Arjeerna (indigestion)

 

Nidana.

 

Wrong dietary regimen, excessive drinking of cold water, sleep during the day. Various psychic factors are involved and the agnis are affected (1 in the intestines, 5 in the liver and 7 in the tissues. The mind must be kept calm after eating food, avoid agitation.

 

Samprapti.

 

There are mainly three types of indigestion, ama, vidhagda and vistabdha due to vata pitta and kapha respectively. Some consider a fourth type called rasasesa that is due to delayed absorption. A fifth type is recognised by some as dinapaki indigestion that is due to a sluggish digestion and is not due to the involvement of any dosha. The sixth variety of indigestion is called prakrta, which is a natural and daily regimen.

 

In the ama type of indigestion there is a feeling of heaviness of the body, nausea and swelling in the cheeks and around the eyes. As the food is not digested, eructation’s occur of the same nature as the material ingested. Ajeerna is caused by agnimandya. Agnimandya causes ama. Samana vata increases formation of ama. Mainly kapha dosha involving first stage of ajeerna occurs as amarjeerna.

 

Samana vayu is increased because of pre-existing ama, it increases agni or pachaka pitta or Hcl (acidity). It combines with ama and produces contaminated chyle or ama (sour) and produces burning sensation, belching and is called vidhagdha arjeerna.

 

In the Vidagdha type of indigestion there is vertigo, thirst, fainting and various other disorders due to vitiated pitta, smoky and acidic eructations, perspiration and a burning sensation are also produced. (pitta type).

 

Contaminated chyle goes to antra or intestines, and this vitiates apana vata in their sites, this causes visthabdha arjeerna.
In the vistabdha type of indigestion there are symptoms of colic flatulence and various types of vatika disorders, faeces and flatus are not passed (constipation) and stiffness, confusion and body ache also occur. All three doshas involved in vistabdha but main dosha is vata.

 

In the case of delayed absorption, rasasesa type indigestion, there is an aversion to food, pre cordial discomfort and heaviness all over the body.

 

Because of amajeerna the disorder visuchika ajeerna can arise, with vistabdha ajeerna the disorder alasaka can arise and with vidagdha arjeerna the disorder vilambika can arise.

 

Common  signs and symptoms.
Glani (feeling sick), gaurava, (heaviness of the body), vistabdha (feeling of rigidness of the body), brma (dizziness), maruta muda (erratic vata), vibanda or pravruti (constipation or loose motion). Murja, (fainting), pralapa, (talking nonsense), vamatu, (vomiting sensation), praseka, (unpleasant salivation), sadinan, (pain in the limbs), brma, (dizziness).

 


Chikitsa.

 

Ama pachana;

 

Triphala. Dadimastika, Talisadi, pippali choorna with ghee or honey.

 

Agni deepana; give

 

Hinguvastak choorna. Shunthi ghrita. Bhaskeralawana.
Langhana; liquid medication. Dashamoola arista. Dashamool peya. Talisadi, for bloating.

Vrunghana; ghrita.