|All Sections||Sutra Sthana,Nidana Sthana, Vimana Sthana, Sharira Sthana, Indriya Sthana, Chikitsa Sthana, Kalpa Sthana, Siddhi Sthana|
|Varnasvariyamindriyam Adhyaya, Pushpitakamindriyam Adhyaya, Parimarshaneeyamindriyam Adhyaya, Indriyaneeka, Purvarupeeya, Kathamanasharireeya, Pannarupiya, Avakshiraseeya, Yasyashyavanimitta, Sadyomaraneeya, Anujyoti, Gomayachurniya|
Preamble of Indriya Sthana (Section on Determinants of Remaining Lifespan of Patients)
Life begins with the association of consciousness, or the atma, with the five fundamental elements (earth, air, fire, ether, and water, or the panchamahabhuta) and ends in the dissolution of this association. Since this union (that results in a living being) is by no means permanent and since there is always a possibility of dissolution or death anytime, Ayurvedic texts emphasized on identifying certain signs and symptoms that could forebear, with some level of certainty, imminent death. This section is dedicated to such determinants and is structured in the form of 12 chapters:
- Signs and symptoms (arishtas) of imminent death specific to pathologies afflicting sense organs that can be perceived by sensory deficiencies (e.g., varna (color), swara (voices/sounds), gandha (smell), rasa (taste), sparsha(touch),along with chhaya (complexion) and prabha (radiance)) are addressed in chapters Varnasvariyamindriyam Adhyaya, Pushpitakamindriyam Adhyaya, Parimarshaneeyamindriyam Adhyaya, Indriyaneeka, Pannarupiya and Yasyashyavanimitta.
- Clinically useful early warning signs have been mentioned in Purvarupeeya.
- Gomayachurniya, Anujyoti, Kathamanasharireeya, Avakshiraseeya and Sadyomaraneeya are chapters that give examples of arishta that could be perceived on the physical level (or, are Bahyakarana) as well as on the mental, intellectual, and emotional levels (or, afflicting the Antahkarana ), with references to sakun( good / bad consequential happening)), doota( messenger), swapna ( dreams) and miscellaneous occult sciences. The evidences laid down in these chapters may establish an Ayurveda-based clinical diagnostic methodology.
It is important to note here that Indriya Sthana deals with the predictors of life, and not just determinants/symptoms of death. There are, therefore, not titled Arishta Sthana but Indriya Sthana for a reason. Indra means prana (life). The seat of prana in the body is Sneha or Ojus. Indriya (sense organs) are said to be the linga (organs) of prana. An important concept discussed in the Indriya Sthana is termed Indriyadushti (damage to the sensory system). A state of perfect health is Anirvedovarta Lakshanam (i.e., life without any indication or perception of being alive).Even though all of the determinants (i.e., signs and symptoms) cannot be explained by rational scientific parameters (as evident by the references above to paranormal and occult sciences), some of these signs and symptoms have been documented and reported as having been experienced by people in various parts of the world. Within the treatise (Charaka Samhita), physicians have been instructed to thoroughly examine the patient for certain telltale signs that indicate terminal illness and investigate using biomarkers. The treatise then advises physicians to stop any therapeutic treatment being given to such terminal patients and provide them palliative care instead.