What is described as the samprapti of hypotension?

• A. Excess mucus and phlegm block breath
• B. Overactive vyana vayu alone
• C. Poor agni and formation of ama causes poorly formed rasa dhatu which is weak and circulated by vyana vayu
• D. Strong rasa dhatu and kapha accumulation

Answer: (C)

In Ayurveda, low blood pressure is seen as a problem of nourishment and circulation: the rasa dhatu (the plasma-like tissue) must be well formed and carried efficiently by the vyana vayu to maintain steady pressure. When digestive fire (agni) is weak, digestion falters and ama (toxic, undigested matter) forms. This ama blocks the subtle channels and impairs the proper formation of rasa dhatu. The resulting rasa dhatu is weak, meaning it cannot provide adequate nourishment and volume.

Vyana vayu, responsible for circulation and distribution, then moves this weak rasa dhatu through the body poorly. The combination—poor agni, ama formation, weak rasa dhatu, and its circulation by vyana vayu—produces the clinical picture of hypotension: insufficient circulating nourishment and reduced systemic pressure.

This explanation fits the idea that hypotension arises from compromised nourishment and impaired distribution, rather than from excess blockage (which would point to kapha-related issues) or from an overactive system that would not specifically explain weak rasa dhatu and ama.