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Exploring the Interplay
of Gut-Brain Axis,
Microbiota, and Agni in
Grahani Disorders
Understanding Ayurvedic
Perspectives
Dr Abhirama¹,Dr Uma B Gopal²
1. PG Scholar,Dept of Rachana Shareera, SDMCAH,Hassan
2. Professor & Head,Dept of Rachana Shareera, SDMCAH,Hassan
Agnimanthana 2024
1
24-02-2024
Introduction
• Grahani roga, as described in our texts, is a chronic condition
affecting the gastrointestinal tract resulting from the imbalance of
Agni. It is a prevalent ailment in contemporary medical practice,
predominantly impacting the digestive system.
• The Gut-Brain Axis represents a dynamic and intricate
communication network that integrates the gut, brain, and
microbiota.
• The microbiota refers to the diverse community of microorganisms
that inhabit various habitats in and on the human body.
.
Agnimanthana 2024
2
24-02-2024
Gut-Brain Axis
The Gut-Brain Axis is a complex and bidirectional communication
network that connects the central nervous system with the enteric
nervous system and the gastrointestinal tract.
Agnimanthana 2024
3
Immune Pathway
Immune signals
influence the
brain.
1.Communication Pathways:
1 Neural Pathway
Direct CNS and
ENS
connections.
2 Endocrine Pathway
Hormones affect
brain and mood.
3
2.Functions and Significance
Immune Regulation Brain
Development and
Neurological Disorders
 immune responses and
inflammation levels
 contribute to neurological disorder
1
Digestion &
Metabolism
 Motility,
secretion, and
nutrient
absorption
2
Mood and
Behaviour
 mood,
emotions, and
behavior
3
24-02-2024
Gut-Brain Axis
Agnimanthana 2024
4
Medication
Immune signals
influence the
brain.
3.Factors Influencing GBA Function:
1 Diet and Nutrition 2 Stress and Environment
Hormones affect
brain and mood.
3
4.Clinical Implications and
Future Directions
developing novel therapeutic strategies for gastrointestinal and neurological disorders.
Elucidating the mechanisms underlying GBA communication and identifying potential targets for intervention.
Personalized approaches targeting the gut microbiota
24-02-2024
Microbiota: Understanding the Invisible Ecosystem Within
• The microbiota refers to the diverse community of
microorganisms that inhabit various habitats in and on the
human body
Agnimanthana 2024
5
24-02-2024
Gut Microbiaota
Location
The gut microbiota primarily resides in the
gastrointestinal tract, where it interacts with the
host's diet, immune system, and other
environmental factors.
Functions
It plays essential roles in digestion, nutrient
metabolism, immune regulation, and protection
against pathogens.
Microbiota: Understanding the Invisible Ecosystem Within
Agnimanthana 2024
6
24-02-2024
Composition
The gut microbiota, in particular, is composed of hundreds of different bacterial species,
including Bacteroides, Firmicutes (including Clostridia, Lactobacillus, and Ruminococcus),
Proteobacteria (including Escherichia coli), and Actinobacteria (including Bifidobacterium), each
contributing to the overall ecosystem.
Importance of Microbiota in Gastrointestinal
Health:
Digestive Function
Immune Regulation
Barrier Function
Synthesis of Vitamins and Short-Chain Fatty Acids
Metabolism and Weight Regulation:
AGNI
आयुर्वर्णो बलं स्वास्थ्यमुत्साहोपचयौ प्रभा|
ओजस्तेजोऽग्नयः प्रार्णाश्चोक्ता देहाग्नग्नहेतुकाः||३||
शान्तेऽग्नौ ग्नियते, युक्ते ग्नचरं जीर्त्यनामयः|
रोगी स्याग्निक
ृ ते, मूलमग्नग्नस्तस्माग्निरुच्यते||४|| च. ग्नच १५/३
• अग्न्यग्निष्ठानमिस्य ग्रहर्णाद्ग्रहर्णी मता|
नाभेरुपयवह्यग्नग्नबलेनोपष्टब्धोपबृंग्नहता - च.ग्नच १५/५६Types of Agni:
There are 13 Agni viz- Jatharagni, seven Dhatwagni & five
Mahabhutagni. Among these Jatharagni has prime importance & is
responsible for digestion of ingested food as well as root of other 12
agni.
Agnimanthana 2024
7
24-02-2024
• अग्नग्नरेर् शरीरे ग्नपत्तान्तगवतः क
ु ग्नपताक
ु ग्नपतः शुभाशुभाग्नन करोग्नत- च. सू. १२/११
24-02-2024
Agnimanthana 2024
8
र्ीयावदनन्तरं ग्नर्पाक
ं लक्षयग्नत-----
जाठरेर्णाग्नग्नना योगाद्यदुदेग्नत रसान्तरम्|
रसानां पररर्णामान्ते स ग्नर्पाक इग्नत स्मृतः||२०||
GRAHANI
• ग्रहण्या बलमग्नग्नग्नहव स चाग्नप ग्रहर्णीबलः|
• दू ग्नितेऽग्नार्तो दुष्टा ग्रहर्णी रोगकाररर्णी||५३|| a hr sa
Nidana of Grahani Roga
• Aharaja - Abhojana , Atibhojana, Vishamabhojana Asatmya
Bhojana etc.
• Vyapad of Vamana, Virechana, Snehana
• Vega Vidharana
• Virudha or incompatibility of Desha, Kala and Rutu.
• Shoka (Grief), Krodha (Anger), Bhaya4 (Fear).[4
Agnimanthana 2024
9
24-02-2024
Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders
• - Ayurveda uses vipaka to describe metabolic energy (Agni) akin to
gut microbiota functions.
• - Mandangi (low Agni) leads to inadequate enzyme activity, causing
microbial formation of toxic "Aam."
• - Tikshagni (high Agni) burns food excessively, resulting in poor
nutrition.
• - Vishamagni (irregular Agni) causes toxic compound formation,
leading to Vishabdhajirn (indigestion).
• - Gut microbes' incorrect interactions exacerbate digestive tract
disorders.
Agnimanthana 2024
10
24-02-2024
Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders
• Ayurveda describes metabolism via vipaka, akin to agni.
• Acharya Charak places agni at grahani, aligning with gut microbiota's
major seat.
• Jatharagni facilitates food breakdown and absorption, akin to gut
microbiota's functions.
• Bhutagni further metabolizes food, resembling gut microbiota's role
in varied metabolic reactions.
• Gut microbiota aids in carbohydrate, protein, fat digestion, as well as
bile salt transformation and cytokine production.
Agnimanthana 2024
11
24-02-2024
References
• चरक ग्नचग्नकत्सा
• चरक सूत्र
• अष्टांग ह्रदय शारीर
• The Microbiome in Health and Disease from the Perspective of Modern
Medicine and Ayurveda-Robert Keith Wallace
• Gut microbiota: One of the new frontiers for elucidating fundamentals of
Vipaka in Ayurveda-Anagha Vishwas Ranade, Amey Shirolkar, and Sharad
Daulatrao Pawar
• Gut microbiota: metabolic programmers as a lead for deciphering
Ayurvedic pharmacokinetics-Anagha Ranade , Shivani Gayakwad , Shridhar
Chougule , Amey Shirolkar , Sudesh Gaidhani and Sharad D. Pawar
24-02-2024
Agnimanthana 2024
12
•THANK YOU
Agnimanthana 2024
13
24-02-2024

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Exploring the Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders Understanding Ayurvedic Perspectives

  • 1. Exploring the Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders Understanding Ayurvedic Perspectives Dr Abhirama¹,Dr Uma B Gopal² 1. PG Scholar,Dept of Rachana Shareera, SDMCAH,Hassan 2. Professor & Head,Dept of Rachana Shareera, SDMCAH,Hassan Agnimanthana 2024 1 24-02-2024
  • 2. Introduction • Grahani roga, as described in our texts, is a chronic condition affecting the gastrointestinal tract resulting from the imbalance of Agni. It is a prevalent ailment in contemporary medical practice, predominantly impacting the digestive system. • The Gut-Brain Axis represents a dynamic and intricate communication network that integrates the gut, brain, and microbiota. • The microbiota refers to the diverse community of microorganisms that inhabit various habitats in and on the human body. . Agnimanthana 2024 2 24-02-2024
  • 3. Gut-Brain Axis The Gut-Brain Axis is a complex and bidirectional communication network that connects the central nervous system with the enteric nervous system and the gastrointestinal tract. Agnimanthana 2024 3 Immune Pathway Immune signals influence the brain. 1.Communication Pathways: 1 Neural Pathway Direct CNS and ENS connections. 2 Endocrine Pathway Hormones affect brain and mood. 3 2.Functions and Significance Immune Regulation Brain Development and Neurological Disorders  immune responses and inflammation levels  contribute to neurological disorder 1 Digestion & Metabolism  Motility, secretion, and nutrient absorption 2 Mood and Behaviour  mood, emotions, and behavior 3 24-02-2024
  • 4. Gut-Brain Axis Agnimanthana 2024 4 Medication Immune signals influence the brain. 3.Factors Influencing GBA Function: 1 Diet and Nutrition 2 Stress and Environment Hormones affect brain and mood. 3 4.Clinical Implications and Future Directions developing novel therapeutic strategies for gastrointestinal and neurological disorders. Elucidating the mechanisms underlying GBA communication and identifying potential targets for intervention. Personalized approaches targeting the gut microbiota 24-02-2024
  • 5. Microbiota: Understanding the Invisible Ecosystem Within • The microbiota refers to the diverse community of microorganisms that inhabit various habitats in and on the human body Agnimanthana 2024 5 24-02-2024 Gut Microbiaota Location The gut microbiota primarily resides in the gastrointestinal tract, where it interacts with the host's diet, immune system, and other environmental factors. Functions It plays essential roles in digestion, nutrient metabolism, immune regulation, and protection against pathogens.
  • 6. Microbiota: Understanding the Invisible Ecosystem Within Agnimanthana 2024 6 24-02-2024 Composition The gut microbiota, in particular, is composed of hundreds of different bacterial species, including Bacteroides, Firmicutes (including Clostridia, Lactobacillus, and Ruminococcus), Proteobacteria (including Escherichia coli), and Actinobacteria (including Bifidobacterium), each contributing to the overall ecosystem. Importance of Microbiota in Gastrointestinal Health: Digestive Function Immune Regulation Barrier Function Synthesis of Vitamins and Short-Chain Fatty Acids Metabolism and Weight Regulation:
  • 7. AGNI आयुर्वर्णो बलं स्वास्थ्यमुत्साहोपचयौ प्रभा| ओजस्तेजोऽग्नयः प्रार्णाश्चोक्ता देहाग्नग्नहेतुकाः||३|| शान्तेऽग्नौ ग्नियते, युक्ते ग्नचरं जीर्त्यनामयः| रोगी स्याग्निक ृ ते, मूलमग्नग्नस्तस्माग्निरुच्यते||४|| च. ग्नच १५/३ • अग्न्यग्निष्ठानमिस्य ग्रहर्णाद्ग्रहर्णी मता| नाभेरुपयवह्यग्नग्नबलेनोपष्टब्धोपबृंग्नहता - च.ग्नच १५/५६Types of Agni: There are 13 Agni viz- Jatharagni, seven Dhatwagni & five Mahabhutagni. Among these Jatharagni has prime importance & is responsible for digestion of ingested food as well as root of other 12 agni. Agnimanthana 2024 7 24-02-2024
  • 8. • अग्नग्नरेर् शरीरे ग्नपत्तान्तगवतः क ु ग्नपताक ु ग्नपतः शुभाशुभाग्नन करोग्नत- च. सू. १२/११ 24-02-2024 Agnimanthana 2024 8 र्ीयावदनन्तरं ग्नर्पाक ं लक्षयग्नत----- जाठरेर्णाग्नग्नना योगाद्यदुदेग्नत रसान्तरम्| रसानां पररर्णामान्ते स ग्नर्पाक इग्नत स्मृतः||२०||
  • 9. GRAHANI • ग्रहण्या बलमग्नग्नग्नहव स चाग्नप ग्रहर्णीबलः| • दू ग्नितेऽग्नार्तो दुष्टा ग्रहर्णी रोगकाररर्णी||५३|| a hr sa Nidana of Grahani Roga • Aharaja - Abhojana , Atibhojana, Vishamabhojana Asatmya Bhojana etc. • Vyapad of Vamana, Virechana, Snehana • Vega Vidharana • Virudha or incompatibility of Desha, Kala and Rutu. • Shoka (Grief), Krodha (Anger), Bhaya4 (Fear).[4 Agnimanthana 2024 9 24-02-2024
  • 10. Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders • - Ayurveda uses vipaka to describe metabolic energy (Agni) akin to gut microbiota functions. • - Mandangi (low Agni) leads to inadequate enzyme activity, causing microbial formation of toxic "Aam." • - Tikshagni (high Agni) burns food excessively, resulting in poor nutrition. • - Vishamagni (irregular Agni) causes toxic compound formation, leading to Vishabdhajirn (indigestion). • - Gut microbes' incorrect interactions exacerbate digestive tract disorders. Agnimanthana 2024 10 24-02-2024
  • 11. Interplay of Gut-Brain Axis, Microbiota, and Agni in Grahani Disorders • Ayurveda describes metabolism via vipaka, akin to agni. • Acharya Charak places agni at grahani, aligning with gut microbiota's major seat. • Jatharagni facilitates food breakdown and absorption, akin to gut microbiota's functions. • Bhutagni further metabolizes food, resembling gut microbiota's role in varied metabolic reactions. • Gut microbiota aids in carbohydrate, protein, fat digestion, as well as bile salt transformation and cytokine production. Agnimanthana 2024 11 24-02-2024
  • 12. References • चरक ग्नचग्नकत्सा • चरक सूत्र • अष्टांग ह्रदय शारीर • The Microbiome in Health and Disease from the Perspective of Modern Medicine and Ayurveda-Robert Keith Wallace • Gut microbiota: One of the new frontiers for elucidating fundamentals of Vipaka in Ayurveda-Anagha Vishwas Ranade, Amey Shirolkar, and Sharad Daulatrao Pawar • Gut microbiota: metabolic programmers as a lead for deciphering Ayurvedic pharmacokinetics-Anagha Ranade , Shivani Gayakwad , Shridhar Chougule , Amey Shirolkar , Sudesh Gaidhani and Sharad D. Pawar 24-02-2024 Agnimanthana 2024 12

Editor's Notes

  1. microbiota and Agni play critical roles in maintaining GI health, influencing digestion, nutrient absorption, immune function, and overall well-being
  2. majjadharakala is thought to be associated with the nervous system and the relation between pittadhara and majjadhara can be established through modern anatomy and physiology
  3. Agni of our body is represented by pitta, which in its non-aggravated and aggravated form performs various good and bad functions. Grahani is seat of agni and it is so called since it holds/retains the food for proper digestion and assimilation. It holds the food just above the umbilical region and it is supported and nourished by the agni.
  4. Agni in Grahani Roga: The Grahani Roga is mainly caused by Agnidushti. Mandagni is also cause of all diseases – “Rogaha Sarve Api Mandagnou”.[3] Jatharagni and Grahani have Ashraya-Ashrita type of relationship. The organ Grahani is Ashraya and Agni is Ashrita. The impairment of Grahani will impair the functional aspect of Agni and vice versa.
  5. Gut microbiome alterations, including dysbiosis, are prevalent in IBS. Diet influences IBS symptoms by modulating gut microbiota, exerting direct effects, and activating the immune system.
  6. Vipaka, akin to "Karma Nishthaya," signifies post-digestive irreversible processes linked with microbiota-mediated biotransformation. Bhadanta Nagarjuna's concept of Parinam Lakshano Vipaka further emphasizes biotransformation. "Vi" denotes specificity, and "Paka" signifies the function assigned to Agni. Gut microflora residing in the gastrointestinal tract serve as sources of Agni, responsible for drug metabolism.