Ama evaluated by Jihva Pariksha: A Case Study

In Ayurveda, Agni (digestive fire) is the cornerstone of health, governing digestion, assimilation, and metabolism. Impairment of Agni, particularly Mandāgni (weak digestive fire), leads to improper digestion, resulting in Ama (metabolic toxins) that obstruct bodily channels, disrupt dosha balance, and weaken immunity. This case study highlights the critical role of Agni, the pathogenesis of Ama, and the diagnostic utility of Jihva Pariksha (tongue examination), a non-invasive tool within Aṣṭasthāna Pariksha. In a 30-year-old male office worker who initially manifested with Agnimāndhya, marked by reduced appetite and sluggish digestion, Jihva Pariksha revealed a pale tongue with a thick white coating and scalloped margins, confirming and Ama. Ayurvedic interventions, including Chitrakādi Vaṭi, Trikatu Churna, and dietary modifications aligned with Samsarjana Krama principles, restored Agni and eliminated Ama, with significant improvements in symptoms and tongue characteristics. This study underscores Jihva Pariksha’s efficacy in diagnosing and monitoring Mandāgni -induced Ama.