Anaha Pathogenesis, Varieties, Signs, Therapy

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Anaha means Constipation/Suppression of urine and faeces. When there may be obstruction within the passages of feces and gases and when they don’t seem to be excreted from each instructions i.e. upward (mouth) or downward (anal) routes the situation shall be referred to as as anaha.
Learn – Constipation Causes, Ayurvedic Therapy, Residence Cures

Pathogenesis of Anaha

• Gradual accumulation and stagnation of ama i.e. undigested meals within the abdomen or feces and gases within the colon and
• Blockage within the channels of excretion of ama, feces and gases
• Additional blockage of ama and feces of their respective seats by aggravated vata
• Non elimination of ama and faeces from their respective passages inflicting anaha
  Learn – Signs Of Vata Dosha Improve And Imbalance – Vata Vruddhi Lakshana

Forms of Anaha

Since anaha is fashioned because of accumulation of ama or feces, anaha can also be of two sorts relying on what has been obstructed.
Amaja anaha – anaha induced because of the accumulation and obstruction of ama within the abdomen (the organ whereby ama is fashioned), it is usually referred to as as amashayaja / amashayagata anaha for the reason that illness has its origin within the abdomen (amashaya = abdomen)

Purishaja Anaha – anaha induced because of accumulation and obstruction of feces within the intestines and colon, it is usually referred to as as pakvashayaja / pakvashayagata anaha for the reason that illness has its origin in pakvashaya = giant gut / colon.

Accumulation of  excreta happens in each abdomen and  colon. The wastes fashioned and collected within the abdomen known as as ama and people fashioned and collected within the intestines known as as purisha i.e. feces.
Learn – Qualities And Signs Of Ama – Ama Guna Lakshana

Signs of Anaha

Generalized signs

• Mala marga avarodha –  constipation
• Vayu marga avarodha – obstruction to elimination of gases in each upward course (belching) and downward course (fart)

Signs of amaja anaha

• Trishna – thirst
• Pratishyaya – rhinitis
• Shiro vidaha – headache / irritation within the head
• Shula – stomach colic / ache within the higher a part of the stomach
• Gutvam – heaviness within the stomach / physique
• Hrt stambha – stiffness within the chest / cardiac area
• Udgara vighatanam – obstruction of belching
  Learn – Kukshi Shula Causes, Signs, Pathogenesis, Therapy

Signs of purishaja anaha

• Kati stambha – stiffness within the pelvis
• Prshta stambha – stiffness within the again
• Purisha stambha – constipation
• Mutra stambha – obstruction of urine / urinary retention
• Shula –  stomach ache
• Murcha – lack of consciousness
• Shakrtascha chardi – excretion of faeces from mouth / fecal vomiting
• Shvasa – breathlessness
• Alasaka lakshana – signs of alasaka illness
  Learn – How To Know That Your Digestion System Is Working Fantastic?

Therapy of Anaha

Therapy rules of amaja anaha – Within the anaha attributable to accumulation of ama within the abdomen initially therapeutic emesis must be completed. This could not solely expel the doshas but in addition would cleanse the abdomen of its impurities. Following this samsarjana krama i.e. graduated food plan must be adopted. The intention is to kindle the digestive fireplace which has lowered and turn out to be weak because of emesis remedy and likewise to revive energy and vitality. This dietetic protocol consists of beginning the meals with simply digestible liquid meals. Step by step the meals is graduated to semisolid meals and later to the traditional meals.

The meals used within the graduated food plan shall be processed and ready with ‘digestive fireplace kindling herbs’ like Pippalyadi group of herbs and so on. Consuming water can also be processed with the identical herbs. This exhibits that correction of digestive fireplace and bringing it to a state of steadiness is the prime technique within the therapy of anaha however must be completed on the backdrop of cleaning remedy, primarily emesis as already specified.
Learn – Deepaneeya Gana Herbs Of Charaka: Assessment, Advantages, Formulations

Therapy rules of purishaja anaha – Digesting ama is a key technique in therapy of this variant of anaha additionally. The purishaja anaha wherein there isn’t a emesis of feces (which is a severe complication of the illness and signifies its unhealthy prognosis) alone must be handled. Within the illness whereby there may be emesis of feces must be rejected as a result of it’s incurable. Within the ‘curable type’ of this illness administration shall be completed by administering sudation therapies and ama digesting measures and medicines.

Medicines utilized in Vishuchika
Vishuchika is one other intestine associated situation which is commonly in comparison with cholera. The medicines and formulations used within the therapy of vishuchika are additionally used to deal with anaha. The purgative herbs talked about in vishuchika must be floor within the urines of buffalo, goat, sheep, elephant and cow (as soon as with every urine), cooked and wicks are ready. These suppositories must be launched into the anus of the affected person of anaha who has been subjected to sudation remedy in a correct means. Alternatively the powder of purgative herbs shall be blown into the anal canal utilizing the tubular devices.

Niruha Vasti – Anuvasana Vasti
Decoction and oil (ghee) enemas are very efficient in treating anaha.

1. Niruha – Decoction Enema
For decoction enema the under talked about elements are taken for making ready decoction –

Herbs used for administering emesis and errhines as talked about within the Samshodhana and Samshamaniya chapters like Madanaphala (Randia dumetorum), Koshataki (Luffa acutangula) and so on are taken.

Herbs used for administering purgation like Haritaki (Terminalia chebula), Aragwadha (Cassia fistula), roots of Ricinus communis, Trivrt (Operculina turpethum) and so on are taken.

The above mentioned medicines processed within the urines of cow, buffalo and so on and decoction ready as per the process. The filtered decoction is  added with half the amount of cow’s urine, 48 grams of honey, and the same amount of powder of Operculina turpethum and Rock Salt and combined totally. The resultant medication is run as decoction enema.

Following this the samsarjana krama i.e. graduated dietetic routine as defined within the context of therapeutic emesis and purgation is run.

2. Anuvasana – oil enema
The decoction and paste of the identical emetic and purgative herbs shall be used to organize the oil wanted for oil enemas within the therapy of anaha.

Weight loss program in anaha

All of the useful dietetic inclusions and life-style adjustments that are suggested within the therapy of udavarta illness together with measures like ama digesting medicines, fasting and different lightness producing remedies shall be included within the therapy of anaha as and when required.

Avoidable issues in anaha
The identical rule as above applies right here. All issues that are mentioned to be averted and contraindicated in udavarta illness shall even be averted by the individual affected by anaha.

Different inclusions
Simply digestible meals and drinks which don’t trigger constipation may be included in food plan for the therapy of anaha and udavarta. Included meals must also be nutritious. 
Learn – Udavarta – Reverse Motion Of Vata Dosha Inflicting Illness

Fashionable correlation

Amajanya Anaha is manifested within the abdomen. Due to this fact, the signs of this situation are restricted to the abdomen. This situation may be in comparison with ‘pyloric obstruction’ defined in fashionable texts. It’s the obstruction because of narrowing or different causes of the decrease finish of the abdomen whereby it opens into the small gut.

Purishajanya Anaha is manifested within the gut / colon. Due to this fact, the signs of this situation are restricted to the colon. This situation may be in comparison with ‘intestinal obstruction’ defined in fashionable texts. Because of the intestinal obstruction, constipation will happen, the feces should not excreted and might also trigger purisha udavarta i.e. upward motion of feces in direction of the mouth and thus fecal vomiting could happen as a complication.
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