CONCEPT OF SAAMA AND NIRAAMA: CORRELATING CRP LEVELS WITH THE PATHOLOGICAL UNDERSTANDING OF JWARA

Dr. Ujwala V. Pawar* and Dr. Neeta Padmakar Giri

ABSTRACT

The concepts of Saam and Niram are very crucial in Ayurveda for understanding the pathology of many diseases
including Jwara (fever). Saam refers to a state where the Doshas are vitiated along with the presence of Ama which
acts as toxins. Niram represents normal state or resolution of pathological progression, when the Doshas return to
balance condition. Saam and Niram can be correlated with elevated or suppressed level of CRP (C - reactive
protein) in case of Jwara. CRP is a biomarker for inflammation; elevated levels may correspond to the Saam state,
reflecting significant inflammation and Dosha imbalance, while normalizing CRP levels align with the Niram state,
indicating the restoration of balance in the body. Integrating these Ayurvedic concepts with modern biomarkers
like CRP provides a comprehensive understanding of Jwara's pathology and its management. This article
elaborated concept of Saam and Niram, their correlation with CRP in pathological understanding of Jwara.

Keywords: Ayurveda, Saam, Niram, CRP, Jwara.