉ
mÉÉSåcÉ WûÇxÉaÉqÉlÉÉ MüUå qÉÇQÕûMüxÉÇmsÉuÉÉ
iÉxrÉÉalÉåUÇSiÉÉ SåWåûiuÉkÉuÉÉ aÉëWûhÉÏ aÉS:- lÉÉQûÏlɤɧÉqÉÉsÉ
                        doctorksrprasad@gmail.com                 47
Pittadhara Kala
       Pitta & Agni
            Ama
      Ama Pradoshaja
Pittadhara kala Janya Vyadhi

 Pittadhara Kala Chikitsa
         doctorksrprasad@gmail.com   48
Normal patterns of Management
     Nidana Parivarjana
     Pachana
     Deepana
     snehana
     swedana
     Shodhana
     Are they sufficient to combat
     Pittadhara Kala Disease, which is
     deep rooted, wide spread and
     embedded with Ama?

             doctorksrprasad@gmail.com   49
ÌmɨÉkÉUÉMüsÉÉ LuÉqÉç qÉeeÉÉkÉUÉMüsÉÉ
             Pitta vs Vata
The contextual thoughts of the
interference of Vata and Majjadhara kala
makes panic to one – who wish to treat
Ama in Vata Vyadhi (Pakshaghata)
As already it is discussed about Ca+
absorption from the Ileum (Pittadhara
Kala) is the right answer – that the Ca+
interference with the synape at Neuro-
muscular junctions makes to either vitiate
or pacify the vata (Expressional)
              doctorksrprasad@gmail.com    50
Anulomana (Minor purgation) is the
treatment for the Vata and Virechana
(Major purgation) for that of Pitta and
based upon Ashrayasrayee bhava
even to that of the Pittadhara Kala
Thus it is evident that the Ama of
Pittadhara kala can be nullified
appropriately used “Virechana –
elimination” along with Deepana and
Pachana

              doctorksrprasad@gmail.com   51
The present discussion opens new
thoughts as such –
No specific patterns of treatment is used to
eliminate the “Pittadhara kala” associated
diseases of either exclusively structural or
of functional
Apart from above problem – Uthana and
Leena Ama dosha is also seated
Amashaya/Pakwashaya (Pittadhara Kala)
and Dhatus respectively

               doctorksrprasad@gmail.com   52
As the problems of Grahana –
Pachana – Vivechana –
Mumunchana are individual; at a
streach management is not
adoptable

 What to do then?
           doctorksrprasad@gmail.com   53
Deepaneya
– Churna
– Arista
– Ghruta – according to the
 situation has to be administered

 SÏmÉlÉÏrÉÉÌlÉ xÉuÉÉïÍhÉ cÉÔhÉÉïËU¹bÉëÑiÉÉÌlÉ cÉ
 mÉëÌuÉpÉerÉ rÉjÉÉuÉxjÉÇ rÉÉåeÉrÉåSèaÉëWûhÉÏaÉSå – oÉxÉuÉ UÉeÉÏrÉqÉç
    Ìu


                             doctorksrprasad@gmail.com                 54
Agnikarma – will it be a good
        treatment?
It is told as when a disease of the
Pittadhara Kala is not possible to be
treated with normal protocols – adopt
“Agnikarma”
Agnikarma has to be performed at
“Veenasti moola - Trika” or 2 inches below
to the Umbilicus


              doctorksrprasad@gmail.com   55
Forgotten but best even
not available for the divine -
The Buttermilk – Takram is the best
for any of the Pittadhara kala janya
Vikara
This is not Lassi – A shaken Curd
Butter milk is to be prepared with
always with 1 part of curd to 4 parts of
water churned well and filtered with a
cloth and with Hingu, Jeera,
Saindhava, Sarshapa (Bhava
Prakasha)    doctorksrprasad@gmail.com   56
Kayasya Antaragni chikitsa is Kayachikitsa
Agni and Pitta are similar according to
Susruta
No other Agni is available in the body
other than that of Pitta
Pittadhara Kala associates with Pitta
Pitta management is adoptable for
Pittadhara kala Diseases even
Proper care of Pittadhara Kala can prevent
the Dosha Vitiation and Disease
manifestation
              doctorksrprasad@gmail.com   57
Amashayastha Grahana Pittadharakala
– in comparison with the intrinsic factor
is having the Rakta kala maryada
(Blood)
Pachyamanashayastha Pachana
Pittadharakala has the relation with the
Rasa Kala Maryada
Pakwashayastha Vivechana
Pittadharakala establishes the
relationship with Majja kala maryada by
absorbing Ca+
The kala maryada is used to establish
the disease entity to treat appropriately
              doctorksrprasad@gmail.com   58
After hearing all one has to decide what
management protocol is to be adopted
    for an individual disease entity of
 Pittadhara Kala at the interference of
  Dosha and Ama in the continuity of
   Amashaya – Annavaha srotas and
     beginning of the Pakwashaya -
         Pureesha Vaha srotas –
 Pureeshadhara Kala – appropriately
 according to the situation and the
            symptomatology
              doctorksrprasad@gmail.com   59
HAVE
Knowledge
    mÉëÑccÉMåülÉ ÍvÉwrÉÉæ xÉÇvÉrÉÌlÉuÉëѨÉåÅÌmÉ aÉÑÂ:
    aÉÑÂ ÌuÉlÉ lÉ ÍvÉwrÉÉ: ÍvÉwrÉÌuÉlÉÉ lÉ aÉÑÂ


      Haral’s Academy of Vedic
      Education, Hyderabad
           doctorksrprasad@gmail.com               60
It is from


            HAVE
             Knowledge
      doctorksrprasad@sify.com

doctorksrprasad@gmail.com           61

Más contenido relacionado

La actualidad más candente (20)

Concepts of agni Dr. Parshant
Concepts of agni Dr. ParshantConcepts of agni Dr. Parshant
Concepts of agni Dr. Parshant
 
Commentators of Classical Samhitas
Commentators of Classical SamhitasCommentators of Classical Samhitas
Commentators of Classical Samhitas
 
Shatkriya kala
Shatkriya kalaShatkriya kala
Shatkriya kala
 
Dosha dhatu mala
Dosha dhatu malaDosha dhatu mala
Dosha dhatu mala
 
Padarth Vigyan
Padarth Vigyan Padarth Vigyan
Padarth Vigyan
 
asthimajjavaha srotas chikitsa sutra
asthimajjavaha srotas chikitsa sutraasthimajjavaha srotas chikitsa sutra
asthimajjavaha srotas chikitsa sutra
 
Karma
KarmaKarma
Karma
 
CONCEPT OF OJA
CONCEPT OF OJACONCEPT OF OJA
CONCEPT OF OJA
 
Ashtasthana pareeksha
Ashtasthana pareekshaAshtasthana pareeksha
Ashtasthana pareeksha
 
Concept of guna
Concept of gunaConcept of guna
Concept of guna
 
Darshana
DarshanaDarshana
Darshana
 
Nadi Pariksha - Ayurvedic Pulse Examination
Nadi  Pariksha - Ayurvedic Pulse Examination Nadi  Pariksha - Ayurvedic Pulse Examination
Nadi Pariksha - Ayurvedic Pulse Examination
 
Nidana panchaka by Dr.Swatika
Nidana panchaka  by Dr.SwatikaNidana panchaka  by Dr.Swatika
Nidana panchaka by Dr.Swatika
 
Applied aspects of Tridosha Siddhanta
Applied aspects of Tridosha SiddhantaApplied aspects of Tridosha Siddhanta
Applied aspects of Tridosha Siddhanta
 
Doshagati from Shakha to Kostha .pptx
Doshagati from Shakha to Kostha .pptxDoshagati from Shakha to Kostha .pptx
Doshagati from Shakha to Kostha .pptx
 
CONCEPT OF DOSHA IN AYUVREDA
CONCEPT OF DOSHA IN AYUVREDA CONCEPT OF DOSHA IN AYUVREDA
CONCEPT OF DOSHA IN AYUVREDA
 
DIAGNOSTIC APPROACH TO GRAHANI ROGA
DIAGNOSTIC APPROACH TO GRAHANI ROGADIAGNOSTIC APPROACH TO GRAHANI ROGA
DIAGNOSTIC APPROACH TO GRAHANI ROGA
 
Srothas
SrothasSrothas
Srothas
 
Marma - vital points in ayurveda
Marma - vital points in ayurvedaMarma - vital points in ayurveda
Marma - vital points in ayurveda
 
Abhyantara sneha
Abhyantara snehaAbhyantara sneha
Abhyantara sneha
 

Similar a Pittadhara ksr

Panchagavya Therapy
Panchagavya TherapyPanchagavya Therapy
Panchagavya TherapySriSurabhi
 
Fundamentals of Ayurveda
Fundamentals of AyurvedaFundamentals of Ayurveda
Fundamentals of AyurvedaDr Sanjay M
 
Medicinal_Botany[1] ppt.pptx
Medicinal_Botany[1] ppt.pptxMedicinal_Botany[1] ppt.pptx
Medicinal_Botany[1] ppt.pptxApekshaKurane
 
Concept of Ahara (Diet) in Ayurveda (1).pptx
Concept of Ahara (Diet) in Ayurveda (1).pptxConcept of Ahara (Diet) in Ayurveda (1).pptx
Concept of Ahara (Diet) in Ayurveda (1).pptxDr.Shimi Ben.C.J
 
Ayurvedic system of medicine.pptx
Ayurvedic system of medicine.pptxAyurvedic system of medicine.pptx
Ayurvedic system of medicine.pptxAbhishek Borkar15
 
Rasayana in geriatric practice
Rasayana in geriatric practice Rasayana in geriatric practice
Rasayana in geriatric practice Ananthram Sharma
 
Alternative system of medicine herbal drug technology syllabus
Alternative system of medicine herbal drug technology syllabusAlternative system of medicine herbal drug technology syllabus
Alternative system of medicine herbal drug technology syllabusPradnya Wadekar
 
Grahni an approach towards diagnosis and management of the
Grahni an approach towards diagnosis and management of theGrahni an approach towards diagnosis and management of the
Grahni an approach towards diagnosis and management of theDrBakhtyar Asharafi
 
What ayur says diabetes
What ayur says   diabetesWhat ayur says   diabetes
What ayur says diabetesMurthy Kovur
 
Introductory-Vedic Science session-V2.pdf
Introductory-Vedic Science session-V2.pdfIntroductory-Vedic Science session-V2.pdf
Introductory-Vedic Science session-V2.pdfPRadhikaRavi
 
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...IJARIIT
 
Introduction to Ayurveda, The 5 Great Elementls
Introduction to Ayurveda, The 5 Great ElementlsIntroduction to Ayurveda, The 5 Great Elementls
Introduction to Ayurveda, The 5 Great ElementlsPamela Quinn
 

Similar a Pittadhara ksr (20)

Panchagavya Therapy
Panchagavya TherapyPanchagavya Therapy
Panchagavya Therapy
 
Chikitsa Interpretation of Agni
Chikitsa Interpretation of AgniChikitsa Interpretation of Agni
Chikitsa Interpretation of Agni
 
Charaka ebook
Charaka ebookCharaka ebook
Charaka ebook
 
Unveiled ayurveda ksr
Unveiled ayurveda ksrUnveiled ayurveda ksr
Unveiled ayurveda ksr
 
Fundamentals of Ayurveda
Fundamentals of AyurvedaFundamentals of Ayurveda
Fundamentals of Ayurveda
 
Medicinal_Botany[1] ppt.pptx
Medicinal_Botany[1] ppt.pptxMedicinal_Botany[1] ppt.pptx
Medicinal_Botany[1] ppt.pptx
 
Malnutrition
MalnutritionMalnutrition
Malnutrition
 
Concept of Ahara (Diet) in Ayurveda (1).pptx
Concept of Ahara (Diet) in Ayurveda (1).pptxConcept of Ahara (Diet) in Ayurveda (1).pptx
Concept of Ahara (Diet) in Ayurveda (1).pptx
 
Ayurvedic system of medicine.pptx
Ayurvedic system of medicine.pptxAyurvedic system of medicine.pptx
Ayurvedic system of medicine.pptx
 
Rasayana in geriatric practice
Rasayana in geriatric practice Rasayana in geriatric practice
Rasayana in geriatric practice
 
Alternative system of medicine herbal drug technology syllabus
Alternative system of medicine herbal drug technology syllabusAlternative system of medicine herbal drug technology syllabus
Alternative system of medicine herbal drug technology syllabus
 
Grahni an approach towards diagnosis and management of the
Grahni an approach towards diagnosis and management of theGrahni an approach towards diagnosis and management of the
Grahni an approach towards diagnosis and management of the
 
Ayurveda women tirun gopal md
Ayurveda women tirun gopal mdAyurveda women tirun gopal md
Ayurveda women tirun gopal md
 
Geriatric panchakarma
Geriatric panchakarmaGeriatric panchakarma
Geriatric panchakarma
 
Pranayama
PranayamaPranayama
Pranayama
 
Understanding the Tridosha Theory
Understanding the Tridosha TheoryUnderstanding the Tridosha Theory
Understanding the Tridosha Theory
 
What ayur says diabetes
What ayur says   diabetesWhat ayur says   diabetes
What ayur says diabetes
 
Introductory-Vedic Science session-V2.pdf
Introductory-Vedic Science session-V2.pdfIntroductory-Vedic Science session-V2.pdf
Introductory-Vedic Science session-V2.pdf
 
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...
A Comparative Study of Lakshanas and Samprapti of BhasmakRog w.s.r to Hyperth...
 
Introduction to Ayurveda, The 5 Great Elementls
Introduction to Ayurveda, The 5 Great ElementlsIntroduction to Ayurveda, The 5 Great Elementls
Introduction to Ayurveda, The 5 Great Elementls
 

Más de Ayurmitra Dr.KSR Prasad

Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdf
Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdfDisease Perspective in AyurJyotisham – Ayurveda Astrology.pdf
Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdfAyurmitra Dr.KSR Prasad
 
Daiva Vyapashraya in Ayurveda Disease.pdf
Daiva Vyapashraya in Ayurveda Disease.pdfDaiva Vyapashraya in Ayurveda Disease.pdf
Daiva Vyapashraya in Ayurveda Disease.pdfAyurmitra Dr.KSR Prasad
 

Más de Ayurmitra Dr.KSR Prasad (20)

Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdf
Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdfDisease Perspective in AyurJyotisham – Ayurveda Astrology.pdf
Disease Perspective in AyurJyotisham – Ayurveda Astrology.pdf
 
Daiva Vyapashraya in Ayurveda Disease.pdf
Daiva Vyapashraya in Ayurveda Disease.pdfDaiva Vyapashraya in Ayurveda Disease.pdf
Daiva Vyapashraya in Ayurveda Disease.pdf
 
230513-Haridwar vasti.pdf
230513-Haridwar vasti.pdf230513-Haridwar vasti.pdf
230513-Haridwar vasti.pdf
 
Sop panchakarma sample2
Sop panchakarma sample2Sop panchakarma sample2
Sop panchakarma sample2
 
Ayur-jyotisham sample
Ayur-jyotisham sample Ayur-jyotisham sample
Ayur-jyotisham sample
 
Virechana 02 varanasi
Virechana 02 varanasiVirechana 02 varanasi
Virechana 02 varanasi
 
Virechana 01 varanasi
Virechana 01 varanasiVirechana 01 varanasi
Virechana 01 varanasi
 
Panchakarma in Covid
Panchakarma in CovidPanchakarma in Covid
Panchakarma in Covid
 
Dosha prakruti in astrology
Dosha prakruti in astrologyDosha prakruti in astrology
Dosha prakruti in astrology
 
21 03-17 pk in kb
21 03-17 pk in kb21 03-17 pk in kb
21 03-17 pk in kb
 
21 03-17 pk in lifestyle
21 03-17 pk in lifestyle21 03-17 pk in lifestyle
21 03-17 pk in lifestyle
 
21 03-17 pk in opd
21 03-17 pk in opd21 03-17 pk in opd
21 03-17 pk in opd
 
Jaraiatrics
JaraiatricsJaraiatrics
Jaraiatrics
 
Bahyasnehana selection 21 10-2020
Bahyasnehana selection 21 10-2020Bahyasnehana selection 21 10-2020
Bahyasnehana selection 21 10-2020
 
20 09-15 pk in lifestyle disorders
20 09-15 pk in lifestyle disorders20 09-15 pk in lifestyle disorders
20 09-15 pk in lifestyle disorders
 
20 09-08 pk in covid situation
20 09-08 pk in covid situation20 09-08 pk in covid situation
20 09-08 pk in covid situation
 
Ashtastana pariksha
Ashtastana parikshaAshtastana pariksha
Ashtastana pariksha
 
viruddha ahara-ksr
viruddha ahara-ksrviruddha ahara-ksr
viruddha ahara-ksr
 
Lab role in pk
Lab role in pkLab role in pk
Lab role in pk
 
Ayurchallenges covid19
Ayurchallenges covid19Ayurchallenges covid19
Ayurchallenges covid19
 

Último

ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectiondrhanifmohdali
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 

Último (20)

Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
AORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissectionAORTIC DISSECTION and management of aortic dissection
AORTIC DISSECTION and management of aortic dissection
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
How to master Steroid (glucocorticoids) prescription, different scenarios, ca...
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 

Pittadhara ksr

  • 1. HAVE Knowledge Clinical importance of Pittadhara Kala Guest lecture at AMC, Davangere Dr. K. Shiva Rama Prasad M.D.(KC), M.A, Ph.D (Jyo) doctorksrprasad@gmail.com 1
  • 2. Need to know Kala are very much neglected in the clinical medicine Kala possess major importance in the body Many diseases of present day are specifically Kala concern, such as – Grahani (Pittadharakala) Durmedas (Medodhara Kala) Infertility (Sukra dhara kala) Musculo skeletal problems (Mamsadhara kala) I.B.S ( Pureeshadhara kala) etc. doctorksrprasad@gmail.com 2
  • 3. Many a times we never think of understanding the structural disturbances in the body and rectification of the structural integrity disturbed by the dosha in the body Apart from the rectification and pacification of the dosha out of srotodusti lakshana – Atipravrutti & Apravrutti (Sanga) – Sira granthi & Vimargagamana are essential to examine in detail Rectify the structural and functional disturbances of Kala With special reference to Kayachikitsa doctorksrprasad@gmail.com 3
  • 4. Pittadhara Kala Pitta & Agni Ama Ama Pradoshaja Pittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 4
  • 5. Saptakala Vijnana Kala are seven in number Kala lies in between the Dhatu and Ashaya Kala are like pith of the steam in the Tissues MüsÉÉ: ZÉsuÉÌmÉ xÉmiÉxÉqpÉuÉÎliÉ kÉÉiuÉÉvÉrÉÉliÉU qÉrÉÉïSÉ: rÉjÉÉ ÌWû xÉÉU: MüɹåwÉÑÎccɱqÉÉlÉåwÉÑ SìÓvriÉå - xÉÑ.vÉÉ 4/5 doctorksrprasad@gmail.com 5
  • 6. Kala Nomenclature The fluid between the Dhatu and Ashaya subjected to the heat developed from Ushma gives rise the Kala The Kala is covered by the layer of phlegm kÉÉiuÉÉvÉrÉÉliÉUYsÉåS: ÌuÉmÉYuÉ: xuÉÇ xuÉqÉÔwqÉhÉÉ vsÉåwqÉ xlÉÉruÉmÉUÉcNû³É: MüsÉÉZrÉ: MüɹxÉÉUuÉiÉç, iÉÉxxÉmiÉ – A.¾Òû.vÉÉ 3/9 doctorksrprasad@gmail.com 6
  • 7. Kala Division 1) Mamsadhara kala 2) Raktadhara kala 3) Medodhara kala 4) Shleshmadhara kala 5) Pureeshadhara kala 6) Pittadhara kala 7) Shukradhara kala doctorksrprasad@gmail.com 7
  • 8. Difference of opine Kala is defined as a layer between – Rasa- Rakta – Mamsa – Medo- Asti – Majja – Shukra, 7 dhatu and Vata – Pitta – Shleshma – Ama – Mala – Mootra – Raktashaya of 7 Ashayas 2nd opine is – dhatu means Mamsa – Rakta – Medas – Shleshma and Sukra along with the Ashaya as Pittashaya, Pakwashaya. Both of the above are considered & needs further discussion to specify any one of them doctorksrprasad@gmail.com 8
  • 9. Pittadhara Kala Pittadhara Kala is 6th in order Receives when the food is propelled from Amashaya Holds in the Pakwashaya - The four verities of food ingested – viz. Asita, Khadiata, Peeta and Leeda wɹÏÌmɨÉkÉUÉ lÉÉqÉ, rÉÉ cÉiÉÑÌuÉïkÉqɳÉmÉÉlÉqÉÑmÉrÉÑ£ü qÉÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ - xÉÑ.vÉÉ 4/17 doctorksrprasad@gmail.com 9
  • 10. Structural Aspect of Pittadhara Kala In between Pakwashaya and Amashaya Holds the food at Pakwashaya These statements refer to the activity concern and states that the Pittadhara kala is as such below to that of the Ashaya which holds the undigested food and in the Ashaya which propels the digested food for absorption With the function of assimilation mÉYuÉÉqÉÉvÉrÉqÉkrÉxjÉÉaÉëWûhÉÏ mÉËUMüÐÌiÉïiÉÉ – AÉqÉÉvÉrÉÉimÉëcrÉÑiÉÇ mÉYuÉÉvÉrÉÉåmÉÎxjÉiÉÇ kÉÉUrÉÌiÉ - xÉÑ.vÉÉ 4/17 doctorksrprasad@gmail.com 10
  • 11. As the Sigmoid colon and Rectum are termed with “Pureesha Vaha srotas” and lined by “Pureeshadhara Kala” – these parts of GIT are ruled out of the discussion of pittadharakala doctorksrprasad@gmail.com 11
  • 12. From mouth till to and in the Amashaya – 4 food varieties are passed in undigested form – thus comfortably can be termed as Amashaya doctorksrprasad@gmail.com 12
  • 13. Consideration of Amashaya Amashaya is with undigested food Contemporary science explains as – carbohydrate digestion starts at mouth and protein at stomach and fats at duodenum As the fat digestion is continued till to that of Jejunum – it has to be considered even the duodenum is also as a part of Amashaya Even at the Jejunum, absorption doesn’t takes place thus till to that of Ileum jejunum junction – Amashaya extends doctorksrprasad@gmail.com 13
  • 14. The part between Jejunum and Sigmiod colon is the Ileum – Pakwa-Amashaya madhya is the part anatomically to consider as Grahani or Pittadhara Kala doctorksrprasad@gmail.com 14
  • 15. Functional Aspect of Pittadharakala It digests the 4 verities of food Digestion in terms of – Pachana – Vivechana – Mumchana All the functions of Pitta are attributed to Pittadharakala based on the concept of Adhara-Adheya bhava. The integrity of the Pittadhara kala (Grahani) depends upon the proper function of Agni so it can be termed as even “Agnidhra Kala” aÉëWûhrÉÉoÉsÉqÉÎalÉÌWïû ---- iÉxqÉÉSalÉå mÉëSÕÌwÉiÉå aÉëWûhÉÏ xÉÇmÉëSÕwrÉiÉÏÌiÉ- xÉÑ.E¨ÉU- QûsWûhÉ 40/170 doctorksrprasad@gmail.com 15
  • 16. Enumeration & Examination of Functions Functions of Pittadharakala are enumerated by - Grahana - collection (Grahana Pittadharakala - Amashayastha) Pachana - digestion (Pachana Pittadharakala - Pachyamanashayastha) Vivechana & Mumunchana – Separation & Absorption (Vivechana Pittadharakala - Pakwashayastha) doctorksrprasad@gmail.com 16
  • 17. Grahana - collection The collection anomalies (Functional or Organic) are subjected to the movements of the stomach to make the food as amalgam and To initiate the normal peristaltic movements in the intestines Main diseases pertained are of Grahani roga – Kosta stabdhata - sroto sanga (carcinoma, etc) - etc,. Even Dosha wise diseases can be enumerated doctorksrprasad@gmail.com 17
  • 18. Pachana - digestion The digestion disturbances are well narrated in Ayurveda and many Agni inter linked diseases are explained To initiate the normal Agni, examination of Agni is necessary Main diseases pertained to Agni are - Agnimandya, Ajeerna, Parinama shoola, Annadrava shoola, etc,. doctorksrprasad@gmail.com 18
  • 19. Summary of chemical events in digestion doctorksrprasad@gmail.com 19
  • 20. Vivechana & Mumunchana – Separation & Absorption Water, electrolytes, and vitamins can be absorbed without preliminary processing, but special transport mechanisms are commonly involved. The intestinal epithelium then absorbs the monosaccharides by facilitated diffusion and cotransport mechanisms. cells lining the small intestine will continue to absorb glucose when glucose concentrations inside the cells are much higher than they are in the intestinal contents. doctorksrprasad@gmail.com 20
  • 21. triglycerides, in company with absorbed steroids and phospholipids, are then coated with proteins, creating complexes known as chylomicrons amino acids, as well as those produced by the pancreatic enzymes, are absorbed through both facilitated diffusion and cotransport mechanisms The anions chloride, iodide, bicarbonate, and nitrate may be absorbed through diffusion or carrier-mediated transport. Phosphate and sulfate ions enter epithelial cells only through active transport. doctorksrprasad@gmail.com 21
  • 22. Here I wish to make a comment Ayurveda and Contemporary medicines are appropriative and doesn’t fit one to another as like Relative theory and Quantum theory Ayurveda is like a Relative theory of Einsteen, which speaks about the “G” – Gravity On the other hand – contemporary medical sciences speak of Quantum theory of – Electromagnetism, Strong force and Weak force A major exercise is necessary to understand and bind the two poles of Health sciences doctorksrprasad@gmail.com 22
  • 23. Secretion and water absorption in the Digestive tract - suggests the placement of the Pittadhara Pittadhara Kala Kala physiologically after the Pureeshadhara Duodenum Kala and before to the Ileoceacal Valve doctorksrprasad@gmail.com 23
  • 24. Pittadhara Kala Pitta & Agni Ama Ama Pradoshaja Pittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 24
  • 25. Examination of Pitta & Agni There is no other Agni available in the body other than that of Pitta 1 Agni is examined by the “Jarana shakti” Jarana Shakti is the capacity of digestion in terms of food taken under the stipulations and norms For this only questionnaire are sufficient Few of the concern terms are - 1 lÉZÉsÉÑ ÌmɨÉurÉÌiÉUåMüÉSlrÉÉåÅÎalÉÂmÉsÉprÉiÉå - xÉÑ.xÉÔ.21/8 doctorksrprasad@gmail.com 25
  • 26. Food in connection with digestion Aahaarasakti (Pachana Pittadhara kala) means the capacity to the intake of food and digestion How much a person can consume food without any discomfort is considered as Abhyavaharana sakti (Grahana Pittadhara kala) The proper digestion of food in time with out any discomfort is considered as the capacity of his digestion is Jarana sakti (Vivechana Pittadhara kala) doctorksrprasad@gmail.com 26
  • 27. AVIPAAKAH (Indigestion) is resultant of improper Agni Ajarakam Ajeernam Apaakah Apaktisaktih Paktinaasah are the synonyms of Avipaka. doctorksrprasad@gmail.com 27
  • 28. Impaired Pittadhara Kala means impaired Agni and development of Ama Ama Produces at GIT and also in Dhatus at Biochemical expression Ama can be Improperly metabolized intermediate byproducts Increased antigenicity Free radicals doctorksrprasad@gmail.com 28
  • 29. Pittadhara Kala Pitta & Agni Ama Ama Pradoshaja Pittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 29
  • 30. Ama Definition By definition Ama is - Apakwa Ahara - undigested food Shukta Ahara - fermented food Visharoopa Ahara - toxic like food Mala sanchaya - eliminative accumulation Ahara rasa shesha - left of rasa in Amashaya first stage of Dosha Dusti AmÉcrÉqÉÉlÉÇ vÉÑ£üiuÉÇ rÉÉirɳÉÇ ÌuÉwÉÃmÉiÉÉqÉç - cÉ.ÍcÉ.15/42 doctorksrprasad@gmail.com 30
  • 31. Enumeration and Examination of Ama It is difficult to enumerate quantitatively Ama in clinical aspect But it is not an Impossible task The normal terms come across are - Ushma - Adyadhatu and Amashaya Here the Ushma - Heat is the concern Ushma maintenance is done by Pitta of Amashaya (Pachakapitta) and Pitta of Twak (Bhrajakapitta) So, to examine Ama clinically is possible by examining the contextual Ama Lakshana and Twak doctorksrprasad@gmail.com 31
  • 32. Ama Lakshana (A.H.Su.13/24) Srotorodha - obstruction to channels Balabhramsha - loss of strength Gourava - heaviness Anila moodhata - loss of impulses Aalasya - laziness Apakti - loss of digestion Nisteeva -spitting Malasanga - accumulation of waste Aruchi - tastelessness Klama - fatigue - out of these except Srotorodha, Anila Moodhata and Malasanga rest are self explainable doctorksrprasad@gmail.com doctorksrprasad@gmail.com 32 32
  • 33. Srotorodha examination Out of the 13 srotas explained each and every srotas are individually examined along with specificity of Rasa and Rakta as they are related to pittadharakala directly. Any Atipravrutti - Apravrutti with reference to functions and Sira Granthi and Vimarga Gamana with the structure is considered doctorksrprasad@gmail.com 33
  • 34. Malasanga examination Mala are Pureesha - Mootra - Sweda at present context Pittadhara Kala separates the Mala and Sara in general is impaired to accumulate the Mala and obstructs or another understanding is the mala which is formed is not separated by the Pittadhara Kala The Mala are - biological end products which interfere the digestion and metabolism - eg. Enteroendocrine cells (Glands in the pylorus) produce at least seven different hormones, most notably the hormone gastrin (G cells) in the gastric pits of the pyloric antrum. The pyloric glands also contain D cells, which release somatostatin a hormone that inhibits gastrin release. doctorksrprasad@gmail.com 34
  • 35. Anila Moodhata examination The neural output proceeds via the parasympathetic division of the ANS and reaches the stomach by means of the vagus nerves As par Ayurveda - the Vata (Samana) in the Kosta is responsible for the Anna Grahana, Pachana, Vivechana thus the Kostashrita Vata is much clinically evaluated When Vagatomy or any surgical procedures under taken impulsive nerve reflexes lessens the enzymatic secretion in the Stomach or vice versa doctorksrprasad@gmail.com 35
  • 36. Skin in the examination of Ama The importance of the Twacha should not be forgotten as the “Ushma” is regulated by the it self Skin respires even the examination of Twacha includes with the - temperature variances, Temperature disturbances over the enzyme secretions and digestion doctorksrprasad@gmail.com 36
  • 37. Twak Gourawa, Twak Rodhata, Prabha- Chaya nasha, twakgata vata (Vyana) karma hani, Non absorbability of skin, skin fatigue, Depositions of eliminative materials (Malasanga) – sweda abhavata – are common conditions of Ama in Twak At the time of Abhyanga - the Drug designated is absorbed and assimilated well by the Skin is witnessed as an example through Bhrajaka Pitta (Agni) doctorksrprasad@gmail.com 37
  • 38. Clinical Identification of Ama Where ever Ama is seated there - Sthambha - immobility Gourava - Heaviness Staneeya Deha Vishesha Vikara Dosha vishesha Saama Lakshana Dhatu vishesha Saama Lakshana - are seen doctorksrprasad@gmail.com 38
  • 39. Pittadhara Kala Pitta & Agni Ama Ama Pradoshaja Pittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 39
  • 40. Ama Pradoshaja Vyadhi If spreads upward - Vishuchika If spreads down ward - Alasaka with the Ajeerna it is called as Amavisha Amadosha, Amavatagrahani (Sangraha grahani), Amavata, etc are considered as Amaja Vyadhi Apart from all the basic definition of “Amaya” includes all diseases in Ama with special reference to the Pittadhara Kala Janya vydhi doctorksrprasad@gmail.com 40
  • 41. Vardhakya & Pittadhara Kala AGING AND THE DIGESTIVE SYSTEM The rate of epithelial stem cell division declines The digestive epithelium becomes more susceptible to damage by abrasion, acids, or enzymes. Amlapitta, Parinama Shoola etc, Acid Peptic disorders, therefore become more likely. In the mouth, esophagus, and anus, the stratified epithelium (Pittadhara Kala) becomes thinner and more fragile. doctorksrprasad@gmail.com 41
  • 42. Smooth muscle tone decreases General motility decreases (Anila Moodhata), and peristaltic contractions are weaker. These changes slow the rate of fecal movement and promote constipation (Malasanga) Sagging and inflammation of the haustra in the colon can produce symptoms of diverticulosis (Vimargagamana) doctorksrprasad@gmail.com 42
  • 43. Straining to eliminate compacted fecal materials can stress the less-resilient walls of blood vessels, producing hemorrhoids (Arshas) Problems are not restricted to the lower digestive tract. For example, weakening of muscular sphincters can lead to esophageal reflux and frequent bouts of "heartburn." (Apakti-Amlodgara) doctorksrprasad@gmail.com 43
  • 44. The effects of cumulative damage become apparent A familiar example is the gradual loss of teeth due to dental caries or gingivitis. Cumulative damage can involve internal organs as well. Toxins (visha) such as alcohol and other injurious chemicals that are absorbed by the digestive tract are transported to the liver for processing (Bhutagnipaka). The cells of the liver are not immune to these toxic compounds, and chronic exposure can lead to cirrhosis or other types of liver disease. doctorksrprasad@gmail.com 44
  • 45. Cancer rates increase. Not surprisingly, cancers are most common in organs in which stem cells divide to maintain epithelial cell populations. Rates of colon cancer and stomach cancer rise in the elderly; oral and pharyngeal cancers are particularly common among elderly individuals who smoke. Changes in other systems have direct or indirect effects on the digestive system. For example, the reduction in bone mass and calcium content in the skeleton is associated with erosion of the tooth sockets and eventual tooth loss. The decline in olfactory and gustatory sensitivity with age can lead to dietary changes that affect the entire body. doctorksrprasad@gmail.com 45
  • 46. Ama (Mandagni) Nadi Ajeerna, Ama Dosha, invasion of Fever, Appetite, Vitiated Vata, Pitta and Kapha are known by the Hasta Nadi - Basava Rajeeyam AeÉÏhÉïqÉÉqÉ SÉåwÉÇcÉ euÉUxrÉaÉqÉlÉÇ ¤ÉÑjÉÉÇ, uÉÉiÉÌmɨÉMüTüÉlÉç SÒ¹ÉlÉç WûxiÉlÉÉQûÏ ÌlÉSvÉïrÉåiÉç - oÉxÉuÉUÉeÉÏrÉqÉç doctorksrprasad@gmail.com 46
  • 47. Agnimandya and Grahani roga Nadi At Mandagni Nadi is always slow like a Swan – but in Agnimandya and Grahani roga (Pittadhara Kala vikruti) Nadi at feet is like swan- slow, rhythmic (Mandagni Nadi) and at hand like a frog - jumping qÉÇSÉalÉÉæ ¤ÉÏhÉiÉÉÇ rÉÉÌiÉ lÉÉQûÏ WûÇxÉÉ¢ÑüÌiÉxiÉjÉÉ mÉÉSåcÉ WûÇxÉaÉqÉlÉÉ MüUå qÉÇQÕûMüxÉÇmsÉuÉÉ iÉxrÉÉalÉåUÇSiÉÉ SåWåûiuÉkÉuÉÉ aÉëWûhÉÏ aÉS:- lÉÉQûÏlɤɧÉqÉÉsÉ doctorksrprasad@gmail.com 47
  • 48. Pittadhara Kala Pitta & Agni Ama Ama Pradoshaja Pittadhara kala Janya Vyadhi Pittadhara Kala Chikitsa doctorksrprasad@gmail.com 48
  • 49. Normal patterns of Management Nidana Parivarjana Pachana Deepana snehana swedana Shodhana Are they sufficient to combat Pittadhara Kala Disease, which is deep rooted, wide spread and embedded with Ama? doctorksrprasad@gmail.com 49
  • 50. ÌmɨÉkÉUÉMüsÉÉ LuÉqÉç qÉeeÉÉkÉUÉMüsÉÉ Pitta vs Vata The contextual thoughts of the interference of Vata and Majjadhara kala makes panic to one – who wish to treat Ama in Vata Vyadhi (Pakshaghata) As already it is discussed about Ca+ absorption from the Ileum (Pittadhara Kala) is the right answer – that the Ca+ interference with the synape at Neuro- muscular junctions makes to either vitiate or pacify the vata (Expressional) doctorksrprasad@gmail.com 50
  • 51. Anulomana (Minor purgation) is the treatment for the Vata and Virechana (Major purgation) for that of Pitta and based upon Ashrayasrayee bhava even to that of the Pittadhara Kala Thus it is evident that the Ama of Pittadhara kala can be nullified appropriately used “Virechana – elimination” along with Deepana and Pachana doctorksrprasad@gmail.com 51
  • 52. The present discussion opens new thoughts as such – No specific patterns of treatment is used to eliminate the “Pittadhara kala” associated diseases of either exclusively structural or of functional Apart from above problem – Uthana and Leena Ama dosha is also seated Amashaya/Pakwashaya (Pittadhara Kala) and Dhatus respectively doctorksrprasad@gmail.com 52
  • 53. As the problems of Grahana – Pachana – Vivechana – Mumunchana are individual; at a streach management is not adoptable What to do then? doctorksrprasad@gmail.com 53
  • 54. Deepaneya – Churna – Arista – Ghruta – according to the situation has to be administered SÏmÉlÉÏrÉÉÌlÉ xÉuÉÉïÍhÉ cÉÔhÉÉïËU¹bÉëÑiÉÉÌlÉ cÉ mÉëÌuÉpÉerÉ rÉjÉÉuÉxjÉÇ rÉÉåeÉrÉåSèaÉëWûhÉÏaÉSå – oÉxÉuÉ UÉeÉÏrÉqÉç Ìu doctorksrprasad@gmail.com 54
  • 55. Agnikarma – will it be a good treatment? It is told as when a disease of the Pittadhara Kala is not possible to be treated with normal protocols – adopt “Agnikarma” Agnikarma has to be performed at “Veenasti moola - Trika” or 2 inches below to the Umbilicus doctorksrprasad@gmail.com 55
  • 56. Forgotten but best even not available for the divine - The Buttermilk – Takram is the best for any of the Pittadhara kala janya Vikara This is not Lassi – A shaken Curd Butter milk is to be prepared with always with 1 part of curd to 4 parts of water churned well and filtered with a cloth and with Hingu, Jeera, Saindhava, Sarshapa (Bhava Prakasha) doctorksrprasad@gmail.com 56
  • 57. Kayasya Antaragni chikitsa is Kayachikitsa Agni and Pitta are similar according to Susruta No other Agni is available in the body other than that of Pitta Pittadhara Kala associates with Pitta Pitta management is adoptable for Pittadhara kala Diseases even Proper care of Pittadhara Kala can prevent the Dosha Vitiation and Disease manifestation doctorksrprasad@gmail.com 57
  • 58. Amashayastha Grahana Pittadharakala – in comparison with the intrinsic factor is having the Rakta kala maryada (Blood) Pachyamanashayastha Pachana Pittadharakala has the relation with the Rasa Kala Maryada Pakwashayastha Vivechana Pittadharakala establishes the relationship with Majja kala maryada by absorbing Ca+ The kala maryada is used to establish the disease entity to treat appropriately doctorksrprasad@gmail.com 58
  • 59. After hearing all one has to decide what management protocol is to be adopted for an individual disease entity of Pittadhara Kala at the interference of Dosha and Ama in the continuity of Amashaya – Annavaha srotas and beginning of the Pakwashaya - Pureesha Vaha srotas – Pureeshadhara Kala – appropriately according to the situation and the symptomatology doctorksrprasad@gmail.com 59
  • 60. HAVE Knowledge mÉëÑccÉMåülÉ ÍvÉwrÉÉæ xÉÇvÉrÉÌlÉuÉëѨÉåÅÌmÉ aÉÑÂ: aÉÑ ÌuÉlÉ lÉ ÍvÉwrÉÉ: ÍvÉwrÉÌuÉlÉÉ lÉ aÉÑ Haral’s Academy of Vedic Education, Hyderabad doctorksrprasad@gmail.com 60
  • 61. It is from HAVE Knowledge doctorksrprasad@sify.com doctorksrprasad@gmail.com 61