Role of Ama And Nirama in the Pathogenesis and Management of Netra Roga: An Ayurvedic Perspective

Authors

  • Shlok D Patil
  • Santosh Pujari

DOI:

https://doi.org/10.63682/jns.v14i1.10228

Keywords:

Ama, Nirama Avastha, Sama Avastha, Netra Roga, Kriyakalpa, Agni, Ayurvedic Ophthalmology

Abstract

In Ayurveda, Ama is considered a fundamental pathological factor responsible for the initiation and progression of various diseases. It is formed due to impaired functioning of Agni, leading to vitiation of Doshas, disturbance of Dhatu-samya, and obstruction of Srotas. The understanding of disease based on the presence or absence of Ama is explained through the concepts of Sama and Nirama Avastha, which serve as essential diagnostic and therapeutic parameters. In the context of Netra Roga, ocular disorders may manifest either in Ama Avastha, characterized by inflammatory features such as pain, redness, edema, lacrimation, and irritation, or in Nirama Avastha, marked by subsidence of these symptoms and restoration of ocular comfort.


Kriyakalpa constitutes a unique group of localized therapeutic procedures described in Ayurveda for the management of eye diseases. Selection of appropriate Kriyakalpa is primarily based on the stage of the disease. Procedures such as Seka, Aschyotana, Bidalaka, and Pindi are preferred during Ama Avastha, whereas Anjana, Tarpana, and Putapaka are indicated in Nirama Avastha. Proper assessment of the disease stage and timely application of Ama-pachana and Dosha-shamana measures play a crucial role in achieving therapeutic success. This review emphasizes the clinical importance of differentiating Sama and Nirama states in Netra Roga and highlights the rational use of Kriyakalpa in achieving effective and safe ocular management

Downloads

Download data is not yet available.

References

Upadhyaya Y. Madhava Nidana of Madhava (Madhukosha). Chapter 25/1–5. Varanasi: Chaukhambha Prakashan; p. 508–510.

2. Sharma RK, Dash B. Charaka Samhita of Agnivesha (English translation). Varanasi: Chaukhambha Sanskrit Series Office; Reprint ed. 2017. Nidana Sthana, Chapter 1/5; p. 15–18.

3. Vidwans N. Netraroga Vidnyan. 2nd ed. Vol. 1. Pune: Vimal Vision Publications; 2015; p. 1–6, 45–52.

4. Shankar U. Textbook of Shalakya Tantra Illustrated. Vol. I: Netra Roga. 1st ed. Varanasi: Chaukhambha Visvabharathi; 2012; p. 3–12, 85–102.

5. Sharangdhara. Sharangdhara Samhita. In: Parashar RK, editor. Uttara Khanda, Netraprasadana Kalpana Vidhi Adhyaya 13, Verse 1. 4th ed. Nagpur: Baidyanath Ayurved Bhavan; 1994; p. 389–392.

6. Sushruta. Sushruta Samhita with Ayurveda Tattva-Sandipika Hindi commentary. Shastri AD, editor. Varanasi: Chaukhambha Sanskrit Sansthan; Reprint ed. 2013. Uttara Tantra 18/6–8; p. 94–96.

7. Sushruta. Sushruta Samhita with Ayurveda Tattva-Sandipika Hindi commentary. Shastri AD, editor. Varanasi: Chaukhambha Sanskrit Sansthan; Reprint ed. 2013. Uttara Tantra 18/33–37; p. 101–104.

8. Sushruta. Sushruta Samhita with Ayurveda Tattva-Sandipika Hindi commentary. Shastri AD, editor. Varanasi: Chaukhambha Sanskrit Sansthan; Reprint ed. 2013. Uttara Tantra 18/46; p. 106.

9. Sushruta. Sushruta Samhita with Ayurveda Tattva-Sandipika Hindi commentary. Shastri AD, editor. Varanasi: Chaukhambha Sanskrit Sansthan; Reprint ed. 2013. Uttara Tantra 18/47; p. 107.

10. Sushruta. Sushruta Samhita with Ayurveda Tattva-Sandipika Hindi commentary. Shastri AD, editor. Varanasi: Chaukhambha Sanskrit Sansthan; Reprint ed. 2013. Uttara Tantra 18/64–65; p. 112–114.

11. Sharangdhara. Sharangdhara Samhita. In: Parashar RK, editor. Uttara Khanda, Netraprasadana Kalpana Vidhi Adhyaya 13. 4th ed. Nagpur: Baidyanath Ayurved Bhavan; 1994; p. 389–395.

12. Sharangdhara. Sharangdhara Samhita. In: Parashar RK, editor. Uttara Khanda, Netraprasadana Kalpana Vidhi Adhyaya 13. 4th ed. Nagpur: Baidyanath Ayurved Bhavan; 1994; p. 396–400.

13. Bulusu S. Ashtanga Hridaya. Varanasi: Chaukhambha Orientalia; 2008. Sutra Sthana 13/25; p. 176.

14. Upadhyaya Y. Madhava Nidana with Madhukosha Sanskrit Commentary. Part I. Varanasi: Chaukhambha Prakashana; 2013. Chapter 25/1–5; p. 507–510.

15. Sharma PV. Charaka Samhita. Vol. II. Varanasi: Chaukhambha Orientalia; 2005. Chikitsa Sthana 15/44; p. 252–254.

16. Shankar U. Textbook of Shalakya Tantra Illustrated. Vol. I: Netra Roga. 1st ed. Varanasi: Chaukhambha Visvabharathi; 2012; p. 120–132.

17. Shankar U. Textbook of Shalakya Tantra Illustrated. Vol. I: Netra Roga. 1st ed. Varanasi: Chaukhambha Visvabharathi; 2012; p. 133–145.

18. Shankar U. Textbook of Shalakya Tantra Illustrated. Vol. I: Netra Roga. 1st ed. Varanasi: Chaukhambha Visvabharathi; 2012; p. 146–158.

19. Vidwans N. Netraroga Vidnyan. 2nd ed. Vol. 1. Pune: Vimal Vision Publications; 2015; p. 210–218.

Downloads

Published

2025-01-07

How to Cite

1.
D Patil S, Pujari S. Role of Ama And Nirama in the Pathogenesis and Management of Netra Roga: An Ayurvedic Perspective. J Neonatal Surg [Internet]. 2025 Jan. 7 [cited 2026 May 26];14(1):84-6. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10228