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Avipakaja Shula Signs, Causes, Therapy, Trendy Idea

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Avipakaja Shula means ache triggered as a consequence of indigestion of meals. It’s also known as by the identify anna dosha samudbhava shula i.e. ache within the stomach attributable to contaminated meals or meals troubled by doshas. Avipaka – indigestion, Shula – ache / colic

Grasp Sushruta has defined this painful situation and regarded it as one among the many several types of shoola – colic / ache within the stomach.
Learn – Shoola Varieties, Signs, Therapy, Medicines, Treatments


Extreme consumption of meals is claimed to be the causative issue of this situation. ‘Extreme meals’ right here means ‘consumption of meals in a amount of what’s greater than required or a couple of’s capability’.

All of us are likely to overeat at instances. However everybody who has consumed extreme meals needn’t undergo from this situation.

Grasp Sushruta additional specifies that ‘consumption of extreme meals within the presence of weak digestion’ is the reason for avipaka shula.

Grasp Vagbhata additionally has quoted that ‘nearly all illnesses are triggered as a consequence of sluggish digestive capability / weak digestive fireplace, primarily the belly problems’. Colic defined in avipaka shula additionally happens within the stomach.

Weak digestive fireplace is the most important reason behind many systemic problems. Kaya Chikitsa is a department of Ayurveda which goals at curing illnesses by correcting the digestive fireplace and its subunits within the physique.

Digestive fireplace would possibly get weak after we devour extreme meals in distinction to what and the way a lot we want as per our capability and structure. Extreme meals consumption is likely one of the most vital causes for indigestion of meals. Due to this fact additionally it is a direct in addition to an oblique trigger for belly ache additionally.

We could take into account extreme meals consumption in relation to belly colic in two methods –

  • Extreme consumption of meals in presence of weak digestive fireplace will result in indigestion and subsequent manifestation of belly ache.
  • Extreme meals consumption as an everyday follow may cause weak spot of digestive fireplace. This weak fireplace is not going to have the capability to digest meals correctly. Undigested meals stays and will get stagnated within the intestine and causes ache.

In a method placing these two situations collectively the colic attributable to extreme consumption of meals may be a cyclic course of whereby the identical chain of occasions maintain repeating by themselves if not addressed correctly.
Learn – Annadrava Shoola: Definition, Therapy, Treatments


  • The meals which has been consumed in extra of 1’s capability would get stagnated within the colon as a result of sluggishness of digestive fireplace.
  • The stagnated meals will get matted and adhered to the partitions of the colon
  • Consequentially vata will get aggravated
  • The aggravated vata envelopes and blocks this inadequately digested meals (within the higher colon) and feces (within the decrease colon)
  • This undigested meals blocked by the aggravated vata will produce extreme ache within the stomach and this situation is known as as avipakaj shoola
    Learn – Parinama Shoola : Definition, Varieties, Therapy, Medicines


Tivram shulam – extreme ache within the stomach
Murcha – fainting
Adhmanam – distension of stomach
Vidaha – burning sensation within the stomach
Hrdaya utklesha – nausea / discomfort within the cardiac (coronary heart) area
Vilambika – the meals contaminated by aggravated kapha and vata will get stagnated within the center a part of the intestine with out getting eradicated both from the higher or decrease passages (mouth or anus)
Virechana – diarrhea
Chardi – vomiting
Kampana – tremors
Moha – confusion
Avipaka – indigestion
Learn – Indigestion Causes, Signs, Therapy

Sanskrit Verses


Vamana – therapeutic emesis
Langhanam – fasting / lightening therapies
Swedanam – sudation
Pachanam – ama digesting measures, medicines and food plan
Phalavarti – suppositories
Kshara – Alkali
Churna – Natural powders
Gutika – Natural tablets

It is rather vital to deal with these painful situations after having thought of the totally different etiological components, structure of the affected person, predominance of dosha, geography, time interval and many others components.
Learn – Roga, Rogi Pareeksha: Examination Of Illness And Affected person

Different remedy

This situation shall be handled on the traces of –
Treating ajirna i.e. indigestion (since indigestion is the primary reason behind this ache)
Deepana-pachana – medicines and food plan for correcting digestive fireplace and likewise to destroy ama
Vamana and virechana – therapeutic emesis and purgation to throw out the contaminated Doshas and likewise to cleanse the intestine, strengthen the organs and stop recurrences
Shula chikitsa – treating belly ache
Pathya kalpanas – skinny digestible gruels that are ready with appetizing and ama digesting herbs and likewise gentle to digest
Learn – Significance Of Eating regimen (Pathya) For Particular Ailments

Trendy correlation

Ache within the stomach gentle to average depth has been talked about among the many signs of indigestion even in trendy texts.

Different signs of indigestion embrace –
Early fullness throughout a meal, bloating and uncomfortable fullness after a meal, defined as adhmana and vilambika in Ayurveda amongst the signs of avipakaja shula
Discomfort within the higher stomach which additionally consists of ache
Burning sensation within the higher stomach defined as vidaha
Nausea and vomiting defined as hrit utklesha and chardi
Heartburn defined as hrdaya utklesha

There are lots of causes for indigestion. Overeating or consuming meals too rapidly has been talked about as one of many causes of indigestion even in trendy texts. Avipakaj Shool seems to be the reason of belly ache as a consequence of this trigger. Causes additionally embrace sure belly problems like gastritis, peptic ulcers, celiac illness, constipation, intestinal blockage, pancreatitis, intestinal ischemia and many others. subsequently indigestion could not solely be the trigger but in addition the impact of different situations.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu)

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