Vol. 2, Issue 2, Part A (2025)

Background: In Ayurvedic medicine, Aam is considered a foundational pathological factor responsible for the origin and manifestation of numerous diseases. Derived from the improper digestion and metabolism of Ahara Rasa due to Agni Mandya, Aam is characterized by its heavy, sticky, and obstructive properties. Understanding the conceptual basis and pathogenesis of Aam is crucial for preventing chronic and systemic disorders. 
Aim: To explore the Ayurvedic concept of Aam, its formation mechanism (Samprapti), and its role in disease progression through classical references and contemporary perspectives. 
Objectives: To elucidate the concept of Aam in Ayurvedic literature. To describe the Samprapti (pathogenesis) of Aam to analyze the role of Aam in the progression of various diseases to evaluate preventive and therapeutic strategies for Aam in Ayurveda.
Materials and Methods: A qualitative review was conducted by collecting references from Brihattrayi, Laghutrayi, and relevant Ayurvedic commentaries. Secondary sources including published research articles, clinical reviews, and conceptual studies were also analyzed to support the integration of traditional knowledge with modern understanding. 
Results: The study identified that Aam is a central factor in the etiology of various Srotodushti, autoimmune, metabolic, and inflammatory disorders. The accumulation of Aam impairs Dhatu Poshana and leads to the vitiation of Doshas, resulting in complex pathological conditions like Amavata, Amlapitta, and Grahanidosha. Management protocols such as Langhana, Deepana, Pachana, and Shodhana therapies are effective in reversing the disease process initiated by Aam. 
Conclusion: Aam is a critical concept in Ayurveda that bridges Agni, Ahara, Srotas, and Dosha interactions. Its understanding helps in early diagnosis, prevention, and management of various chronic diseases. Integration of classical principles with modern diagnostics could enhance personalized Ayurvedic treatments.