Dr. Gurpreet Kaur Gill, Dr. Chhaju Ram Yadav, Dr. Sarika Yadav
Vol. 8, Jul-Dec 2019
Abstract:
In the present era of modernization, a change of life style of human being has created several disharmonies in his biological system. Altered dietary habits (viruddha annapāna, adhyaśana) lead to hyposecretion of digestive juices and diminished gastrointestinal motility which precipitates as āma dośa. āma is manifested due to the derangement of jaṭharāgni. Due to āma dośa, the śārīrika doṣa deviate from its normal proportions and furthermore disturbs dhātu-sāmyatā. āma is responsible for various diseases. It gets lodged into raktavaha strotasa and causes avarodha of the involved strotasa where doṣa-dūṣya sammūrcchanā occurs. When these vitiated doṣa-dūṣya gets sṭhānasaṁśraya in tvak then they manifested as tvak vikāra. According to modern science, the gastrointestinal and cutaneous systems are closely linked in origin. Dermatological findings are commonly associated with underlying gastrointestinal diseases. It can be understood on the basis of Skin-gut axis. Both skin and gut inhabit a vast community of bacteria and their metabolite, known as skin and gut microbiome which work in harmony. Any disturbance in the gut microbiome (in case of āma dośa) interrupts its harmony with skin microbiome, thus altering homoeostasis (dhātu-sāmyatā). This leads to many gastrointestinal and dermatological manifestations.