Role of Ama And Nirama in the Pathogenesis and Management of Netra Roga: An Ayurvedic Perspective
DOI:
https://doi.org/10.63682/jns.v14i1.10228Keywords:
Ama, Nirama Avastha, Sama Avastha, Netra Roga, Kriyakalpa, Agni, Ayurvedic OphthalmologyAbstract
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
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