Changes

==== Bowel habits and duration of oleation therapy [verse 65-69] ====

==== Bowel habits and duration of oleation therapy [verse 65-69] ====

''Koshtha'' i.e. bowel habits are the outcome of ''dosha'' dominance in bowel. ''Vata, pitta'' and ''kapha'' dominance causes ''krura'' (hard), ''mridu'' (soft) and ''madhyam'' (moderate) ''koshtha'' (bowel habit) respectively. ''Vata'' due to its ''ruksha'' (dry) (As. Hri. Su. 1/ 11 ) properties causes fast absorption of ''sneha'' and also requires large doses and longer duration for complete oleation. ''Pitta'' has natural unctuousness associated with it due to its ''ushna'' (hot), ''sara'' (easy for dispertion), and ''drava'' (liquid) (AH. Su. 1/ 11) properties. These properties aid in the flow of ''sneha'' across all body parts and hence, an early push of ''dosha'' towards the bowel requires least dose and minimum duration. ''Kapha'' has similar properties as ''sneha''. However, the bowel habit in a ''kapha'' person is moderate due to its sthira (stable) and sticky properties. (AH. Su. 1/ 12). Modern science also explains bowel habits, its effects and considers intestinal transit time responsible for it. 40-45 hours is the normal bowel or in Ayurvedic terminology madhyama koshtha person’s intestinal transit time. If it stays in the gut for longer than that, fluid is re-absorbed into the body and the stool becomes harder and dryer.. Body secretes about eight liters of fluid during the course of a day —from the stomach, salivary glands and pancreas—to decompose food and push it through the digestive system. But if food passes through too quickly, there isn’t enough time for all of that liquid to get absorbed, and the stool emerges in a semi-solid or liquid state. Thus, it is the physiological differences based on intestinal transit time that decide the duration of oleation therapy. The nature of a food item or a drug ingested affects bowel movement and explains the differences mentioned above.  

''Koshtha'' i.e. bowel habits are the outcome of ''dosha'' dominance in bowel. ''Vata, pitta'' and ''kapha'' dominance causes ''krura'' (hard), ''mridu'' (soft) and ''madhyam'' (moderate) ''koshtha'' (bowel habit) respectively. ''Vata'' due to its ''ruksha'' (dry) (As. Hri. Su. 1/ 11 ) properties causes fast absorption of ''sneha'' and also requires large doses and longer duration for complete oleation. ''Pitta'' has natural unctuousness associated with it due to its ''ushna'' (hot), ''sara'' (easy for dispertion), and ''drava'' (liquid) (AH. Su. 1/ 11) properties. These properties aid in the flow of ''sneha'' across all body parts and hence, an early push of ''dosha'' towards the bowel requires least dose and minimum duration. ''Kapha'' has similar properties as ''sneha''. However, the bowel habit in a ''kapha'' person is moderate due to its ''sthira'' (stable) and sticky properties. (AH. Su. 1/ 12). Modern science also explains bowel habits, its effects and considers intestinal transit time responsible for it. 40-45 hours is the normal bowel or in Ayurvedic terminology ''madhyama koshtha'' person’s intestinal transit time. If it stays in the gut for longer than that, fluid is re-absorbed into the body and the stool becomes harder and dryer. Body secretes about eight liters of fluid during the course of a day —from the stomach, salivary glands and pancreas—to decompose food and push it through the digestive system. But if food passes through too quickly, there isn’t enough time for all of that liquid to get absorbed, and the stool emerges in a semi-solid or liquid state. Thus, it is the physiological differences based on intestinal transit time that decide the duration of oleation therapy. The nature of a food item or a drug ingested affects bowel movement and explains the differences mentioned above.  

Complications of oleation therapy [verse 70-79]:

 

Excessive thirst is a result of impaired digestion and absorption of lipids. Alpha-linolenic acid (an omega-3 fatty acid) and linoleic acid (an omega-6 fatty acid) are essential fatty acids supplied by almost all polyunsaturated fats. But any defect in their absorption may cause deficiency leading to excessive thirst and dry skin, brittle hair &nails, sleep and attention problems.   

==== Complications of oleation therapy [verse 70-79] ====

Bile, to some extent acts as a surfactant, helping to emulsify the fats in food. Without bile salts, most of the lipids in food would be excreted in feces, undigested leading to steatorrhea and vitamin deficiency.  Thus saama pitta (pitta that is not formed well) can be due to improper functions of biliary system that can not digest fats properly and produce severe symptoms. Moreover, fats boiled with some medicines may cause correction in this metabolic defect thus advocated in sama pitta condition.

 

All the diseases produced as complications are basically of kleda (moisture) dominant and ama dominant in nature, hence dry, amapachaka drugs are indicated in therapy. Medicated buttermilk is indicated to counter the complications of oleation therapy. (C. Su. 2/30.Therapeutic emesis, therapeutic purgation are prescribed to remove undigested sneha from gut preventing further complications.  

Excessive thirst is a result of impaired digestion and absorption of lipids. Alpha-linolenic acid (an omega-3 fatty acid) and linoleic acid (an omega-6 fatty acid) are essential fatty acids supplied by almost all polyunsaturated fats. But any defect in their absorption may cause deficiency leading to excessive thirst and dry skin, brittle hair &nails, sleep and attention problems.   

Shodhana (purification) after oleation: [verse 80-81]

 

Bile, to some extent acts as a surfactant, helping to emulsify the fats in food. Without bile salts, most of the lipids in food would be excreted in feces, undigested leading to steatorrhea and vitamin deficiency.  Thus ''sama pitta'' (''pitta'' that is not formed well) can be due to improper functions of biliary system that can not digest fats properly and produce severe symptoms. Moreover, fats boiled with some medicines may cause correction in this metabolic defect thus advocated in ''sama pitta'' condition.

 

All the diseases produced as complications are basically of ''kleda'' (moisture) dominant and ''ama'' dominant in nature, hence dry, ''amapachaka'' drugs are indicated in therapy. Medicated buttermilk is indicated to counter the complications of oleation therapy. (C. Su. 2/30.Therapeutic emesis, therapeutic purgation are prescribed to remove undigested ''sneha'' from gut preventing further complications.  

 

==== ''Shodhana'' (purification) after oleation [verse 80-81] ====

 

Vamana (therapeutic emesis) is done in utklishta kapha (therapeutically aggravated kapha by oleation) condition. Virechana (therapeutic purgation) is done when kapha is reduced in body. (Cha. Si. 1/ 8-9)., Hence, the rest period for performing virechana after oleation is more (three days) than that of vamana.  

Vamana (therapeutic emesis) is done in utklishta kapha (therapeutically aggravated kapha by oleation) condition. Virechana (therapeutic purgation) is done when kapha is reduced in body. (Cha. Si. 1/ 8-9)., Hence, the rest period for performing virechana after oleation is more (three days) than that of vamana.  

Vicharana (alternative methods of fat administration): [82-88]

Vicharana (alternative methods of fat administration): [82-88]