Cultura

A Review of the Cultural and Philosophical Dimensions of Digestion: Ayurvedic Perspectives on Eating, Mental Health, and Seasonal Harmony

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Prof. (Dr.) Shailza Bhatnagar, Dr. Nandeesh J., Dr. Nidhi Devidas Chickramane, Prof. (Dr.) Vikas Bhatnagar

Abstract

Introduction: Ayurveda conceptualizes digestion as the central process governing physical health, mental balance, and harmony with natural rhythms. Rather than limiting digestion to a biochemical function, Ayurvedic thought integrates food, mental regulation, ethical conduct, cultural practices, and seasonal adaptation into a unified model of health. This review examines the cultural and philosophical dimensions of digestion in Ayurveda, highlighting the interrelationship between dietary practices, mental well-being, and seasonal harmony in maintaining metabolic balance and preventing disease. Central to this framework is Agni (digestive–metabolic fire), which regulates transformation and assimilation, while impairment of digestion leads to the formation of Āma, a state of metabolic incompleteness underlying disease processes.

Methods: A narrative review of classical Ayurvedic texts, including the Caraka Saṃhitā, Suśruta Saṃhitā, and Aṣṭāṅgahṛdaya, along with allied Indian philosophical texts that inform Ayurvedic concepts of digestion, food, and consciousness (e.g., Upaniṣadic and Gītā literature), was conducted to analyze principles related to digestion, dietetics, mental regulation, cultural etiquette, and seasonal adaptation. Contemporary scientific literature on metabolism, gut–brain interactions, circadian biology, stress physiology, and lifestyle related disorders was selectively reviewed to contextualize these traditional perspectives within current biomedical understanding.

Results: The review identifies Agni, Āma, Sātmya (dietary habituation), mindful eating, and seasonal adaptation as foundational determinants of digestive and mental health. Food is presented not only as nutritional input but as a culturally and philosophically significant factor influencing tissue nourishment, metabolic efficiency, and mental clarity. Emotional disturbances, sensory excess, irregular eating patterns, and neglect of seasonal rhythms consistently emerged as contributors to digestive dysregulation. Cultural rituals, dietary etiquette, regional food practices, and seasonal observances were shown to reinforce digestive balance by aligning human behavior with environmental and biological rhythms.

Conclusion: Ayurveda presents digestion as a psycho-physiological, cultural, and seasonal process essential to holistic health. Integrating these classical principles with contemporary scientific perspectives may offer sustainable approaches to improving digestive regulation, mental well-being, and the prevention of lifestyle related disorders.

Keywords : Ayurveda; digestion; Agni; Āma; gut–brain axis; mental health; seasonal adaptation; metabolism..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty