HONEY IS A BOON FOR LIFE!!

Madhu(Honey) which is consuming all over the world from many more years and is one among the nitya sevaneeya dravya according to acharya charaka, Madhu is the best kapha-pitta shamana dravya by its kashaya, Ruksha, Sheeta and Vishada Guna.

Madhu is best anti-inflammatory, anti-oxidant and having best wound healing property. If it is taken in prescribed quantity then only it will be helpful, otherwise in excess quantity leads to indigestion of Honey i.e मध्वाम or मध्वाजीर्ण is serious condition and very difficult to treat because of its viruddhopakrama.

According to Ayurveda Madhu (Honey) is one among the daily consumable food i.e Nitya sevaneeya dravya.

षष्टिकाञ्छालिमुद्गांश्च सैन्धवामलके यवान् ।
आन्तरीक्षं पयः सर्पिर्जाङ्गलं मधु चाभ्यसेत् ॥
च. सू. ५/१२

Madhu(Honey) Best drug used to relive Kapha and Pitta dosha.

मधु श्लेष्मपित्तप्रशमनानां । च. सू. २५/૪०

There are approximately 320 varieties of honey which vary in colour and flavour. Honey is made by honeybees using nectar from flowering plants and is a natural sweetener and although consist mostly of sugar; it also contains amino acids, vitamins, and antioxidants. It is commonly used as a natural healing treatment for coughs, burns and wound healing.

It is also a natural anti-inflammatory, antioxidant and antibacterial agent.

During the production process of honey by honeybees, it can possibly become contaminated with bee pollen and pollen from other plants and trees. Therefore if a person is allergic to pollen they may have an allergic reaction to some types of honey, although it may be hard to pinpoint which brands of honey are contaminated. In many cases, it is actually the pollen that is the cause of the allergic reaction, rather than the honey itself. For people who have sensitivities to pollen, doctors advise they use extreme caution, not only when consuming honey, but any other bee products- all of which could possibly contain their allergen.

Other possible allergens in natural honey are: Buckwheat, Tulips, Sunflowers, Eucalyptus, Willow, Oak, Hackberry

Other plants in the area: Allergic to Honey, Honey as an allergen

The BIG question- can a person be allergic to honey?

Allergy to honey is rare and although the exact figures in the general population are as of yet unknown- it is estimated to be less than 0.001%. But a quick search online will generate hundreds of people who state they have a severe allergy to honey.

Honey is a natural anti inflammatory and antioxidant. However, it’s common pollen and other plant allergens to contaminate honey. Symptoms from a honey allergy may resemble common pollen allergy symptoms, such as:

*Runny nose
*Sneezing
*Swelling
*Watery eyes
*Itchy throat
*Rash
*Hives
*Bumps on the skin

Symptoms may vary depending on the severity of your allergy. Eating honey or skin coming into contact with honey can trigger an allergic reaction.

In more severe cases, symptoms may include:
*Headaches
*Wheezing
*Nausea
*Vomiting
*Diarrhea
*Fainting
*Irregular heartbeat
*Anaphylaxis

Precautions to be taken while using Honey

1. Do not eat honey in excess quantity due to its properties – heavy, rough, astringent and cold. If taken in excessive quantity, produced a condition called Madhvama (a situation called indigestion of honey in Ayurveda) no other kind of indigestion is more difficult to treat than that caused by honey because of the need of opposite kinds of
   treatment. Hence it is very severe and kills
   immediately like poison.[44]
2. Honey should not be heated, or mixed with hot foods. Also should not be consumed when you are working in hot environment where you are
   exposed to more heat or during hot seasons.
   Honey includes nectar of various flowers of which some may be poisonous. Poison has hot or Ushna qualities. When honey is mixed with hot and spicy foods the poisonous properties get enhanced and cause imbalance of Doshas.
3. Do not drink hot water after eating honey.
   Because of softness, coldness and being produced by the juice of many plants, honey is incompatible with hot things.
4. Honey and water, honey and ghee, mixed in equal quantities should not be consumed.[46] as it has been proved that heating of honey reduces the specific gravity with a subsequent rise in its ash value, pH, HMF (hydroxymethyl furfuraldehyde), browning, phenolics, and antioxidant activity. The mixing of honey with ghee brings about enhancement in browning, antioxidants and specific gravity without altering the food consumption and organ weight of the rats. The study revealed that heated honey (>1400C) mixed with ghee produces HMF which may produce deleterious effects and act as a poison in due course.
5. Honey should never be mixed with rain water.[45]
6. Honey should not be consumed with lotus seed.
7. Avoid giving honey to infants under 12 months to avoid the risk of Botulism (a type of food poisoning). Honey sometimes contains dormant endospores of the bacterium Clostridium botulinum, which can be dangerous to infants, as the endospores can transform into toxin
8. Producing bacteria in the infant’s immature intestinal tract, leading to illness and even death.

Case Report :
A 26yr old female patient came to our clinic with complaining of severe diarrhea with abdominal cramps after consuming half tea spoon of honey(freshly extracted) with Sitopaladi choorna and she had history of allergic to honey previously 2 times when she consumed plain honey(1 tea spoon) she got same symptoms of diarrhea with cramps which continues gastric upset for 15 days to months.

Ayurveda and Goodness of Ghee

AYURVEDA AND GOODNESS OF GHEE

1. Prof. Madhaw Singh Baghel

      2. Prof. Shrikrishna Khandel

       3. Dr. Shivganga. M

As per Ayurveda ‘Sneha’ the unctuousness is basic factor in formation of the body even the cell walls. For proper functioning Sneha is required. The ghee is best natural and homogenous sneha suitable to body because the humans are feed on milk from their birth.

“Sneha Is The Seat Of Life”

यच्छरीररसस्नेहः प्राणा यत्र प्रतिष्ठिताः|| ch. Su. 30/11

Ayurveda places ghee, or clarified butter, at the top of the oily foods list, as it has the healing benefits of butter without the impurities (saturated fat, milk solids).

Ultimate remedy for problems stemming from the Pitta  Dosha, Such as Inflammation.

In Ayurveda, ghee is also believed to enhance Ojas, or “Life Energy.”

“For centuries, ghee has been considered a rasayana, which means a healing food that balances both body and mind,”

Vata is ultimate energy to run the activity of body when in normal state and ghee is a regulating factor for the Vata and Ultimately the life force.

Ghee also contains known vitamin E and beta carotene, which are known antioxidants, which enhances beauty

Ghee can be served to the people of all age groups for their nourishment. It is a good carrier of fat-soluble vitamins (A, D, E and K) along with essential fatty acids(linolenic and arachidonic acid) which are responsible for wellbeing. The only concern of ghee is of its cholesterol level (0.2–0.4%) which makes appreciable contribution to cholesterol intake when consumed at high level.

Importance of ghee :

Modern science now verified, what Ayurvedic health science has said since thousands years ago: Ghee is a health booster, offers cooking benefits and is good for the mind and spirit. Here are a few benefits. Ghee is considered as ideal medium for deep frying because it possess high smoke point (250 °C) which is well above the normal cooking temperatures (180-200°C) and also higher than most of the vegetable oils (Bader, 2010; Deosarkar et al, 2016). Ghee does not require refrigeration conditions to store, therefore not spoil easily. It is not likely to affect people with a dairy or casein intolerance. Ghee is made from butter but the milk solids and impurities have been removed, so most people who are lactose or casein intolerant have no issue with ghee. It is rich in the oil soluble vitamins A and E (Achaya, 1997) and also rich in vitamin K2 and CLA (Conjugated Linoleic Acid); an antioxidant with anti-viral and anti-cancer properties, if sourced from grass fed cows (Dhiman et al, 1999, 2000). Ghee is nutritionally superior to other oils/fats because of its medium chain fatty acids (MCFAs) content, which are absorbed directly by the liver and burned to provide energy. Therefore, for athletes it can be of consistent energy source. Also, the energy from medium chain fatty acids can be used to burn other fats in the system and to lose weight (St-Onge & Jones, 2008: Nokasa et al, 2009), therefore the anti-obesity properties of these MCFAs are well recognized. Beneficial intestinal bacteria convert fiber into butyric acid and then use that for energy and intestinal wall support (Maurice Bugaut, 1987). A healthy body therefore makes its own form of ‘ghee’ but we are aiding that greatly by consuming of it. It is proved that people with unhealthy digestive tracts do not produce butyric acid.

In Ayurveda, ghee is placed under most satvic foods, and is considered to promote positivity, growth and expansion of consciousness. The positive subtle effects of ghee is said to come from the fact that it comes freely from cows. Cows are domestic animal in most parts of the world, but these are considered special and holy in Hindu cultures of India. Therefore, the milk from cows contains the essence of all those energies, and ghee is the essence of the milk. Ghee is used as a suitable carrier for many herbs and spices with different medicinal properties, which are to be absorbed and transported to targeted areas of the body. This is why, Ayurveda uses ghee in thousands of different herbal preparations for curing various ailments.

Benefits of Ghee:

*Ghee improve vision

*Ghee is good for skin and hair growth

*Best Pitta pacifying medicine

*Improve appetite and digestion

*Lubrication of joints

*Boost Immunity

*Good for Mental Health

*Increase physical stamina

*Best wound healing

IMPORTANT NOTE :

*Ghee which is prepared from desi cow milk in the traditional way is recommended.

*Physical exercises are recommended while consuming ghee in regular basis.

1. Prof. Madhaw Singh Baghel

(MD.(Ayu) PhD

Director – ArogyaLaxmi

Ex.Professor-Kaya Chikitsa,

Ex Director- IPGT & RA, Jamnagar Gujrat

Ex VC- GujratAyurved University, Jamnagar, Ex Chair Person (Ayurved)- Debrecen University, Hungry

2. Prof. Shri Krishna Khandel

M.D (Ayu), Ph.D

Director – ArogyaLaxmi

Ex Prof – Rog Nidan (NIA)

Visiting Consultant- Germany & USA

Fellow- World Health Organisation

3. Dr. Shivganga .M

P.G Scholor Rog Nidan (NIA)

Shat Kriyakala

                      Shat Kriyakala

Six progressive stages of disease for treatment interventions

The diagnosis and therapeutics in Ayurveda are based on clinical observation and assessment. Diagnosis at an early stage of disease, when abnormalities in body – mind functions are vague and non-specific is emphasized. In current times, diseases are diagnosed, when pathological, biochemical manifestations are surfaced,. However, at this stage, many times it is difficult to reverse the pathogenesis and restore health. Clinical diagnosis at an early stage can provide great input to manage a disease and prevent it from being untreatable.

More than 30 centuries ago, Sushruta – the father of Surgery in his compendium Sushruta Samhita has given the concept of Shatkriyakala (six stages of disease evolution). In this treatise after careful study of inflammatory process in open wounds (Vrana), conceptualized the natural history of disease evolution. The concept of Kriyakala (treatment strategy) describes the mode and stages of the development of disease.

There are six distinct formative patterns or stages of manifestation of diseases. A good understanding of each stage is very essential which has its own characteristic symptom to enable the treating physician to recognize the disturbance at early formative stage of disease for early diagnosis, prognosis and for adopting preventive and curative measures.  Ayurveda advocates that if the deranged Doshas are checked or subdued in their primitive evolutionary phase (Chayavastha) may not be able to proceed with subsequent evolving changes (Su.Su. 21/37). However if left unresolved, they may gain the strength and intensity in course of their further developments.

A good knowledge of the concept of kriyakala (treatment strategy) is stated to be very necessary for the recognition of the disease process at very early inceptive stage, viz- the stage of commutation of effects – the accumulation (chayavastha) to arrest further developments.

The term Shatkriyakala is derived from three words as follows:

• Shat – Six
• Kriya– Action – for management (Treatment strategy)
• Kala– Time or stages of Disease manifestation

The six identified stages are as below:

There are 3 natural dimensions of disease evolution, they are to be understood before going into the clinical manifestation

1. Environmental influence on humans in form of seasonal effects

2. Diurnal/nocturnal influence is consequence of transient fluctuations of Dosha (circadian rhythm)

3. Physiologic variations of the body and at the level of defense mechanism

Natural Cumulative factors for Dosha fluctuations:

There are three basic physiological factor which run the body in physiological status and responsible for pathological manifestations. Tridosha (three bio-energies) are independent and responsible for all the physiological functioning of the body. The natural cumulative process of intrinsic factors like Tridosha are having a natural remission too, therefore they do not participate in evolutionary process of diseases condition. In Ayurveda effect of biological clock /circadian rhythm is described well and the formation of various ingredients of body physiology are influenced by following factors:

s.cy. c p/kop. c p/sr. S4ans.&ym\|

VyiKt wed. c yo vei% do8a`a. s wved\ iw8g\||su&ut sU5 21/36

The concept of kriyakala describes the mode and stages of the development of diseases. A good understanding of these are very essential for early diagnosis, prognosis and for adopting preventive and curative measures.

Charak and Vagbhata both from the medical school of Atreya described only three stages of natural processes of Tridosha pathophysiology.

1. Chaya (Accumulation stage) –  three Doshas (bio-energies) increase at their own seats from their individual threshold, may be due to circadian rhythm or seasonal variations or pre pathological condition.
2. Prakopa – pathological or prepathological further accumulation where bio-energies are ready to flow out of their natural abode/seat. According to Charaka this state may be responsible for all pathological states if remission is not achieved.

3(a). Prasama (Remission)  – at this stage the excessive accumulation of bio-energies are controlled by natural procedures or by dietetic modifications hence no further pathologies are produced.

• This happens physiologically in all bio energies (Tridosha), return to their natural threshold and abodes due to the compliance of good life style, seasonal regimen etc.
• In case if some a person gets involved in use of hot and spicy things (unsuitable food), excessive exercise then Dosha may transgress from original seat/abode (Koshtha) to peripheral tissues (Shakha) (C.Su. 28/31), and may proceed to further stage of evolution of disease which is called as stage of Prasara (Transmission/Spread).
• Thus, ifremission (Prasama) fails then it turns in to spread(Prasara) of Tridosha from their limiting threshold into healthy tissues through Srotas (micro channels)

3(b). Prasara – in this stage the bio-energies when cross their threshold limits at their abode tend to flow out in the peripheral microchannels.At this stage Vata gets rhythmic acceleration causing transmission of morbid (Doshik) materials in Channels.(C.Su. 28/31) 

4. Sthan Samshraya –This stage of development of disease is known as localization due to the local deficiency/damage by many reasons defined in text to the tissue (Khavaigunya). 

5. Vyakti – The stage of manifestation disease 

6.Bheda–The stage of differentiation/ Complication/ termination / rehabilitation of symptomatology

Pathological stages of a disease:

1. Stage of accumulation (sanchaya): 

This is the inceptive phase of a disease, when doshaaccumulate and stagnate within their natural site of predominance. Vague and non-specific features are diagnosable with minute observations.

Identifying features:

• Dullness or fullness of abdomen due to sluggish digestion is observed due to accumulation of vata dosha
• Dullness of color and complexion due to accumulation of pitta dosha
• Lower energy and subnormal temperature due to accumulation of kapha dosha
• An aversion of similar qualities of Dosha and attraction towards opposites

Principle of management in this stage: 

Avoid “similar” diet and lifestyle,    Using “opposites” diet and lifestyle

For example:

Fatigue, distended abdomen, loss of appetite occurs at the very early stage of most of viral fevers even during incubation period of infections. The patients and physicians both often ignore early features.  Hence first opportunity

of the treatment is lost. The disease progression can be prevented or the less symptom disease will occurIf this stage is observed and proper interventions done.

2.Stage of vitiation (prakopa):

• Previously accumulated and stagnated dosha within their own site are further aggravated and get ready to spread all over the body with following symptoms:

1. Variable pains – by vitiated Vata
2. Burning & sucking sensation – by vitiated Pitta

iii. Retention of fluids – by vitiated Kapha 

ManagementSuggested– is pacification of aggravated dosha, by use of dissimilar things or act.

This is the second opportunity of management if diagnosed at this level.  These signs may appear due the micro inflammatory process in the tissues, which forms the backbone for the disease process. 

3.Stage of spread or Prasara –At this stage there are two possibilities:

In this stage Dosha may return back to normalcy and at their normal sites, and stop further progression, if they are vitiated in first two stages. Doshas return to normalcy may be either Natural (Swabhavik) or due to the employment of appropriate therapeutic measures. Thus, leading to the absence of Vikaras or disturbances (A.Hr.Su. 12/24).

(a) Remission (prashama)

• The doshamay return back to normalcy and to their normal sites, and stop further progression, if they are vitiated in first two dimensions.

 Supportive factors for remission: 

• Wholesome& beneficial food (hita ahara)
• Daily & seasonal regimen of lifestyle (hita vihara)
• Sensible suitable use of senses (satmya indriyartha)
• Intact intelligence, patience & memory (pragya)
• The empowered state of body mind and digestion (Deha bala, chetas bala & agni bala)
• Followings expert’s advice (aptopsevi)
• Charity & Truthfulness (data & satyaparata) etc.

 (b) Spread or prasara :

• If above said precautions are neglected, following factors lead to spread of vitiated dosha through the blood circulation.

1. Spicy, excessive & incompatible diet
2. Strength of body, mind and digestive capacity is less

iii. Misused senses, and intelligence

1. Disease agents (nidana) not avoided

• In case of above said advises are neglected and following factors are used then the Doshas may move out of their abode to the circulation 

1. Spicy, excessive & incompatible diet
2. Body, mind and weak digestive power

• Misused sensorias, and Intelligence

1. Disease producing agents ( Nidana) are not avoided

• Remission /spread of Dosha to flow out into circulation and spread over the body
• Thus, this third stage of disease manifestation (3rd kriyakala) is a turning point for next phase of disease evolution.
• Rakta or Blood is the vehicle to carry or spread over Dosha into the whole body from their normal sites. At this stage, stimulated Dosha, circulating in blood, enter into the tissues/organs/ systems of the body (Dhatu).
• The pathway of disseminated Dosha is Srotasor micro channels

Features: The features in srotas or micro channels are manifested as: 

1. Painful distension of abdomen accompanied by rumbling noise & shifting pains – By Vata
2. Hot flashes, regurgitations and sucking sensations – By Pitta

iii. Nausea and excess salivation – By Kapha 

Treatment and precautions in this stage:

1. Avoid antagonistic Diet (viruddhahar)
2. Avoid suppression of natural urges (vegavarodha)

iii. Avoid exhaustive activities, stress, sex

1. Avoid adulterants and intoxicants
2. Practice daily and seasonal purification

4. Localization stage at other site (stansamshraya ) 

• This is a Prodromal stage and symptoms of disease start to appear but these may be specific or non-specific,
• Provoked and circulating Dosha may getlocalized in specific micro channels/organs/tissues (Dosha-dushya sammurcchana).
• These Doshas interact with defense mechanism of body- Dhatu
• During invasive interactions of morbid factors, further features of disease may start to appear
• Doshaas morbid disease producing factors
• Dhatuas vital defense organisms of body interact at transporting and transforming micro channels.
• By the time of this stage now diseases are localized and can be named like – Diarrhea and skin disorders (atisara &kushtha)
• Khavaigunya– Structural and functional impairments cause loss of patency in these channels is termed as Khavaigunya Which is caused by: 

1. Specific causes of vitiation of all 13 micro channels
2. Genetic predisposition

• Personalized body constitution

1. Personalized Mental constitution
2. Organ damaging factors previous diseases occurred at same sights but not cured properly
3. 4 groups of defects of channels

Treatment at this stage:

1. Practice for avoidance of impairing factors listed iv. Specifically for the 13 major involved channels
2. Rejuvenation and protection of the vital organs

5. Manifestation – or Vyakti stage

The stage of full manifested disease as a result of invasive interaction of morbid factors into defensive healthy tissues (Dosha-dushya sammurcchana)with  its characteristic symptomatology. At this stage the disease can be named properly.

This stage is comprised of:

• Weakened Digestion – Agni
• Vitiated morbid factors – Dosha
• Impaired micro channels – Srotas
• Debilitating defense mechanism – Dhatu
• Resulting pathologies in organs – Avayava

Treatment suggested at this stage

• Restoration of normalcy or – Vikriti vighata

1. Improve Digestion
2. Restore Dosha

• Repair the micro channels and organs

1. Refresh the blood
2. Rehabilitation of body tissues
3. Non recurrence of disease

6. Complication – or Bheda –

The stage of differentiation/ termination/  rehabilitation of symptomatology. In this stage disease become sub acute, chronic or incurable. When disease further progresses, it may produce complications becoming incurable or severe complications leading to death or may cause Temporary/ Permanent disability. Otherwise in self-limiting disorders disease may cured itself by body and rehabilitation will be required. This is the last opportunity of the management where all the possible management are to be applied. 

• In this last phase of disease might be restored without disability.
• The importance of recognizing this stage is important for prognosis
• Recognition of this stage is also important to know the predisposition for further new disease (Nidanarthkaratva)

Suggested as Rehabilitative therapies orPrakriti Sthapan

1. Prevent / limit the complications
2. Prevent genetic transmissions to off springs

iii. Rehabilitation of disabilities

iv.Rejuvenation for non occurrence/recurrence of the diseases

• In this last stage, disease may lead to temporary/ permanent disability.
• It may advance to incurability/ complications / death on account of neglect of treatment suggested in earlier stages.
• With strong therapeutic interventions, the health might be restored without disability.

 Six Stages of Disease Evolution and Management opportunities

Sushruta  Sutra Sthana. 21/36 Conceived By Prof C Dwarikanath in 1958 Revised by Prof Shrikrishna Khandel 2015- 20

You Can also watch the video on YouTube link: https://youtu.be/1YwXtov9kzI

Kha-Vaigunya

PREVENTION OF DISEASE OCCURRENCE AND RECURRENCE

Ayurvedic practitioners are trained to identify changes in micro tissues, which predispose to disease and this phenomenon is called Kha vaigunya. These changes are not sufficient to produce the disease, however they form the essential base for possible diseases in near future.  They may be at genetic level, micro cellular level, chronic inflammation in the tissues, defects due to previous treatment or untreated toxins in the tissues.  Kha vaigunya is an important milestone in the six stage pathogenesis of disease progression (shat-kriya kala). The vitiated dosha are localized at the defective body system leading to formation of disease.

Occurrence and recurrence are two terms used in medical systems to understand basic pathogenesis of disease. Occurrence is the first occasion when a disease manifests due to first event of disequilibrium of tissues. Whereas, recurrence is repeated occurrence of disease due to many factors including lack of proper treatment or elimination of disease. However, the patient is common sufferer in both processes. The events can be viewed as ‘defective body system’.

Causes for occurrence and recurrence of diseases

Disease occurrence is a multi-factorial phenomenon. A number of causes play role in it. Disease producing causes (DPC) (utpadak hetu) differ from Disease manifesting causes (DMC) (vyanjak hetu).  Kha vaigunya (defective channels of transport and transformation) is one of most important disease producing cause (DPC) and is prerequisite for all diseases. ‘Kha’ literally means ‘empty or vacant space’. In view of Ayurveda physiology and pathology, it refers to the body channels of transport and transformation. Vaigunya means defect or deformity. It can also be viewed as a factor responsible for opportunistic process of disease.

Disease Producing Causes

DPC’s are remote and nonspecific or common causes for various diseases. These can be understood by following points:

• May not be detected on laboratory investigations.
• Act as silent factors destabilizing the physiologies
• They are latent, dormant, feeble in nature, but by the time they get support of trigger factors or DMC’s become cause of sudden onset of diseases
• Often unnoticed by patients and doctors both

Managing only the disease specific causes, observed on laboratory evidence,  immediate andmanifesting causes is not a wise step. It indicates inefficient use of medical knowledge.

Physiology of fluid circulation

In order to understand, the deformity in body channels, one shall first understand the normal basic physiology according to Ayurveda.

Good composition of srotas or micro channels is important for circulation of body constituents.  Akasha or space, one of the mahabhutaamong 5 primordial components of nature, is important constituent of micro channels. It allows all body constituents to flow without obstruction (apratighata). It provides space required for all activities of cells, tissues and organs, with effortless ease and zero resistance. This process is continuous in living being with least or zero consumption of energy in transportation of bio fluids.

Space is also basic requirement for uninterrupted movements of bio fluids, and functions such as:

• Sravana: Permeation, infiltration of duly formed dhatus or tissues
• Ayana: Transport of transforming nutrients (Rasa) – enforced by vyana vata
• Mokshana: elimination of non-convertible byproducts of transformation called Excreta – the mala

Srotas or Micro channels

Thus, in view of above functions, the ‘kha’ or ‘srotas’ can be understood as:

• Receivers of the matter from surrounding environment in the form of food, drinks and breath.
• Transformers of this mega energy into 7 dhatu or tissues
• The nature travels and transcends in the form of bio fluids in srotasafter metabolic transformation of food- drinks and breath. It is converted into physical and mental energy first, and then in knowledge and finally in bliss.
• Dispensers of life or vitality to trillions of cells simultaneously and consistently for life time
• Eliminators of the metabolic wastes mainly in the form of urine, stool and sweat

Scope of Khavaigunya :

Therefore, the defects in the body channels can be observed asloss of aforesaid physiological performance due to loss of patency of micro channels. It is prerequisite for functional deformities.

However, it is different from vitiation of body channels (srotodushti), which is an outcome of admixture of dosha and dushya. This process of vitiation takes place at the site where Khavaigunyaalready exists.

Khavaigunya is a silent process with general cause for abnormalities in vasculature. It is a gradually progressing chronic phenomenon. The interrupted circulation of fluids causes physiological arrest of metabolism and elimination of metabolic wastes.

Common causes of occurrence and recurrence by Khavaigunya:

• Genetic :hereditary factors observed in parents and families (Cha Chi 6/32)
• Dietetic : Ignoring the rules for conscious eating (Ch.1/2/3)
• Malformation of tissues (Ch Su 28)
• The debility and remnant toxicity caused by past diseases (Ch Ch 30)
• Mental emotional and Physical over exertion/ trauma (Ch Ch 1(2)/4)
• Less physical exercises
• Suppression of natural urges
• Immune compromised diseases
• Repeated recurrences
• Non adaptations and allergens (Dushi visha)
• Micro channels are vulnerable with remnant morbidities
• Air/ water / sound/ smell/ pollen born pollutions
• Grains/ pulses/ vegetables and fruits allergens
• Wrong treatments
• Radio activities/ chemical/ pesticides

Specific causes of occurrence of diseases:

All morbidity arises due to hastily taken urbanized food such as:

• Eating sour, saline, pungent, alkaline, dried foods vegetables, meat.
• Sesame, sesame paste and preparation of (rice) flour.
• Germinated or fresh, leguminous cereals.
• Incompatible, unsuitable, rough, alkaline & channel blocking substances.
• Decomposed, heavy, putrefied, and stale food items.
• Indulging in irregular diet or eating while the previous food is undigested.
• Not required day sleep.
• Excessive indulgence in sexual intercourse and alcohol.
• Performing irregular and excessive physical exercise.
• Affected with fear, anger, grief, greed, confusion and exhaustion.

Tripods of disease prevention and occurrence:

The process of occurrence of disease and factors for its prevention can be understood as below:

• The red triangle denotes the pyramid of diseases caused by etiological factors,which produce morbidity in bio fluids and damage the defense mechanisms of tissues and channels. They are called Nidana,Dosha & Dushya
• The blue triangle represents homeostatic maintenance by ingested foods, digestion and elimination of the wastes which are nonconvertible into energy. This process is maintained by Prana, Samana & Apana type of vata dosha respectively.
• In balance state of all these three defensive physiological elements are capable of turning the pathological process upside down.
• The digestion and metabolism (13 types of agni) help and promotes the defense mechanism.
• Weaker agni produces metabolic toxins (aam)which causes disease.
• Occurrence & non occurrence depends upon these two tripods.

Management of disease occurrence and recurrence

Guidelines to restrict khavaigunya: 

• Withdrawal from above said causes (nidana parivarjan)
• Timely detoxification of body and mind (ritukalina shodhana)
• Release of natural urges is basic purification method on daily basis
• Good practices/ good company repair the epigenetic mechanism
• Strict observation of dietary guidelines and conscious eating
• Good emotions, mental balance, cheerful, enthusiastic living
• Good daily regimen/ good sleep/ physical activities
• Rejuvenation therapies (rasayana)
• Aphrodisiacs (vajikarana) as and when needed

Factors responsible for prevention of occurrence of diseases:

These factors may also be seen as natural immunity or strong defense mechanism.

• Birth in a geographical region where people are naturally strong
• Birth in a race of strong people
• Birth at a time when people naturally gain strength
• Favorable disposition of time
• Excellence of beeja(sperm / ovum) kshetra (uterus) qualities
• Excellence of ingested food
• Excellence of physique
• Excellence of satmya (adaptability to various factors responsible for the maintenance of the body)
• Excellence of mind qualities
• Natural tendency
• Youth
• Exercise daily
• Cheerful nature

Requirement for 100 years of healthy life:

At last, the essential factors for longevity and health can be summarized. Uninterrupted continuous movement of all bio- psycho- emotional- spiritual energies produced by food –drinks- breath -sensorium & thoughts within the designated channels and sites and for designated functioning is mandate for health (veetaroga iti niroga) (Cha. Chi. 28/4)

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YouTube Video on Kha-Vaigunya: https://youtu.be/dOQDYuM0pew

Prof. Vaidya Shrikrishna Khandel

* MD Ay. PhD, FRAV, WHO Fellow in Mental Health

Consultant – Arogya Laxmi Health Care

Former Professor – Rognidan, NIA, Jaipur

Jaipur-302017

Prof. Vaidya Madhaw Singh Baghel

**MD Ay. PhD,

Consultant- Arogya Laxmi Health Care

Former Director  – IPGT & RA, Jamnagar

I/C Vice chancellor – Gujrat Ayurved University, Jamnagar

Chair Ayurveda- Deberecen University, Hungary

Jaipur-302017