Cikitsā-sāra: Doṣa Nidāna–Lakṣaṇa, Agni, Ajīrṇa/Āma Cikitsā, Daśamūla, and Prognostic Signs
प्रभवः सर्वरोगाणामजीर्णं चाग्निनाशनम् / आमाम्लरसविष्टम्भ लक्षणन्तच्चतुर्विधम्
prabhavaḥ sarvarogāṇāmajīrṇaṃ cāgnināśanam / āmāmlarasaviṣṭambha lakṣaṇantaccaturvidham
アジールナ(ajīrṇa、不消化)は一切の病の根であり、アグニ(消化の火)を滅する。其の相は四つと説かれ、アーマ(āma、未消化の毒滞)、ラサの酸味、そしてヴィシュタンバ(viṣṭambha、閉塞による便秘・膨満)などである。
Lord Vishnu (in discourse to Garuda)
Concept: Ajīrṇa undermines agni and becomes the seed of many diseases; recognize its characteristic signs.
Vedantic Theme: Cause-and-effect in the body mirrors karmic causality; negligence (pramāda) leads to suffering, vigilance supports clarity.
Application: At early signs of āma, amla-rasa disturbance, or viṣṭambha, reduce heavy foods, rest digestion, and seek appropriate measures before disease proliferates.
Primary Rasa: karuna
Secondary Rasa: bhayanaka
Related Themes: Garuda Purana 1.168.39-40 (complications and treatments)
This verse frames ajīrṇa as the root of many diseases because it weakens or destroys agni, the digestive power that maintains bodily balance.
Here the focus is practical: it gives a diagnostic framework—four key signs—used to recognize indigestion-related pathology.
Treat digestion as foundational: notice early signs like heaviness/āma, acidity, and obstruction, and correct diet and habits before illness spreads.