Difference between revisions of "Maharoga Adhyaya"
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+ | {{CiteButton}} | ||
+ | {{#seo: | ||
+ | |title=Maharoga Adhyaya | ||
+ | |titlemode=append | ||
+ | |keywords=dosha specific diseases, site of dosha, management principles of dosha, Ayurveda, Indian system of medicine, charak samhita. | ||
+ | |description=Sutra Sthana Chapter 20. Dosha specific classification of diseases | ||
+ | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | ||
+ | |image_alt=carak samhita | ||
+ | |type=article | ||
+ | }} | ||
+ | <big>'''Sutra Sthana Chapter 20. [[Dosha]] specific classification of diseases '''</big> | ||
{{Infobox | {{Infobox | ||
|title = Maharoga Adhyaya | |title = Maharoga Adhyaya | ||
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|data2 = ''Roga Chatushka'' | |data2 = ''Roga Chatushka'' | ||
|label3 = Preceding Chapter | |label3 = Preceding Chapter | ||
− | |data3 = [[Ashtodariya]] | + | |data3 = [[Ashtodariya Adhyaya]] |
|label4 = Succeeding Chapter | |label4 = Succeeding Chapter | ||
− | |data4 = [[Ashtauninditiya]] | + | |data4 = [[Ashtauninditiya Adhyaya]] |
|label5 = Other Sections | |label5 = Other Sections | ||
− | |data5 = [[Nidana Sthana]], [[Vimana Sthana]], | + | |data5 = [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] |
+ | |label6 = Translator and commentator | ||
+ | |data6 = Byadgi P.S., Saini N. | ||
+ | |label7 = Reviewer | ||
+ | |data7 = Pol A. | ||
+ | |label8 = Editors | ||
+ | |data8 = Kar A.C., Rai S., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]] | ||
+ | |label9 = Year of publication | ||
+ | |data9 = 2020 | ||
+ | |label10 = Publisher | ||
+ | |data10 = [[Charak Samhita Research, Training and Skill Development Centre]] | ||
+ | |label11 = DOI | ||
+ | |data11 = [https://doi.org/10.47468/CSNE.2020.e01.s01.022 10.47468/CSNE.2020.e01.s01.022] | ||
+ | }} | ||
− | |||
− | |||
− | + | <big>'''Abstract'''</big> | |
− | < | + | <p style="text-align:justify;">This chapter further extends description of classification of diseases according to criteria viz. endogenous-exogenous causes, basic nature, site of origin, clinical presentations. The specific causes of endogenous and exogenous diseases are described. The chapter further enlists diseases caused due to only one [[dosha]] with their sites of origin. This elaborates the concept distinct one-[[dosha]] categories of diseases. There are as many as eighty variants due to a vitiated [[vata]] only, forty due to [[pitta]], and twenty due to [[kapha]]. Any effective diagnosis or treatment of these diseases would need a detailed study of the [[dosha]], their locations and characteristics. This knowledge is provided to substantiate the importance of knowing disease before initiating the treatment in clinical medicine. The chapter recapitulates principles of knowledge of disease described in the tetrad. </br> |
− | This chapter | ||
− | '''Keywords''': | + | '''Keywords''': [[dosha]] specific diseases, site of [[dosha]], management principles of [[dosha]]. |
− | </ | + | </p> |
− | + | == Introduction == | |
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | In this chapter, diseases are classified into four types - exogenous, | + | In this chapter, diseases are classified into four types - exogenous, [[vata]]ja, [[pitta]]ja and [[kapha]]ja. Because single-[[dosha]] endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the [[Sutra Sthana]] and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-[[dosha]] endogenous diseases play a secondary role in the genesis of exogenous diseases. |
− | As also mentioned earlier, there are innumerable diseases because of many etiopathological factors as well as variations in the involvement of | + | As also mentioned earlier, there are innumerable diseases because of many etiopathological factors as well as variations in the involvement of [[dosha]] and [[dhatu]]. Since vitiated [[dosha]] are directly or indirectly responsible for all diseases, it is important to understand their normal, or expected, functions and then the pathological consequences of their vitiated forms. By factoring in these fundamental factors, this chapter deals with providing complete scenarios of afflictions, and their recommended line of treatment. |
− | Mind and body are the sites of manifestation of exogenous and endogenous diseases. Psychological disorders are considered to be exogenous in nature. An important point to note here (though this has been addressed in an earlier chapter) is that even if some of the | + | Mind and body are the sites of manifestation of exogenous and endogenous diseases. Psychological disorders are considered to be exogenous in nature. An important point to note here (though this has been addressed in an earlier chapter) is that even if some of the [[vata]]ja types of diseases are caused by other [[dosha]] besides [[vata]], it is the [[vata]] which is actually responsible for the transmission of vitiated [[dosha]] to a specific organ of the body. [[Kapha]], [[pitta]]and the [[dhatu]], left to themselves, are immobile in nature. Wherever, they are carried by the [[vata]], they cause diseases, just as the wind causes rain in a particular area. Phases in the natural history, clinical course of a disease, and successive stages of prevention are described under Kriyakala. |
</div> | </div> | ||
− | + | == Sanskrit text, Transliteration and English Translation == | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
अथातो महारोगाध्यायं व्याख्यास्यामः||१|| | अथातो महारोगाध्यायं व्याख्यास्यामः||१|| | ||
इति ह स्माह भगवानात्रेयः||२|| | इति ह स्माह भगवानात्रेयः||२|| | ||
+ | <div class="mw-collapsible-content"> | ||
athātō mahārōgādhyāyaṁ vyākhyāsyāmaḥ||1|| | athātō mahārōgādhyāyaṁ vyākhyāsyāmaḥ||1|| | ||
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iti ha smAha bhagavAnAtreyaH||2|| | iti ha smAha bhagavAnAtreyaH||2|| | ||
+ | </div></div> | ||
− | Now we shall expound | + | Now we shall expound the chapter "Maharoga" ([[Dosha]] specific classification of diseases). Thus said Lord Atreya. [1-2] |
− | + | === Classification of diseases === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
चत्वारो रोगा भवन्ति- आगन्तुवातपित्तश्लेष्मनिमित्ताः; तेषां चतुर्णामपि रोगाणां रोगत्वमेकविधं भवति, रुक्सामान्यात्;द्विविधा पुनः प्रकृतिरेषाम्, आगन्तुनिजविभागात्; द्विविधं चैषामधिष्ठानं, मनःशरीरविशेषात्; विकाराःपुनरपरिसङ्ख्येयाः, प्रकृत्यधिष्ठानलिङ्गायतनविकल्पविशेषापरिसङ्ख्येयत्वात् ||३|| | चत्वारो रोगा भवन्ति- आगन्तुवातपित्तश्लेष्मनिमित्ताः; तेषां चतुर्णामपि रोगाणां रोगत्वमेकविधं भवति, रुक्सामान्यात्;द्विविधा पुनः प्रकृतिरेषाम्, आगन्तुनिजविभागात्; द्विविधं चैषामधिष्ठानं, मनःशरीरविशेषात्; विकाराःपुनरपरिसङ्ख्येयाः, प्रकृत्यधिष्ठानलिङ्गायतनविकल्पविशेषापरिसङ्ख्येयत्वात् ||३|| | ||
+ | <div class="mw-collapsible-content"> | ||
catvārō rōgā bhavanti- āgantuvātapittaślēṣmanimittāḥ; tēṣāṁ caturṇāmapi rōgāṇāṁ rōgatvamēkavidhaṁbhavati, ruksāmānyāt; dvividhā punaḥ prakr̥tirēṣām, āgantunijavibhāgāt; dvividhaṁ caiṣāmadhiṣṭhānaṁ,manaḥśarīraviśēṣāt; vikārāḥ punaraparisaṅkhyēyāḥ,prakr̥tyadhiṣṭhānaliṅgāyatanavikalpaviśēṣāparisaṅkhyēyatvāt ||3|| | catvārō rōgā bhavanti- āgantuvātapittaślēṣmanimittāḥ; tēṣāṁ caturṇāmapi rōgāṇāṁ rōgatvamēkavidhaṁbhavati, ruksāmānyāt; dvividhā punaḥ prakr̥tirēṣām, āgantunijavibhāgāt; dvividhaṁ caiṣāmadhiṣṭhānaṁ,manaḥśarīraviśēṣāt; vikārāḥ punaraparisaṅkhyēyāḥ,prakr̥tyadhiṣṭhānaliṅgāyatanavikalpaviśēṣāparisaṅkhyēyatvāt ||3|| | ||
catvAro rogA bhavanti- AgantuvAtapittashleShmanimittAH; teShAM caturNAmapi rogANAMrogatvamekavidhaM bhavati, ruksAmAnyAt; dvividhA punaH prakRutireShAm, AgantunijavibhAgAt;dvividhaM caiShAmadhiShThAnaM, manaHsharIravisheShAt; vikArAH punaraparisa~gkhyeyAH,prakRutyadhiShThAnali~ggAyatanavikalpavisheShAparisa~gkhyeyatvAt ||3|| | catvAro rogA bhavanti- AgantuvAtapittashleShmanimittAH; teShAM caturNAmapi rogANAMrogatvamekavidhaM bhavati, ruksAmAnyAt; dvividhA punaH prakRutireShAm, AgantunijavibhAgAt;dvividhaM caiShAmadhiShThAnaM, manaHsharIravisheShAt; vikArAH punaraparisa~gkhyeyAH,prakRutyadhiShThAnali~ggAyatanavikalpavisheShAparisa~gkhyeyatvAt ||3|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | There are four types of diseases viz. ''agantuja'' (exogenous), | + | There are four types of diseases viz. ''agantuja'' (exogenous), [[vata]]ja, [[pitta]]ja and ''shleshmaja/[[kapha]]ja''. All varieties of diseases may be grouped under one classification because pain is common to all. They are again of two types depending on their nature- exogenous and endogenous. They are again of two types - somatic and psychic-depending on the sites of their manifestation i.e. body and mind. Diseases are in fact innumerable ([[dhatu]] affected, signs and symptoms), distant causes (like improper diet and regimen), and permutation and combination of various fractions of [[dosha]] are innumerable. [3] |
</div> | </div> | ||
− | + | === Etiological factors of diseases === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
मुखानि तु खल्वागन्तोर्नखदशनपतनाभिचाराभिशापाभिषङ्गाभिघातव्यध-बन्धनवेष्टनपीडनरज्जुदहनशस्त्राशनिभूतोपसर्गादीनि, निजस्य तु मुखं वातपित्तश्लेष्मणां वैषम्यम्||४|| | मुखानि तु खल्वागन्तोर्नखदशनपतनाभिचाराभिशापाभिषङ्गाभिघातव्यध-बन्धनवेष्टनपीडनरज्जुदहनशस्त्राशनिभूतोपसर्गादीनि, निजस्य तु मुखं वातपित्तश्लेष्मणां वैषम्यम्||४|| | ||
+ | <div class="mw-collapsible-content"> | ||
mukhāni tu khalvāgantōrnakhadaśanapatanābhicārābhiśāpābhiṣaṅgābhighātavyadha-bandhanavēṣṭanapīḍanarajjudahanaśastrāśanibhūtōpasargādīni, nijasya tu mukhaṁ vātapittaślēṣmaṇāṁvaiṣamyam||4|| | mukhāni tu khalvāgantōrnakhadaśanapatanābhicārābhiśāpābhiṣaṅgābhighātavyadha-bandhanavēṣṭanapīḍanarajjudahanaśastrāśanibhūtōpasargādīni, nijasya tu mukhaṁ vātapittaślēṣmaṇāṁvaiṣamyam||4|| | ||
mukhAni tu khalvAgantornakhadashanapatanAbhicArAbhishApAbhiSha~ggAbhighAtavyadha-bandhanaveShTanapIDanarajjudahanashastrAshanibhUtopasargAdIni, nijasya tu mukhaMvAtapittashleShmaNAM vaiShamyam||4|| | mukhAni tu khalvAgantornakhadashanapatanAbhicArAbhishApAbhiSha~ggAbhighAtavyadha-bandhanaveShTanapIDanarajjudahanashastrAshanibhUtopasargAdIni, nijasya tu mukhaMvAtapittashleShmaNAM vaiShamyam||4|| | ||
+ | </div></div> | ||
+ | |||
+ | While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, wrapping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of [[vata]], [[pitta]] and [[kapha]] [[dosha]].[4] | ||
− | + | === Three major causes of diseases === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
− | |||
− | |||
द्वयोस्तु खल्वागन्तुनिजयोः प्रेरणमसात्म्येन्द्रियार्थसंयोगः, प्रज्ञापराधः, परिणामश्चेति||५|| | द्वयोस्तु खल्वागन्तुनिजयोः प्रेरणमसात्म्येन्द्रियार्थसंयोगः, प्रज्ञापराधः, परिणामश्चेति||५|| | ||
+ | <div class="mw-collapsible-content"> | ||
dvayōstu khalvāgantunijayōḥ prēraṇamasātmyēndriyārthasaṁyōgaḥ, prajñāparādhaḥ, pariṇāmaścēti||5|| | dvayōstu khalvāgantunijayōḥ prēraṇamasātmyēndriyārthasaṁyōgaḥ, prajñāparādhaḥ, pariṇāmaścēti||5|| | ||
dvayostu khalvAgantunijayoH preraNamasAtmyendriyArthasaMyogaH, praj~jAparAdhaH,pariNAmashceti||5|| | dvayostu khalvAgantunijayoH preraNamasAtmyendriyArthasaMyogaH, praj~jAparAdhaH,pariNAmashceti||5|| | ||
+ | </div></div> | ||
Unwholesome contact between sense organs and their objects, intellectual defects and effects of time constitute the common causative factors for both the exogenous and endogenous types of diseases.[5] | Unwholesome contact between sense organs and their objects, intellectual defects and effects of time constitute the common causative factors for both the exogenous and endogenous types of diseases.[5] | ||
+ | <div class="mw-collapsible mw-collapsed"> | ||
सर्वेऽपि तु खल्वेतेऽभिप्रवृद्धाश्चत्वारो रोगाः परस्परमनुबध्नन्ति, न चान्योन्येन सह सन्देहमापद्यन्ते ||६|| | सर्वेऽपि तु खल्वेतेऽभिप्रवृद्धाश्चत्वारो रोगाः परस्परमनुबध्नन्ति, न चान्योन्येन सह सन्देहमापद्यन्ते ||६|| | ||
+ | <div class="mw-collapsible-content"> | ||
sarvē'pi tu khalvētē'bhipravr̥ddhāścatvārō rōgāḥ parasparamanubadhnanti, na cānyōnyēna sahasandēhamāpadyantē ||6|| | sarvē'pi tu khalvētē'bhipravr̥ddhāścatvārō rōgāḥ parasparamanubadhnanti, na cānyōnyēna sahasandēhamāpadyantē ||6|| | ||
sarve~api tu khalvete~abhipravRuddhAshcatvAro rogAH parasparamanubadhnanti, na cAnyonyena sahasandehamApadyante ||6|| | sarve~api tu khalvete~abhipravRuddhAshcatvAro rogAH parasparamanubadhnanti, na cAnyonyena sahasandehamApadyante ||6|| | ||
+ | </div></div> | ||
All these four types of diseases when aggravated get transform into each other to share common symptoms. Even then, the distinctive features of each one of these diseases are too clearly manifested to allow any confusion. [6] | All these four types of diseases when aggravated get transform into each other to share common symptoms. Even then, the distinctive features of each one of these diseases are too clearly manifested to allow any confusion. [6] | ||
− | + | === Difference between endogenous and exogenous diseases === | |
− | + | <div class="mw-collapsible mw-collapsed"> | |
+ | |||
आगन्तुर्हि व्यथापूर्वं समुत्पन्नो जघन्यं वातपित्तश्लेष्मणां वैषम्यमापादयति; निजे तु वातपित्तश्लेष्माणः पूर्वं वैषम्यमापद्यन्तेजघन्यं व्यथामभिनिर्वर्तयन्ति||७|| | आगन्तुर्हि व्यथापूर्वं समुत्पन्नो जघन्यं वातपित्तश्लेष्मणां वैषम्यमापादयति; निजे तु वातपित्तश्लेष्माणः पूर्वं वैषम्यमापद्यन्तेजघन्यं व्यथामभिनिर्वर्तयन्ति||७|| | ||
+ | <div class="mw-collapsible-content"> | ||
āganturhi vyathāpūrvaṁ samutpannō jaghanyaṁ vātapittaślēṣmaṇāṁ vaiṣamyamāpādayati; nijē tuvātapittaślēṣmāṇaḥ pūrvaṁ vaiṣamyamāpadyantē jaghanyaṁ vyathāmabhinirvartayanti||7|| | āganturhi vyathāpūrvaṁ samutpannō jaghanyaṁ vātapittaślēṣmaṇāṁ vaiṣamyamāpādayati; nijē tuvātapittaślēṣmāṇaḥ pūrvaṁ vaiṣamyamāpadyantē jaghanyaṁ vyathāmabhinirvartayanti||7|| | ||
Aganturhi vyathApUrvaM samutpanno jaghanyaM vAtapittashleShmaNAM vaiShamyamApAdayati; nije tuvAtapittashleShmANaH pUrvaM vaiShamyamApadyante jaghanyaM vyathAmabhinirvartayanti||7|| | Aganturhi vyathApUrvaM samutpanno jaghanyaM vAtapittashleShmaNAM vaiShamyamApAdayati; nije tuvAtapittashleShmANaH pUrvaM vaiShamyamApadyante jaghanyaM vyathAmabhinirvartayanti||7|| | ||
+ | </div></div> | ||
− | Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of | + | Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of [[dosha]]. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of [[dosha]] and then cause pain. [7] |
− | + | === Sites of three [[dosha]] === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
तेषां त्रयाणामपि दोषाणां शरीरे स्थानविभाग उपदेक्ष्यते; तद्यथा- बस्तिः पुरीषाधानं कटिः सक्थिनी पादावस्थीनिपक्वाशयश्च वातस्थानानि, तत्रापि पक्वाशयो विशेषेण वातस्थानं; स्वेदो रसो लसीका रुधिरमामाशयश्च पित्तस्थानानि,तत्राप्यामाशयो विशेषेण पित्तस्थानम्; उरः शिरो ग्रीवा पर्वाण्यामाशयो मेदश्च श्लेष्मस्थानानि, तत्राप्युरो विशेषेणश्लेष्मस्थानम्||८|| | तेषां त्रयाणामपि दोषाणां शरीरे स्थानविभाग उपदेक्ष्यते; तद्यथा- बस्तिः पुरीषाधानं कटिः सक्थिनी पादावस्थीनिपक्वाशयश्च वातस्थानानि, तत्रापि पक्वाशयो विशेषेण वातस्थानं; स्वेदो रसो लसीका रुधिरमामाशयश्च पित्तस्थानानि,तत्राप्यामाशयो विशेषेण पित्तस्थानम्; उरः शिरो ग्रीवा पर्वाण्यामाशयो मेदश्च श्लेष्मस्थानानि, तत्राप्युरो विशेषेणश्लेष्मस्थानम्||८|| | ||
+ | <div class="mw-collapsible-content"> | ||
tēṣāṁ trayāṇāmapi dōṣāṇāṁ śarīrē sthānavibhāga upadēkṣyatē; tadyathā- bastiḥ purīṣādhānaṁ kaṭiḥsakthinī pādāvasthīni pakvāśayaśca vātasthānāni, tatrāpi pakvāśayō viśēṣēṇa vātasthānaṁ; svēdō rasōlasīkā rudhiramāmāśayaśca pittasthānāni, tatrāpyāmāśayō viśēṣēṇa pittasthānam; uraḥ śirō grīvāparvāṇyāmāśayō mēdaśca ślēṣmasthānāni, tatrāpyurō viśēṣēṇa ślēṣmasthānam||8|| | tēṣāṁ trayāṇāmapi dōṣāṇāṁ śarīrē sthānavibhāga upadēkṣyatē; tadyathā- bastiḥ purīṣādhānaṁ kaṭiḥsakthinī pādāvasthīni pakvāśayaśca vātasthānāni, tatrāpi pakvāśayō viśēṣēṇa vātasthānaṁ; svēdō rasōlasīkā rudhiramāmāśayaśca pittasthānāni, tatrāpyāmāśayō viśēṣēṇa pittasthānam; uraḥ śirō grīvāparvāṇyāmāśayō mēdaśca ślēṣmasthānāni, tatrāpyurō viśēṣēṇa ślēṣmasthānam||8|| | ||
teShAM trayANAmapi doShANAM sharIre sthAnavibhAga upadekShyate; tadyathA- bastiHpurIShAdhAnaM kaTiH sakthinI pAdAvasthIni pakvAshayashca vAtasthAnAni, tatrApi pakvAshayovisheSheNa vAtasthAnaM; svedo raso lasIkA rudhiramAmAshayashca pittasthAnAni, tatrApyAmAshayovisheSheNa pittasthAnam; uraH shiro grIvA parvANyAmAshayo medashca shleShmasthAnAni, tatrApyurovisheSheNa shleShmasthAnam||8|| | teShAM trayANAmapi doShANAM sharIre sthAnavibhAga upadekShyate; tadyathA- bastiHpurIShAdhAnaM kaTiH sakthinI pAdAvasthIni pakvAshayashca vAtasthAnAni, tatrApi pakvAshayovisheSheNa vAtasthAnaM; svedo raso lasIkA rudhiramAmAshayashca pittasthAnAni, tatrApyAmAshayovisheSheNa pittasthAnam; uraH shiro grIvA parvANyAmAshayo medashca shleShmasthAnAni, tatrApyurovisheSheNa shleShmasthAnam||8|| | ||
+ | </div></div> | ||
− | The important sites of origin of these three | + | The important sites of origin of these three [[dosha]] are as follows: |
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Urinary bladder, rectum, waist, thighs, legs, bones and colon are the sites of | + | Urinary bladder, rectum, waist, thighs, legs, bones and colon are the sites of [[vata]], with colon the most important of them. |
− | Sweat, | + | |
− | Chest, head, neck, | + | [[Sweat]], [[rasa]], [[lasika]], [[rakta]] and lower part of stomach and duodenum are the sites of [[pitta]], with duodenum, the most important of them. |
+ | |||
+ | Chest, head, neck, joints, upper part of stomach and [[meda]] (fats) are the sites of [[shleshma]] or [[kapha]], with chest the most important of them. [8] | ||
</div> | </div> | ||
− | + | === Specific diseases caused by ''dosha'' === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
सर्वशरीरचरास्तु वातपित्तश्लेष्माणः सर्वस्मिञ्छरीरे कुपिताकुपिताः शुभाशुभानि कुर्वन्ति- प्रकृतिभूताःशुभान्युपचयबलवर्णप्रसादादीनि, अशुभानि पुनर्विकृतिमापन्ना विकारसञ्ज्ञकानि||९|| | सर्वशरीरचरास्तु वातपित्तश्लेष्माणः सर्वस्मिञ्छरीरे कुपिताकुपिताः शुभाशुभानि कुर्वन्ति- प्रकृतिभूताःशुभान्युपचयबलवर्णप्रसादादीनि, अशुभानि पुनर्विकृतिमापन्ना विकारसञ्ज्ञकानि||९|| | ||
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तत्र सामान्यजाः पूर्वमष्टोदरीये व्याख्याताः, नानात्मजांस्त्विहाध्यायेऽनुव्याख्यास्यामः| | तत्र सामान्यजाः पूर्वमष्टोदरीये व्याख्याताः, नानात्मजांस्त्विहाध्यायेऽनुव्याख्यास्यामः| | ||
तद्यथा- अशीतिर्वातविकाराः, चत्वारिंशत् पित्तविकाराः, विंशतिः श्लेष्मविकाराः||१०|| | तद्यथा- अशीतिर्वातविकाराः, चत्वारिंशत् पित्तविकाराः, विंशतिः श्लेष्मविकाराः||१०|| | ||
+ | <div class="mw-collapsible-content"> | ||
sarvaśarīracarāstu vātapittaślēṣmāṇaḥ sarvasmiñcharīrē kupitākupitāḥ śubhāśubhāni kurvanti-prakr̥tibhūtāḥ śubhānyupacayabalavarṇaprasādādīni, aśubhāni punarvikr̥timāpannā vikārasañjñakāni||9|| | sarvaśarīracarāstu vātapittaślēṣmāṇaḥ sarvasmiñcharīrē kupitākupitāḥ śubhāśubhāni kurvanti-prakr̥tibhūtāḥ śubhānyupacayabalavarṇaprasādādīni, aśubhāni punarvikr̥timāpannā vikārasañjñakāni||9|| | ||
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tatra sAmAnyajAH pUrvamaShTodarIye vyAkhyAtAH, nAnAtmajAMstvihAdhyAye~anuvyAkhyAsyAmaH| | tatra sAmAnyajAH pUrvamaShTodarIye vyAkhyAtAH, nAnAtmajAMstvihAdhyAye~anuvyAkhyAsyAmaH| | ||
tadyathA- ashItirvAtavikArAH, catvAriMshat pittavikArAH, viMshatiH shleShmavikArAH||10|| | tadyathA- ashItirvAtavikArAH, catvAriMshat pittavikArAH, viMshatiH shleShmavikArAH||10|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | The entire body is the abode of all the three | + | The entire body is the abode of all the three [[dosha]], the normal or abnormal states of which are responsible for good or bad outcomes respectively. Examples of good outcomes include growth, strength, complexion, happiness, etc, while the bad outcomes, manifested due to abnormal states of [[dosha]], cause various types of diseases. |
− | Endogenous diseases again are of two types - diseases caused due to vitiation of two or more | + | Endogenous diseases again are of two types - diseases caused due to vitiation of two or more [[dosha]], and diseases that are caused by single-[[dosha]]. The previous chapter dealt with general diseases. This chapter focuses on the latter. There are 140 types of single-[[dosha]]diseases, including 80 types caused by [[vata]], 40 by [[pitta]], and 20 by [[kapha]].[10] |
</div> | </div> | ||
− | + | === Eighty disorders caused due to [[vata]] [[dosha]] === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
तत्रादौ वातविकाराननुव्याख्यास्यामः| | तत्रादौ वातविकाराननुव्याख्यास्यामः| | ||
तद्यथा- नखभेदश्च, विपादिका च, पादशूलं च, पादभ्रंशश्च, पादसुप्तता च, वातखुड्डता च, गुल्फग्रहश्च, पिण्डिकोद्वेष्टनं च,गृध्रसी च, जानुभेदश्च, जानुविश्लेषश्च, ऊरुस्तम्भश्च, ऊरुसादश्च, पाङ्गुल्यं च, गुदभ्रंशश्च, गुदार्तिश्च, वृषणाक्षेपश्च ,शेफस्तम्भश्च, वङ्क्षणानाहश्च, श्रोणिभेदश्च, विड्भेदश्च, उदावर्तश्च, खञ्जत्वं च, कुब्जत्वं च, वामनत्वं च, त्रिकग्रहश्च,पृष्ठग्रहश्च, पार्श्वावमर्दश्च, उदरावेष्टश्च, हृन्मोहश्च , हृद्द्रवश्च, वक्षौद्घर्षश्च , वक्षौपरोधश्च, वक्षस्तोदश्च, बाहुशोषश्च,ग्रीवास्तम्भश्च, मन्यास्तम्भश्च, कण्ठोद्ध्वंसश्च, हनुभेदश्च , ओष्ठभेदश्च, अक्षिभेदश्च , दन्तभेदश्च, दन्तशैथिल्यं च,मूकत्वं च , वाक्सङ्गश्च, कषायास्यता च, मुखशोषश्च, अरसज्ञता च, घ्राणनाशश्च, कर्णशूलं च, अशब्दश्रवणं च,उच्चैःश्रुतिश्च , बाधिर्यं च, वर्त्मस्तम्भश्च, वर्त्मसङ्कोचश्च, तिमिरं च, अक्षिशूलं च, अक्षिव्युदासश्च, भ्रूव्युदासश्च,शङ्खभेदश्च, ललाटभेदश्च, शिरोरुक् च, केशभूमिस्फुटनं च, अर्दितं च, एकाङ्गरोगश्च, सर्वाङ्गरोगश्च, पक्षवधश्च ,आक्षेपकश्च, दण्डकश्च, तमश्च , भ्रमश्च, वेपथुश्च, जृम्भा च, हिक्का च, विषादश्च, अतिप्रलापश्च, रौक्ष्यं च, पारुष्यं च,श्यावारुणावभासता च, अस्वप्नश्च, अनवस्थितचित्तत्वं च; इत्यशीतिर्वातविकारावातविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||११|| | तद्यथा- नखभेदश्च, विपादिका च, पादशूलं च, पादभ्रंशश्च, पादसुप्तता च, वातखुड्डता च, गुल्फग्रहश्च, पिण्डिकोद्वेष्टनं च,गृध्रसी च, जानुभेदश्च, जानुविश्लेषश्च, ऊरुस्तम्भश्च, ऊरुसादश्च, पाङ्गुल्यं च, गुदभ्रंशश्च, गुदार्तिश्च, वृषणाक्षेपश्च ,शेफस्तम्भश्च, वङ्क्षणानाहश्च, श्रोणिभेदश्च, विड्भेदश्च, उदावर्तश्च, खञ्जत्वं च, कुब्जत्वं च, वामनत्वं च, त्रिकग्रहश्च,पृष्ठग्रहश्च, पार्श्वावमर्दश्च, उदरावेष्टश्च, हृन्मोहश्च , हृद्द्रवश्च, वक्षौद्घर्षश्च , वक्षौपरोधश्च, वक्षस्तोदश्च, बाहुशोषश्च,ग्रीवास्तम्भश्च, मन्यास्तम्भश्च, कण्ठोद्ध्वंसश्च, हनुभेदश्च , ओष्ठभेदश्च, अक्षिभेदश्च , दन्तभेदश्च, दन्तशैथिल्यं च,मूकत्वं च , वाक्सङ्गश्च, कषायास्यता च, मुखशोषश्च, अरसज्ञता च, घ्राणनाशश्च, कर्णशूलं च, अशब्दश्रवणं च,उच्चैःश्रुतिश्च , बाधिर्यं च, वर्त्मस्तम्भश्च, वर्त्मसङ्कोचश्च, तिमिरं च, अक्षिशूलं च, अक्षिव्युदासश्च, भ्रूव्युदासश्च,शङ्खभेदश्च, ललाटभेदश्च, शिरोरुक् च, केशभूमिस्फुटनं च, अर्दितं च, एकाङ्गरोगश्च, सर्वाङ्गरोगश्च, पक्षवधश्च ,आक्षेपकश्च, दण्डकश्च, तमश्च , भ्रमश्च, वेपथुश्च, जृम्भा च, हिक्का च, विषादश्च, अतिप्रलापश्च, रौक्ष्यं च, पारुष्यं च,श्यावारुणावभासता च, अस्वप्नश्च, अनवस्थितचित्तत्वं च; इत्यशीतिर्वातविकारावातविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||११|| | ||
+ | <div class="mw-collapsible-content"> | ||
tatrādau vātavikārānanuvyākhyāsyāmaḥ| | tatrādau vātavikārānanuvyākhyāsyāmaḥ| | ||
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tatrAdau vAtavikArAnanuvyAkhyAsyAmaH| | tatrAdau vAtavikArAnanuvyAkhyAsyAmaH| | ||
tadyathA- nakhabhedashca, vipAdikA ca, pAdashUlaM ca, pAdabhraMshashca, pAdasuptatA ca,vAtakhuDDatA ca, gulphagrahashca, piNDikodveShTanaM ca, gRudhrasI ca, jAnubhedashca,jAnuvishleShashca, Urustambhashca, UrusAdashca, pA~ggulyaM ca, gudabhraMshashca, gudArtishca,vRuShaNAkShepashca, shephastambhashca, va~gkShaNAnAhashca, shroNibhedashca, viDbhedashca,udAvartashca, kha~jjatvaM ca, kubjatvaMca, vAmanatvaM ca, trikagrahashca, pRuShThagrahashca,pArshvAvamardashca, udarAveShTashca, hRunmohashca, hRuddravashca, vakShaudgharShashca ,vakShauparodhashca, vakShastodashca, bAhushoShashca, grIvAstambhashca, manyAstambhashca,kaNThoddhvaMsashca, hanubhedashca, oShThabhedashca, akShibhedashca , dantabhedashca,dantashaithilyaM ca, mUkatvaM ca, vAksa~ggashca, kaShAyAsyatA ca, mukhashoShashca, arasaj~jatAca, ghrANanAshashca, karNashUlaM ca, ashabdashravaNaM ca, uccaiHshrutishca, bAdhiryaM ca,vartmastambhashca, vartmasa~gkocashca, timiraM ca, akShishUlaM ca, akShivyudAsashca,bhrUvyudAsashca, sha~gkhabhedashca, lalATabhedashca, shiroruk ca, keshabhUmisphuTanaM ca,arditaM ca, ekA~ggarogashca, sarvA~ggarogashca, pakShavadhashca, AkShepakashca,daNDakashca, tamashca , bhramashca, vepathushca, jRumbhA ca, hikkA ca, viShAdashca,atipralApashca, raukShyaM ca, pAruShyaM ca, shyAvAruNAvabhAsatA ca, asvapnashca,anavasthitacittatvaM ca; ityashItirvAtavikArA vAtavikArANAmaparisa~gkhyeyAnAmAviShkRutatamAvyAkhyAtAH||11|| | tadyathA- nakhabhedashca, vipAdikA ca, pAdashUlaM ca, pAdabhraMshashca, pAdasuptatA ca,vAtakhuDDatA ca, gulphagrahashca, piNDikodveShTanaM ca, gRudhrasI ca, jAnubhedashca,jAnuvishleShashca, Urustambhashca, UrusAdashca, pA~ggulyaM ca, gudabhraMshashca, gudArtishca,vRuShaNAkShepashca, shephastambhashca, va~gkShaNAnAhashca, shroNibhedashca, viDbhedashca,udAvartashca, kha~jjatvaM ca, kubjatvaMca, vAmanatvaM ca, trikagrahashca, pRuShThagrahashca,pArshvAvamardashca, udarAveShTashca, hRunmohashca, hRuddravashca, vakShaudgharShashca ,vakShauparodhashca, vakShastodashca, bAhushoShashca, grIvAstambhashca, manyAstambhashca,kaNThoddhvaMsashca, hanubhedashca, oShThabhedashca, akShibhedashca , dantabhedashca,dantashaithilyaM ca, mUkatvaM ca, vAksa~ggashca, kaShAyAsyatA ca, mukhashoShashca, arasaj~jatAca, ghrANanAshashca, karNashUlaM ca, ashabdashravaNaM ca, uccaiHshrutishca, bAdhiryaM ca,vartmastambhashca, vartmasa~gkocashca, timiraM ca, akShishUlaM ca, akShivyudAsashca,bhrUvyudAsashca, sha~gkhabhedashca, lalATabhedashca, shiroruk ca, keshabhUmisphuTanaM ca,arditaM ca, ekA~ggarogashca, sarvA~ggarogashca, pakShavadhashca, AkShepakashca,daNDakashca, tamashca , bhramashca, vepathushca, jRumbhA ca, hikkA ca, viShAdashca,atipralApashca, raukShyaM ca, pAruShyaM ca, shyAvAruNAvabhAsatA ca, asvapnashca,anavasthitacittatvaM ca; ityashItirvAtavikArA vAtavikArANAmaparisa~gkhyeyAnAmAviShkRutatamAvyAkhyAtAH||11|| | ||
+ | </div></div> | ||
− | While there could be | + | While there could be innumerable types of [[vata]]ja nanatmaja vikaras (also known as [[vata]]ja nanatmaja vyadhis'', the 80 known or prevalent types are as follows: |
#Nakhabheda (Cracking of nails) | #Nakhabheda (Cracking of nails) | ||
#Vipadika (Cracking of soles) | #Vipadika (Cracking of soles) | ||
− | # | + | #Pada shula (Pain in foot) |
#Pada bhramsha (Foot drop) | #Pada bhramsha (Foot drop) | ||
#Pada suptata (Numbness in feet) | #Pada suptata (Numbness in feet) | ||
− | # | + | #Vata khuddata (Pain in ankle region) |
#Gulphagraha (Stiffness in ankle region) | #Gulphagraha (Stiffness in ankle region) | ||
− | # | + | #Pindikodveshtana (Cramps in calf muscles) |
#Gridhrasi (Sciatica) | #Gridhrasi (Sciatica) | ||
#Janubheda (Tearing pain in knee) | #Janubheda (Tearing pain in knee) | ||
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#Urusada (Loss of movement in thigh) | #Urusada (Loss of movement in thigh) | ||
#Pangulya (Paraplegia) | #Pangulya (Paraplegia) | ||
− | #Guda | + | #Guda bhramsha (Rectum prolapse) |
#Gudarti (Pain in anus) | #Gudarti (Pain in anus) | ||
#Vrushana Kshepa (Pain in scroatum) | #Vrushana Kshepa (Pain in scroatum) | ||
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#Hrinmoha (Cardiac dysfunction) | #Hrinmoha (Cardiac dysfunction) | ||
#Hriddrava (Tachycardia) | #Hriddrava (Tachycardia) | ||
− | # | + | #Vaksha uddharsa (Rubbing pain in chest) |
#Vaksha uparodha (Constriction in chest) | #Vaksha uparodha (Constriction in chest) | ||
− | # | + | #Vaksha toda (Pricking pain in chest) |
#Bahu shosha (Wasting of arm) | #Bahu shosha (Wasting of arm) | ||
#Grivastambha (Stiffness in neck) | #Grivastambha (Stiffness in neck) | ||
#Manyastambha (Torticollis) | #Manyastambha (Torticollis) | ||
− | # | + | #Kanthoddhvamsa (Hoarseness of voice) |
− | #Hanubheda ( | + | #Hanubheda (Cracking pain in jaw) |
− | #Oshthabheda ( | + | #Oshthabheda (Cracking pain in lips) |
− | #Aksibheda ( | + | #Aksibheda (Cracking pain in eyes) |
− | #Dantabheda ( | + | #Dantabheda (Cracking pain in teeth) |
#Danta Shaithilya (Loose teeth) | #Danta Shaithilya (Loose teeth) | ||
#Mookatva (Aphasia) | #Mookatva (Aphasia) | ||
#Vaksanga (Stammering speech) | #Vaksanga (Stammering speech) | ||
− | # | + | #Kashayasyata (Astringent taste in mouth) |
− | # | + | #Mukhashosha (Dryness in mouth) |
#Arasajnata (Loss of taste sensation) | #Arasajnata (Loss of taste sensation) | ||
− | # | + | #Ghrana-nasha (Loss of smell sensation) |
#Karnashoola (Ear ache) | #Karnashoola (Ear ache) | ||
#Ashabdashravana (Tinnitus) | #Ashabdashravana (Tinnitus) | ||
Line 204: | Line 256: | ||
#Badhirya (Deafness) | #Badhirya (Deafness) | ||
#Vartmastambha (Stiffness in eyelids) | #Vartmastambha (Stiffness in eyelids) | ||
− | #Vartma | + | #Vartma sankocha (Entropion) |
#Timira (Loss of vision) | #Timira (Loss of vision) | ||
#Akshishula (Pain in eyes) | #Akshishula (Pain in eyes) | ||
#Akshivyudasa (Squint eye) | #Akshivyudasa (Squint eye) | ||
#Bhruvyudasa (Twisting in eye brows) | #Bhruvyudasa (Twisting in eye brows) | ||
− | # | + | #Shankhabheda (Cracking pain in temporal region of head) |
− | #Lalata bheda ( | + | #Lalata bheda (Cracking pain in frontal region of head) |
− | # | + | #Shiro ruk (Headache) |
#Keshabhoomisphutana (Cracking of scalp) | #Keshabhoomisphutana (Cracking of scalp) | ||
#Ardita (Facial paralysis) | #Ardita (Facial paralysis) | ||
Line 219: | Line 271: | ||
#Akshepaka (Clonic convulsions) | #Akshepaka (Clonic convulsions) | ||
#Dandaka (Tonic convulsions) | #Dandaka (Tonic convulsions) | ||
− | #Tama (Feeling of darkness in front of eye) | + | #Tama (Feeling of darkness in front of eye or fainting) |
#Bhrama (Giddiness) | #Bhrama (Giddiness) | ||
#Vepathu (Tremor) | #Vepathu (Tremor) | ||
#Jrumbha (Yawning) | #Jrumbha (Yawning) | ||
#Hikka (Hiccup) | #Hikka (Hiccup) | ||
− | #Vishada ( | + | #Vishada (Depression or asthenia) |
#Atipralapa (Excessive delirium) | #Atipralapa (Excessive delirium) | ||
#Raukshya (Roughness) | #Raukshya (Roughness) | ||
Line 230: | Line 282: | ||
#Syavarunavabhasata (Black reddish appearance) | #Syavarunavabhasata (Black reddish appearance) | ||
#Asvapna (Insomnia) | #Asvapna (Insomnia) | ||
− | + | (Anavasthita chittatva (Unstable mind)) | |
− | ==== | + | ==== Properties and pathogenic effects of [[vata]] [[dosha]] ==== |
+ | <div class="mw-collapsible mw-collapsed"> | ||
सर्वेष्वपि खल्वेतेषु वातविकारेषूक्तेष्वन्येषु चानुक्तेषु वायोरिदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहा वातविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- रौक्ष्यं शैत्यं लाघवं वैशद्यं गतिरमूर्तत्वमनवस्थितत्वं चेतिवायोरात्मरूपाणि; एवंविधत्वाच्च वायोः कर्मणः स्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः ; तद्यथा-स्रंसभ्रंसव्याससङ्गभेदसादहर्षतर्षकम्पवर्तचालतोदव्यथाचेष्टादीनि , तथाखरपरुषविशदसुषिरारुणवर्णकषायविरसमुखत्वशोषशूलसुप्तिसङ्कोचनस्तम्भनखञ्जतादीनि च वायोः कर्माणि; तैरन्वितंवातविकारमेवाध्यवस्येत्||१२|| | सर्वेष्वपि खल्वेतेषु वातविकारेषूक्तेष्वन्येषु चानुक्तेषु वायोरिदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहा वातविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- रौक्ष्यं शैत्यं लाघवं वैशद्यं गतिरमूर्तत्वमनवस्थितत्वं चेतिवायोरात्मरूपाणि; एवंविधत्वाच्च वायोः कर्मणः स्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः ; तद्यथा-स्रंसभ्रंसव्याससङ्गभेदसादहर्षतर्षकम्पवर्तचालतोदव्यथाचेष्टादीनि , तथाखरपरुषविशदसुषिरारुणवर्णकषायविरसमुखत्वशोषशूलसुप्तिसङ्कोचनस्तम्भनखञ्जतादीनि च वायोः कर्माणि; तैरन्वितंवातविकारमेवाध्यवस्येत्||१२|| | ||
+ | <div class="mw-collapsible-content"> | ||
sarvēṣvapi khalvētēṣu vātavikārēṣūktēṣvanyēṣu cānuktēṣu vāyōridamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhā vātavikāramēvādhyavasyanti kuśalāḥ;tadyathā- raukṣyaṁ śaityaṁ lāghavaṁ vaiśadyaṁ gatiramūrtatvamanavasthitatvaṁ cēti vāyōrātmarūpāṇi;ēvaṁvidhatvācca vāyōḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ ;tadyathā- sraṁsabhraṁsavyāsasaṅgabhēdasādaharṣatarṣakampavartacālatōdavyathācēṣṭādīni , tathākharaparuṣaviśadasuṣirāruṇavarṇakaṣāyavirasamukhatvaśōṣaśūlasuptisaṅkōcanastambhanakhañjatādīnica vāyōḥ karmāṇi; tairanvitaṁ vātavikāramēvādhyavasyēt||12|| | sarvēṣvapi khalvētēṣu vātavikārēṣūktēṣvanyēṣu cānuktēṣu vāyōridamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhā vātavikāramēvādhyavasyanti kuśalāḥ;tadyathā- raukṣyaṁ śaityaṁ lāghavaṁ vaiśadyaṁ gatiramūrtatvamanavasthitatvaṁ cēti vāyōrātmarūpāṇi;ēvaṁvidhatvācca vāyōḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ ;tadyathā- sraṁsabhraṁsavyāsasaṅgabhēdasādaharṣatarṣakampavartacālatōdavyathācēṣṭādīni , tathākharaparuṣaviśadasuṣirāruṇavarṇakaṣāyavirasamukhatvaśōṣaśūlasuptisaṅkōcanastambhanakhañjatādīnica vāyōḥ karmāṇi; tairanvitaṁ vātavikāramēvādhyavasyēt||12|| | ||
sarveShvapi khalveteShu vAtavikAreShUkteShvanyeShu cAnukteShu vAyoridamAtmarUpamapariNAmi karmaNashcasvalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehA vAtavikAramevAdhyavasyanti kushalAH; tadyathA-raukShyaM shaityaM lAghavaM vaishadyaM gatiramUrtatvamanavasthitatvaM ceti vAyorAtmarUpANi; evaMvidhatvAcca vAyoH karmaNaH svalakShaNamidamasya bhavati taM taM sharIrAvayavamAvishataH ; tadyathA-sraMsabhraMsavyAsasa~ggabhedasAdaharShatarShakampavartacAlatodavyathAceShTAdIni, tathAkharaparuShavishadasuShirAruNavarNakaShAyavirasamukhatvashoShashUlasuptisa~gkocanastambhanakha~jjatAdInica vAyoH karmANi; tairanvitaM vAtavikAramevAdhyavasyet||12|| | sarveShvapi khalveteShu vAtavikAreShUkteShvanyeShu cAnukteShu vAyoridamAtmarUpamapariNAmi karmaNashcasvalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehA vAtavikAramevAdhyavasyanti kushalAH; tadyathA-raukShyaM shaityaM lAghavaM vaishadyaM gatiramUrtatvamanavasthitatvaM ceti vAyorAtmarUpANi; evaMvidhatvAcca vAyoH karmaNaH svalakShaNamidamasya bhavati taM taM sharIrAvayavamAvishataH ; tadyathA-sraMsabhraMsavyAsasa~ggabhedasAdaharShatarShakampavartacAlatodavyathAceShTAdIni, tathAkharaparuShavishadasuShirAruNavarNakaShAyavirasamukhatvashoShashUlasuptisa~gkocanastambhanakha~jjatAdInica vAyoH karmANi; tairanvitaM vAtavikAramevAdhyavasyet||12|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | In all the | + | In all the [[vata]]ja variety of diseases enumerated, even when the inherent properties of [[vata]] are manifested partially, these are diagnosed and treated as the disorders of [[vata]]. For example, while roughness, coolness, lightness, non-sliminess, motion, shapelessness and instability are known to be the typical characteristics associated with [[vata]], there are various other manifestations of the [[dosha]] depending upon the organ it afflicts: |
</div> | </div> | ||
− | # | + | #Stramsa – Looseness |
#Bhramsha – Dislocation | #Bhramsha – Dislocation | ||
#Vyasa – Expansion/division | #Vyasa – Expansion/division | ||
Line 249: | Line 305: | ||
#Sada – Depression/general malaise | #Sada – Depression/general malaise | ||
#Harsha – Excitation | #Harsha – Excitation | ||
− | #Tarsha – Thirst | + | #Tarsha – Thirst/desire |
#Kampa – Tremors | #Kampa – Tremors | ||
#Varta – Circumvention | #Varta – Circumvention | ||
Line 268: | Line 324: | ||
#Sankocha – Contraction | #Sankocha – Contraction | ||
#Stambha – Stiffness | #Stambha – Stiffness | ||
− | Khanja – Lameness etc. [11] | + | #Khanja – Lameness etc. [11] |
− | ==== Management principles of | + | ==== Management principles of [[vata]] disorders ==== |
+ | <div class="mw-collapsible mw-collapsed"> | ||
तं मधुराम्ललवणस्निग्धोष्णैरुपक्रमैरुपक्रमेत,स्नेहस्वेदास्थापनानुवासननस्तःकर्मभोजनाभ्यङ्गोत्सादनपरिषेकादिभिर्वातहरैर्मात्रां कालं च प्रमाणीकृत्य;तत्रास्थापनानुवासनं तु खलु सर्वत्रोपक्रमेभ्यो वाते प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एव पक्वाशयमनुप्रविश्य केवलंवैकारिकं वातमूलं छिनत्ति; तत्रावजितेऽपि वाते शरीरान्तर्गता वातविकाराः प्रशान्तिमापद्यन्ते, यथा वनस्पतेर्मूले छिन्नेस्कन्धशाखाप्ररोहकुसुमफलपलाशादीनां नियतो विनाशस्तद्वत्||१३|| | तं मधुराम्ललवणस्निग्धोष्णैरुपक्रमैरुपक्रमेत,स्नेहस्वेदास्थापनानुवासननस्तःकर्मभोजनाभ्यङ्गोत्सादनपरिषेकादिभिर्वातहरैर्मात्रां कालं च प्रमाणीकृत्य;तत्रास्थापनानुवासनं तु खलु सर्वत्रोपक्रमेभ्यो वाते प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एव पक्वाशयमनुप्रविश्य केवलंवैकारिकं वातमूलं छिनत्ति; तत्रावजितेऽपि वाते शरीरान्तर्गता वातविकाराः प्रशान्तिमापद्यन्ते, यथा वनस्पतेर्मूले छिन्नेस्कन्धशाखाप्ररोहकुसुमफलपलाशादीनां नियतो विनाशस्तद्वत्||१३|| | ||
+ | <div class="mw-collapsible-content"> | ||
+ | |||
+ | taṁ madhurāmlalavaṇasnigdhōṣṇairupakramairupakramēta, snēhasvēdāsthāpanānuvāsananastaḥkarmabhōjanābhyaṅgōtsādanapariṣēkādibhirvātaharairmātrāṁkālaṁ ca pramāṇīkr̥tya; tatrāsthāpanānuvāsanaṁ tu khalu sarvatrōpakramēbhyō vātē pradhānatamaṁmanyantē bhiṣajaḥ, taddhyādita ēva pakvāśayamanupraviśya kēvalaṁ vaikārikaṁ vātamūlaṁ chinatti;tatrāvajitē'pi vātē śarīrāntargatā vātavikārāḥ praśāntimāpadyantē, yathā vanaspatērmūlē chinnēskandhaśākhāprarōhakusumaphalapalāśādīnāṁ niyatō vināśastadvat||13|| | ||
− | + | taM madhurAmlalavaNasnigdhoShNairupakramairupakrameta, snehasvedAsthApanAnuvAsananastaHkarmabhojanAbhya~ggotsAdanapariShekAdibhirvAtaharairmAtrAMkAlaM ca pramANIkRutya; tatrAsthApanAnuvAsanaM tu khalu sarvatropakramebhyo vAte pradhAnatamaMmanyante bhiShajaH, taddhyAdita eva pakvAshayamanupravishya kevalaM vaikArikaM vAtamUlaMchinatti; tatrAvajite~api vAte sharIrAntargatA vAtavikArAH prashAntimApadyante, yathA vanaspatermUlechinne skandhashAkhAprarohakusumaphalapalAshAdInAM niyato vinAshastadvat||13|| | |
+ | </div></div> | ||
− | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | The vitiated | + | The vitiated [[vata]] should be managed by drugs with a sweet, sour or saline taste, and various unctuous and hot therapeutics procedures such as oleation, fomentation, inhalation, diet, massage, unction, effusion, non-unctuous and unctuous enema, etc. The administered drugs or procedures should have anti-[[vata]]ja properties and must be administered in appropriate dose and time. Amongst all the above mentioned procedures non-unctuous and unctuous enema are regarded as the most effective forms of treatment for the management of [[vata]]ja vyadhi'' because enema enters the colon quickly and strikes at the very root of the vitiated [[vata]]. Thus, when [[vata]] is overcome in the colon, the disorders of [[vata]] in other parts of the body are automatically alleviated like the tree when cut at the root results in the automatic destruction of the trunk, branches, sprouts, flowers, fruits, leaves etc.[13] |
</div> | </div> | ||
− | + | === Disorders of ''pitta dosha'' === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
पित्तविकारांश्चत्वारिंशतमत ऊर्ध्वमनुव्याख्यास्यामः- ओषश्च, प्लोषश्च, दाहश्च, दवथुश्च, धूमकश्च, अम्लकश्च, विदाहश्च,अन्तर्दाहश्च, अंसदाहश्च , ऊष्माधिक्यं च, अतिस्वेदश्च (अङ्गस्वेदश्च), अङ्गगन्धश्च, अङ्गावदरणं च,शोणितक्लेदश्च, मांसक्लेदश्च, त्वग्दाहश्च, (मांसदाहश्च ), त्वगवदरणं च, चर्मदलनं च, रक्तकोठश्च, रक्तविस्फोटश्च,रक्तपित्तं च, रक्तमण्डलानि च, हरितत्वं च, हारिद्रत्वं च, नीलिका च, कक्षा(क्ष्या)च, कामला च, तिक्तास्यता च,लोहितगन्धास्यता च, पूतिमुखता च, तृष्णाधिक्यं च, अतृप्तिश्च, आस्यविपाकश्च, गलपाकश्च, अक्षिपाकश्च, गुदपाकश्च,मेढ्रपाकश्च, जीवादानं च , तमःप्रवेशश्च, हरितहारिद्रनेत्रमूत्रवर्चस्त्वं च; इति चत्वारिंशत्पित्तविकाराःपित्तविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||१४|| | पित्तविकारांश्चत्वारिंशतमत ऊर्ध्वमनुव्याख्यास्यामः- ओषश्च, प्लोषश्च, दाहश्च, दवथुश्च, धूमकश्च, अम्लकश्च, विदाहश्च,अन्तर्दाहश्च, अंसदाहश्च , ऊष्माधिक्यं च, अतिस्वेदश्च (अङ्गस्वेदश्च), अङ्गगन्धश्च, अङ्गावदरणं च,शोणितक्लेदश्च, मांसक्लेदश्च, त्वग्दाहश्च, (मांसदाहश्च ), त्वगवदरणं च, चर्मदलनं च, रक्तकोठश्च, रक्तविस्फोटश्च,रक्तपित्तं च, रक्तमण्डलानि च, हरितत्वं च, हारिद्रत्वं च, नीलिका च, कक्षा(क्ष्या)च, कामला च, तिक्तास्यता च,लोहितगन्धास्यता च, पूतिमुखता च, तृष्णाधिक्यं च, अतृप्तिश्च, आस्यविपाकश्च, गलपाकश्च, अक्षिपाकश्च, गुदपाकश्च,मेढ्रपाकश्च, जीवादानं च , तमःप्रवेशश्च, हरितहारिद्रनेत्रमूत्रवर्चस्त्वं च; इति चत्वारिंशत्पित्तविकाराःपित्तविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||१४|| | ||
+ | <div class="mw-collapsible-content"> | ||
pittavikārāṁścatvāriṁśatamata ūrdhvamanuvyākhyāsyāmaḥ- ōṣaśca, plōṣaśca, dāhaśca, davathuśca,dhūmakaśca, amlakaśca, vidāhaśca, antardāhaśca, aṁsadāhaśca , ūṣmādhikyaṁ ca, atisvēdaśca(aṅgasvēdaśca), aṅgagandhaśca, aṅgāvadaraṇaṁ ca, śōṇitaklēdaśca, māṁsaklēdaśca, tvagdāhaśca,(māṁsadāhaśca ), tvagavadaraṇaṁ ca, carmadalanaṁ ca, raktakōṭhaśca, raktavisphōṭaśca,raktapittaṁ ca, raktamaṇḍalāni ca, haritatvaṁ ca, hāridratvaṁ ca, nīlikā ca, kakṣā(kṣyā)ca, kāmalā ca,tiktāsyatā ca, lōhitagandhāsyatā ca, pūtimukhatā ca, tr̥ṣṇādhikyaṁ ca, atr̥ptiśca, āsyavipākaśca,galapākaśca, akṣipākaśca, gudapākaśca, mēḍhrapākaśca, jīvādānaṁ ca , tamaḥpravēśaśca,haritahāridranētramūtravarcastvaṁ ca; iti catvāriṁśatpittavikārāḥpittavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātāḥ||14|| | pittavikārāṁścatvāriṁśatamata ūrdhvamanuvyākhyāsyāmaḥ- ōṣaśca, plōṣaśca, dāhaśca, davathuśca,dhūmakaśca, amlakaśca, vidāhaśca, antardāhaśca, aṁsadāhaśca , ūṣmādhikyaṁ ca, atisvēdaśca(aṅgasvēdaśca), aṅgagandhaśca, aṅgāvadaraṇaṁ ca, śōṇitaklēdaśca, māṁsaklēdaśca, tvagdāhaśca,(māṁsadāhaśca ), tvagavadaraṇaṁ ca, carmadalanaṁ ca, raktakōṭhaśca, raktavisphōṭaśca,raktapittaṁ ca, raktamaṇḍalāni ca, haritatvaṁ ca, hāridratvaṁ ca, nīlikā ca, kakṣā(kṣyā)ca, kāmalā ca,tiktāsyatā ca, lōhitagandhāsyatā ca, pūtimukhatā ca, tr̥ṣṇādhikyaṁ ca, atr̥ptiśca, āsyavipākaśca,galapākaśca, akṣipākaśca, gudapākaśca, mēḍhrapākaśca, jīvādānaṁ ca , tamaḥpravēśaśca,haritahāridranētramūtravarcastvaṁ ca; iti catvāriṁśatpittavikārāḥpittavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātāḥ||14|| | ||
pittavikArAMshcatvAriMshatamata UrdhvamanuvyAkhyAsyAmaH- oShashca, ploShashca, dAhashca,davathushca, dhUmakashca, amlakashca, vidAhashca, antardAhashca, aMsadAhashca , UShmAdhikyaMca, atisvedashca (a~ggasvedashca), a~ggagandhashca, a~ggAvadaraNaM ca, shoNitakledashca,mAMsakledashca, tvagdAhashca, (mAMsadAhashca ), tvagavadaraNaM ca, carmadalanaM ca,raktakoThashca, raktavisphoTashca, raktapittaM ca, raktamaNDalAni ca, haritatvaM ca, hAridratvaM ca,nIlikA ca, kakShA(kShyA)ca, kAmalA ca, tiktAsyatA ca, lohitagandhAsyatA ca, pUtimukhatA ca,tRuShNAdhikyaM ca, atRuptishca, AsyavipAkashca, galapAkashca, akShipAkashca, gudapAkashca,meDhrapAkashca, jIvAdAnaM ca , tamaHpraveshashca, haritahAridranetramUtravarcastvaM ca; iticatvAriMshatpittavikArAH pittavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtAH||14|| | pittavikArAMshcatvAriMshatamata UrdhvamanuvyAkhyAsyAmaH- oShashca, ploShashca, dAhashca,davathushca, dhUmakashca, amlakashca, vidAhashca, antardAhashca, aMsadAhashca , UShmAdhikyaMca, atisvedashca (a~ggasvedashca), a~ggagandhashca, a~ggAvadaraNaM ca, shoNitakledashca,mAMsakledashca, tvagdAhashca, (mAMsadAhashca ), tvagavadaraNaM ca, carmadalanaM ca,raktakoThashca, raktavisphoTashca, raktapittaM ca, raktamaNDalAni ca, haritatvaM ca, hAridratvaM ca,nIlikA ca, kakShA(kShyA)ca, kAmalA ca, tiktAsyatA ca, lohitagandhAsyatA ca, pUtimukhatA ca,tRuShNAdhikyaM ca, atRuptishca, AsyavipAkashca, galapAkashca, akShipAkashca, gudapAkashca,meDhrapAkashca, jIvAdAnaM ca , tamaHpraveshashca, haritahAridranetramUtravarcastvaM ca; iticatvAriMshatpittavikArAH pittavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtAH||14|| | ||
+ | </div></div> | ||
− | Quite like the | + | Quite like the [[vata]] family of diseases, there are innumerable [[pitta]]ja nanatmaja vyadhis, but the 40 most prevalent ones are: |
#Osha (Heating) | #Osha (Heating) | ||
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#Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool) | #Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool) | ||
− | ==== | + | ==== Properties and pathogenic effects of [[pitta]] [[dosha]] ==== |
+ | <div class="mw-collapsible mw-collapsed"> | ||
सर्वेष्वपि खल्वेतेषु पित्तविकारेषूक्तेष्वन्येषु चानुक्तेषु पित्तस्येदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहाः पित्तविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- औष्ण्यं तैक्ष्ण्यं द्रवत्वमनतिस्नेहो वर्णश्च शुक्लारुणवर्जोगन्धश्च विस्रो रसौ च कटुकाम्लौ सरत्वं च पित्तस्यात्मरूपाणि; एवंविधत्वाच्च पित्तस्य कर्मणः स्वलक्षणमिदमस्य भवति तंतं शरीरावयवमाविशतः; तद्यथा- दाहौष्ण्यपाकस्वेदक्लेदकोथकण्डूस्रावरागा यथास्वं च गन्धवर्णरसाभिनिर्वर्तनं पित्तस्यकर्माणि; तैरन्वितं पित्तविकारमेवाध्यवस्येत्||१५|| | सर्वेष्वपि खल्वेतेषु पित्तविकारेषूक्तेष्वन्येषु चानुक्तेषु पित्तस्येदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहाः पित्तविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- औष्ण्यं तैक्ष्ण्यं द्रवत्वमनतिस्नेहो वर्णश्च शुक्लारुणवर्जोगन्धश्च विस्रो रसौ च कटुकाम्लौ सरत्वं च पित्तस्यात्मरूपाणि; एवंविधत्वाच्च पित्तस्य कर्मणः स्वलक्षणमिदमस्य भवति तंतं शरीरावयवमाविशतः; तद्यथा- दाहौष्ण्यपाकस्वेदक्लेदकोथकण्डूस्रावरागा यथास्वं च गन्धवर्णरसाभिनिर्वर्तनं पित्तस्यकर्माणि; तैरन्वितं पित्तविकारमेवाध्यवस्येत्||१५|| | ||
+ | <div class="mw-collapsible-content"> | ||
sarvēṣvapi khalvētēṣu pittavikārēṣūktēṣvanyēṣu cānuktēṣu pittasyēdamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhāḥ pittavikāramēvādhyavasyanti kuśalāḥ;tadyathā- auṣṇyaṁ taikṣṇyaṁ dravatvamanatisnēhō varṇaśca śuklāruṇavarjō gandhaśca visrō rasau cakaṭukāmlau saratvaṁ ca pittasyātmarūpāṇi; ēvaṁvidhatvācca pittasya karmaṇaḥ svalakṣaṇamidamasyabhavati taṁ taṁ śarīrāvayavamāviśataḥ; tadyathā- dāhauṣṇyapākasvēdaklēdakōthakaṇḍūsrāvarāgāyathāsvaṁ ca gandhavarṇarasābhinirvartanaṁ pittasya karmāṇi; tairanvitaṁpittavikāramēvādhyavasyēt||15|| | sarvēṣvapi khalvētēṣu pittavikārēṣūktēṣvanyēṣu cānuktēṣu pittasyēdamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhāḥ pittavikāramēvādhyavasyanti kuśalāḥ;tadyathā- auṣṇyaṁ taikṣṇyaṁ dravatvamanatisnēhō varṇaśca śuklāruṇavarjō gandhaśca visrō rasau cakaṭukāmlau saratvaṁ ca pittasyātmarūpāṇi; ēvaṁvidhatvācca pittasya karmaṇaḥ svalakṣaṇamidamasyabhavati taṁ taṁ śarīrāvayavamāviśataḥ; tadyathā- dāhauṣṇyapākasvēdaklēdakōthakaṇḍūsrāvarāgāyathāsvaṁ ca gandhavarṇarasābhinirvartanaṁ pittasya karmāṇi; tairanvitaṁpittavikāramēvādhyavasyēt||15|| | ||
sarveShvapi khalveteShu pittavikAreShUkteShvanyeShu cAnukteShu pittasyedamAtmarUpamapariNAmikarmaNashca svalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehAHpittavikAramevAdhyavasyanti kushalAH; tadyathA- auShNyaM taikShNyaM dravatvamanatisnehovarNashca shuklAruNavarjo gandhashca visro rasau ca kaTukAmlau saratvaM ca pittasyAtmarUpANi;evaMvidhatvAcca pittasya karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA- dAhauShNyapAkasvedakledakothakaNDUsrAvarAgA yathAsvaM cagandhavarNarasAbhinirvartanaM pittasya karmANi; tairanvitaM pittavikAramevAdhyavasyet||15|| | sarveShvapi khalveteShu pittavikAreShUkteShvanyeShu cAnukteShu pittasyedamAtmarUpamapariNAmikarmaNashca svalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehAHpittavikAramevAdhyavasyanti kushalAH; tadyathA- auShNyaM taikShNyaM dravatvamanatisnehovarNashca shuklAruNavarjo gandhashca visro rasau ca kaTukAmlau saratvaM ca pittasyAtmarUpANi;evaMvidhatvAcca pittasya karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA- dAhauShNyapAkasvedakledakothakaNDUsrAvarAgA yathAsvaM cagandhavarNarasAbhinirvartanaM pittasya karmANi; tairanvitaM pittavikAramevAdhyavasyet||15|| | ||
+ | </div></div> | ||
− | In all the | + | In all the [[pitta]]ja variety of diseases enumerated, even a partial manifestation of the vitiated [[pitta]] would still warrant them to be diagnosed and treated as a disorder of the [[pitta]]. For example, heat, sharpness, liquidity, slight unctuousness, all colours except white and red, fishy smell, pungent and sour taste and fluidity are the specific characters of [[pitta]], but the manifestations of [[pitta]] could be different depending upon the organs they afflict: |
#Daha-Burning sensation | #Daha-Burning sensation | ||
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#Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15] | #Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15] | ||
− | ==== Management principles of | + | ==== Management principles of [[pitta]] disorders ==== |
− | + | <div class="mw-collapsible mw-collapsed"> | |
+ | |||
तं मधुरतिक्तकषायशीतैरुपक्रमैरुपक्रमेत स्नेहविरेकप्रदेहपरिषेकाभ्यङ्गादिभिः पित्तहरैर्मात्रां कालं च प्रमाणीकृत्य; विरेचनं तुसर्वोपक्रमेभ्यः पित्ते प्रधानतमं मन्यन्ते भिषजः; तद्ध्यादित एवामाशयमनुप्रविश्य केवलं वैकारिकं पित्तमूलमपकर्षति,तत्रावजिते पित्तेऽपि शरीरान्तर्गताः पित्तविकाराः प्रशान्तिमापद्यन्ते, यथाऽग्नौ व्यपोढे केवलमग्निगृहं शीतीभवति तद्वत्||१६|| | तं मधुरतिक्तकषायशीतैरुपक्रमैरुपक्रमेत स्नेहविरेकप्रदेहपरिषेकाभ्यङ्गादिभिः पित्तहरैर्मात्रां कालं च प्रमाणीकृत्य; विरेचनं तुसर्वोपक्रमेभ्यः पित्ते प्रधानतमं मन्यन्ते भिषजः; तद्ध्यादित एवामाशयमनुप्रविश्य केवलं वैकारिकं पित्तमूलमपकर्षति,तत्रावजिते पित्तेऽपि शरीरान्तर्गताः पित्तविकाराः प्रशान्तिमापद्यन्ते, यथाऽग्नौ व्यपोढे केवलमग्निगृहं शीतीभवति तद्वत्||१६|| | ||
+ | <div class="mw-collapsible-content"> | ||
taṁ madhuratiktakaṣāyaśītairupakramairupakramēta snēhavirēkapradēhapariṣēkābhyaṅgādibhiḥpittaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; virēcanaṁ tu sarvōpakramēbhyaḥ pittē pradhānatamaṁmanyantē bhiṣajaḥ; taddhyādita ēvāmāśayamanupraviśya kēvalaṁ vaikārikaṁ pittamūlamapakarṣati,tatrāvajitē pittē'pi śarīrāntargatāḥ pittavikārāḥ praśāntimāpadyantē, yathā'gnau vyapōḍhēkēvalamagnigr̥haṁ śītībhavati tadvat||16|| | taṁ madhuratiktakaṣāyaśītairupakramairupakramēta snēhavirēkapradēhapariṣēkābhyaṅgādibhiḥpittaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; virēcanaṁ tu sarvōpakramēbhyaḥ pittē pradhānatamaṁmanyantē bhiṣajaḥ; taddhyādita ēvāmāśayamanupraviśya kēvalaṁ vaikārikaṁ pittamūlamapakarṣati,tatrāvajitē pittē'pi śarīrāntargatāḥ pittavikārāḥ praśāntimāpadyantē, yathā'gnau vyapōḍhēkēvalamagnigr̥haṁ śītībhavati tadvat||16|| | ||
taM madhuratiktakaShAyashItairupakramairupakrameta snehavirekapradehapariShekAbhya~ggAdibhiHpittaharairmAtrAM kAlaM ca pramANIkRutya; virecanaM tu sarvopakramebhyaH pitte pradhAnatamaMmanyante bhiShajaH; taddhyAdita evAmAshayamanupravishya kevalaM vaikArikaMpittamUlamapakarShati, tatrAvajite pitte~api sharIrAntargatAH pittavikArAH prashAntimApadyante,yathA~agnau vyapoDhe kevalamagnigRuhaM shItIbhavati tadvat||16|| | taM madhuratiktakaShAyashItairupakramairupakrameta snehavirekapradehapariShekAbhya~ggAdibhiHpittaharairmAtrAM kAlaM ca pramANIkRutya; virecanaM tu sarvopakramebhyaH pitte pradhAnatamaMmanyante bhiShajaH; taddhyAdita evAmAshayamanupravishya kevalaM vaikArikaMpittamUlamapakarShati, tatrAvajite pitte~api sharIrAntargatAH pittavikArAH prashAntimApadyante,yathA~agnau vyapoDhe kevalamagnigRuhaM shItIbhavati tadvat||16|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Abnormal | + | Abnormal [[pitta]] disorders should be managed by drugs having sweet, bitter, astringent, and cooling qualities. Any therapeutic modalities administered, such as oleation, purgation, fasting, affusion, massage, etc. should have anti-[[pitta]]ja properties and must be administered in appropriate dose and time. Of all the above mentioned procedures, purgation is regarded as the most effective mode of treatment for the management of [[pitta]]ja vyadhi''. When [[pitta]] is overcome in the ''amashaya'' through administration of purgative substances, the disorders of [[pitta]] in other parts of the body are automatically pacified just like a fire chamber cools down when the fire is doused. [16] |
</div> | </div> | ||
− | + | === Disorders of [[kapha]] [[dosha]] === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
श्लेष्मविकारांश्च विंशतिमत ऊर्ध्वं व्याख्यास्यामः; तद्यथा- तृप्तिश्च, तन्द्रा च, निद्राधिक्यं च, स्तैमित्यं च, गुरुगात्रता च,आलस्यं च, मुखमाधुर्यं च, मुखस्रावश्च, श्लेष्मोद्गिरणं च, मलस्याधिक्यं च, बलासकश्च , अपक्तिश्च, हृदयोपलेपश्च,कण्ठोपलेपश्च, धमनीप्रति(वि)चयश्च, गलगण्डश्च, अतिस्थौल्यं च, शीताग्निता च, उदर्दश्च, श्वेतावभासता च,श्वेतमूत्रनेत्रवर्चस्त्वं च; इति विंशतिः श्लेष्मविकाराः श्लेष्मविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याता भवन्ति||१७|| | श्लेष्मविकारांश्च विंशतिमत ऊर्ध्वं व्याख्यास्यामः; तद्यथा- तृप्तिश्च, तन्द्रा च, निद्राधिक्यं च, स्तैमित्यं च, गुरुगात्रता च,आलस्यं च, मुखमाधुर्यं च, मुखस्रावश्च, श्लेष्मोद्गिरणं च, मलस्याधिक्यं च, बलासकश्च , अपक्तिश्च, हृदयोपलेपश्च,कण्ठोपलेपश्च, धमनीप्रति(वि)चयश्च, गलगण्डश्च, अतिस्थौल्यं च, शीताग्निता च, उदर्दश्च, श्वेतावभासता च,श्वेतमूत्रनेत्रवर्चस्त्वं च; इति विंशतिः श्लेष्मविकाराः श्लेष्मविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याता भवन्ति||१७|| | ||
+ | <div class="mw-collapsible-content"> | ||
ślēṣmavikārāṁśca viṁśatimata ūrdhvaṁ vyākhyāsyāmaḥ; tadyathā- tr̥ptiśca, tandrā ca, nidrādhikyaṁ ca,staimityaṁ ca, gurugātratā ca, ālasyaṁ ca, mukhamādhuryaṁ ca, mukhasrāvaśca, ślēṣmōdgiraṇaṁ ca,malasyādhikyaṁ ca, balāsakaśca , apaktiśca, hr̥dayōpalēpaśca, kaṇṭhōpalēpaśca,dhamanīprati(vi)cayaśca, galagaṇḍaśca, atisthaulyaṁ ca, śītāgnitā ca, udardaśca, śvētāvabhāsatā ca,śvētamūtranētravarcastvaṁ ca; iti viṁśatiḥ ślēṣmavikārāḥślēṣmavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātā bhavanti||17|| | ślēṣmavikārāṁśca viṁśatimata ūrdhvaṁ vyākhyāsyāmaḥ; tadyathā- tr̥ptiśca, tandrā ca, nidrādhikyaṁ ca,staimityaṁ ca, gurugātratā ca, ālasyaṁ ca, mukhamādhuryaṁ ca, mukhasrāvaśca, ślēṣmōdgiraṇaṁ ca,malasyādhikyaṁ ca, balāsakaśca , apaktiśca, hr̥dayōpalēpaśca, kaṇṭhōpalēpaśca,dhamanīprati(vi)cayaśca, galagaṇḍaśca, atisthaulyaṁ ca, śītāgnitā ca, udardaśca, śvētāvabhāsatā ca,śvētamūtranētravarcastvaṁ ca; iti viṁśatiḥ ślēṣmavikārāḥślēṣmavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātā bhavanti||17|| | ||
shleShmavikArAMshca viMshatimata UrdhvaM vyAkhyAsyAmaH; tadyathA- tRuptishca, tandrA ca,nidrAdhikyaM ca, staimityaM ca, gurugAtratA ca, AlasyaM ca, mukhamAdhuryaM ca, mukhasrAvashca,shleShmodgiraNaM ca, malasyAdhikyaM ca, balAsakashca, apaktishca, hRudayopalepashca,kaNThopalepashca, dhamanIprati(vi)cayashca, galagaNDashca, atisthaulyaM ca, shItAgnitA ca,udardashca, shvetAvabhAsatA ca, shvetamUtranetravarcastvaM ca; iti viMshatiH shleShmavikArAHshleShmavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtA bhavanti||17|| | shleShmavikArAMshca viMshatimata UrdhvaM vyAkhyAsyAmaH; tadyathA- tRuptishca, tandrA ca,nidrAdhikyaM ca, staimityaM ca, gurugAtratA ca, AlasyaM ca, mukhamAdhuryaM ca, mukhasrAvashca,shleShmodgiraNaM ca, malasyAdhikyaM ca, balAsakashca, apaktishca, hRudayopalepashca,kaNThopalepashca, dhamanIprati(vi)cayashca, galagaNDashca, atisthaulyaM ca, shItAgnitA ca,udardashca, shvetAvabhAsatA ca, shvetamUtranetravarcastvaM ca; iti viMshatiH shleShmavikArAHshleShmavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtA bhavanti||17|| | ||
+ | </div></div> | ||
− | The 20 prevalent | + | The 20 prevalent [[kapha]] disorders or ''Shleshma nanatmaja vyadhi'' are: |
#Trupti (Contentment) | #Trupti (Contentment) | ||
#Tandra (Drowsiness) | #Tandra (Drowsiness) | ||
− | # | + | #Nidradhikya (Excess sleep) |
− | #Staimitya ( | + | #Staimitya (Rigidity/Immobility) |
#Gurugatrata (Heaviness in body) | #Gurugatrata (Heaviness in body) | ||
#Alasya (Lassitude) | #Alasya (Lassitude) | ||
Line 396: | Line 469: | ||
#Udarda (Urticarial rashes) | #Udarda (Urticarial rashes) | ||
#Shvetavabhashata (Pale look) | #Shvetavabhashata (Pale look) | ||
− | + | (Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17] | |
− | ==== | + | ==== Properties and pathogenic effects of [[kapha]] [[dosha]] ==== |
+ | <div class="mw-collapsible mw-collapsed"> | ||
सर्वेष्वपि खल्वेतेषु श्लेष्मविकारेषूक्तेष्वन्येषु चानुक्तेषु श्लेष्मण इदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं यदुपलभ्यतदवयवं वा विमुक्तसन्देहाः श्लेष्मविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा-स्नेहशैत्यशौक्ल्यगौरवमाधुर्यस्थैर्यपैच्छिल्यमार्त्स्न्यानि श्लेष्मण आत्मरूपाणि; एवंविधत्वाच्च श्लेष्मणः कर्मणःस्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः; तद्यथा-श्वैत्यशैत्यकण्डूस्थैर्यगौरवस्नेहसुप्तिक्लेदोपदेहबन्धमाधुर्यचिरकारित्वानि श्लेष्मणः कर्माणि; तैरन्वितंश्लेष्मविकारमेवाध्यवस्येत्||१८|| | सर्वेष्वपि खल्वेतेषु श्लेष्मविकारेषूक्तेष्वन्येषु चानुक्तेषु श्लेष्मण इदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं यदुपलभ्यतदवयवं वा विमुक्तसन्देहाः श्लेष्मविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा-स्नेहशैत्यशौक्ल्यगौरवमाधुर्यस्थैर्यपैच्छिल्यमार्त्स्न्यानि श्लेष्मण आत्मरूपाणि; एवंविधत्वाच्च श्लेष्मणः कर्मणःस्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः; तद्यथा-श्वैत्यशैत्यकण्डूस्थैर्यगौरवस्नेहसुप्तिक्लेदोपदेहबन्धमाधुर्यचिरकारित्वानि श्लेष्मणः कर्माणि; तैरन्वितंश्लेष्मविकारमेवाध्यवस्येत्||१८|| | ||
+ | <div class="mw-collapsible-content"> | ||
sarvēṣvapi khalvētēṣu ślēṣmavikārēṣūktēṣvanyēṣu cānuktēṣu ślēṣmaṇa idamātmarūpamapariṇāmikarmaṇaśca svalakṣaṇaṁ yadupalabhya tadavayavaṁ vā vimuktasandēhāḥślēṣmavikāramēvādhyavasyanti kuśalāḥ; tadyathā-snēhaśaityaśauklyagauravamādhuryasthairyapaicchilyamārtsnyāni ślēṣmaṇa ātmarūpāṇi;ēvaṁvidhatvācca ślēṣmaṇaḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ;tadyathā- śvaityaśaityakaṇḍūsthairyagauravasnēhasuptiklēdōpadēhabandhamādhuryacirakāritvāniślēṣmaṇaḥ karmāṇi; tairanvitaṁ ślēṣmavikāramēvādhyavasyēt||18|| | sarvēṣvapi khalvētēṣu ślēṣmavikārēṣūktēṣvanyēṣu cānuktēṣu ślēṣmaṇa idamātmarūpamapariṇāmikarmaṇaśca svalakṣaṇaṁ yadupalabhya tadavayavaṁ vā vimuktasandēhāḥślēṣmavikāramēvādhyavasyanti kuśalāḥ; tadyathā-snēhaśaityaśauklyagauravamādhuryasthairyapaicchilyamārtsnyāni ślēṣmaṇa ātmarūpāṇi;ēvaṁvidhatvācca ślēṣmaṇaḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ;tadyathā- śvaityaśaityakaṇḍūsthairyagauravasnēhasuptiklēdōpadēhabandhamādhuryacirakāritvāniślēṣmaṇaḥ karmāṇi; tairanvitaṁ ślēṣmavikāramēvādhyavasyēt||18|| | ||
sarveShvapi khalveteShu shleShmavikAreShUkteShvanyeShu cAnukteShu shleShmaNaidamAtmarUpamapariNAmi karmaNashca svalakShaNaM yadupalabhya tadavayavaM vAvimuktasandehAH shleShmavikAramevAdhyavasyanti kushalAH; tadyathA-snehashaityashauklyagauravamAdhuryasthairyapaicchilyamArtsnyAni shleShmaNa AtmarUpANi;evaMvidhatvAcca shleShmaNaH karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA-shvaityashaityakaNDUsthairyagauravasnehasuptikledopadehabandhamAdhuryacirakAritvAnishleShmaNaH karmANi; tairanvitaM shleShmavikAramevAdhyavasyet||18|| | sarveShvapi khalveteShu shleShmavikAreShUkteShvanyeShu cAnukteShu shleShmaNaidamAtmarUpamapariNAmi karmaNashca svalakShaNaM yadupalabhya tadavayavaM vAvimuktasandehAH shleShmavikAramevAdhyavasyanti kushalAH; tadyathA-snehashaityashauklyagauravamAdhuryasthairyapaicchilyamArtsnyAni shleShmaNa AtmarUpANi;evaMvidhatvAcca shleShmaNaH karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA-shvaityashaityakaNDUsthairyagauravasnehasuptikledopadehabandhamAdhuryacirakAritvAnishleShmaNaH karmANi; tairanvitaM shleShmavikAramevAdhyavasyet||18|| | ||
+ | </div></div> | ||
− | In all, like in the case of | + | <div style="text-align:justify;"> |
− | + | In all, like in the case of [[vata]] and [[pitta]] disorders, all the [[kapha]]javariety of diseases mentioned above would be diagnosed and treated as disorders of [[kapha]] even when exhibiting partial manifestations of the [[dosha]]. For example, unctuousness, coldness, whiteness, heaviness, sweetness, steadiness, sliminess and viscosity are the specific characters of [[kapha]]. [[Kapha]], having such characteristic properties, produces the following actions in the organs it afflicts: | |
+ | </div> | ||
#Shvaitya – Whiteness | #Shvaitya – Whiteness | ||
#Shaitya – Coldness | #Shaitya – Coldness | ||
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#Chirakaritva – Chronic nature of disease | #Chirakaritva – Chronic nature of disease | ||
− | All the above are the actions of | + | All the above are the actions of [[kapha]] [[dosha]] and the same may be diagnosed as [[kapha]]ja variety of diseases. [18] |
− | ==== Management of | + | ==== Management of [[kapha]] disorders ==== |
+ | <div class="mw-collapsible mw-collapsed"> | ||
तं कटुकतिक्तकषायतीक्ष्णोष्णरूक्षैरुपक्रमैरुपक्रमेत स्वेदवमनशिरोविरेचनव्यायामादिभिः श्लेष्महरैर्मात्रां कालं चप्रमाणीकृत्य; वमनं तु सर्वोपक्रमेभ्यः श्लेष्मणि प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एवामाशयमनुप्रविश्योरोगतं केवलंवैकारिकं श्लेष्ममूलमूर्ध्वमुत्क्षिपति, तत्रावजिते श्लेष्मण्यपि शरीरान्तर्गताः श्लेष्मविकाराः प्रशान्तिमापद्यन्ते, यथा भिन्नेकेदारसेतौ शालियवषष्टिकादीन्यनभिष्यन्द्यमानान्यम्भसा प्रशोषमापद्यन्ते तद्वदिति|१९|| | तं कटुकतिक्तकषायतीक्ष्णोष्णरूक्षैरुपक्रमैरुपक्रमेत स्वेदवमनशिरोविरेचनव्यायामादिभिः श्लेष्महरैर्मात्रां कालं चप्रमाणीकृत्य; वमनं तु सर्वोपक्रमेभ्यः श्लेष्मणि प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एवामाशयमनुप्रविश्योरोगतं केवलंवैकारिकं श्लेष्ममूलमूर्ध्वमुत्क्षिपति, तत्रावजिते श्लेष्मण्यपि शरीरान्तर्गताः श्लेष्मविकाराः प्रशान्तिमापद्यन्ते, यथा भिन्नेकेदारसेतौ शालियवषष्टिकादीन्यनभिष्यन्द्यमानान्यम्भसा प्रशोषमापद्यन्ते तद्वदिति|१९|| | ||
+ | <div class="mw-collapsible-content"> | ||
taṁ kaṭukatiktakaṣāyatīkṣṇōṣṇarūkṣairupakramairupakramēta svēdavamanaśirōvirēcanavyāyāmādibhiḥślēṣmaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; vamanaṁ tu sarvōpakramēbhyaḥ ślēṣmaṇi pradhānatamaṁmanyantē bhiṣajaḥ, taddhyādita ēvāmāśayamanupraviśyōrōgataṁ kēvalaṁ vaikārikaṁślēṣmamūlamūrdhvamutkṣipati, tatrāvajitē ślēṣmaṇyapi śarīrāntargatāḥ ślēṣmavikārāḥpraśāntimāpadyantē, yathā bhinnē kēdārasētau śāliyavaṣaṣṭikādīnyanabhiṣyandyamānānyambhasāpraśōṣamāpadyantē tadvaditi||19|| | taṁ kaṭukatiktakaṣāyatīkṣṇōṣṇarūkṣairupakramairupakramēta svēdavamanaśirōvirēcanavyāyāmādibhiḥślēṣmaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; vamanaṁ tu sarvōpakramēbhyaḥ ślēṣmaṇi pradhānatamaṁmanyantē bhiṣajaḥ, taddhyādita ēvāmāśayamanupraviśyōrōgataṁ kēvalaṁ vaikārikaṁślēṣmamūlamūrdhvamutkṣipati, tatrāvajitē ślēṣmaṇyapi śarīrāntargatāḥ ślēṣmavikārāḥpraśāntimāpadyantē, yathā bhinnē kēdārasētau śāliyavaṣaṣṭikādīnyanabhiṣyandyamānānyambhasāpraśōṣamāpadyantē tadvaditi||19|| | ||
taM kaTukatiktakaShAyatIkShNoShNarUkShairupakramairupakrametasvedavamanashirovirecanavyAyAmAdibhiH shleShmaharairmAtrAM kAlaM ca pramANIkRutya; vamanaM tusarvopakramebhyaH shleShmaNi pradhAnatamaM manyante bhiShajaH, taddhyAditaevAmAshayamanupravishyorogataM kevalaM vaikArikaM shleShmamUlamUrdhvamutkShipati, tatrAvajiteshleShmaNyapi sharIrAntargatAH shleShmavikArAH prashAntimApadyante, yathA bhinne kedArasetaushAliyavaShaShTikAdInyanabhiShyandyamAnAnyambhasA prashoShamApadyante tadvaditi||19|| | taM kaTukatiktakaShAyatIkShNoShNarUkShairupakramairupakrametasvedavamanashirovirecanavyAyAmAdibhiH shleShmaharairmAtrAM kAlaM ca pramANIkRutya; vamanaM tusarvopakramebhyaH shleShmaNi pradhAnatamaM manyante bhiShajaH, taddhyAditaevAmAshayamanupravishyorogataM kevalaM vaikArikaM shleShmamUlamUrdhvamutkShipati, tatrAvajiteshleShmaNyapi sharIrAntargatAH shleShmavikArAH prashAntimApadyante, yathA bhinne kedArasetaushAliyavaShaShTikAdInyanabhiShyandyamAnAnyambhasA prashoShamApadyante tadvaditi||19|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Abnormal | + | Abnormal [[kapha]] should be managed using drugs having pungent, bitter, astringent, sharp, hot and dry qualities, and by means of other therapeutic modalities such as fomentation, emesis, evacuation of [[dosha]] from head, exercise etc. that have anti-[[kapha]]ja'' properties and these must be administered in appropriate dose and time. Amongst all the above mentioned procedures emesis is regarded the most effective form of treatment for the management of [[kapha]]ja diseases because immediately after entering the stomach, it strikes at the very root cause of the vitiation of [[kapha]]. Thus, when [[kapha]] is overcome in the stomach, any [[kapha]]-related affliction in any other part of the body gets pacified automatically quite like the drying up of crops of rice in the absence of moisture when the obstructing ridge of the field is broken.[19]'' |
</div> | </div> | ||
− | + | === Importance of diagnosis before planning treatment === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
भवन्ति चात्र- | भवन्ति चात्र- | ||
Line 445: | Line 527: | ||
यस्तु रोगविशेषज्ञः सर्वभैषज्यकोविदः| | यस्तु रोगविशेषज्ञः सर्वभैषज्यकोविदः| | ||
देशकालप्रमाणज्ञस्तस्य सिद्धिरसंशयम्||२२|| | देशकालप्रमाणज्ञस्तस्य सिद्धिरसंशयम्||२२|| | ||
+ | <div class="mw-collapsible-content"> | ||
bhavanti cātra- | bhavanti cātra- | ||
Line 465: | Line 548: | ||
yastu rogavisheShaj~jaH sarvabhaiShajyakovidaH| | yastu rogavisheShaj~jaH sarvabhaiShajyakovidaH| | ||
deshakAlapramANaj~jastasya siddhirasaMshayam||22|| | deshakAlapramANaj~jastasya siddhirasaMshayam||22|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
A physician should first diagnose the disease and then select the proper medicine. Thereafter, he should administer the therapy applying the knowledge of the science of medicine (he had already gained). A physician who initiates treatment without proper diagnosis of the disease can accomplish the desired object only by chance (that is to say he cannot be sure of his success). The fact that he is well-acquainted with the knowledge of application of medicine does not necessarily guarantee his success. On the other hand, the physician who is well-versed in diagnosing disease, who is proficient in the administration of medicines and who knows about modalities to be used in a therapy (that varies from place to place and season to season) is sure to accomplish the desired outcome without any doubt.[20-22] | A physician should first diagnose the disease and then select the proper medicine. Thereafter, he should administer the therapy applying the knowledge of the science of medicine (he had already gained). A physician who initiates treatment without proper diagnosis of the disease can accomplish the desired object only by chance (that is to say he cannot be sure of his success). The fact that he is well-acquainted with the knowledge of application of medicine does not necessarily guarantee his success. On the other hand, the physician who is well-versed in diagnosing disease, who is proficient in the administration of medicines and who knows about modalities to be used in a therapy (that varies from place to place and season to season) is sure to accomplish the desired outcome without any doubt.[20-22] | ||
</div> | </div> | ||
− | + | === Summary === | |
+ | <div class="mw-collapsible mw-collapsed"> | ||
तत्र श्लोकाः- | तत्र श्लोकाः- | ||
Line 480: | Line 566: | ||
पृथक्त्वेन च दोषाणां निर्दिष्टाः समुपक्रमाः| | पृथक्त्वेन च दोषाणां निर्दिष्टाः समुपक्रमाः| | ||
सम्यङ्महति रोगाणामध्याये तत्त्वदर्शिना||२५|| | सम्यङ्महति रोगाणामध्याये तत्त्वदर्शिना||२५|| | ||
+ | <div class="mw-collapsible-content"> | ||
tatra ślōkāḥ- | tatra ślōkāḥ- | ||
Line 500: | Line 587: | ||
pRuthaktvena ca doShANAM nirdiShTAH samupakramAH| | pRuthaktvena ca doShANAM nirdiShTAH samupakramAH| | ||
samya~gmahati rogANAmadhyAye tattvadarshinA||25|| | samya~gmahati rogANAmadhyAye tattvadarshinA||25|| | ||
+ | </div></div> | ||
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | In this chapter on major diseases, the enlightened sage has fully dealt with the following: classification of diseases, their nature, sites of manifestation, primary and secondary causative factors, interchangeability and specific identity of disease, sites of | + | In this chapter on major diseases, the enlightened sage has fully dealt with the following: classification of diseases, their nature, sites of manifestation, primary and secondary causative factors, interchangeability and specific identity of disease, sites of [[dosha]], enumeration of specific diseases due to [[dosha]], invariable signs and non changeable actions of [[dosha]] and specific treatment of each [[dosha]]. [23-25] |
</div> | </div> | ||
− | == | + | == Tattva Vimarsha(Fundamental Principles) == |
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
#Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases. | #Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases. | ||
#Mental diseases (as diseases related to passion, worries etc. psychological factors) are exogenous diseases. | #Mental diseases (as diseases related to passion, worries etc. psychological factors) are exogenous diseases. | ||
− | #By permutation and combination, the three | + | #By permutation and combination, the three [[dosha]] and seven [[dhatu]] may form innumerable varieties of diseases, but only those diseases which most commonly manifest have been described in the texts. |
− | #Endogenous diseases of the general type (samanyaja) are caused by the combination of two or more | + | #Endogenous diseases of the general type (samanyaja) are caused by the combination of two or more [[dosha]]. |
− | #Endogenous diseases of the specific type (Nanatmaja=Na+Anatmaja=Atmaja) are on the other hand, caused by only one of the | + | #Endogenous diseases of the specific type (Nanatmaja=Na+Anatmaja=Atmaja) are on the other hand, caused by only one of the [[dosha]] |
− | #Even if some of the | + | #Even if some of the [[vata]]ja types of diseases are caused by other [[dosha]] besides [[vata]], it is the [[vata]] which is actually responsible for the transmission of the vitiated [[dosha]] to a specific organ of the body as it has been said ‘[[kapha]], [[pitta]] and [[dhatu]], left to themselves are immobile in nature. Wherever, they are carried by the [[vata]], they cause disease just as the wind causes rain in a particular area. |
#Phases in the natural history and clinical course of a disease to successive stages of prevention are described under kriyakala. | #Phases in the natural history and clinical course of a disease to successive stages of prevention are described under kriyakala. | ||
− | #Each dosha has its specific site of action. Various disorders are caused due to involvement of one or more qualities of dosha. | + | #Each [[dosha]] has its specific site of action. Various disorders are caused due to involvement of one or more qualities of [[dosha]]. |
</div> | </div> | ||
− | == | + | == Vidhi Vimarsha (Applied Inferences) == |
+ | |||
+ | Following tables compare [[dosha]] specific disorders enlisted in various texts. | ||
+ | |||
+ | ===Specific disorders of [[Vata]] [[dosha]]=== | ||
− | |||
{| class="wikitable" | {| class="wikitable" | ||
− | ! ''S.N.'' !! ''Charak | + | ! ''S.N.'' !! ''Charak[Cha.Sa.[[Sutra Sthana]] 20/11]'' !! ''Chakrapani[Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/11]'' !! ''A.S [A.S Sutra Sthana 20/15]<ref name=Sangraha>Vridha Vagbhata, Ashtanga Sangraha. Edited by Shivaprasad Sharma. 3rd ed. Varanasi: Chaukhamba sanskrit series office;2012.</ref> '' !! ''SH<ref name=ref3>Sharangdhar Samhita, Purva Khanda, Rogagannadhyaya, 7/105-126, edited by Dr. SMT. Shelja Srivastava, Chaukhamba Orientalia, Varanasi,2007;100- 126 . </ref>'' !! ''SudantaSen<ref name=ref4>Dr. P.S. Byadgi, Dr.Ajai Pandey. Text book of Kayachikitsa, Volume 1, 1st edition; Chaukambha Sankrit Sansthan, Varanasi, |
− | 2013; 149-155.</ref>'' !! ''Vatavyadhi | + | 2013; 149-155.</ref>'' !! ''Vatavyadhi [Cha.Sa.[[Chikitsa Sthana]] 28] '' !! ''Vata vyadhi[B.P Madhyama khanda 24/5-12]''<ref name=Bhavaprakash>Bhavamishra, Bhava Prakasha, Madhyama Khanda, Edited by Pandit Brahma Shankra Mishra, Editor. Bhava Prakasha. Varanasi: Chaukhamba Sanskrit Bhawan; 2010.</ref> |
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 1 |
| rowspan="1" style="text-align: left;" | ''Nakhabheda (Cracking of nails)'' | | rowspan="1" style="text-align: left;" | ''Nakhabheda (Cracking of nails)'' | ||
| rowspan="1" style="text-align: left;" | ''-'' | | rowspan="1" style="text-align: left;" | ''-'' | ||
Line 532: | Line 624: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 2 |
| rowspan="1" style="text-align: left;" | ''Vipadika (Cracking of soles)'' | | rowspan="1" style="text-align: left;" | ''Vipadika (Cracking of soles)'' | ||
| rowspan="1" style="text-align: left;" | ''Panipada sphutnam (Cracking of palm and soles)'' | | rowspan="1" style="text-align: left;" | ''Panipada sphutnam (Cracking of palm and soles)'' | ||
Line 541: | Line 633: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 3 |
| rowspan="1" style="text-align: left;" | ''Padashula (Pain in foot'' | | rowspan="1" style="text-align: left;" | ''Padashula (Pain in foot'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 550: | Line 642: | ||
| rowspan="1" style="text-align: left;" | ''Pada daha'' | | rowspan="1" style="text-align: left;" | ''Pada daha'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 4 |
| rowspan="1" style="text-align: left;" | ''Pada bhransa (Foot drop)'' | | rowspan="1" style="text-align: left;" | ''Pada bhransa (Foot drop)'' | ||
| rowspan="1" style="text-align: left;" | ''Padasyaropavishayadesha anyatra patanam'' | | rowspan="1" style="text-align: left;" | ''Padasyaropavishayadesha anyatra patanam'' | ||
Line 559: | Line 651: | ||
| rowspan="1" style="text-align: left;" | ''Pada harsha'' | | rowspan="1" style="text-align: left;" | ''Pada harsha'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 5 |
| rowspan="1" style="text-align: left;" | ''Pada suptata (Numbness in feet)'' | | rowspan="1" style="text-align: left;" | ''Pada suptata (Numbness in feet)'' | ||
| rowspan="1" style="text-align: left;" | ''Nishkriyatva and sparshagyatva'' | | rowspan="1" style="text-align: left;" | ''Nishkriyatva and sparshagyatva'' | ||
Line 568: | Line 660: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 6 |
| rowspan="1" style="text-align: left;" | ''Vata khudhata (Pain in ankle region)'' | | rowspan="1" style="text-align: left;" | ''Vata khudhata (Pain in ankle region)'' | ||
| rowspan="1" style="text-align: left;" | ''Chaluka (Pain in joints of foot and lower limb)'' | | rowspan="1" style="text-align: left;" | ''Chaluka (Pain in joints of foot and lower limb)'' | ||
Line 577: | Line 669: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 7 |
| rowspan="1" style="text-align: left;" | ''Gulphagraha (Stiffness in ankle region)'' | | rowspan="1" style="text-align: left;" | ''Gulphagraha (Stiffness in ankle region)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 586: | Line 678: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 8 |
| rowspan="1" style="text-align: left;" | ''Pindikodvesthana (cramps in calf muscle)'' | | rowspan="1" style="text-align: left;" | ''Pindikodvesthana (cramps in calf muscle)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 595: | Line 687: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 9 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Gridhrasi (Sciatica)'' |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Gridhrasi shulam'' |
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
| rowspan="1" style="text-align: left;" | ''-'' | | rowspan="1" style="text-align: left;" | ''-'' | ||
Line 604: | Line 696: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 10 |
| rowspan="1" style="text-align: left;" | ''Janubheda (Tearing pain in knee'' | | rowspan="1" style="text-align: left;" | ''Janubheda (Tearing pain in knee'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 613: | Line 705: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 11 |
| rowspan="1" style="text-align: left;" | ''Januvishlesha (Dislocation in knee joint)'' | | rowspan="1" style="text-align: left;" | ''Januvishlesha (Dislocation in knee joint)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 622: | Line 714: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 12 |
| rowspan="1" style="text-align: left;" | ''Urustambha (Stiffness in thigh)'' | | rowspan="1" style="text-align: left;" | ''Urustambha (Stiffness in thigh)'' | ||
| rowspan="1" style="text-align: left;" | ''Urustambhanmatra vatajanya'' | | rowspan="1" style="text-align: left;" | ''Urustambhanmatra vatajanya'' | ||
Line 631: | Line 723: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 13 |
| rowspan="1" style="text-align: left;" | ''Urusada (Loss of movement in thigh)'' | | rowspan="1" style="text-align: left;" | ''Urusada (Loss of movement in thigh)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 640: | Line 732: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 14 |
| rowspan="1" style="text-align: left;" | ''Pangulya (Paraplegia)'' | | rowspan="1" style="text-align: left;" | ''Pangulya (Paraplegia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 649: | Line 741: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 15 |
| rowspan="1" style="text-align: left;" | ''Guda bhransha (Prolapsed of rectum)'' | | rowspan="1" style="text-align: left;" | ''Guda bhransha (Prolapsed of rectum)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 658: | Line 750: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 16 |
| rowspan="1" style="text-align: left;" | ''Guda arti (Pain in anus)'' | | rowspan="1" style="text-align: left;" | ''Guda arti (Pain in anus)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 667: | Line 759: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 17 |
| rowspan="1" style="text-align: left;" | ''Vrashanakshepa (Pain in scrotum)'' | | rowspan="1" style="text-align: left;" | ''Vrashanakshepa (Pain in scrotum)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 676: | Line 768: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 18 |
| rowspan="1" style="text-align: left;" | ''Sephastambha (Stiffness in penis)'' | | rowspan="1" style="text-align: left;" | ''Sephastambha (Stiffness in penis)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 685: | Line 777: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 19 |
| rowspan="1" style="text-align: left;" | ''Vankshananaha (Sprain in groin)'' | | rowspan="1" style="text-align: left;" | ''Vankshananaha (Sprain in groin)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 694: | Line 786: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 20 |
| rowspan="1" style="text-align: left;" | ''Shronibheda (Pain in pelvic region)'' | | rowspan="1" style="text-align: left;" | ''Shronibheda (Pain in pelvic region)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 703: | Line 795: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 21 |
| rowspan="1" style="text-align: left;" | ''Vid bheda (Diarrhoea)'' | | rowspan="1" style="text-align: left;" | ''Vid bheda (Diarrhoea)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 712: | Line 804: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 22 |
| rowspan="1" style="text-align: left;" | ''Udavarta (Misperistalsis)'' | | rowspan="1" style="text-align: left;" | ''Udavarta (Misperistalsis)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 721: | Line 813: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 23 |
| rowspan="1" style="text-align: left;" | ''Khanjatva (Limping)'' | | rowspan="1" style="text-align: left;" | ''Khanjatva (Limping)'' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 730: | Line 822: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 24 |
| rowspan="1" style="text-align: left;" | ''Vamantva (Dwarfism)'' | | rowspan="1" style="text-align: left;" | ''Vamantva (Dwarfism)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 739: | Line 831: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 25 |
| rowspan="1" style="text-align: left;" | ''Trikgraha (Stiffness in sacral region)'' | | rowspan="1" style="text-align: left;" | ''Trikgraha (Stiffness in sacral region)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 748: | Line 840: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 26 |
| rowspan="1" style="text-align: left;" | ''Pristhagraha (Stiffness in back)'' | | rowspan="1" style="text-align: left;" | ''Pristhagraha (Stiffness in back)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 757: | Line 849: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 27 |
| rowspan="1" style="text-align: left;" | ''Parshvamarda (Compression in sides)'' | | rowspan="1" style="text-align: left;" | ''Parshvamarda (Compression in sides)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 766: | Line 858: | ||
| rowspan="1" style="text-align: left;" | ''Parshva shulam'' | | rowspan="1" style="text-align: left;" | ''Parshva shulam'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 28 |
| rowspan="1" style="text-align: left;" | ''Udaravestha (Twisting pain in abdomen)'' | | rowspan="1" style="text-align: left;" | ''Udaravestha (Twisting pain in abdomen)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 775: | Line 867: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 29 |
| rowspan="1" style="text-align: left;" | ''Hrinmoha (Cardiac disfunction)'' | | rowspan="1" style="text-align: left;" | ''Hrinmoha (Cardiac disfunction)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 784: | Line 876: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 30 |
| rowspan="1" style="text-align: left;" | ''Hrid drava (Tachycardia)'' | | rowspan="1" style="text-align: left;" | ''Hrid drava (Tachycardia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 793: | Line 885: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 31 |
| rowspan="1" style="text-align: left;" | ''Vaksha udharsha (Rubbing pain in chest)'' | | rowspan="1" style="text-align: left;" | ''Vaksha udharsha (Rubbing pain in chest)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 802: | Line 894: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 32 |
| rowspan="1" style="text-align: left;" | ''Vaksha uprodha (Constriction in chest)'' | | rowspan="1" style="text-align: left;" | ''Vaksha uprodha (Constriction in chest)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 811: | Line 903: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 33 |
| rowspan="1" style="text-align: left;" | ''Vaksha toda (Pain in chest)'' | | rowspan="1" style="text-align: left;" | ''Vaksha toda (Pain in chest)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 820: | Line 912: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 34 |
| rowspan="1" style="text-align: left;" | ''Bahusosha (Wasting of arm)'' | | rowspan="1" style="text-align: left;" | ''Bahusosha (Wasting of arm)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 829: | Line 921: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 35 |
| rowspan="1" style="text-align: left;" | ''Grivastambha (Stiffness in neck)'' | | rowspan="1" style="text-align: left;" | ''Grivastambha (Stiffness in neck)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 838: | Line 930: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 36 |
| rowspan="1" style="text-align: left;" | ''Manya stambha (Torticollis )'' | | rowspan="1" style="text-align: left;" | ''Manya stambha (Torticollis )'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 847: | Line 939: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 37 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Kanthoddhavansa (Hoarseness of voice)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 856: | Line 948: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 38 |
| rowspan="1" style="text-align: left;" | ''Hanubheda (Pain in jaw)'' | | rowspan="1" style="text-align: left;" | ''Hanubheda (Pain in jaw)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 865: | Line 957: | ||
| rowspan="1" style="text-align: left;" | ''Hanugraha '' | | rowspan="1" style="text-align: left;" | ''Hanugraha '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 39 |
| rowspan="1" style="text-align: left;" | ''Osthabheda (Pain in lips)'' | | rowspan="1" style="text-align: left;" | ''Osthabheda (Pain in lips)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 874: | Line 966: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 40 |
| rowspan="1" style="text-align: left;" | ''Akshibheda (Tearing pain in eyes)'' | | rowspan="1" style="text-align: left;" | ''Akshibheda (Tearing pain in eyes)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 883: | Line 975: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 41 |
| rowspan="1" style="text-align: left;" | ''Dantabheda (Pain in teeth)'' | | rowspan="1" style="text-align: left;" | ''Dantabheda (Pain in teeth)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 892: | Line 984: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 42 |
| rowspan="1" style="text-align: left;" | ''Danta saithilya (Loose teeth)'' | | rowspan="1" style="text-align: left;" | ''Danta saithilya (Loose teeth)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 901: | Line 993: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 43 |
| rowspan="1" style="text-align: left;" | ''Mukatva (Aphasia)'' | | rowspan="1" style="text-align: left;" | ''Mukatva (Aphasia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 910: | Line 1,002: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 44 |
| rowspan="1" style="text-align: left;" | ''Vaksanga (Stemmering speech)'' | | rowspan="1" style="text-align: left;" | ''Vaksanga (Stemmering speech)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 919: | Line 1,011: | ||
| rowspan="1" style="text-align: left;" | ''Minminitvam and Gadagada'' | | rowspan="1" style="text-align: left;" | ''Minminitvam and Gadagada'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 45 |
| rowspan="1" style="text-align: left;" | ''Kasayasyata (Astringent taste in mouth)'' | | rowspan="1" style="text-align: left;" | ''Kasayasyata (Astringent taste in mouth)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 928: | Line 1,020: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 46 |
| rowspan="1" style="text-align: left;" | ''Mukhasosha(Dryness in mouth)'' | | rowspan="1" style="text-align: left;" | ''Mukhasosha(Dryness in mouth)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 937: | Line 1,029: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 47 |
| rowspan="1" style="text-align: left;" | ''Arasangyata (Loss of taste sensation)'' | | rowspan="1" style="text-align: left;" | ''Arasangyata (Loss of taste sensation)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 946: | Line 1,038: | ||
| rowspan="1" style="text-align: left;" | ''Rasagyana'' | | rowspan="1" style="text-align: left;" | ''Rasagyana'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 48 |
| rowspan="1" style="text-align: left;" | ''Grahananasha (Loss of smell sensation)'' | | rowspan="1" style="text-align: left;" | ''Grahananasha (Loss of smell sensation)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 955: | Line 1,047: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 49 |
| rowspan="1" style="text-align: left;" | ''Karnashula(Earache ) '' | | rowspan="1" style="text-align: left;" | ''Karnashula(Earache ) '' | ||
| rowspan="1" style="text-align: left;" | ''Shulamatram '' | | rowspan="1" style="text-align: left;" | ''Shulamatram '' | ||
Line 964: | Line 1,056: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 50 |
| rowspan="1" style="text-align: left;" | ''Asabdashravana (Tinnitus)'' | | rowspan="1" style="text-align: left;" | ''Asabdashravana (Tinnitus)'' | ||
| rowspan="1" style="text-align: left;" | ''Shabdabhave api shabda shravan'' | | rowspan="1" style="text-align: left;" | ''Shabdabhave api shabda shravan'' | ||
Line 973: | Line 1,065: | ||
| rowspan="1" style="text-align: left;" | ''Karnanada'' | | rowspan="1" style="text-align: left;" | ''Karnanada'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 51 |
| rowspan="1" style="text-align: left;" | ''Ucchashruti (Hardness in hearing)'' | | rowspan="1" style="text-align: left;" | ''Ucchashruti (Hardness in hearing)'' | ||
| rowspan="1" style="text-align: left;" | ''Tarswera matra shravan, alpa shabdasya tu sarvda ashravanam'' | | rowspan="1" style="text-align: left;" | ''Tarswera matra shravan, alpa shabdasya tu sarvda ashravanam'' | ||
Line 982: | Line 1,074: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 52 |
| rowspan="1" style="text-align: left;" | ''Badhriya (Deafness )'' | | rowspan="1" style="text-align: left;" | ''Badhriya (Deafness )'' | ||
| rowspan="1" style="text-align: left;" | ''Shabdamatrayesva ashravanam'' | | rowspan="1" style="text-align: left;" | ''Shabdamatrayesva ashravanam'' | ||
Line 991: | Line 1,083: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 53 |
| rowspan="1" style="text-align: left;" | ''Vartmastambha (Stiffness in eyelids)'' | | rowspan="1" style="text-align: left;" | ''Vartmastambha (Stiffness in eyelids)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,000: | Line 1,092: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 54 |
| rowspan="1" style="text-align: left;" | ''Vartma sankocha (Entropion)'' | | rowspan="1" style="text-align: left;" | ''Vartma sankocha (Entropion)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,009: | Line 1,101: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 55 |
| rowspan="1" style="text-align: left;" | ''Timira (Loss of vision)'' | | rowspan="1" style="text-align: left;" | ''Timira (Loss of vision)'' | ||
| rowspan="1" style="text-align: left;" | ''Vatajamev, doshantrasambandha tatra anubandha'' | | rowspan="1" style="text-align: left;" | ''Vatajamev, doshantrasambandha tatra anubandha'' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Druk kshaya '' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 56 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Akshishula (Pain in eyes)'' |
| rowspan="1" style="text-align: left;" | ''Shulamatram'' | | rowspan="1" style="text-align: left;" | ''Shulamatram'' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,027: | Line 1,119: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 57 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Akshivyudasa (Squint eye)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,035: | Line 1,127: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 58 |
| rowspan="1" style="text-align: left;" | ''Bhruvyudasa (Twisting in eye brows)'' | | rowspan="1" style="text-align: left;" | ''Bhruvyudasa (Twisting in eye brows)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,044: | Line 1,136: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 59 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Shankhabheda (Pain in temporal region)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,053: | Line 1,145: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 60 |
| rowspan="1" style="text-align: left;" | ''Lalatabheda (Pain in temporal region)'' | | rowspan="1" style="text-align: left;" | ''Lalatabheda (Pain in temporal region)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,062: | Line 1,154: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 61 |
| rowspan="1" style="text-align: left;" | ''Shiroruk (Pain in head)'' | | rowspan="1" style="text-align: left;" | ''Shiroruk (Pain in head)'' | ||
| rowspan="1" style="text-align: left;" | ''Jvaradishu ushnatvasheetatvadinam'' | | rowspan="1" style="text-align: left;" | ''Jvaradishu ushnatvasheetatvadinam'' | ||
Line 1,071: | Line 1,163: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 62 |
| rowspan="1" style="text-align: left;" | ''Sarvanga roga (Paraplegia)'' | | rowspan="1" style="text-align: left;" | ''Sarvanga roga (Paraplegia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,080: | Line 1,172: | ||
| rowspan="1" style="text-align: left;" | ''Sarvanga vata'' | | rowspan="1" style="text-align: left;" | ''Sarvanga vata'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 63 |
| rowspan="1" style="text-align: left;" | ''Pakshavadha (Hemiplegia)'' | | rowspan="1" style="text-align: left;" | ''Pakshavadha (Hemiplegia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,089: | Line 1,181: | ||
| rowspan="1" style="text-align: left;" | ''Pakshaghata'' | | rowspan="1" style="text-align: left;" | ''Pakshaghata'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 64 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Akshepak (Clonic convulsion)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,098: | Line 1,190: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 65 |
| rowspan="1" style="text-align: left;" | ''Dandaka (Tonic convulsion)'' | | rowspan="1" style="text-align: left;" | ''Dandaka (Tonic convulsion)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Dandaptanaka'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+ (Disease)'' | | rowspan="1" style="text-align: left;" | ''+ (Disease)'' | ||
| rowspan="1" style="text-align: left;" | ''Dandakashepa'' | | rowspan="1" style="text-align: left;" | ''Dandakashepa'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 66 |
| rowspan="1" style="text-align: left;" | ''Tama (Feeling of darkness infront of eyes)'' | | rowspan="1" style="text-align: left;" | ''Tama (Feeling of darkness infront of eyes)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,116: | Line 1,208: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 67 |
| rowspan="1" style="text-align: left;" | ''Bhrama (Giddiness)'' | | rowspan="1" style="text-align: left;" | ''Bhrama (Giddiness)'' | ||
− | | rowspan="1" style="text-align: left;" | ''Vatika | + | | rowspan="1" style="text-align: left;" | ''Vatika smritimoharupa'' |
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
| rowspan="1" style="text-align: left;" | ''-'' | | rowspan="1" style="text-align: left;" | ''-'' | ||
Line 1,125: | Line 1,217: | ||
| rowspan="1" style="text-align: left;" | ''Paribhrama '' | | rowspan="1" style="text-align: left;" | ''Paribhrama '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 68 |
| rowspan="1" style="text-align: left;" | ''Vepathu (Tremor)'' | | rowspan="1" style="text-align: left;" | ''Vepathu (Tremor)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,134: | Line 1,226: | ||
| rowspan="1" style="text-align: left;" | ''Kampa '' | | rowspan="1" style="text-align: left;" | ''Kampa '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 69 |
− | | rowspan="1" style="text-align: left;" | '' | + | | rowspan="1" style="text-align: left;" | ''Jrumbha (Yawing)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,143: | Line 1,235: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 70 |
| rowspan="1" style="text-align: left;" | ''Hikka (Hicough)'' | | rowspan="1" style="text-align: left;" | ''Hikka (Hicough)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,152: | Line 1,244: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 71 |
| rowspan="1" style="text-align: left;" | ''Vishada (Asthenia)'' | | rowspan="1" style="text-align: left;" | ''Vishada (Asthenia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
| rowspan="1" style="text-align: left;" | ''-'' | | rowspan="1" style="text-align: left;" | ''-'' | ||
− | | rowspan="1" style="text-align: left;" | ''+ and | + | | rowspan="1" style="text-align: left;" | ''+ and Avasada'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 72 |
| rowspan="1" style="text-align: left;" | ''Atipralapa (Excessive delirium)'' | | rowspan="1" style="text-align: left;" | ''Atipralapa (Excessive delirium)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
− | | rowspan="1" style="text-align: left;" | ''+ and | + | | rowspan="1" style="text-align: left;" | ''+ and Avasada'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 73 |
| rowspan="1" style="text-align: left;" | ''Atipralapa (Excessive delirium)'' | | rowspan="1" style="text-align: left;" | ''Atipralapa (Excessive delirium)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,179: | Line 1,271: | ||
| rowspan="1" style="text-align: left;" | ''Pralapa'' | | rowspan="1" style="text-align: left;" | ''Pralapa'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 74 |
| rowspan="1" style="text-align: left;" | ''Rukshaya (Roughness)'' | | rowspan="1" style="text-align: left;" | ''Rukshaya (Roughness)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,188: | Line 1,280: | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 75 |
| rowspan="1" style="text-align: left;" | ''Parushaya (Coarsness)'' | | rowspan="1" style="text-align: left;" | ''Parushaya (Coarsness)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,197: | Line 1,289: | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 76 |
| rowspan="1" style="text-align: left;" | ''Shayavarunabhasata (Blackreddish appearance)'' | | rowspan="1" style="text-align: left;" | ''Shayavarunabhasata (Blackreddish appearance)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,206: | Line 1,298: | ||
| rowspan="1" style="text-align: left;" | ''Karshanaya'' | | rowspan="1" style="text-align: left;" | ''Karshanaya'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 77 |
| rowspan="1" style="text-align: left;" | ''Asvapna (Insomia)'' | | rowspan="1" style="text-align: left;" | ''Asvapna (Insomia)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,215: | Line 1,307: | ||
| rowspan="1" style="text-align: left;" | ''Nidranasha'' | | rowspan="1" style="text-align: left;" | ''Nidranasha'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 79 |
| rowspan="1" style="text-align: left;" | ''Anavasthita'' | | rowspan="1" style="text-align: left;" | ''Anavasthita'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,224: | Line 1,316: | ||
| rowspan="1" style="text-align: left;" | ''Chala'' | | rowspan="1" style="text-align: left;" | ''Chala'' | ||
|- | |- | ||
− | | rowspan="1" style="text-align: left;" | | + | | rowspan="1" style="text-align: left;" | 80 |
| rowspan="1" style="text-align: left;" | ''cittatva (Unstable mind)'' | | rowspan="1" style="text-align: left;" | ''cittatva (Unstable mind)'' | ||
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
Line 1,235: | Line 1,327: | ||
|} | |} | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Sharangdhara – Bahirayama (vata vyadhi in | + | Sharangdhara – Bahirayama (vata vyadhi in Charak), Antrayama(vata vyadhi in Charak), Jivhastambha, Krostukashirsha, Khalli, Kalayakhanja, Tuni, Pratituni, Padaharsha, Vishvachi, Apabahuka, Aptano, Vranayamo, Vatakantaka, Aptantraka, Angabheda, Angasosha, Pratiyasthila, Asthila, Angapida, Angavibhransho, Vidahraha, Baddhavitakta, Antrakujanam, Vatapravritti, Sphurana, Shiranam purnam, Karshya, Kshipramutrata, Swedanasho, Durbalatavam, Balakshaya, Atipravritti shukrasya, Karsya shukrasya, Nasho retasa, Kathinya, Virasasyata, Adhamanam, Pratyadhmanam, Sheetata, Romharsha, Bhirutvam, Toda, Kandu are different from Charak. |
Sudanta Sen- Romaharsha, Sransha, Shramaka, Glapana, Tadanam, Pidanam, Nama, Unnama, Paripatana, Vikshopa, Sosha, Grahanam, Sushirata,Chedanam, Vesthanam, Adhamana, Vimathana, Kshoba, Pratoda, Vilapanam, Shula, Vishma parinati, Dristhi pramoha, Vispanda, Uddhathana (Opening up as a lid), Mahati svapa (excessive sleep), Vislesha, obstruction, and Trit. | Sudanta Sen- Romaharsha, Sransha, Shramaka, Glapana, Tadanam, Pidanam, Nama, Unnama, Paripatana, Vikshopa, Sosha, Grahanam, Sushirata,Chedanam, Vesthanam, Adhamana, Vimathana, Kshoba, Pratoda, Vilapanam, Shula, Vishma parinati, Dristhi pramoha, Vispanda, Uddhathana (Opening up as a lid), Mahati svapa (excessive sleep), Vislesha, obstruction, and Trit. | ||
− | vata Vyadhi in | + | [[vata]] Vyadhi in Charak- Antrayam, Bahirayama or Dhanustambha, Hanustambha, Khalli. |
− | vata Vyadhi (Bhava Prakasha)- Shirograha, Alpakrashata, Jivhastambha, Vachalta, Sparsha-agyatva, Apbahuka, Visvachi, Urdhavavata, Adhamana, Pratyadhmana, Tuni, Pratituni, Adhamana, Pratyadhmana, vata asthila, Pratya- asthila, Vahanivaishayama, Atopa, Muhumutratam, Mutranigraha, Malagarhata, Purishaprivritti, Kalaya khanja, Kroshtuka sirsha, Vatakantaka, Khalli, Vatapitta krita akshepa, Apatanaka, Dandapatanaka, Aptantraka, Abhighatakshepa, Dhanustambha, Antrayam, Bahirayama, Stambha, Vyatha, Toda, Bheda, Sphurana, Karshaya, Shaitaya, Lomaharsha, Angamarda, Angavibhransha, Shirasankocha, Angasosha, Bheerutva, Moha, Swedanasha, Bala hani, Shukraksheya, Rajonasha, and Garbhanasha are different from | + | [[vata]] Vyadhi (Bhava Prakasha)- Shirograha, Alpakrashata, Jivhastambha, Vachalta, Sparsha-agyatva, Apbahuka, Visvachi, Urdhavavata, Adhamana, Pratyadhmana, Tuni, Pratituni, Adhamana, Pratyadhmana, vata asthila, Pratya- asthila, Vahanivaishayama, Atopa, Muhumutratam, Mutranigraha, Malagarhata, Purishaprivritti, Kalaya khanja, Kroshtuka sirsha, Vatakantaka, Khalli, Vatapitta krita akshepa, Apatanaka, Dandapatanaka, Aptantraka, Abhighatakshepa, Dhanustambha, Antrayam, Bahirayama, Stambha, Vyatha, Toda, Bheda, Sphurana, Karshaya, Shaitaya, Lomaharsha, Angamarda, Angavibhransha, Shirasankocha, Angasosha, Bheerutva, Moha, Swedanasha, Bala hani, Shukraksheya, Rajonasha, and Garbhanasha are different from Charak. |
− | Susruta (vata Vyadhi)<ref> | + | Susruta (vata Vyadhi)<ref>Sushruta. Nidana Sthana, Cha.1 Vatavyadinidana Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 9th ed. Varanasi: Chaukhambha Orientalia;2007.p.255-276.</ref>- Kroshtuka sirsha, Vatakantaka, Pada daha, Apbahuka, Adhamana, Kalaya khanja, Manyastambha, Akshepaka, Apatanaka, Dandapatanaka, Aptantraka, Visvachi, Pada harsha, Hanugraha, Dhanustambha, Antrayam, Bhirayama, Pakshaghata, Ardita, Gradhrasi, Khanja-pangu, Badhirya, Karnashula, Mukminmin, Gadgad (Symptoms of jihvagata vata), Tuni, Pratuni, Adhamana, Pratyadhmana, vata asthila, Vatarakta. |
− | A.H<ref> | + | A.H<ref>Vagbhata. Nidana Sthana, Cha.15 Vatavyadinidana Adhyaya. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 9th ed. Varanasi: Chaukhamba Orientalia;2005. p.530-535. </ref>. – Akshepaka, Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga, Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha. |
</div> | </div> | ||
− | === | + | |
+ | ===Specific disorders of [[Pitta]] [[dosha]]=== | ||
{| class="wikitable" | {| class="wikitable" | ||
− | ! ''S.N.'' !! ''Charak | + | ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/14]'' !! ''Chakrapani [Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/14] '' !! ''A.S [A.S Sutra Sthana 20/16]<ref name=Sangraha/> '' !! ''Sh<ref name=ref3/>'' !! '' [[Pitta]]ja Vyadhi [B.P Madhyama Khanda 27/2-9]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' |
|- | |- | ||
| rowspan="1" style="text-align: left;" | ''1'' | | rowspan="1" style="text-align: left;" | ''1'' | ||
Line 1,568: | Line 1,661: | ||
|} | |} | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Sharangdhara- Matibhrama, Kantihani, Mukhasosh, Alpashukrata, Angapaka, Klama, Arati, Pita avalokana, Sheetaksha, Tejodwesha, Alpa nidra, Kopa, Gatrasada, Bhinnavitak, Andhata, Ushneksha, Ucchvasa usnam, Ushna mutra, Ushna mala and Nishatavam are different from | + | Sharangdhara- Matibhrama, Kantihani, Mukhasosh, Alpashukrata, Angapaka, Klama, Arati, Pita avalokana, Sheetaksha, Tejodwesha, Alpa nidra, Kopa, Gatrasada, Bhinnavitak, Andhata, Ushneksha, Ucchvasa usnam, Ushna mutra, Ushna mala and Nishatavam are different from Charak. |
Sudanta sen- Bhrama, Arati, Paka, Visaranama, Mado, Murchanam,Pralapan and Sruti. | Sudanta sen- Bhrama, Arati, Paka, Visaranama, Mado, Murchanam,Pralapan and Sruti. | ||
− | Bhava prakasha (Pittaja Vyadhi)- Akalapalitam, Netra raktata, Mutra raktata, Nidra alpatata, Ucchvasa ushnata, Bhrama, Klama, Krodho, Bheda, Tejodvesha, Sheetaksha and Arati are different from | + | Bhava prakasha (Pittaja Vyadhi)- Akalapalitam, Netra raktata, Mutra raktata, Nidra alpatata, Ucchvasa ushnata, Bhrama, Klama, Krodho, Bheda, Tejodvesha, Sheetaksha and Arati are different from Charak. |
</div> | </div> | ||
− | === | + | |
+ | ===Specific disorders of [[Kapha]] [[dosha]]=== | ||
{| class="wikitable" | {| class="wikitable" | ||
− | ! ''S.N.'' !! ''Charak | + | ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''Chakrapani[Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''A.S [A.S Sutra Sthana 20/15] <ref name=Sangraha/>'' !! ''Sharangdhara3<ref name=ref3/>'' !! '' [B.P Madhyama khanda 28/2-5]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' |
|- | |- | ||
| rowspan="1" style="text-align: left;" | ''1'' | | rowspan="1" style="text-align: left;" | ''1'' | ||
Line 1,601: | Line 1,695: | ||
|- | |- | ||
| rowspan="1" style="text-align: left;" | ''4'' | | rowspan="1" style="text-align: left;" | ''4'' | ||
− | | rowspan="1" style="text-align: left;" | ''Staimitya ( | + | | rowspan="1" style="text-align: left;" | ''Staimitya (Rigidity/immobility)'' |
| rowspan="1" style="text-align: left;" | '' '' | | rowspan="1" style="text-align: left;" | '' '' | ||
| rowspan="1" style="text-align: left;" | ''+'' | | rowspan="1" style="text-align: left;" | ''+'' | ||
Line 1,746: | Line 1,840: | ||
|} | |} | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | Sharangdhara- Mukhalepa, Shwetavalokana, Ushneksha,Tikta kamita, Shukrasya bahulayam, Bahumutrata, Mandabuddhi, Gharghar vakyata and Achetanya are different from | + | Sharangdhara- Mukhalepa, Shwetavalokana, Ushneksha,Tikta kamita, Shukrasya bahulayam, Bahumutrata, Mandabuddhi, Gharghar vakyata and Achetanya are different from Charak. |
Sudanta Sen- Kathinta, Sneha, Uplepa, Shaityam, Kandu, Sotha, cirakaritvam | Sudanta Sen- Kathinta, Sneha, Uplepa, Shaityam, Kandu, Sotha, cirakaritvam | ||
− | Bhava prakasha ( | + | Bhava prakasha ([[Kapha]]ja Vyadhi)- Kanthe ghurghurta, Katu ushana kamita, Buddhimandhyata are different from Charak |
</div> | </div> | ||
{| class="wikitable" | {| class="wikitable" | ||
Line 1,790: | Line 1,884: | ||
*International Classification of Diseases (ICD): http://www.who.int/classifications/icd/en/) | *International Classification of Diseases (ICD): http://www.who.int/classifications/icd/en/) | ||
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Latest revision as of 07:41, 22 February 2024
Sutra Sthana Chapter 20. Dosha specific classification of diseases
Section/Chapter | Sutra Sthana Chapter 20 |
---|---|
Tetrad/Sub-section | Roga Chatushka |
Preceding Chapter | Ashtodariya Adhyaya |
Succeeding Chapter | Ashtauninditiya Adhyaya |
Other Sections | Nidana Sthana, Vimana Sthana, Sharira Sthana, Indriya Sthana, Chikitsa Sthana, Kalpa Sthana, Siddhi Sthana |
Translator and commentator | Byadgi P.S., Saini N. |
Reviewer | Pol A. |
Editors | Kar A.C., Rai S., Deole Y.S., Basisht G. |
Year of publication | 2020 |
Publisher | Charak Samhita Research, Training and Skill Development Centre |
DOI | 10.47468/CSNE.2020.e01.s01.022 |
Abstract
This chapter further extends description of classification of diseases according to criteria viz. endogenous-exogenous causes, basic nature, site of origin, clinical presentations. The specific causes of endogenous and exogenous diseases are described. The chapter further enlists diseases caused due to only one dosha with their sites of origin. This elaborates the concept distinct one-dosha categories of diseases. There are as many as eighty variants due to a vitiated vata only, forty due to pitta, and twenty due to kapha. Any effective diagnosis or treatment of these diseases would need a detailed study of the dosha, their locations and characteristics. This knowledge is provided to substantiate the importance of knowing disease before initiating the treatment in clinical medicine. The chapter recapitulates principles of knowledge of disease described in the tetrad.
Keywords: dosha specific diseases, site of dosha, management principles of dosha.
Introduction
In this chapter, diseases are classified into four types - exogenous, vataja, pittaja and kaphaja. Because single-dosha endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the Sutra Sthana and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-dosha endogenous diseases play a secondary role in the genesis of exogenous diseases.
As also mentioned earlier, there are innumerable diseases because of many etiopathological factors as well as variations in the involvement of dosha and dhatu. Since vitiated dosha are directly or indirectly responsible for all diseases, it is important to understand their normal, or expected, functions and then the pathological consequences of their vitiated forms. By factoring in these fundamental factors, this chapter deals with providing complete scenarios of afflictions, and their recommended line of treatment. Mind and body are the sites of manifestation of exogenous and endogenous diseases. Psychological disorders are considered to be exogenous in nature. An important point to note here (though this has been addressed in an earlier chapter) is that even if some of the vataja types of diseases are caused by other dosha besides vata, it is the vata which is actually responsible for the transmission of vitiated dosha to a specific organ of the body. Kapha, pittaand the dhatu, left to themselves, are immobile in nature. Wherever, they are carried by the vata, they cause diseases, just as the wind causes rain in a particular area. Phases in the natural history, clinical course of a disease, and successive stages of prevention are described under Kriyakala.
Sanskrit text, Transliteration and English Translation
अथातो महारोगाध्यायं व्याख्यास्यामः||१||
इति ह स्माह भगवानात्रेयः||२||
athātō mahārōgādhyāyaṁ vyākhyāsyāmaḥ||1||
iti ha smāha bhagavānātrēyaḥ||2||
athAto mahArogAdhyAyaM vyAkhyAsyAmaH||1||
iti ha smAha bhagavAnAtreyaH||2||
Now we shall expound the chapter "Maharoga" (Dosha specific classification of diseases). Thus said Lord Atreya. [1-2]
Classification of diseases
चत्वारो रोगा भवन्ति- आगन्तुवातपित्तश्लेष्मनिमित्ताः; तेषां चतुर्णामपि रोगाणां रोगत्वमेकविधं भवति, रुक्सामान्यात्;द्विविधा पुनः प्रकृतिरेषाम्, आगन्तुनिजविभागात्; द्विविधं चैषामधिष्ठानं, मनःशरीरविशेषात्; विकाराःपुनरपरिसङ्ख्येयाः, प्रकृत्यधिष्ठानलिङ्गायतनविकल्पविशेषापरिसङ्ख्येयत्वात् ||३||
catvārō rōgā bhavanti- āgantuvātapittaślēṣmanimittāḥ; tēṣāṁ caturṇāmapi rōgāṇāṁ rōgatvamēkavidhaṁbhavati, ruksāmānyāt; dvividhā punaḥ prakr̥tirēṣām, āgantunijavibhāgāt; dvividhaṁ caiṣāmadhiṣṭhānaṁ,manaḥśarīraviśēṣāt; vikārāḥ punaraparisaṅkhyēyāḥ,prakr̥tyadhiṣṭhānaliṅgāyatanavikalpaviśēṣāparisaṅkhyēyatvāt ||3||
catvAro rogA bhavanti- AgantuvAtapittashleShmanimittAH; teShAM caturNAmapi rogANAMrogatvamekavidhaM bhavati, ruksAmAnyAt; dvividhA punaH prakRutireShAm, AgantunijavibhAgAt;dvividhaM caiShAmadhiShThAnaM, manaHsharIravisheShAt; vikArAH punaraparisa~gkhyeyAH,prakRutyadhiShThAnali~ggAyatanavikalpavisheShAparisa~gkhyeyatvAt ||3||
There are four types of diseases viz. agantuja (exogenous), vataja, pittaja and shleshmaja/kaphaja. All varieties of diseases may be grouped under one classification because pain is common to all. They are again of two types depending on their nature- exogenous and endogenous. They are again of two types - somatic and psychic-depending on the sites of their manifestation i.e. body and mind. Diseases are in fact innumerable (dhatu affected, signs and symptoms), distant causes (like improper diet and regimen), and permutation and combination of various fractions of dosha are innumerable. [3]
Etiological factors of diseases
मुखानि तु खल्वागन्तोर्नखदशनपतनाभिचाराभिशापाभिषङ्गाभिघातव्यध-बन्धनवेष्टनपीडनरज्जुदहनशस्त्राशनिभूतोपसर्गादीनि, निजस्य तु मुखं वातपित्तश्लेष्मणां वैषम्यम्||४||
mukhāni tu khalvāgantōrnakhadaśanapatanābhicārābhiśāpābhiṣaṅgābhighātavyadha-bandhanavēṣṭanapīḍanarajjudahanaśastrāśanibhūtōpasargādīni, nijasya tu mukhaṁ vātapittaślēṣmaṇāṁvaiṣamyam||4||
mukhAni tu khalvAgantornakhadashanapatanAbhicArAbhishApAbhiSha~ggAbhighAtavyadha-bandhanaveShTanapIDanarajjudahanashastrAshanibhUtopasargAdIni, nijasya tu mukhaMvAtapittashleShmaNAM vaiShamyam||4||
While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, wrapping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of vata, pitta and kapha dosha.[4]
Three major causes of diseases
द्वयोस्तु खल्वागन्तुनिजयोः प्रेरणमसात्म्येन्द्रियार्थसंयोगः, प्रज्ञापराधः, परिणामश्चेति||५||
dvayōstu khalvāgantunijayōḥ prēraṇamasātmyēndriyārthasaṁyōgaḥ, prajñāparādhaḥ, pariṇāmaścēti||5||
dvayostu khalvAgantunijayoH preraNamasAtmyendriyArthasaMyogaH, praj~jAparAdhaH,pariNAmashceti||5||
Unwholesome contact between sense organs and their objects, intellectual defects and effects of time constitute the common causative factors for both the exogenous and endogenous types of diseases.[5]
सर्वेऽपि तु खल्वेतेऽभिप्रवृद्धाश्चत्वारो रोगाः परस्परमनुबध्नन्ति, न चान्योन्येन सह सन्देहमापद्यन्ते ||६||
sarvē'pi tu khalvētē'bhipravr̥ddhāścatvārō rōgāḥ parasparamanubadhnanti, na cānyōnyēna sahasandēhamāpadyantē ||6||
sarve~api tu khalvete~abhipravRuddhAshcatvAro rogAH parasparamanubadhnanti, na cAnyonyena sahasandehamApadyante ||6||
All these four types of diseases when aggravated get transform into each other to share common symptoms. Even then, the distinctive features of each one of these diseases are too clearly manifested to allow any confusion. [6]
Difference between endogenous and exogenous diseases
आगन्तुर्हि व्यथापूर्वं समुत्पन्नो जघन्यं वातपित्तश्लेष्मणां वैषम्यमापादयति; निजे तु वातपित्तश्लेष्माणः पूर्वं वैषम्यमापद्यन्तेजघन्यं व्यथामभिनिर्वर्तयन्ति||७||
āganturhi vyathāpūrvaṁ samutpannō jaghanyaṁ vātapittaślēṣmaṇāṁ vaiṣamyamāpādayati; nijē tuvātapittaślēṣmāṇaḥ pūrvaṁ vaiṣamyamāpadyantē jaghanyaṁ vyathāmabhinirvartayanti||7||
Aganturhi vyathApUrvaM samutpanno jaghanyaM vAtapittashleShmaNAM vaiShamyamApAdayati; nije tuvAtapittashleShmANaH pUrvaM vaiShamyamApadyante jaghanyaM vyathAmabhinirvartayanti||7||
Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of dosha. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of dosha and then cause pain. [7]
Sites of three dosha
तेषां त्रयाणामपि दोषाणां शरीरे स्थानविभाग उपदेक्ष्यते; तद्यथा- बस्तिः पुरीषाधानं कटिः सक्थिनी पादावस्थीनिपक्वाशयश्च वातस्थानानि, तत्रापि पक्वाशयो विशेषेण वातस्थानं; स्वेदो रसो लसीका रुधिरमामाशयश्च पित्तस्थानानि,तत्राप्यामाशयो विशेषेण पित्तस्थानम्; उरः शिरो ग्रीवा पर्वाण्यामाशयो मेदश्च श्लेष्मस्थानानि, तत्राप्युरो विशेषेणश्लेष्मस्थानम्||८||
tēṣāṁ trayāṇāmapi dōṣāṇāṁ śarīrē sthānavibhāga upadēkṣyatē; tadyathā- bastiḥ purīṣādhānaṁ kaṭiḥsakthinī pādāvasthīni pakvāśayaśca vātasthānāni, tatrāpi pakvāśayō viśēṣēṇa vātasthānaṁ; svēdō rasōlasīkā rudhiramāmāśayaśca pittasthānāni, tatrāpyāmāśayō viśēṣēṇa pittasthānam; uraḥ śirō grīvāparvāṇyāmāśayō mēdaśca ślēṣmasthānāni, tatrāpyurō viśēṣēṇa ślēṣmasthānam||8||
teShAM trayANAmapi doShANAM sharIre sthAnavibhAga upadekShyate; tadyathA- bastiHpurIShAdhAnaM kaTiH sakthinI pAdAvasthIni pakvAshayashca vAtasthAnAni, tatrApi pakvAshayovisheSheNa vAtasthAnaM; svedo raso lasIkA rudhiramAmAshayashca pittasthAnAni, tatrApyAmAshayovisheSheNa pittasthAnam; uraH shiro grIvA parvANyAmAshayo medashca shleShmasthAnAni, tatrApyurovisheSheNa shleShmasthAnam||8||
The important sites of origin of these three dosha are as follows:
Urinary bladder, rectum, waist, thighs, legs, bones and colon are the sites of vata, with colon the most important of them.
Sweat, rasa, lasika, rakta and lower part of stomach and duodenum are the sites of pitta, with duodenum, the most important of them.
Chest, head, neck, joints, upper part of stomach and meda (fats) are the sites of shleshma or kapha, with chest the most important of them. [8]
Specific diseases caused by dosha
सर्वशरीरचरास्तु वातपित्तश्लेष्माणः सर्वस्मिञ्छरीरे कुपिताकुपिताः शुभाशुभानि कुर्वन्ति- प्रकृतिभूताःशुभान्युपचयबलवर्णप्रसादादीनि, अशुभानि पुनर्विकृतिमापन्ना विकारसञ्ज्ञकानि||९||
तत्र विकाराः सामान्यजा, नानात्मजाश्च| तत्र सामान्यजाः पूर्वमष्टोदरीये व्याख्याताः, नानात्मजांस्त्विहाध्यायेऽनुव्याख्यास्यामः| तद्यथा- अशीतिर्वातविकाराः, चत्वारिंशत् पित्तविकाराः, विंशतिः श्लेष्मविकाराः||१०||
sarvaśarīracarāstu vātapittaślēṣmāṇaḥ sarvasmiñcharīrē kupitākupitāḥ śubhāśubhāni kurvanti-prakr̥tibhūtāḥ śubhānyupacayabalavarṇaprasādādīni, aśubhāni punarvikr̥timāpannā vikārasañjñakāni||9||
tatra vikārāḥ sāmānyajā, nānātmajāśca| tatra sāmānyajāḥ pūrvamaṣṭōdarīyē vyākhyātāḥ, nānātmajāṁstvihādhyāyē'nuvyākhyāsyāmaḥ| tadyathā- aśītirvātavikārāḥ, catvāriṁśat pittavikārāḥ, viṁśatiḥ ślēṣmavikārāḥ||10||
sarvasharIracarAstu vAtapittashleShmANaH sarvasmi~jcharIre kupitAkupitAH shubhAshubhAni kurvanti-prakRutibhUtAH shubhAnyupacayabalavarNaprasAdAdIni, ashubhAni punarvikRutimApannAvikArasa~jj~jakAni||9||
tatra vikArAH sAmAnyajA, nAnAtmajAshca| tatra sAmAnyajAH pUrvamaShTodarIye vyAkhyAtAH, nAnAtmajAMstvihAdhyAye~anuvyAkhyAsyAmaH| tadyathA- ashItirvAtavikArAH, catvAriMshat pittavikArAH, viMshatiH shleShmavikArAH||10||
The entire body is the abode of all the three dosha, the normal or abnormal states of which are responsible for good or bad outcomes respectively. Examples of good outcomes include growth, strength, complexion, happiness, etc, while the bad outcomes, manifested due to abnormal states of dosha, cause various types of diseases.
Endogenous diseases again are of two types - diseases caused due to vitiation of two or more dosha, and diseases that are caused by single-dosha. The previous chapter dealt with general diseases. This chapter focuses on the latter. There are 140 types of single-doshadiseases, including 80 types caused by vata, 40 by pitta, and 20 by kapha.[10]
Eighty disorders caused due to vata dosha
तत्रादौ वातविकाराननुव्याख्यास्यामः| तद्यथा- नखभेदश्च, विपादिका च, पादशूलं च, पादभ्रंशश्च, पादसुप्तता च, वातखुड्डता च, गुल्फग्रहश्च, पिण्डिकोद्वेष्टनं च,गृध्रसी च, जानुभेदश्च, जानुविश्लेषश्च, ऊरुस्तम्भश्च, ऊरुसादश्च, पाङ्गुल्यं च, गुदभ्रंशश्च, गुदार्तिश्च, वृषणाक्षेपश्च ,शेफस्तम्भश्च, वङ्क्षणानाहश्च, श्रोणिभेदश्च, विड्भेदश्च, उदावर्तश्च, खञ्जत्वं च, कुब्जत्वं च, वामनत्वं च, त्रिकग्रहश्च,पृष्ठग्रहश्च, पार्श्वावमर्दश्च, उदरावेष्टश्च, हृन्मोहश्च , हृद्द्रवश्च, वक्षौद्घर्षश्च , वक्षौपरोधश्च, वक्षस्तोदश्च, बाहुशोषश्च,ग्रीवास्तम्भश्च, मन्यास्तम्भश्च, कण्ठोद्ध्वंसश्च, हनुभेदश्च , ओष्ठभेदश्च, अक्षिभेदश्च , दन्तभेदश्च, दन्तशैथिल्यं च,मूकत्वं च , वाक्सङ्गश्च, कषायास्यता च, मुखशोषश्च, अरसज्ञता च, घ्राणनाशश्च, कर्णशूलं च, अशब्दश्रवणं च,उच्चैःश्रुतिश्च , बाधिर्यं च, वर्त्मस्तम्भश्च, वर्त्मसङ्कोचश्च, तिमिरं च, अक्षिशूलं च, अक्षिव्युदासश्च, भ्रूव्युदासश्च,शङ्खभेदश्च, ललाटभेदश्च, शिरोरुक् च, केशभूमिस्फुटनं च, अर्दितं च, एकाङ्गरोगश्च, सर्वाङ्गरोगश्च, पक्षवधश्च ,आक्षेपकश्च, दण्डकश्च, तमश्च , भ्रमश्च, वेपथुश्च, जृम्भा च, हिक्का च, विषादश्च, अतिप्रलापश्च, रौक्ष्यं च, पारुष्यं च,श्यावारुणावभासता च, अस्वप्नश्च, अनवस्थितचित्तत्वं च; इत्यशीतिर्वातविकारावातविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||११||
tatrādau vātavikārānanuvyākhyāsyāmaḥ| tadyathā- nakhabhēdaśca, vipādikā ca, pādaśūlaṁ ca, pādabhraṁśaśca, pādasuptatā ca, vātakhuḍḍatāca, gulphagrahaśca, piṇḍikōdvēṣṭanaṁ ca, gr̥dhrasī ca, jānubhēdaśca, jānuviślēṣaśca, ūrustambhaśca,ūrusādaśca, pāṅgulyaṁ ca, gudabhraṁśaśca, gudārtiśca, vr̥ṣaṇākṣēpaśca , śēphastambhaśca,vaṅkṣaṇānāhaśca, śrōṇibhēdaśca, viḍbhēdaśca, udāvartaśca, khañjatvaṁ ca, kubjatvaṁ ca,vāmanatvaṁ ca, trikagrahaśca, pr̥ṣṭhagrahaśca, pārśvāvamardaśca, udarāvēṣṭaśca, hr̥nmōhaśca ,hr̥ddravaśca, vakṣaudgharṣaśca , vakṣauparōdhaśca, vakṣastōdaśca, bāhuśōṣaśca, grīvāstambhaśca,manyāstambhaśca, kaṇṭhōddhvaṁsaśca, hanubhēdaśca , ōṣṭhabhēdaśca, akṣibhēdaśca ,dantabhēdaśca, dantaśaithilyaṁ ca, mūkatvaṁ ca , vāksaṅgaśca, kaṣāyāsyatā ca, mukhaśōṣaśca,arasajñatā ca, ghrāṇanāśaśca, karṇaśūlaṁ ca, aśabdaśravaṇaṁ ca, uccaiḥśrutiśca , bādhiryaṁ ca,vartmastambhaśca, vartmasaṅkōcaśca, timiraṁ ca, akṣiśūlaṁ ca, akṣivyudāsaśca, bhrūvyudāsaśca,śaṅkhabhēdaśca, lalāṭabhēdaśca, śirōruk ca, kēśabhūmisphuṭanaṁ ca, arditaṁ ca, ēkāṅgarōgaśca,sarvāṅgarōgaśca, pakṣavadhaśca, ākṣēpakaśca, daṇḍakaśca, tamaśca, bhramaśca, vēpathuśca,jr̥mbhā ca, hikkā ca, viṣādaśca, atipralāpaśca, raukṣyaṁ ca, pāruṣyaṁ ca, śyāvāruṇāvabhāsatā ca,asvapnaśca, anavasthitacittatvaṁ ca; ityaśītirvātavikārā vātavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamāvyākhyātāḥ||11||
tatrAdau vAtavikArAnanuvyAkhyAsyAmaH| tadyathA- nakhabhedashca, vipAdikA ca, pAdashUlaM ca, pAdabhraMshashca, pAdasuptatA ca,vAtakhuDDatA ca, gulphagrahashca, piNDikodveShTanaM ca, gRudhrasI ca, jAnubhedashca,jAnuvishleShashca, Urustambhashca, UrusAdashca, pA~ggulyaM ca, gudabhraMshashca, gudArtishca,vRuShaNAkShepashca, shephastambhashca, va~gkShaNAnAhashca, shroNibhedashca, viDbhedashca,udAvartashca, kha~jjatvaM ca, kubjatvaMca, vAmanatvaM ca, trikagrahashca, pRuShThagrahashca,pArshvAvamardashca, udarAveShTashca, hRunmohashca, hRuddravashca, vakShaudgharShashca ,vakShauparodhashca, vakShastodashca, bAhushoShashca, grIvAstambhashca, manyAstambhashca,kaNThoddhvaMsashca, hanubhedashca, oShThabhedashca, akShibhedashca , dantabhedashca,dantashaithilyaM ca, mUkatvaM ca, vAksa~ggashca, kaShAyAsyatA ca, mukhashoShashca, arasaj~jatAca, ghrANanAshashca, karNashUlaM ca, ashabdashravaNaM ca, uccaiHshrutishca, bAdhiryaM ca,vartmastambhashca, vartmasa~gkocashca, timiraM ca, akShishUlaM ca, akShivyudAsashca,bhrUvyudAsashca, sha~gkhabhedashca, lalATabhedashca, shiroruk ca, keshabhUmisphuTanaM ca,arditaM ca, ekA~ggarogashca, sarvA~ggarogashca, pakShavadhashca, AkShepakashca,daNDakashca, tamashca , bhramashca, vepathushca, jRumbhA ca, hikkA ca, viShAdashca,atipralApashca, raukShyaM ca, pAruShyaM ca, shyAvAruNAvabhAsatA ca, asvapnashca,anavasthitacittatvaM ca; ityashItirvAtavikArA vAtavikArANAmaparisa~gkhyeyAnAmAviShkRutatamAvyAkhyAtAH||11||
While there could be innumerable types of vataja nanatmaja vikaras (also known as vataja nanatmaja vyadhis, the 80 known or prevalent types are as follows:
- Nakhabheda (Cracking of nails)
- Vipadika (Cracking of soles)
- Pada shula (Pain in foot)
- Pada bhramsha (Foot drop)
- Pada suptata (Numbness in feet)
- Vata khuddata (Pain in ankle region)
- Gulphagraha (Stiffness in ankle region)
- Pindikodveshtana (Cramps in calf muscles)
- Gridhrasi (Sciatica)
- Janubheda (Tearing pain in knee)
- Janu Vishlesha (Dislocation in knee joint)
- Urustambha (Stiffness in thigh)
- Urusada (Loss of movement in thigh)
- Pangulya (Paraplegia)
- Guda bhramsha (Rectum prolapse)
- Gudarti (Pain in anus)
- Vrushana Kshepa (Pain in scroatum)
- Shephastambha (stiffness in penis)
- Vankshananaha (sprain in groin)
- Shronibheda (Pain in pelvis girdle)
- Vid bheda (Diarrhoea)
- Udavarta (reverse direction of vata)
- Khanjatva (Limping)
- Kubjatva (Kyphosis)
- Vamanatva (Dwarfism)
- Trikgraha (Stiffness in sacral region)
- Prusthagraha (Stiffness in back)
- Parshvavamarda (Compression in sides)
- Udaravesta (Twisting pain in abdomen)
- Hrinmoha (Cardiac dysfunction)
- Hriddrava (Tachycardia)
- Vaksha uddharsa (Rubbing pain in chest)
- Vaksha uparodha (Constriction in chest)
- Vaksha toda (Pricking pain in chest)
- Bahu shosha (Wasting of arm)
- Grivastambha (Stiffness in neck)
- Manyastambha (Torticollis)
- Kanthoddhvamsa (Hoarseness of voice)
- Hanubheda (Cracking pain in jaw)
- Oshthabheda (Cracking pain in lips)
- Aksibheda (Cracking pain in eyes)
- Dantabheda (Cracking pain in teeth)
- Danta Shaithilya (Loose teeth)
- Mookatva (Aphasia)
- Vaksanga (Stammering speech)
- Kashayasyata (Astringent taste in mouth)
- Mukhashosha (Dryness in mouth)
- Arasajnata (Loss of taste sensation)
- Ghrana-nasha (Loss of smell sensation)
- Karnashoola (Ear ache)
- Ashabdashravana (Tinnitus)
- Ucchaishruti (Hard of hearing))
- Badhirya (Deafness)
- Vartmastambha (Stiffness in eyelids)
- Vartma sankocha (Entropion)
- Timira (Loss of vision)
- Akshishula (Pain in eyes)
- Akshivyudasa (Squint eye)
- Bhruvyudasa (Twisting in eye brows)
- Shankhabheda (Cracking pain in temporal region of head)
- Lalata bheda (Cracking pain in frontal region of head)
- Shiro ruk (Headache)
- Keshabhoomisphutana (Cracking of scalp)
- Ardita (Facial paralysis)
- Ekanga roga (Monoplegia)
- Sarvanga roga (Quadriplegia)
- Pakshavadha (Hemiplegia)
- Akshepaka (Clonic convulsions)
- Dandaka (Tonic convulsions)
- Tama (Feeling of darkness in front of eye or fainting)
- Bhrama (Giddiness)
- Vepathu (Tremor)
- Jrumbha (Yawning)
- Hikka (Hiccup)
- Vishada (Depression or asthenia)
- Atipralapa (Excessive delirium)
- Raukshya (Roughness)
- Parushya (Coarseness)
- Syavarunavabhasata (Black reddish appearance)
- Asvapna (Insomnia)
(Anavasthita chittatva (Unstable mind))
Properties and pathogenic effects of vata dosha
सर्वेष्वपि खल्वेतेषु वातविकारेषूक्तेष्वन्येषु चानुक्तेषु वायोरिदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहा वातविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- रौक्ष्यं शैत्यं लाघवं वैशद्यं गतिरमूर्तत्वमनवस्थितत्वं चेतिवायोरात्मरूपाणि; एवंविधत्वाच्च वायोः कर्मणः स्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः ; तद्यथा-स्रंसभ्रंसव्याससङ्गभेदसादहर्षतर्षकम्पवर्तचालतोदव्यथाचेष्टादीनि , तथाखरपरुषविशदसुषिरारुणवर्णकषायविरसमुखत्वशोषशूलसुप्तिसङ्कोचनस्तम्भनखञ्जतादीनि च वायोः कर्माणि; तैरन्वितंवातविकारमेवाध्यवस्येत्||१२||
sarvēṣvapi khalvētēṣu vātavikārēṣūktēṣvanyēṣu cānuktēṣu vāyōridamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhā vātavikāramēvādhyavasyanti kuśalāḥ;tadyathā- raukṣyaṁ śaityaṁ lāghavaṁ vaiśadyaṁ gatiramūrtatvamanavasthitatvaṁ cēti vāyōrātmarūpāṇi;ēvaṁvidhatvācca vāyōḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ ;tadyathā- sraṁsabhraṁsavyāsasaṅgabhēdasādaharṣatarṣakampavartacālatōdavyathācēṣṭādīni , tathākharaparuṣaviśadasuṣirāruṇavarṇakaṣāyavirasamukhatvaśōṣaśūlasuptisaṅkōcanastambhanakhañjatādīnica vāyōḥ karmāṇi; tairanvitaṁ vātavikāramēvādhyavasyēt||12||
sarveShvapi khalveteShu vAtavikAreShUkteShvanyeShu cAnukteShu vAyoridamAtmarUpamapariNAmi karmaNashcasvalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehA vAtavikAramevAdhyavasyanti kushalAH; tadyathA-raukShyaM shaityaM lAghavaM vaishadyaM gatiramUrtatvamanavasthitatvaM ceti vAyorAtmarUpANi; evaMvidhatvAcca vAyoH karmaNaH svalakShaNamidamasya bhavati taM taM sharIrAvayavamAvishataH ; tadyathA-sraMsabhraMsavyAsasa~ggabhedasAdaharShatarShakampavartacAlatodavyathAceShTAdIni, tathAkharaparuShavishadasuShirAruNavarNakaShAyavirasamukhatvashoShashUlasuptisa~gkocanastambhanakha~jjatAdInica vAyoH karmANi; tairanvitaM vAtavikAramevAdhyavasyet||12||
In all the vataja variety of diseases enumerated, even when the inherent properties of vata are manifested partially, these are diagnosed and treated as the disorders of vata. For example, while roughness, coolness, lightness, non-sliminess, motion, shapelessness and instability are known to be the typical characteristics associated with vata, there are various other manifestations of the dosha depending upon the organ it afflicts:
- Stramsa – Looseness
- Bhramsha – Dislocation
- Vyasa – Expansion/division
- Sanga – Obstruction
- Bheda – Separation
- Sada – Depression/general malaise
- Harsha – Excitation
- Tarsha – Thirst/desire
- Kampa – Tremors
- Varta – Circumvention
- Chala – Motion
- Toda – Piercing pain
- Vyatha – Aching pain
- Cheshta – Actions
- Khara – Coarseness
- Parusha – Roughness
- Vishada – Non-sliminess
- Sushira – Porousness
- Aruna Varna – Reddishness/red colour
- Kashaya – Astringent taste
- Virasa mukhatva – Tastelessness in mouth
- Shosha – Wasting
- Shoola – Colic type of pain
- Supti – Numbness
- Sankocha – Contraction
- Stambha – Stiffness
- Khanja – Lameness etc. [11]
Management principles of vata disorders
तं मधुराम्ललवणस्निग्धोष्णैरुपक्रमैरुपक्रमेत,स्नेहस्वेदास्थापनानुवासननस्तःकर्मभोजनाभ्यङ्गोत्सादनपरिषेकादिभिर्वातहरैर्मात्रां कालं च प्रमाणीकृत्य;तत्रास्थापनानुवासनं तु खलु सर्वत्रोपक्रमेभ्यो वाते प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एव पक्वाशयमनुप्रविश्य केवलंवैकारिकं वातमूलं छिनत्ति; तत्रावजितेऽपि वाते शरीरान्तर्गता वातविकाराः प्रशान्तिमापद्यन्ते, यथा वनस्पतेर्मूले छिन्नेस्कन्धशाखाप्ररोहकुसुमफलपलाशादीनां नियतो विनाशस्तद्वत्||१३||
taṁ madhurāmlalavaṇasnigdhōṣṇairupakramairupakramēta, snēhasvēdāsthāpanānuvāsananastaḥkarmabhōjanābhyaṅgōtsādanapariṣēkādibhirvātaharairmātrāṁkālaṁ ca pramāṇīkr̥tya; tatrāsthāpanānuvāsanaṁ tu khalu sarvatrōpakramēbhyō vātē pradhānatamaṁmanyantē bhiṣajaḥ, taddhyādita ēva pakvāśayamanupraviśya kēvalaṁ vaikārikaṁ vātamūlaṁ chinatti;tatrāvajitē'pi vātē śarīrāntargatā vātavikārāḥ praśāntimāpadyantē, yathā vanaspatērmūlē chinnēskandhaśākhāprarōhakusumaphalapalāśādīnāṁ niyatō vināśastadvat||13||
taM madhurAmlalavaNasnigdhoShNairupakramairupakrameta, snehasvedAsthApanAnuvAsananastaHkarmabhojanAbhya~ggotsAdanapariShekAdibhirvAtaharairmAtrAMkAlaM ca pramANIkRutya; tatrAsthApanAnuvAsanaM tu khalu sarvatropakramebhyo vAte pradhAnatamaMmanyante bhiShajaH, taddhyAdita eva pakvAshayamanupravishya kevalaM vaikArikaM vAtamUlaMchinatti; tatrAvajite~api vAte sharIrAntargatA vAtavikArAH prashAntimApadyante, yathA vanaspatermUlechinne skandhashAkhAprarohakusumaphalapalAshAdInAM niyato vinAshastadvat||13||
The vitiated vata should be managed by drugs with a sweet, sour or saline taste, and various unctuous and hot therapeutics procedures such as oleation, fomentation, inhalation, diet, massage, unction, effusion, non-unctuous and unctuous enema, etc. The administered drugs or procedures should have anti-vataja properties and must be administered in appropriate dose and time. Amongst all the above mentioned procedures non-unctuous and unctuous enema are regarded as the most effective forms of treatment for the management of vataja vyadhi because enema enters the colon quickly and strikes at the very root of the vitiated vata. Thus, when vata is overcome in the colon, the disorders of vata in other parts of the body are automatically alleviated like the tree when cut at the root results in the automatic destruction of the trunk, branches, sprouts, flowers, fruits, leaves etc.[13]
Disorders of pitta dosha
पित्तविकारांश्चत्वारिंशतमत ऊर्ध्वमनुव्याख्यास्यामः- ओषश्च, प्लोषश्च, दाहश्च, दवथुश्च, धूमकश्च, अम्लकश्च, विदाहश्च,अन्तर्दाहश्च, अंसदाहश्च , ऊष्माधिक्यं च, अतिस्वेदश्च (अङ्गस्वेदश्च), अङ्गगन्धश्च, अङ्गावदरणं च,शोणितक्लेदश्च, मांसक्लेदश्च, त्वग्दाहश्च, (मांसदाहश्च ), त्वगवदरणं च, चर्मदलनं च, रक्तकोठश्च, रक्तविस्फोटश्च,रक्तपित्तं च, रक्तमण्डलानि च, हरितत्वं च, हारिद्रत्वं च, नीलिका च, कक्षा(क्ष्या)च, कामला च, तिक्तास्यता च,लोहितगन्धास्यता च, पूतिमुखता च, तृष्णाधिक्यं च, अतृप्तिश्च, आस्यविपाकश्च, गलपाकश्च, अक्षिपाकश्च, गुदपाकश्च,मेढ्रपाकश्च, जीवादानं च , तमःप्रवेशश्च, हरितहारिद्रनेत्रमूत्रवर्चस्त्वं च; इति चत्वारिंशत्पित्तविकाराःपित्तविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याताः||१४||
pittavikārāṁścatvāriṁśatamata ūrdhvamanuvyākhyāsyāmaḥ- ōṣaśca, plōṣaśca, dāhaśca, davathuśca,dhūmakaśca, amlakaśca, vidāhaśca, antardāhaśca, aṁsadāhaśca , ūṣmādhikyaṁ ca, atisvēdaśca(aṅgasvēdaśca), aṅgagandhaśca, aṅgāvadaraṇaṁ ca, śōṇitaklēdaśca, māṁsaklēdaśca, tvagdāhaśca,(māṁsadāhaśca ), tvagavadaraṇaṁ ca, carmadalanaṁ ca, raktakōṭhaśca, raktavisphōṭaśca,raktapittaṁ ca, raktamaṇḍalāni ca, haritatvaṁ ca, hāridratvaṁ ca, nīlikā ca, kakṣā(kṣyā)ca, kāmalā ca,tiktāsyatā ca, lōhitagandhāsyatā ca, pūtimukhatā ca, tr̥ṣṇādhikyaṁ ca, atr̥ptiśca, āsyavipākaśca,galapākaśca, akṣipākaśca, gudapākaśca, mēḍhrapākaśca, jīvādānaṁ ca , tamaḥpravēśaśca,haritahāridranētramūtravarcastvaṁ ca; iti catvāriṁśatpittavikārāḥpittavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātāḥ||14||
pittavikArAMshcatvAriMshatamata UrdhvamanuvyAkhyAsyAmaH- oShashca, ploShashca, dAhashca,davathushca, dhUmakashca, amlakashca, vidAhashca, antardAhashca, aMsadAhashca , UShmAdhikyaMca, atisvedashca (a~ggasvedashca), a~ggagandhashca, a~ggAvadaraNaM ca, shoNitakledashca,mAMsakledashca, tvagdAhashca, (mAMsadAhashca ), tvagavadaraNaM ca, carmadalanaM ca,raktakoThashca, raktavisphoTashca, raktapittaM ca, raktamaNDalAni ca, haritatvaM ca, hAridratvaM ca,nIlikA ca, kakShA(kShyA)ca, kAmalA ca, tiktAsyatA ca, lohitagandhAsyatA ca, pUtimukhatA ca,tRuShNAdhikyaM ca, atRuptishca, AsyavipAkashca, galapAkashca, akShipAkashca, gudapAkashca,meDhrapAkashca, jIvAdAnaM ca , tamaHpraveshashca, haritahAridranetramUtravarcastvaM ca; iticatvAriMshatpittavikArAH pittavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtAH||14||
Quite like the vata family of diseases, there are innumerable pittaja nanatmaja vyadhis, but the 40 most prevalent ones are:
- Osha (Heating)
- Plosha (Scorching)
- Daha (Burning)
- Davathu (Intense heat)
- Dhoomaka (Fuming)
- Amlaka (Hyperacidity)
- Vidaha (Burning sensation in Mahasrotas)
- Antardaha (Internal burning)
- Amsadaha (Burning sensation in arm)
- Ushmadhikya (Hyperthermia)
- Atisveda (Excessive sweating)
- Angagandha (Foul smell from body)
- Angavadarana (Tearing of body parts)
- Shonita kleda (Retention of metabolites in blood)
- Mamsa kleda (Retention of metabolites in muscles)
- Tvagdaha (Burning sensation in skin)
- Tvagavadarana (Cracking of skin)
- Charmadalana (Thickness of skin)
- Rakta kotha (Urticarial patches)
- Rakta visphota (Pustules)
- Raktapitta (Bleeding disorders)
- Raktamandala (Haemorrhagic rounded patches/ echymosis)
- Haritatva (Greenishness)
- Haridratva (Yellowishness)
- Neelika (Blue moles)
- Kaksha (Furunculosis)
- Kamala (Jaundice)
- Tiktasyata (Bitter taste in mouth)
- Lohita gandhasyata (Blood-like smell (lohita) from the oral cavity)
- Pootimookhata (Foetid smell from oral cavity, or halitosis)
- Trishnadhikya (Polydypsia)
- Atripti (Loss of contentment)
- Asyavipaka (Stomatitis)
- Galapaka (Inflammation in throat)
- Akshipaka (Inflammation in eyes)
- Gudapaka (Inflammation in anus)
- Medhrapaka (Inflammation in penis)
- Jivadana (Discharge of pure blood)
- Tamapravesha (Darkness in front of the eye)
- Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool)
Properties and pathogenic effects of pitta dosha
सर्वेष्वपि खल्वेतेषु पित्तविकारेषूक्तेष्वन्येषु चानुक्तेषु पित्तस्येदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं, यदुपलभ्य तदवयवंवा विमुक्तसन्देहाः पित्तविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा- औष्ण्यं तैक्ष्ण्यं द्रवत्वमनतिस्नेहो वर्णश्च शुक्लारुणवर्जोगन्धश्च विस्रो रसौ च कटुकाम्लौ सरत्वं च पित्तस्यात्मरूपाणि; एवंविधत्वाच्च पित्तस्य कर्मणः स्वलक्षणमिदमस्य भवति तंतं शरीरावयवमाविशतः; तद्यथा- दाहौष्ण्यपाकस्वेदक्लेदकोथकण्डूस्रावरागा यथास्वं च गन्धवर्णरसाभिनिर्वर्तनं पित्तस्यकर्माणि; तैरन्वितं पित्तविकारमेवाध्यवस्येत्||१५||
sarvēṣvapi khalvētēṣu pittavikārēṣūktēṣvanyēṣu cānuktēṣu pittasyēdamātmarūpamapariṇāmi karmaṇaścasvalakṣaṇaṁ, yadupalabhya tadavayavaṁ vā vimuktasandēhāḥ pittavikāramēvādhyavasyanti kuśalāḥ;tadyathā- auṣṇyaṁ taikṣṇyaṁ dravatvamanatisnēhō varṇaśca śuklāruṇavarjō gandhaśca visrō rasau cakaṭukāmlau saratvaṁ ca pittasyātmarūpāṇi; ēvaṁvidhatvācca pittasya karmaṇaḥ svalakṣaṇamidamasyabhavati taṁ taṁ śarīrāvayavamāviśataḥ; tadyathā- dāhauṣṇyapākasvēdaklēdakōthakaṇḍūsrāvarāgāyathāsvaṁ ca gandhavarṇarasābhinirvartanaṁ pittasya karmāṇi; tairanvitaṁpittavikāramēvādhyavasyēt||15||
sarveShvapi khalveteShu pittavikAreShUkteShvanyeShu cAnukteShu pittasyedamAtmarUpamapariNAmikarmaNashca svalakShaNaM, yadupalabhya tadavayavaM vA vimuktasandehAHpittavikAramevAdhyavasyanti kushalAH; tadyathA- auShNyaM taikShNyaM dravatvamanatisnehovarNashca shuklAruNavarjo gandhashca visro rasau ca kaTukAmlau saratvaM ca pittasyAtmarUpANi;evaMvidhatvAcca pittasya karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA- dAhauShNyapAkasvedakledakothakaNDUsrAvarAgA yathAsvaM cagandhavarNarasAbhinirvartanaM pittasya karmANi; tairanvitaM pittavikAramevAdhyavasyet||15||
In all the pittaja variety of diseases enumerated, even a partial manifestation of the vitiated pitta would still warrant them to be diagnosed and treated as a disorder of the pitta. For example, heat, sharpness, liquidity, slight unctuousness, all colours except white and red, fishy smell, pungent and sour taste and fluidity are the specific characters of pitta, but the manifestations of pitta could be different depending upon the organs they afflict:
- Daha-Burning sensation
- Aushnya–Heat
- Paka–Suppuration/Inflammation
- Sweda–Perspiration
- Kleda–Moisture
- Kotha–Sloughing
- Kandu–Itching
- Srava–Discharge
- Raga–Redness
- Gandha (Visra ama gandha) - Foul smell
- Rasa (katu, amla and tikta rasa) – Taste namely pungent, sour and bitter.
- Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15]
Management principles of pitta disorders
तं मधुरतिक्तकषायशीतैरुपक्रमैरुपक्रमेत स्नेहविरेकप्रदेहपरिषेकाभ्यङ्गादिभिः पित्तहरैर्मात्रां कालं च प्रमाणीकृत्य; विरेचनं तुसर्वोपक्रमेभ्यः पित्ते प्रधानतमं मन्यन्ते भिषजः; तद्ध्यादित एवामाशयमनुप्रविश्य केवलं वैकारिकं पित्तमूलमपकर्षति,तत्रावजिते पित्तेऽपि शरीरान्तर्गताः पित्तविकाराः प्रशान्तिमापद्यन्ते, यथाऽग्नौ व्यपोढे केवलमग्निगृहं शीतीभवति तद्वत्||१६||
taṁ madhuratiktakaṣāyaśītairupakramairupakramēta snēhavirēkapradēhapariṣēkābhyaṅgādibhiḥpittaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; virēcanaṁ tu sarvōpakramēbhyaḥ pittē pradhānatamaṁmanyantē bhiṣajaḥ; taddhyādita ēvāmāśayamanupraviśya kēvalaṁ vaikārikaṁ pittamūlamapakarṣati,tatrāvajitē pittē'pi śarīrāntargatāḥ pittavikārāḥ praśāntimāpadyantē, yathā'gnau vyapōḍhēkēvalamagnigr̥haṁ śītībhavati tadvat||16||
taM madhuratiktakaShAyashItairupakramairupakrameta snehavirekapradehapariShekAbhya~ggAdibhiHpittaharairmAtrAM kAlaM ca pramANIkRutya; virecanaM tu sarvopakramebhyaH pitte pradhAnatamaMmanyante bhiShajaH; taddhyAdita evAmAshayamanupravishya kevalaM vaikArikaMpittamUlamapakarShati, tatrAvajite pitte~api sharIrAntargatAH pittavikArAH prashAntimApadyante,yathA~agnau vyapoDhe kevalamagnigRuhaM shItIbhavati tadvat||16||
Abnormal pitta disorders should be managed by drugs having sweet, bitter, astringent, and cooling qualities. Any therapeutic modalities administered, such as oleation, purgation, fasting, affusion, massage, etc. should have anti-pittaja properties and must be administered in appropriate dose and time. Of all the above mentioned procedures, purgation is regarded as the most effective mode of treatment for the management of pittaja vyadhi. When pitta is overcome in the amashaya through administration of purgative substances, the disorders of pitta in other parts of the body are automatically pacified just like a fire chamber cools down when the fire is doused. [16]
Disorders of kapha dosha
श्लेष्मविकारांश्च विंशतिमत ऊर्ध्वं व्याख्यास्यामः; तद्यथा- तृप्तिश्च, तन्द्रा च, निद्राधिक्यं च, स्तैमित्यं च, गुरुगात्रता च,आलस्यं च, मुखमाधुर्यं च, मुखस्रावश्च, श्लेष्मोद्गिरणं च, मलस्याधिक्यं च, बलासकश्च , अपक्तिश्च, हृदयोपलेपश्च,कण्ठोपलेपश्च, धमनीप्रति(वि)चयश्च, गलगण्डश्च, अतिस्थौल्यं च, शीताग्निता च, उदर्दश्च, श्वेतावभासता च,श्वेतमूत्रनेत्रवर्चस्त्वं च; इति विंशतिः श्लेष्मविकाराः श्लेष्मविकाराणामपरिसङ्ख्येयानामाविष्कृततमा व्याख्याता भवन्ति||१७||
ślēṣmavikārāṁśca viṁśatimata ūrdhvaṁ vyākhyāsyāmaḥ; tadyathā- tr̥ptiśca, tandrā ca, nidrādhikyaṁ ca,staimityaṁ ca, gurugātratā ca, ālasyaṁ ca, mukhamādhuryaṁ ca, mukhasrāvaśca, ślēṣmōdgiraṇaṁ ca,malasyādhikyaṁ ca, balāsakaśca , apaktiśca, hr̥dayōpalēpaśca, kaṇṭhōpalēpaśca,dhamanīprati(vi)cayaśca, galagaṇḍaśca, atisthaulyaṁ ca, śītāgnitā ca, udardaśca, śvētāvabhāsatā ca,śvētamūtranētravarcastvaṁ ca; iti viṁśatiḥ ślēṣmavikārāḥślēṣmavikārāṇāmaparisaṅkhyēyānāmāviṣkr̥tatamā vyākhyātā bhavanti||17||
shleShmavikArAMshca viMshatimata UrdhvaM vyAkhyAsyAmaH; tadyathA- tRuptishca, tandrA ca,nidrAdhikyaM ca, staimityaM ca, gurugAtratA ca, AlasyaM ca, mukhamAdhuryaM ca, mukhasrAvashca,shleShmodgiraNaM ca, malasyAdhikyaM ca, balAsakashca, apaktishca, hRudayopalepashca,kaNThopalepashca, dhamanIprati(vi)cayashca, galagaNDashca, atisthaulyaM ca, shItAgnitA ca,udardashca, shvetAvabhAsatA ca, shvetamUtranetravarcastvaM ca; iti viMshatiH shleShmavikArAHshleShmavikArANAmaparisa~gkhyeyAnAmAviShkRutatamA vyAkhyAtA bhavanti||17||
The 20 prevalent kapha disorders or Shleshma nanatmaja vyadhi are:
- Trupti (Contentment)
- Tandra (Drowsiness)
- Nidradhikya (Excess sleep)
- Staimitya (Rigidity/Immobility)
- Gurugatrata (Heaviness in body)
- Alasya (Lassitude)
- Mukha madhurya (Sweet taste in mouth)
- Mukha strava (Salivation)
- Shlesmodgirana (Expectoration of mucous)
- Maladhikya (Excess accumulation of waste products)
- Balasaka (Loss of strength)
- Apakti (Indigestion)
- Hridayopalepa (Adherence of waste surrounding heart)
- Kanthopalepa (Adherence of waste surrounding throat)
- Dhamanipratichaya (Adherence of waste in blood vessels/ atherosclerosis)
- Galaganda (Goiter)
- Atisthaulya (Morbid obesity)
- Shitagnita (decreased agni)
- Udarda (Urticarial rashes)
- Shvetavabhashata (Pale look)
(Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17]
Properties and pathogenic effects of kapha dosha
सर्वेष्वपि खल्वेतेषु श्लेष्मविकारेषूक्तेष्वन्येषु चानुक्तेषु श्लेष्मण इदमात्मरूपमपरिणामि कर्मणश्च स्वलक्षणं यदुपलभ्यतदवयवं वा विमुक्तसन्देहाः श्लेष्मविकारमेवाध्यवस्यन्ति कुशलाः; तद्यथा-स्नेहशैत्यशौक्ल्यगौरवमाधुर्यस्थैर्यपैच्छिल्यमार्त्स्न्यानि श्लेष्मण आत्मरूपाणि; एवंविधत्वाच्च श्लेष्मणः कर्मणःस्वलक्षणमिदमस्य भवति तं तं शरीरावयवमाविशतः; तद्यथा-श्वैत्यशैत्यकण्डूस्थैर्यगौरवस्नेहसुप्तिक्लेदोपदेहबन्धमाधुर्यचिरकारित्वानि श्लेष्मणः कर्माणि; तैरन्वितंश्लेष्मविकारमेवाध्यवस्येत्||१८||
sarvēṣvapi khalvētēṣu ślēṣmavikārēṣūktēṣvanyēṣu cānuktēṣu ślēṣmaṇa idamātmarūpamapariṇāmikarmaṇaśca svalakṣaṇaṁ yadupalabhya tadavayavaṁ vā vimuktasandēhāḥślēṣmavikāramēvādhyavasyanti kuśalāḥ; tadyathā-snēhaśaityaśauklyagauravamādhuryasthairyapaicchilyamārtsnyāni ślēṣmaṇa ātmarūpāṇi;ēvaṁvidhatvācca ślēṣmaṇaḥ karmaṇaḥ svalakṣaṇamidamasya bhavati taṁ taṁ śarīrāvayavamāviśataḥ;tadyathā- śvaityaśaityakaṇḍūsthairyagauravasnēhasuptiklēdōpadēhabandhamādhuryacirakāritvāniślēṣmaṇaḥ karmāṇi; tairanvitaṁ ślēṣmavikāramēvādhyavasyēt||18||
sarveShvapi khalveteShu shleShmavikAreShUkteShvanyeShu cAnukteShu shleShmaNaidamAtmarUpamapariNAmi karmaNashca svalakShaNaM yadupalabhya tadavayavaM vAvimuktasandehAH shleShmavikAramevAdhyavasyanti kushalAH; tadyathA-snehashaityashauklyagauravamAdhuryasthairyapaicchilyamArtsnyAni shleShmaNa AtmarUpANi;evaMvidhatvAcca shleShmaNaH karmaNaH svalakShaNamidamasya bhavati taM taMsharIrAvayavamAvishataH; tadyathA-shvaityashaityakaNDUsthairyagauravasnehasuptikledopadehabandhamAdhuryacirakAritvAnishleShmaNaH karmANi; tairanvitaM shleShmavikAramevAdhyavasyet||18||
In all, like in the case of vata and pitta disorders, all the kaphajavariety of diseases mentioned above would be diagnosed and treated as disorders of kapha even when exhibiting partial manifestations of the dosha. For example, unctuousness, coldness, whiteness, heaviness, sweetness, steadiness, sliminess and viscosity are the specific characters of kapha. Kapha, having such characteristic properties, produces the following actions in the organs it afflicts:
- Shvaitya – Whiteness
- Shaitya – Coldness
- Kandu – Itching
- Sthairya – Stability
- Gaurava – Heaviness
- Sneha – Unctuousness
- Supti – Numbness
- Kleda – Moistening/stickiness
- Upadeha – Coating over body parts
- Bandha – Binding
- Madhurya – Sweetness
- Chirakaritva – Chronic nature of disease
All the above are the actions of kapha dosha and the same may be diagnosed as kaphaja variety of diseases. [18]
Management of kapha disorders
तं कटुकतिक्तकषायतीक्ष्णोष्णरूक्षैरुपक्रमैरुपक्रमेत स्वेदवमनशिरोविरेचनव्यायामादिभिः श्लेष्महरैर्मात्रां कालं चप्रमाणीकृत्य; वमनं तु सर्वोपक्रमेभ्यः श्लेष्मणि प्रधानतमं मन्यन्ते भिषजः, तद्ध्यादित एवामाशयमनुप्रविश्योरोगतं केवलंवैकारिकं श्लेष्ममूलमूर्ध्वमुत्क्षिपति, तत्रावजिते श्लेष्मण्यपि शरीरान्तर्गताः श्लेष्मविकाराः प्रशान्तिमापद्यन्ते, यथा भिन्नेकेदारसेतौ शालियवषष्टिकादीन्यनभिष्यन्द्यमानान्यम्भसा प्रशोषमापद्यन्ते तद्वदिति|१९||
taṁ kaṭukatiktakaṣāyatīkṣṇōṣṇarūkṣairupakramairupakramēta svēdavamanaśirōvirēcanavyāyāmādibhiḥślēṣmaharairmātrāṁ kālaṁ ca pramāṇīkr̥tya; vamanaṁ tu sarvōpakramēbhyaḥ ślēṣmaṇi pradhānatamaṁmanyantē bhiṣajaḥ, taddhyādita ēvāmāśayamanupraviśyōrōgataṁ kēvalaṁ vaikārikaṁślēṣmamūlamūrdhvamutkṣipati, tatrāvajitē ślēṣmaṇyapi śarīrāntargatāḥ ślēṣmavikārāḥpraśāntimāpadyantē, yathā bhinnē kēdārasētau śāliyavaṣaṣṭikādīnyanabhiṣyandyamānānyambhasāpraśōṣamāpadyantē tadvaditi||19||
taM kaTukatiktakaShAyatIkShNoShNarUkShairupakramairupakrametasvedavamanashirovirecanavyAyAmAdibhiH shleShmaharairmAtrAM kAlaM ca pramANIkRutya; vamanaM tusarvopakramebhyaH shleShmaNi pradhAnatamaM manyante bhiShajaH, taddhyAditaevAmAshayamanupravishyorogataM kevalaM vaikArikaM shleShmamUlamUrdhvamutkShipati, tatrAvajiteshleShmaNyapi sharIrAntargatAH shleShmavikArAH prashAntimApadyante, yathA bhinne kedArasetaushAliyavaShaShTikAdInyanabhiShyandyamAnAnyambhasA prashoShamApadyante tadvaditi||19||
Abnormal kapha should be managed using drugs having pungent, bitter, astringent, sharp, hot and dry qualities, and by means of other therapeutic modalities such as fomentation, emesis, evacuation of dosha from head, exercise etc. that have anti-kaphaja properties and these must be administered in appropriate dose and time. Amongst all the above mentioned procedures emesis is regarded the most effective form of treatment for the management of kaphaja diseases because immediately after entering the stomach, it strikes at the very root cause of the vitiation of kapha. Thus, when kapha is overcome in the stomach, any kapha-related affliction in any other part of the body gets pacified automatically quite like the drying up of crops of rice in the absence of moisture when the obstructing ridge of the field is broken.[19]
Importance of diagnosis before planning treatment
भवन्ति चात्र- रोगमादौ परीक्षेत ततोऽनन्तरमौषधम्| ततः कर्म भिषक् पश्चाज्ज्ञानपूर्वं समाचरेत्||२०||
यस्तु रोगमविज्ञाय कर्माण्यारभते भिषक्| अप्यौषधविधानज्ञस्तस्य सिद्धिर्यदृच्छया||२१||
यस्तु रोगविशेषज्ञः सर्वभैषज्यकोविदः| देशकालप्रमाणज्ञस्तस्य सिद्धिरसंशयम्||२२||
bhavanti cātra- rōgamādau parīkṣēta tatō'nantaramauṣadham| tataḥ karma bhiṣak paścājjñānapūrvaṁ samācarēt||20||
yastu rōgamavijñāya karmāṇyārabhatē bhiṣak| apyauṣadhavidhānajñastasya siddhiryadr̥cchayā||21||
yastu rōgaviśēṣajñaḥ sarvabhaiṣajyakōvidaḥ| dēśakālapramāṇajñastasya siddhirasaṁśayam||22||
bhavanti cAtra- rogamAdau parIkSheta tato~anantaramauShadham| tataH karma bhiShak pashcAjj~jAnapUrvaM samAcaret||20||
yastu rogamavij~jAya karmANyArabhate bhiShak| apyauShadhavidhAnaj~jastasya siddhiryadRucchayA||21||
yastu rogavisheShaj~jaH sarvabhaiShajyakovidaH| deshakAlapramANaj~jastasya siddhirasaMshayam||22||
A physician should first diagnose the disease and then select the proper medicine. Thereafter, he should administer the therapy applying the knowledge of the science of medicine (he had already gained). A physician who initiates treatment without proper diagnosis of the disease can accomplish the desired object only by chance (that is to say he cannot be sure of his success). The fact that he is well-acquainted with the knowledge of application of medicine does not necessarily guarantee his success. On the other hand, the physician who is well-versed in diagnosing disease, who is proficient in the administration of medicines and who knows about modalities to be used in a therapy (that varies from place to place and season to season) is sure to accomplish the desired outcome without any doubt.[20-22]
Summary
तत्र श्लोकाः- सङ्ग्रहः प्रकृतिर्देशो विकारमुखमीरणम् | असन्देहोऽनुबन्धश्च रोगाणां सम्प्रकाशितः||२३||
दोषस्थानानि रोगाणां गणा नानात्मजाश्च ये| रूपं पृथक् च दोषाणां कर्म चापरिणामि यत्||२४||
पृथक्त्वेन च दोषाणां निर्दिष्टाः समुपक्रमाः| सम्यङ्महति रोगाणामध्याये तत्त्वदर्शिना||२५||
tatra ślōkāḥ- saṅgrahaḥ prakr̥tirdēśō vikāramukhamīraṇam | asandēhō'nubandhaśca rōgāṇāṁ samprakāśitaḥ||23||
dōṣasthānāni rōgāṇāṁ gaṇā nānātmajāśca yē| rūpaṁ pr̥thak ca dōṣāṇāṁ karma cāpariṇāmi yat||24||
pr̥thaktvēna ca dōṣāṇāṁ nirdiṣṭāḥ samupakramāḥ| samyaṅmahati rōgāṇāmadhyāyē tattvadarśinā||25||
tatra shlokAH- sa~ggrahaH prakRutirdesho vikAramukhamIraNam | asandeho~anubandhashca rogANAM samprakAshitaH||23||
DoshasthAnAni rogANAM gaNA nAnAtmajAshca ye| rUpaM pRuthak ca doShANAM karma cApariNAmi yat||24||
pRuthaktvena ca doShANAM nirdiShTAH samupakramAH| samya~gmahati rogANAmadhyAye tattvadarshinA||25||
In this chapter on major diseases, the enlightened sage has fully dealt with the following: classification of diseases, their nature, sites of manifestation, primary and secondary causative factors, interchangeability and specific identity of disease, sites of dosha, enumeration of specific diseases due to dosha, invariable signs and non changeable actions of dosha and specific treatment of each dosha. [23-25]
Tattva Vimarsha(Fundamental Principles)
- Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases.
- Mental diseases (as diseases related to passion, worries etc. psychological factors) are exogenous diseases.
- By permutation and combination, the three dosha and seven dhatu may form innumerable varieties of diseases, but only those diseases which most commonly manifest have been described in the texts.
- Endogenous diseases of the general type (samanyaja) are caused by the combination of two or more dosha.
- Endogenous diseases of the specific type (Nanatmaja=Na+Anatmaja=Atmaja) are on the other hand, caused by only one of the dosha
- Even if some of the vataja types of diseases are caused by other dosha besides vata, it is the vata which is actually responsible for the transmission of the vitiated dosha to a specific organ of the body as it has been said ‘kapha, pitta and dhatu, left to themselves are immobile in nature. Wherever, they are carried by the vata, they cause disease just as the wind causes rain in a particular area.
- Phases in the natural history and clinical course of a disease to successive stages of prevention are described under kriyakala.
- Each dosha has its specific site of action. Various disorders are caused due to involvement of one or more qualities of dosha.
Vidhi Vimarsha (Applied Inferences)
Following tables compare dosha specific disorders enlisted in various texts.
Specific disorders of Vata dosha
S.N. | Charak[Cha.Sa.Sutra Sthana 20/11] | Chakrapani[Chakrapani on Cha.Sa.Sutra Sthana 20/11] | A.S [A.S Sutra Sthana 20/15][1] | SH[2] | SudantaSen[3] | Vatavyadhi [Cha.Sa.Chikitsa Sthana 28] | Vata vyadhi[B.P Madhyama khanda 24/5-12][4] |
---|---|---|---|---|---|---|---|
1 | Nakhabheda (Cracking of nails) | - | + | - | - | ||
2 | Vipadika (Cracking of soles) | Panipada sphutnam (Cracking of palm and soles) | + | - | - | ||
3 | Padashula (Pain in foot | + | - | - | Pada daha | ||
4 | Pada bhransa (Foot drop) | Padasyaropavishayadesha anyatra patanam | + | - | - | Pada harsha | |
5 | Pada suptata (Numbness in feet) | Nishkriyatva and sparshagyatva | + | Prasupti | Gatra suptata (S/S) | ||
6 | Vata khudhata (Pain in ankle region) | Chaluka (Pain in joints of foot and lower limb) | + | - | |||
7 | Gulphagraha (Stiffness in ankle region) | + | - | ||||
8 | Pindikodvesthana (cramps in calf muscle) | + | - | ||||
9 | Gridhrasi (Sciatica) | Gridhrasi shulam | + | - | + (disease) | + | |
10 | Janubheda (Tearing pain in knee | + | - | ||||
11 | Januvishlesha (Dislocation in knee joint) | + | - | ||||
12 | Urustambha (Stiffness in thigh) | Urustambhanmatra vatajanya | + | + | |||
13 | Urusada (Loss of movement in thigh) | + | - | ||||
14 | Pangulya (Paraplegia) | + | + | + (as S/S) | + | ||
15 | Guda bhransha (Prolapsed of rectum) | + | - | Bhransa | |||
16 | Guda arti (Pain in anus) | + | - | ||||
17 | Vrashanakshepa (Pain in scrotum) | + | - | ||||
18 | Sephastambha (Stiffness in penis) | + | - | ||||
19 | Vankshananaha (Sprain in groin) | + | - | ||||
20 | Shronibheda (Pain in pelvic region) | + | - | ||||
21 | Vid bheda (Diarrhoea) | + | - | ||||
22 | Udavarta (Misperistalsis) | + | Udgara | ||||
23 | Khanjatva (Limping) | + | + | + (as S/S) | + | ||
24 | Vamantva (Dwarfism) | + | + | + | |||
25 | Trikgraha (Stiffness in sacral region) | + | Kati graha | Trik shula | |||
26 | Pristhagraha (Stiffness in back) | + | - | + (S/S) | |||
27 | Parshvamarda (Compression in sides) | + | Parshva shulam | Parshva shulam | |||
28 | Udaravestha (Twisting pain in abdomen) | + | - | ||||
29 | Hrinmoha (Cardiac disfunction) | + | - | ||||
30 | Hrid drava (Tachycardia) | + | - | ||||
31 | Vaksha udharsha (Rubbing pain in chest) | + | - | ||||
32 | Vaksha uprodha (Constriction in chest) | + | - | ||||
33 | Vaksha toda (Pain in chest) | + | - | ||||
34 | Bahusosha (Wasting of arm) | + | - | + | |||
35 | Grivastambha (Stiffness in neck) | + | - | ||||
36 | Manya stambha (Torticollis ) | + | + | Stambha | + | + | |
37 | Kanthoddhavansa (Hoarseness of voice) | + | - | Kanthadvamsa | |||
38 | Hanubheda (Pain in jaw) | Hanu stambha | Hanu stambha | Hanugraha | |||
39 | Osthabheda (Pain in lips) | + | |||||
40 | Akshibheda (Tearing pain in eyes) | No | - | ||||
41 | Dantabheda (Pain in teeth) | + | - | ||||
42 | Danta saithilya (Loose teeth) | + | - | ||||
43 | Mukatva (Aphasia) | + | + | + | |||
44 | Vaksanga (Stemmering speech) | + | Minminitvam /Gadagada | Minminitvam and Gadagada | |||
45 | Kasayasyata (Astringent taste in mouth) | + | Kasaya vaktrata | Rasa-Kasaya | |||
46 | Mukhasosha(Dryness in mouth) | + | - | ||||
47 | Arasangyata (Loss of taste sensation) | RasaAgyatva | Rasagyata | Rasagyana | |||
48 | Grahananasha (Loss of smell sensation) | + | Gandhagyatva | ||||
49 | Karnashula(Earache ) | Shulamatram | + | - | |||
50 | Asabdashravana (Tinnitus) | Shabdabhave api shabda shravan | + | - | Karnanada | Karnanada | |
51 | Ucchashruti (Hardness in hearing) | Tarswera matra shravan, alpa shabdasya tu sarvda ashravanam | + | - | |||
52 | Badhriya (Deafness ) | Shabdamatrayesva ashravanam | + | Shabdagyata | + | ||
53 | Vartmastambha (Stiffness in eyelids) | + | - | ||||
54 | Vartma sankocha (Entropion) | + | - | ||||
55 | Timira (Loss of vision) | Vatajamev, doshantrasambandha tatra anubandha | + | Druk kshaya | |||
56 | Akshishula (Pain in eyes) | Shulamatram | + | - | |||
57 | Akshivyudasa (Squint eye) | + | - | ||||
58 | Bhruvyudasa (Twisting in eye brows) | + | - | ||||
59 | Shankhabheda (Pain in temporal region) | + | - | ||||
60 | Lalatabheda (Pain in temporal region) | + | - | ||||
61 | Shiroruk (Pain in head) | Jvaradishu ushnatvasheetatvadinam | + | - | + | ||
62 | Sarvanga roga (Paraplegia) | + | - | + (Disease) | Sarvanga vata | ||
63 | Pakshavadha (Hemiplegia) | + | Pakshaghata | + (Disease) | Pakshaghata | ||
64 | Akshepak (Clonic convulsion) | + | + | Akshepa | + (Disease) | ||
65 | Dandaka (Tonic convulsion) | + | Dandaptanaka | + (Disease) | Dandakashepa | ||
66 | Tama (Feeling of darkness infront of eyes) | - | - | ||||
67 | Bhrama (Giddiness) | Vatika smritimoharupa | + | - | + | Paribhrama | |
68 | Vepathu (Tremor) | + | Kampa | Kampa | Kampa | ||
69 | Jrumbha (Yawing) | + | + | + | + | + | |
70 | Hikka (Hicough) | - | - | ||||
71 | Vishada (Asthenia) | + | - | + and Avasada | |||
72 | Atipralapa (Excessive delirium) | + | + | + and Avasada | |||
73 | Atipralapa (Excessive delirium) | + | + | +(as S/S) | Pralapa | ||
74 | Rukshaya (Roughness) | + | + | + | + | ||
75 | Parushaya (Coarsness) | + | - | ||||
76 | Shayavarunabhasata (Blackreddish appearance) | +( talu bheda, shrama, glani) | Shayavavta | + | Karshanaya | ||
77 | Asvapna (Insomia) | + | Nidranasha | Mashayanam | + (as S/S) | Nidranasha | |
79 | Anavasthita | + | + | Chala | |||
80 | cittatva (Unstable mind) | chittata |
Sharangdhara – Bahirayama (vata vyadhi in Charak), Antrayama(vata vyadhi in Charak), Jivhastambha, Krostukashirsha, Khalli, Kalayakhanja, Tuni, Pratituni, Padaharsha, Vishvachi, Apabahuka, Aptano, Vranayamo, Vatakantaka, Aptantraka, Angabheda, Angasosha, Pratiyasthila, Asthila, Angapida, Angavibhransho, Vidahraha, Baddhavitakta, Antrakujanam, Vatapravritti, Sphurana, Shiranam purnam, Karshya, Kshipramutrata, Swedanasho, Durbalatavam, Balakshaya, Atipravritti shukrasya, Karsya shukrasya, Nasho retasa, Kathinya, Virasasyata, Adhamanam, Pratyadhmanam, Sheetata, Romharsha, Bhirutvam, Toda, Kandu are different from Charak. Sudanta Sen- Romaharsha, Sransha, Shramaka, Glapana, Tadanam, Pidanam, Nama, Unnama, Paripatana, Vikshopa, Sosha, Grahanam, Sushirata,Chedanam, Vesthanam, Adhamana, Vimathana, Kshoba, Pratoda, Vilapanam, Shula, Vishma parinati, Dristhi pramoha, Vispanda, Uddhathana (Opening up as a lid), Mahati svapa (excessive sleep), Vislesha, obstruction, and Trit. vata Vyadhi in Charak- Antrayam, Bahirayama or Dhanustambha, Hanustambha, Khalli. vata Vyadhi (Bhava Prakasha)- Shirograha, Alpakrashata, Jivhastambha, Vachalta, Sparsha-agyatva, Apbahuka, Visvachi, Urdhavavata, Adhamana, Pratyadhmana, Tuni, Pratituni, Adhamana, Pratyadhmana, vata asthila, Pratya- asthila, Vahanivaishayama, Atopa, Muhumutratam, Mutranigraha, Malagarhata, Purishaprivritti, Kalaya khanja, Kroshtuka sirsha, Vatakantaka, Khalli, Vatapitta krita akshepa, Apatanaka, Dandapatanaka, Aptantraka, Abhighatakshepa, Dhanustambha, Antrayam, Bahirayama, Stambha, Vyatha, Toda, Bheda, Sphurana, Karshaya, Shaitaya, Lomaharsha, Angamarda, Angavibhransha, Shirasankocha, Angasosha, Bheerutva, Moha, Swedanasha, Bala hani, Shukraksheya, Rajonasha, and Garbhanasha are different from Charak. Susruta (vata Vyadhi)[5]- Kroshtuka sirsha, Vatakantaka, Pada daha, Apbahuka, Adhamana, Kalaya khanja, Manyastambha, Akshepaka, Apatanaka, Dandapatanaka, Aptantraka, Visvachi, Pada harsha, Hanugraha, Dhanustambha, Antrayam, Bhirayama, Pakshaghata, Ardita, Gradhrasi, Khanja-pangu, Badhirya, Karnashula, Mukminmin, Gadgad (Symptoms of jihvagata vata), Tuni, Pratuni, Adhamana, Pratyadhmana, vata asthila, Vatarakta. A.H[6]. – Akshepaka, Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga, Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha.
Specific disorders of Pitta dosha
S.N. | Charak [Cha.Sa.Sutra Sthana 20/14] | Chakrapani [Chakrapani on Cha.Sa.Sutra Sthana 20/14] | A.S [A.S Sutra Sthana 20/16][1] | Sh[2] | Pittaja Vyadhi [B.P Madhyama Khanda 27/2-9][4] | SudantaSen[3] |
---|---|---|---|---|---|---|
1 | Osha (Heating) | Parshve sthithaneva vahina pida (Pain like burn with fire in underarm) | + | - | - | |
2 | Plosha (Scorching) | Kinchi dahanmiv (less feeling of burning) | + | - | - | |
3 | Daha (Burning) | Sarvanga dahanmiv (feeling of burning in whole body) | Davo | - | Daho | Dahanam |
4 | Davathu (Intense heat) | Davathu (Intense heat) | + | - | - | |
5 | Dhumaka (Fuming) | Dhumod vamanamiva(vomiting of fumes) | + | Dhumodgara | Dhumodgara | + |
6 | Amlaka (Hyperacidity) | + | Amlavaktra | Vadana amalta | + | |
7 | Vidaha (Burning in mahasrotasa) | + | + | - | ||
8 | Vidaha (Burning in mahasrotasa) | + | - | - | ||
9 | Anshadaha (buning sensation in arm) | + | - | - | ||
10 | Ushmadhikiya (increase body temp.) | + | Ushna angatavam | Ushma | ||
11 | Atisveda (Excessive sweating) | + | Swedasrava | Sveda | ||
12 | Angagandha (Foul smell in body ) | + | Dourgandhaya | Daurgandham | ||
13 | Anga avadarana (Tearing of body parts) | Avayava sadan | + | Daranam | ||
14 | Sonata kleda (Increased moisture in blood) | + | - | - | ||
15 | Mansa kleda(Increased moisture in muscles) | + | - | - | ||
16 | Tvagadaha (Burning sensation in skin) | + | - | - | ||
17 | Tvaga avdarana (Cracking of skin) | Bahya tvega matra avdarana | + | - | - | |
18 | Charmadalana (Thickness in skin) | Sahasanam api tvacha daranam | + | - | - | |
19 | Rakta kotha (Urticarial patches) | + | - | - | ||
20 | Rakta visphota (Postules) | + | - | Visphotaka | ||
21 | Rakta pitta (Bleeding disorders) | Doshantra samprektam rakta pittampaittikam gayem. | + | Raktasrava | - | |
22 | Raktamandala (Haemorrhagic rounded patches) | + | Pita mandala | - | ||
23 | Haritva (Greenishness) | + | Harita varna | - | ||
24 | Haridratva (Yellowishness) | + | Pita gatrata | - | ||
25 | Nilika (Blue moles) | + | - | - | ||
26 | Kaksha (Herpes infections) | Kaksha desha gata mansavdarana | + | - | - | |
27 | Kamala (Jaundice) | + | - | - | ||
28 | Tiktasyata (Bitter taste in mouth) | + | + | Mukhasya tiktata | Rasa katu, amla,and tikta rasa | |
29 | Lohita gandhasyata (blood smell from oral cavity) | + | + | Mukha gandhe lohavat | - | |
30 | Putimukhata (Foetid smell from oral cavity) | + | - | - | ||
31 | Trishnadhikya (Increased thirst) | Trishna matram | + | Kanthsosha | Sosha | Trit |
32 | Atrapti (Loss of contentment) | + | + | + | + | |
33 | Asyapaka (Stomatitis) | + | - | - | ||
34 | Galapaka (Inflammation of throat) | + | - | - | ||
35 | Gudapaka (Inflammation of anus) | Puyapaka | - | - | ||
36 | Akshipaka (Inflammation of eyes) | + | - | - | ||
37 | Medhrapaka (Inflammation of penis) | + | - | - | ||
38 | Jivadanam (Discharge of pure blood | + | - | - | ||
39 | Tamapravesha (Darkness infront eyes) | + | Tamso darshan | Tamso darshanam, Pitadarshan | + | |
40 | Harita haridra netra mutra varcha (Green-yellow discolouration of eyes, urine and stool) | + | Pita netrata, pita vitakta,pita mutrata,pita nakha, pita danta | Pita netrata, pita vitakta,pita mutrata,pita nakha, pita danta | Varna –pandu vivarjita |
Sharangdhara- Matibhrama, Kantihani, Mukhasosh, Alpashukrata, Angapaka, Klama, Arati, Pita avalokana, Sheetaksha, Tejodwesha, Alpa nidra, Kopa, Gatrasada, Bhinnavitak, Andhata, Ushneksha, Ucchvasa usnam, Ushna mutra, Ushna mala and Nishatavam are different from Charak. Sudanta sen- Bhrama, Arati, Paka, Visaranama, Mado, Murchanam,Pralapan and Sruti. Bhava prakasha (Pittaja Vyadhi)- Akalapalitam, Netra raktata, Mutra raktata, Nidra alpatata, Ucchvasa ushnata, Bhrama, Klama, Krodho, Bheda, Tejodvesha, Sheetaksha and Arati are different from Charak.
Specific disorders of Kapha dosha
S.N. | Charak [Cha.Sa.Sutra Sthana 20/17] | Chakrapani[Chakrapani on Cha.Sa.Sutra Sthana 20/17] | A.S [A.S Sutra Sthana 20/15] [1] | Sharangdhara3[2] | [B.P Madhyama khanda 28/2-5][4] | SudantaSen[3] |
---|---|---|---|---|---|---|
1 | Trapti (Anorexia nervosa) | Traptmivatmana sarvda manyete | + | + | + | + |
2 | Tandra (Drowsiness) | + | + | Achetanam | + | |
3 | Nidradhikya (Excess sleep) | + | + | + | + | |
4 | Staimitya (Rigidity/immobility) | + | - | + and Sheetayam | + | |
5 | Gurugatrata (Heaviness in body) | + | Gauravam | Gauravam | Guruta | |
6 | Alasya (Lassitude) | + | + | + | + | |
7 | Mukhamadhurya (Sweet taste in mouth) | + | + | + | Rasa- Lavana and svadu | |
8 | Mukhasrava (Salivation) | Praseka | Prasekata | Mukha praseka | Praseka | |
9 | Sleshma udgirana (Expectoration of mucous) | + | - | - | ||
10 | Maladhikya (Excess waste product) | + | + | Maladhikiyam, mutradhikiyam, shukradhikayam | + | |
11 | Balasaka (Loss of strength) | Balakshaya, | + | - | ||
12 | Apakti (Indigestion) | - | - | + | ||
13 | Hrdayopalepa (Adherence of waste product surrounding heart) | + | - | - | ||
14 | ?Kanthopalepa (Adherence of waste product surrounding throat) | + | Mukhalepa | Mukha liptata | - | |
15 | Dhamani pratichaya (Adherence of waste in dhamani) | Dhamanya uplepa | + | - | - | |
16 | Galaganda (Goiter) | + | - | - | ||
17 | Atisthaulya (Obesity) | + | - | - | ||
18 | Sheetagni (Mildness in digestive power) | Mandagnita | + | - | Agnimandhyata | - |
19 | Udarda (Urticarial rashes ) | + | - | - | ||
20 | Shwetavabhbhasta (Pale look) | + | Shweta angavarnta | Varna Sveta | ||
21 | Shweta mutra netra varcha ( white discolouration of eyes, urine ,stool) | + | Shweta vitakta, Shweta mutrata, | Mala mutra shokalayam | - |
Sharangdhara- Mukhalepa, Shwetavalokana, Ushneksha,Tikta kamita, Shukrasya bahulayam, Bahumutrata, Mandabuddhi, Gharghar vakyata and Achetanya are different from Charak. Sudanta Sen- Kathinta, Sneha, Uplepa, Shaityam, Kandu, Sotha, cirakaritvam Bhava prakasha (Kaphaja Vyadhi)- Kanthe ghurghurta, Katu ushana kamita, Buddhimandhyata are different from Charak
S.N. | Sharangdhara[2] |
---|---|
1 | Rakta gaurava (Heavyness in body) |
2 | Rakta mandala ( Red rashes on the skin) |
3 | Rakta netra (Reddish eyes) |
4 | Rakta mutrata (Haematuria) |
5 | Rakta nisthivan (Haemoptysis) |
6 | Rakta pitikanam (Reddish eruptions) |
7 | Ushnam (Increased body temperature) |
8 | Putigandhitavam (Bad smell in body) |
9 | Pida (Pain in body) |
10 | Paka (Ulceration) |
Further reading for information on diseases
- AFMC Primer on Health (http://phprimer.afmc.ca/Part1TheoryThinkingAboutHealth/Chapter1ConceptsOfHealthAndIllness/IllnessSicknessandDisease)
- International Classification of Diseases (ICD): http://www.who.int/classifications/icd/en/)
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References
- ↑ 1.0 1.1 1.2 Vridha Vagbhata, Ashtanga Sangraha. Edited by Shivaprasad Sharma. 3rd ed. Varanasi: Chaukhamba sanskrit series office;2012.
- ↑ 2.0 2.1 2.2 2.3 Sharangdhar Samhita, Purva Khanda, Rogagannadhyaya, 7/105-126, edited by Dr. SMT. Shelja Srivastava, Chaukhamba Orientalia, Varanasi,2007;100- 126 .
- ↑ 3.0 3.1 3.2 Dr. P.S. Byadgi, Dr.Ajai Pandey. Text book of Kayachikitsa, Volume 1, 1st edition; Chaukambha Sankrit Sansthan, Varanasi, 2013; 149-155.
- ↑ 4.0 4.1 4.2 Bhavamishra, Bhava Prakasha, Madhyama Khanda, Edited by Pandit Brahma Shankra Mishra, Editor. Bhava Prakasha. Varanasi: Chaukhamba Sanskrit Bhawan; 2010.
- ↑ Sushruta. Nidana Sthana, Cha.1 Vatavyadinidana Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 9th ed. Varanasi: Chaukhambha Orientalia;2007.p.255-276.
- ↑ Vagbhata. Nidana Sthana, Cha.15 Vatavyadinidana Adhyaya. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 9th ed. Varanasi: Chaukhamba Orientalia;2005. p.530-535.