‘Snehana’ in Illness Induced Debility

Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S

Debility is among the most necessary problems of any long-standing illness. The illness goes away with therapy. The signs additionally get decreased. The affected person is completely satisfied that issues are again to regular. Then again, the doctor too is glad with what outcomes he did get in dealing with that given illness or illness. However most occasions, what’s unnoticed within the backdrop is the footprints of the illness. These could also be delicate and exit of discover from the perspective of a doctor. Then again, the affected person will take the reduction without any consideration if all troublesome signs of the illness have settled down and she or he is succesful sufficient to hit again to work and every day chores.

Snehana In acute situations

Bodily or mentally weak individuals would complain of tiredness and debility even after having recovered from the ailments. It takes a very long time for these individuals both to recuperate or to imagine that they’ve recovered fully. Debility may additionally be a mindset or an excuse for individuals who procrastinate or push issues an excessive amount of forward and need to spend extra hours or days in relaxation. From a doctor’s perspective, that is a simple affair to take care of, as a result of the individual ‘complains’.

Stronger people by physique and thoughts are the opposite class of individuals. Even 60% betterment in signs of the illness is sufficient for them to ‘get going’. These individuals, many occasions, wouldn’t full the therapy schedule fully. They won’t adhere to the dietetic and exercise restrictions. They hate resting and need to bounce again into the enterprise of life. In such situations, the physique won’t get enough time to reboot and rejuvenate. The continued pathological reversion won’t get help it must reshine. Then again, the residual morbidity will take alternative from the individual hitting again to regular life in a rush, when she or he tries to shortly bounce again into common meals and actions and push themselves too onerous.

In each circumstances, the pathogenesis can re-trigger and plenty of problems can happen, some noticeable and plenty of not, some spelt and plenty of ignored. The primary form of individual complains, the second ignores.

Debility: A degree of concern

Debility is one such level of concern which will likely be ongoing within the backdrop for a lot of days to months. Individuals get alerted when it bothers so much and meddles with every day exercise, not till then. Sturdy individuals attempt to handle the debility by consuming extra meals and infrequently extra relaxation, prompted by close to and expensive ones or perhaps by Google. However debility could also be greater than what it seems to be. It might be a silent indicator of one thing sinister coming in the way in which. It might be an indicator of sure tissues, organs or organ techniques slowly compromising. This can be a signal of a latent ongoing illness course of, slowly however steadily, ready for a chance to hit again.

Power Debility in persistent and recurring ailments

Debility of long-standing nature is harmful and ought to be addressed as quickly as attainable.

Beneath talked about are the factors of concern –

– If the illness is persistent

– Illness having recurring nature – a frequent customer

– Illnesses during which the therapy is ongoing

– Debility not getting addressed by consumption of excellent meals or illness particular medicines

– Affected person not taking the therapy correctly – dangerous follow-ups

– Affected person making an attempt to handle the debility with residence cures or over-the-counter medicines

– Illnesses having extreme lack of tissues

– Illnesses during which the immunity has been compromised

– Illnesses which haven’t acquired correct or full therapy

– Illnesses whereby the samprapti has not been damaged fully – i.e. has latent ongoing pathogenesis

– Affected person taking debility casually and never bringing it to the discover of the doctor – ‘This isn’t necessary, I’ll handle myself’ kind of individuals

– Illnesses involving the Marmas

– Illnesses whose Samprapti is powerful sufficient to interrupt by fully, particularly so in weak individuals having sturdy pathogenesis

– Doshas and malas not flushed out of the system

Snehana for combating ‘illness induced debility’

There are lots of Ayurveda interventions for combating debility. The trigger, pathogenesis, dosha or illness within the backdrop of debility wants a cautious scrutiny earlier than beginning the therapy for a similar.

On this article, we won’t focus on the therapy choices for combating debility. We are going to solely concentrate on the subject of dialogue and contact upon the significance of snehana in combating debility brought on resulting from persistent ailments (or acute ailments), particularly that brought on resulting from dhatu kshaya – depletion of tissues.

This clarification is in accordance with a reference from Ashtanga Hridaya.

Grasp Vagbhata emphasizes utilization of Sneha – medicated fat, for combating the debility or tissue loss occurring because of the affect of persistent ailments.

Reference – Ashtanga Hridaya Sutra Sthana – Chapter 16, verse 45

Understanding the reference and context

क्षीणानां त्वामयैरग्निदेहसन्धुक्षणक्षमान्॥४५॥

Right here, Acharya Vagbhata mentions the indication as ‘amaya ksheenanam’.

The phrase ‘ksheena’ means –

– Debility

– Depletion of tissues

– Debility brought on by depletion of tissues

To place it quick, Amaya ksheenanam – may be understood as

a. ‘these debilitated by ailments’ – right here, the therapy precept of administering snehana is for acute or persistent ailments or

b. ‘these affected by debility brought on by dhatu kshaya occurring in persistent ailments’ – right here, the therapy precept of administering snehana is restricted for persistent ailments solely

Objectives of administering sneha on this context

Administration of Sneha, for Amaya ksheena people is finished primarily with two functions –

– To extend the energy of the digestive fireplace i.e. to boost the digestion / metabolism capability of the intestine and consequently within the tissues

– To extend the energy of the physique of the affected person

Kinds of Sneha to be administered to fight debility brought on resulting from persistent ailments

The above talked about two primary objectives or functions of administering the Sneha in these debility situations itself will give us two varieties of Sneha which have to be used herein –

1. Agni Sandhukshana Kshaman – the medicated fat which have the capability to boost the agni and in flip the digestion capability of the person. This precept coincides with the precept – ‘all ailments, primarily these of stomach origin, are brought on resulting from sluggishness of digestive fireplace’. Enhancing agni – is the chief precept in combating many systemic problems and there may be nothing nearly as good as Sneha to try this, ‘the gasoline for fireplace’ precept.

2. Deha Sandhukshana Kshaman – the medicated fat which have the capability to boost the energy of the affected person. Each cell has a layer of fats round it. The principle high quality of fat is to supply oleation to all tissues and organs. Snehana is counted among the many therapies which offer energy and endurance.

How does Sneha work right here? – The precept of use of Sneha

Sneha, when administered in persistent debility brought on because of the ailments or depletion of tissues retaining into consideration each the above stated functions, will assist the physique to recuperate from the debility, primarily owing to the properties of Sneha – that are supportive for increase the physique tissues and enhancing the metabolism.

Firstly, the Sneha would kindle the weak agni. This may improve the capability of the digestive fireplace to digest the meals correctly. In flip, the correctly digested meals will get absorbed and distributed to the tissues. By suggestions mechanism, the agni which has been kindled by Sneha, may also enrich and kindle the dhatu agni. The kindled dhatu agni – tissue fires, will make use of the vitamin supplied to them and construct up the relative dhatus in a wholesome means. This may set up dhatu samya – equilibrium of tissues. Now, the physique would acquire energy, endurance and immunity.

When the agni of the individual is nice, however the individual nonetheless has debility, Sneha which might predominantly enrich the energy of the individual ought to be administered.

The largest plus level is that, many of the occasions, Sneha given for both goal will likely be bi-phasic and multidimensional. That is because of the formulations which might be brilliantly designed by our Acharyas.

What kind of Sneha ought to be given right here?

Although the main points about which kind of Sneha ought to be given to boost energy and digestive capability in individuals affected by post-disease debility has not been given, it may be inferred that Brimhana kind of Sneha may be most popular right here. The meant Sneha may be given blended with meals.

Nitya Sneha – This description by Acharya additionally appears to be like like ‘every day consumption of metered doses of sneha’ relatively than a ‘snehapana’ kind of formatting. Snehana may be given each day, in small portions.

Vicharana Sneha – Sneha may be given with nutritious meals which can add to the multidimensional motion of the Sneha.

In what dose Sneha ought to be given?

Normally, a dose which is the same as or lower than hrisiyasi matra ought to be given, following the opposite ideas and guidelines of snehapana. 10-15 grams / ml is good. The dose must be customised in accordance to prakriti, vikriti, age, tolerance / compatibility and so forth of the affected person, although it isn’t obligatory, since it isn’t snehapana.

When to cease Sneha?

The Sneha may be stopped as soon as the individual recovers from debility, fully. Opinion of the doctor does matter.

There isn’t any hurt in persevering with to make use of Sneha in small portions every day, for a very long time, particularly whether it is Ghrita – ghee, as a result of it’s a Nitya Rasayana – Rasayana which may be taken every day, all through the life.

Which Sneha type ought to be taken?

All Sneha kinds may be taken in line with prescription or suitability, as beneficial by the doctor – Ghee, bone marrow, muscle-fat and oil, singly or in permutations and combos.

Can plain – Achcha Sneha be used?

Completely sure!