Acharya chakrapani on Kloma ;
Kloma hridayastha pipaasaa sthaanam ( acharya chakrapani on ch.vi.5/8), kloma pipaasaa sthaanam ( acharya chakrapani on ch.sh. 7/10) , kloma hridaya avayava visheshah ( acharya chakrapani on ch.chi. 13/45). These references show that kloma is a regulatory organ of ambuvaha srotas, to maintain fluidity in rasaraktaadi ambu dhaatu , 10 dooshya of prameha are enriched in aap mahaabhoota and need to have due amount of udaka for their transportation.Osmoreceptors in thirst center of hypothalamus regulate the amount of fluidity in blood, its activation is based on osmolality of plasma. Increased osmolality increases desire to intake of water, vice versa.. maarootah klomni samsthitah…… vardhayetam tadeva ambu svasthaanat udaraaya tau ( ch.chi 13/46) , svasthaana means peritoneal cavity which contains serous fluid similar to interstitial fluid.. there is exchange of fluid between plasma and interstitial space , dependent on hydrostatic and colloid oncotic pressure.. the imbalance can lead to accumulation of fluid in interstitial space /serous cavity and in turn edema/ascites/pleural effusion etc manifest.. this is reason why acharya charak describes udara chikitsa after shotha chikitsa.. intracellular and extracellular fluid maintainance is based on concentration gradient as well pressure gradient.. over all the maintainance of fluidity in body is well controlled by various factors, e.g. osmoreceptors, brain and atrial natriuretic peptides , Renin angiotensin aldosterone system.. osmolality of plasma is main initiator of activation of thirst center followed by others.. the balance between parthiva and aapa mahaabhoota in rasaraktaadi ambu dhaatu is essential to continue nonstop transportation.. the imbalance leads to sanga or atipravriti like sroto dushti.. the role of ambuvaha sroras is very critical to connect all cells with each other for their nutrition. Acharya chakrapani ; aahaara rasaat sarva dhaatu poshako dhaatu rasa utpadyate , sa cha * raso dehaposhako ambu bhava * iti aapya iti arthah . Tasya kshayaat iti rasa kshayat” trishyate”, rasa kshayat ambu kshayo bhavati , ten cha ambu kshayena purushah “paaniya prathanaa roopa” ( desire to intake of water ) trishnayaa yukto bhavati iti yuktam iti darshayati. Uktam hi sushrute – dosha dhaatu mala ksheeno bala ksheeno api maanavah , sva yoni vardhanam yat tat annapaanam prakaamkshati ( su.soo.15).. iti : ihaapi cha uktam tasya ‘kshayaat cha trishyeddhi ‘iti ( on ch.chi. 22/16).all these references show the importance of ambu , pipaasaa and in turn pipaasaa sthaanam iti kloma; hridayastha pipaasaa sthaanam iti thirst center..Rasa roopo dhaatuh , kimvaam rasati iti raso drava dhaatuh uchyate , ten roodhiraadeenaamapi dravaanaam grahanam bhavati (acharya chakrapani on ch.chi 15/36)..
.Prof. Dr. Satyendra Narayan Ojha ,
MD (KC), Ph.D.
Director , Yashawant ayurveda college , Post graduate teaching and research center ,
Kodoli ,Panhala , Kolhapur..
Acharya chakrapani on Kloma ;