JIHWA PAREEKSHA IN SAAMA AVASTHA OF AMLAPITTA: A CLINICAL STUDY

Ayurveda emphasizes agni-vaishamya as a cause of manifestation of vyadhi (disease). The undigested food due to vitiated agni results in apakwa-ahara-rasa, that does not get absorbed and transformed is termed as ama, is said to be root cause for diseases. Ama combines with dosha to form amadosha that acquires more shuktatva, further forming amavisha, paving to varied manifestations in diseases. Therefore, analyzing saama and niramavastha is essential for better diagnosis and management. Amlapitta, one among the annavaha-sroto-vikara manifests due to agni-vaishamya. Jihwa pareeksha (tongue examination) plays an important role to assess various changes in jihwa. It reflects the status of annavaha-srotas and ama. Thus, the present study aims at observation of manifestations on jihwa (tongue) by jihwa pareeksha in saama avastha of Amlapitta. Patients of Amlapitta were screened and subjected for jihwa pareeksha. Diagnosis of Amlapitta assessed by samanya lakshanas of Amlapitta and their saama avastha was evaluated by samanya lakshanas of Ama. From study, it is concluded that the manifestations elicited by jihwa pareeksha can be utilized for assessment of saama avastha in Amlapitta by clinical examination.