Avipakaja Shula Signs, Causes, Therapy, Fashionable Idea

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Avipakaja Shula means ache triggered on account of indigestion of meals. It’s also referred to as by the identify anna dosha samudbhava shula i.e. ache within the stomach attributable to contaminated meals or meals by doshas. Avipaka – indigestion, Shula – ache / colic

Grasp Sushruta has defined this painful situation and regarded it as one among the many various kinds of shoola – colic / ache within the stomach.
Learn – Shoola Sorts, Signs, Therapy, Medicines, Cures

Causes

Extreme consumption of meals is alleged to be the causative issue of this situation. ‘Extreme meals’ right here means ‘consumption of meals in a amount of what’s greater than required or a couple of’s capability’.

All of us are likely to overeat at instances. However everybody who has consumed extreme meals needn’t endure from this situation.

Grasp Sushruta additional specifies that ‘consumption of extreme meals within the presence of weak digestion’ is the reason for avipaka shula.

Grasp Vagbhata additionally has quoted that ‘virtually all ailments are triggered on account of sluggish digestive capability / weak digestive fireplace, primarily the belly problems’. Colic defined in avipaka shula additionally happens within the stomach.

Weak digestive fireplace is the key reason behind many systemic problems. Kaya Chikitsa is a department of Ayurveda which goals at curing ailments by correcting the digestive fireplace and its subunits within the physique.

Digestive fireplace would possibly get weak after we devour extreme meals in distinction to what and the way a lot we’d like as per our capability and structure. Extreme meals consumption is without doubt one of the most essential causes for indigestion of meals. Due to this fact it is usually a direct in addition to an oblique trigger for belly ache additionally.

We might contemplate extreme meals consumption in relation to belly colic in two methods –

• Extreme consumption of meals in presence of weak digestive fireplace will result in indigestion and subsequent manifestation of belly ache.
• Extreme meals consumption as an everyday follow could cause weak point of digestive fireplace. This weak fireplace won’t have the capability to digest meals correctly. Undigested meals stays and will get stagnated within the intestine and causes ache.

In a means placing these two situations collectively the colic attributable to extreme consumption of meals could be a cyclic course of whereby the identical chain of occasions hold repeating by themselves if not addressed correctly.
Learn – Annadrava Shoola: Definition, Therapy, Cures

Pathogenesis

• The meals which has been consumed in extra of 1’s capability would get stagnated within the colon as a result of sluggishness of digestive fireplace.
• The stagnated meals will get matted and adhered to the partitions of the colon
• Consequentially vata will get aggravated
• The aggravated vata envelopes and blocks this inadequately digested meals (within the higher colon) and feces (within the decrease colon)
• This undigested meals blocked by the aggravated vata will produce extreme ache within the stomach and this situation is named as avipakaj shoola
  Learn – Parinama Shoola : Definition, Sorts, Therapy, Medicines

Signs

Tivram shulam – extreme ache within the stomach
Murcha – fainting
Adhmanam – distension of stomach
Vidaha – burning sensation within the stomach
Hrdaya utklesha – nausea / discomfort within the cardiac (coronary heart) area
Vilambika – the meals contaminated by aggravated kapha and vata will get stagnated within the center a part of the intestine with out getting eradicated both from the higher or decrease passages (mouth or anus)
Virechana – diarrhea
Chardi – vomiting
Kampana – tremors
Moha – confusion
Avipaka – indigestion
Learn – Indigestion Causes, Signs, Therapy

Sanskrit Verses

Therapy

Vamana – therapeutic emesis
Langhanam – fasting / lightening therapies
Swedanam – sudation
Pachanam – ama digesting measures, medicines and weight-reduction plan
Phalavarti – suppositories
Kshara – Alkali
Churna – Natural powders
Gutika – Natural tablets

It is rather essential to deal with these painful situations after having thought-about the completely different etiological elements, structure of the affected person, predominance of dosha, geography, time interval and so on elements.
Learn – Roga, Rogi Pareeksha: Examination Of Illness And Affected person

Different therapy

This situation shall be handled on the strains of –
Treating ajirna i.e. indigestion (since indigestion is the principle reason behind this ache)
Deepana-pachana – medicines and weight-reduction plan for correcting digestive fireplace and likewise to destroy ama
Vamana and virechana – therapeutic emesis and purgation to throw out the contaminated Doshas and likewise to cleanse the intestine, strengthen the organs and stop recurrences
Shula chikitsa – treating belly ache
Pathya kalpanas – skinny digestible gruels that are ready with appetizing and ama digesting herbs and likewise gentle to digest
Learn – Significance Of Weight loss plan (Pathya) For Particular Ailments

Fashionable correlation

Ache within the stomach gentle to average depth has been talked about among the many signs of indigestion even in fashionable texts.

Different signs of indigestion embrace –
Early fullness throughout a meal, bloating and uncomfortable fullness after a meal, defined as adhmana and vilambika in Ayurveda amongst the signs of avipakaja shula
Discomfort within the higher stomach which additionally consists of ache
Burning sensation within the higher stomach defined as vidaha
Nausea and vomiting defined as hrit utklesha and chardi
Heartburn defined as hrdaya utklesha

There are numerous causes for indigestion. Overeating or consuming meals too rapidly has been talked about as one of many causes of indigestion even in fashionable texts. Avipakaj Shool seems to be the reason of belly ache on account of this trigger. Causes additionally embrace sure belly problems like gastritis, peptic ulcers, celiac illness, constipation, intestinal blockage, pancreatitis, intestinal ischemia and so on. due to this fact indigestion might not solely be the trigger but in addition the impact of different situations.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)