E-ISSN:2456-3110

Review Article

Samsarjana Krama

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 2 February
Publisherwww.maharshicharaka.in

Review on Samsarjana Krama in Diseases

Nayaka HV D.1*, Kanthi M.2, Rao N.3
DOI:

1* Deeksha Nayaka HV, First Year Post Graduate Scholar, Department of Panchakarma, Sri Dharmasthala Manjunatheshwar College of Ayurveda, Udupi, Karnataka, India.

2 Manjunath Kanthi, Assistant Professor, Department of Panchakarma, Sri Dharmasthala Manjunatheshwar College of Ayurveda, Udupi, Karnataka, India.

3 Niranjan Rao, HOD, Department of Panchakarma, Sri Dharmasthala Manjunatheshwar College of Ayurveda, Udupi, Karnataka, India.

Shodhana treatment is a specialized Ayurvedic therapy that involves the internal purification of the body through five specially designed procedures. One of characteristic of Panchakarma is that it can provide both prevention and cure for various disease. Shodhana treatment includes, Vamana, Virechana, Nasya, Basti and Rakstamokshana. As the Shodhana includes Trividha Karma - Poorva Karma, Pradhana Karma, Paschat Karma. Eventhough, Pradhana Karma is having more important, equal importance should be given to both Poorva and Paschat Karma. Samsarjana Karma is one among the Paschat Karma. After every Shodhana procedure there will be Agnimandhyata, to restore the Agni Bala one should follow Samsarjana Krama. The duration of Samsarjana Krama depends on the level of Shuddhi achieved. The Samsarjana Krama includes Peyadi -Rasadi-Tarpanadi Samsarjana Krama. And some of the disease like Prameha, Sthoulya, Amlapitta, Grahani, Swasa are explained. According to Desha, Kala, Vyadhi and Aahara Krama, Samsarjana Krama can be modified without alternating the principles of Samsarjana Krama.

Keywords: Shodhana, Samsarjana Krama, Paschat Karma, Agnimandhyata

Corresponding Author How to Cite this Article To Browse
Deeksha Nayaka HV, First Year Post Graduate Scholar, Department of Panchakarma, Sri Dharmasthala Manjunatheshwar College of Ayurveda, Udupi, Karnataka, India.
Email: 		Deeksha Nayaka HV, Manjunath Kanthi, Niranjan Rao, Review on Samsarjana Krama in Diseases. J Ayu Int Med Sci. 2023;8(2):141-145.
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https://jaims.in/jaims/article/view/2211

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-12-31 2023-01-02 2023-01-09 2023-01-16 2023-01-22
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 16%

© 2023by Deeksha Nayaka HV, Manjunath Kanthi, Niranjan Raoand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2023;8(2)141
Nayaka D et al: Review on Samsarjana Krama in Diseases

Introduction

Shodhana and Shamana are the treatment modalities of Ayurveda for prevention and treatment of disease.[1] The Shodhana therapy plays an important role in preventing and cure of disease.[2]

Shodhana includes, Trividha Karma - Poorva Karma , Pradhana Karma, Paschat Karma.

Poorva Karma includes, Deepana, Pachana, Snehana, Swedana.[3] Pradhana Karma includes Vamana, Virechana, Basti, Nasya, Raktamokshana.[4] Paschat Karma includes, Samsarjana Karma and Parihara Vishaya.

Samsarjana Krama is mainly indicated after Vamana and Virechana Karma. Vamana and Virechana are the major Samshodhana Karma.[5] After the Samshodhana Karma Agni becomes Mandata.[6] To enhance the Agni and to restore the normal Prakruti of patient, particular Ahara Krama should be followed. The Ahara Krama includes Peya, Vilepi, Yusha and Mamsa Rasa.[7] Duration of Samsarjana Krama depends on the type of Shuddhi. But the sequence of diet are same for all type of Shuddhi except in conditions of little elimination in Kapha and Pitta, those who take Madhya and patient of Vata Pitta Prakruti these patients should be given Tarpanadi Krama instead Peyadi Krama in Samsarjana Krama.[8]

Various kinds of Samsarjana Krama

1. Peyadi Samsarjana Krama[9]

2. Tarpanadi Samsarjana Krama[10]

3. Rasa Samsarjana Krama[11]

Preparation of Ahara Kalpana for Peyadi Samsarjana Karma

Peya (thin gruel): the proportion of Tandula (rice) and water is 1:14.[12] Peya should be cooked properly. According to Acharya Sushruta, Peya should consists more watery part and less solid portion.[13]

Properties of Peya: Sweda Janana (produce perspiration), Agni Deepana (enhances digestive capacity), Laghu (easy to digest), Basti Shodhani (cleanses the bladder), Kshuth-Hari (reduces hunger), Trut-Hari (reduces thirst), Shramahari (reduces tiredness), Glanihari (reduces fatigue), Vatanulomana (normalizes movement of Vata).[14]

Vilepi (thick gruel): the proportion of tandula (rice) and water is 1:4.[15] The rice should be boiled till it becomes soft and it consists more solid portion than Peya.

Properties of Vilepi: Tarpani (satiating), Brumhani (nourishes), Hrudya (good for heart), Madhura Vipaka (Vipaka-conversion of food into a state of assimilation), Pitta Nashini (normalizes Pitta).[16]

Yusha: according to Kaiyadeva Nighantu, the proportion of Shimbhi Dhanya (pulses-Mudga, Aadaki, Masura, Kalya, Rajamasha, Kulattha, Nishpava, Masha, Uma etc.) and water is 1:18 is mentioned in Krutanna Varga.[17]

According to Sharangdhara 1 Pala of Kalka Dravya is mixed with half Karsha of Shunti, Pippali and boiled with 1 Prastha of water.[18]

Properties of Yusha: Rochana (improves taste), Deepana (improves digestion), Vrushya (aphrodisiac), Swarya (improves quality of speech), Varnya (improves complexion), Balya (improves strength), Agni Vardhaka (improves digestion capacity), Prasweda Janana (induces sweat), Tushti (feeling of contentment), Pusti (nourishes).[19]

By giving different Samskaras to Yusha we can normalise the Tridoshas. i.e.

With Ushna and Sneha Guna normalises Vata Dosha.

With Sneha and Kashaya Guna normalises Pitta Dosha,

With Katu and Ushna Guna normalises Kapha Dosha.[20]

Types of Yusha

Chakrapani mentioned the reference of types of Yushas

1. Kruta Yusha: Yusha prepared by adding Sneha, Lavana and Katu Dravyas.

2. Akruta Yusha: Yusha prepared without adding any Sneha, Lavana & Katu Dravyas.[21]

Mamsa Rasa: the proportion of Mamsa and water is to obtain

  • Thick consistency 32:64
  • Moderate consistency 24:64
  • Thin consistency 16:64 parts is added and soup is prepared.[22]

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Types of Mamsa Rasa
Kruta Mamsarasa: Mamsarasa which is prepared by adding Sneha, Lavana and Katu Dravyas.

Akruta Mamsarasa: Mamsarasa which is prepared without adding any Sneha, Lavana and Katu Dravyas.[23]

Properties of Mamsa Rasa
Smriti Vardhana (improves intellectual property), Oja Vardhana (improves vitality), Swara Vardhana (improves voice), Brumhana (nutritive), Preenana (nourishment), Vrushya (aphrodisiac), Chakshushya (improves vision).[24]

Shuddhi and Samsarjana Krama
There are three types of Shuddhi Pradhan, Madhyam, Avar Shuddhi. Depending upon this Shuddhi Annakala has been mentioned. In Pradhana Shuddhi 3-3 Annakala, in Madhyama Shuddhi 2-2 Annakala and in Heena Shuddhi 1-1 Annakala of Peya Vilepi Akruta Yusha, Kruta Yusha, and Mamsa Rasa are been given.[25]

Bala and Samsarjana Krama
Sushruta also focus that Samsarjana Krama depends on the Bala of the patient. Dalhana mentions that Bala can be judged by Upachaya. Hence Samsarjana Krama is depended on Agnibala.

Bala Annakala
Pravara (Good) 1
Madhyama (medium) 2
Heena (less) 3

Patient having good Bala 1 Annakala of Samsarjana Krama should be given, for Madhyama Bala 2 Annakala of Samsarjana Krama should be given and for those with Heena Bala 3 Annakala should be given.[26]

Peyadhi Samsarjana Karma

Days Annakaala Pradhana Shudhi Madhyama Shudhi Avara Shudhi
1st Day Morning Evening - Peya - Peya - Peya
2nd Day Morning Evening Peya Peya Peya Vilepi Vilepi Krutakrta Yusha
3rd Day Morning Evening Vilepi Vilepi Vilepi Akruta Yusha Krutakrutamamsras Samanya Bhojana
4th Day Morning Evening Vilepi Akruta Yusha Kruta Yusha Akruta Mamsarasa  
5th Day Morning Evening Kruta Yusha Kruta Yusha Samanya Bhojana  
6th Day Morning Evening Akrutamamsarasa Kruta Mamsarasa    
7th Day Morning Evening Kruta Mamsarasa Samanya Bhojana    

Samsarjana Krama according to few diseases as follows

  Prameha[27] Sthoulya[28] Amlapita[29] Grahani[30] Swasa[31]
Peya Kalna Peya   Purana Shali Peya Purana Shali Peya Panchakoladi Peya Shastikashali Peya
Vilepi Yavodhana   Purana Shali Vilepi Purana Shali Vilepi Purana Shali Vilepi Purana Shali Vilepi
Akruta-Kruta Yusha Kulatha Yusha Kulatha Yusha Kalaya Yusha+Saktu Sushkamoolaka Yusha Navanga Yusha
Akruta-Krutha Mamsa Rasa Vishkira Mamsa Rasa (Gallinaceous Birds) Kuranga Mamsa Rasa (Roe deer) Harina Mamsa Rasa (Red deer ) Khara Mamsa Rasa (Ass) Sarabha Mamsa Rasa (wapiti )

Conclusion

Samsarjana Krama helps to restore health after Samshodhana Karma. Peya, Vilepi, Yusha, Mamsa Rasa etc. Sequence of Peyadi must be followed after Shodhana Karma. Based on diseases we can modify the Samsarjana Krama without altering the principles of Samsarjana Krama.

Reference

1. Edited by Harishastri Paradkar. Ashtanga Hridaya Commentary by Arunadatta and Hemadri, Sutra Sthana: Chapter 14 Verse 4: Chaukambha Krishnadas Academy, Varanasi, 2009;223.

2. Edited by Yadavaji Trikamji Acharya, Charaka Samhita, Ayurveda Deepika Commentary of Chakrapanidatta, Sutra Sthana, chapter 16 verse 20, Chaukambha Krishnadas Academy, Varanasi, 2010;97.

3. Edited by Harishastri Paradkar. Ashtanga Hridaya,Commentary by Arunadatta andHemadri, Sutra Sthana: Chapter 13 Verse 29: Chaukambha Krishnada Academy, 2009;217.

4. Edited by Harishastri Paradkar. Ashtanga Hridaya Commentary by Arunadatta and Hemadri, Sutra Sthana: Chapter 14 Verse 5: Chaukambha Krishnadas Academy, 2009; 223.

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14. Yadavji Trikamji Achary. commentary: Nibandha Sangraha of Dalhana on Sushruta Samhita Sutra Sthana, chapter 46, verse no 342. 1st edition, Tukaram Javaji, Nirnaya Sagar Press; 1915:201.

15. Jadavji Trikamji Acharya. commentary: Nibandha Sangraha of Dalhana on Sushruta Samhita Sutra Sthana, chapter 46, verse no 345. 1st edition, Tukaram Javaji, Nirnaya Sagar Press; 1915:201.

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23. Yadavji Trikamji Acharya. commentary: Nibandha Sangraha of dalhana On Sushruta Samhita Sutra Sthana, chapter 46, verse 379. 1st edition, Tukaram Javaji, Nirnaya Sagar Press; 1915:204.

24. Khemraj Shrikrishna Dass. translation: Pundit Jwalaprasad Misra, Dravyaguna of Chakrapanidatta, Krutanna Varga, verse 26. Venkateshwara Press, Bombay, 1897:75.

25. Edited by Harishastri Paradkar. Ashtanga Hridaya, Commentary by Arunadatta and Hemadri, Sutra Sthana: Chapter 18 Verse 28: Chaukambha Krishnadas academy, 2009; 264.

26. Edited by Vaidya Yadavji Trikamji Acharya. Sushrut: Sushruta samhita: Nibandha Sangraha Commentary By Sri Dalhanacharya: Chikitsa Sthanan: Chapter 39 Verse 18: Chaukambha Krishnadas Academy, Varanasi, 2008; 550.

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28. Asha kumari, Premavati Tewari. Yoga Ratnakara, chapter 40, verse 45-47, First edition, Chaukhambha Vishvabharati ,Varnasi,2010:776.

29. Asha kumari, Premavati Tewari. Yoga Ratnakara, chapter 57, verse 66-68, First edition, Chaukhambha Vishvabharati, Varnasi,2010:947.


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30. Asha kumari, Premavati Tewari. Yoga Ratnakara, chapter 4, verse 116-118, First edition, Chaukhambha Vishvabharati, Varnasi,2010:332.

31. Asha kumari, Premavati Tewari. Yoga Ratnakara, chapter 12, verse 197-199, First edition, Chaukhambha Vishvabharati, Varnasi, 2010:473.


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