Changes

===Knowledge of the individual===

===Knowledge of the individual===

Before knowing disease, one need to know the self-healing capacity of the human being. This depends upon equilibrium of five components of health, namely [[dosha]] (regulatory functional factors of body and mind) , [[agni]] (digestive and metabolic capacity), [[dhatu]] (body tissues), [[mala]] (metabolic waste products) and psycho-spiritual state. Health is a state of equilibrium, whereas disease is a state of dis-equilibrium of any of these factors.  

Before knowing disease, one needs to know the self-healing capacity of the human being. This depends upon equilibrium of five components of health, namely [[dosha]] (regulatory functional factors of body and mind) , [[agni]] (digestive and metabolic capacity), [[dhatu]] (body tissues), [[mala]] (metabolic waste products) and psycho-spiritual state. Health is a state of equilibrium, whereas disease is a state of dis-equilibrium of any of these factors.  

According to [[swabhavoparam vada]], the resolution / destruction of the existing always happen naturally in the course of time. So the nature itself heals disequilibrium.[[Chikitsaprabhritiya Adhyaya#Swabhavoparama vada (theory of natural destruction)|(Cha.Su.16/27)]] This aspect of host defence mechanism is important to be assessed for knowing natural healing capacity of an individual. In the fourth chapter,[[Prameha Nidana]], [[Prameha Nidana#Process of Onset of Disease|the process of onset of disease]] through interaction between aggravating and pacifying factors is described [[Prameha Nidana#Process of Onset of Disease|(Cha.Ni.4/4)]]. If the host defense factors are stronger than aggravating ones, then the disease will not occur and vice versa. Therefore, before making diagnosis of a disease, [[Rogabhishagjitiya Vimana#Examination of patient|examination of patient]] is important with emphasis on his [[prakriti]] (basic constitution), [[sara]] (quality of tissues) etc described in context of [[Rogabhishagjitiya Vimana#Examination of patient|ten fold examination of patient(Cha.Vi.8/94-131)]]. Every person has a unique constitution and hence the same biological investigations cannot be precise to assess his health status completely. Personalized assessment is important to diagnose normal and abnormal state of the individual.

According to [[swabhavoparam vada]], the resolution / destruction of the existing always happens naturally in the course of time. So the nature itself heals disequilibrium.[[Chikitsaprabhritiya Adhyaya#Swabhavoparama vada (theory of natural destruction)|(Cha.Su.16/27)]] This aspect of host defense mechanism is important to be assessed for knowing natural healing capacity of an individual. In the fourth chapter,[[Prameha Nidana]], [[Prameha Nidana#Process of Onset of Disease|the process of onset of disease]] through interaction between aggravating and pacifying factors is described [[Prameha Nidana#Process of Onset of Disease|(Cha.Ni.4/4)]]. If the host defense factors are stronger than aggravating ones, then the disease will not occur and vice versa. Therefore, before making diagnosis of a disease, [[Rogabhishagjitiya Vimana#Examination of patient|examination of patient]] is important with emphasis on his [[prakriti]] (basic constitution), [[sara]] (quality of tissues) etc described in context of [[Rogabhishagjitiya Vimana#Examination of patient|ten fold examination of patient(Cha.Vi.8/94-131)]]. Every person has a unique constitution and hence the same biological investigations cannot be precise to assess his health status completely. Personalized assessment is important to diagnose normal and abnormal state of the individual.

===Knowledge of disease===

===Knowledge of disease===

* The eighth chapter, [[Apasmara Nidana]] deals with epilepsy and seizure disorders.

* The eighth chapter, [[Apasmara Nidana]] deals with epilepsy and seizure disorders.

These eight chapters represent pathogenesis of major diseases described in details in this section. Each chapter directs towards variety of pathogenic processes related interaction of vitiated [[dosha]] with [[dhatu]] to cause disease.

These eight chapters represent pathogenesis of major diseases described in detail in this section. Each chapter directs towards variety of pathogenic processes related interaction of vitiated [[dosha]] with [[dhatu]] to cause disease.

===Guidelines to diagnose [[anukta vyadhi]] (new or untold diseases in text)===

===Guidelines to diagnose [[anukta vyadhi]] (new or untold diseases in text)===

All endogenous diseases start with vitiation of [[dosha]]. The causative factors elucidated in the detailed history of a patient’s diet, lifestyle, psychological frame and others direct the vitiation of a specific [[dosha]]. Then their status (increase or decrease) can be assessed based on the premonitory signs and clinical features. Then after evaluation of aggravating ([[anupashaya]]) and pacifying ([[upashaya]]) factors is done. The sequence of events in the pathogenesis of a disease is understood and accordingly treatment protocol is formulated.  

All endogenous diseases start with vitiation of [[dosha]]. The causative factors elucidated in the detailed history of a patient’s diet, lifestyle, psychological frame and others direct the vitiation of a specific [[dosha]]. Then their status (increase or decrease) can be assessed based on the premonitory signs and clinical features. Then after evaluation of aggravating ([[anupashaya]]) and pacifying ([[upashaya]]) factors is done. The sequence of events in the pathogenesis of a disease is understood and accordingly treatment protocol is formulated.  

[[Prajnaparadha]] (intellectual errors, or knowingly violating rules) is one of the fundamental cause of all endogenous and exogenous diseases. [[Asatmendriyarthasamyoga]] (improper union of senses with their objects) and [[parinama]](time) are other two causative factors . These  principles reveal that all idiopathic diseases of unknown etiology also have a definite cause,that needs to be searched and removed for its proper management.

[[Prajnaparadha]] (intellectual errors, or knowingly violating rules) is one of the fundamental cause of all endogenous and exogenous diseases. [[Asatmendriyarthasamyoga]] (improper union of senses with their objects) and [[parinama]](time) are other two causative factors . These  principles reveal that all idiopathic diseases of unknown etiology also have a definite cause, that needs to be searched and removed for its proper management.

In nutshell, one should initiate any treatment after acquiring complete knowledge of following:  

In nutshell, one should initiate any treatment after acquiring complete knowledge of following:  

===Importance of studying Nidana section ===

===Importance of studying Nidana section ===

* It is highly important to know the fundamental cause of any disease. Complete cure in curable diseases and management of palliable diseases can only be achieved after [[Nidana Parivarjana]] (removing the cause). If the cause is removed, then half the treatment is done. This stops progression of disease as well as helps the host to return to the normal state. The current healthcare system focus more on disease management after its complete manifestation; while [[Ayurveda]] emphasizes on identification of abnormality at an early stage, to prevent its further progression.  

* It is highly important to know the fundamental cause of any disease. Complete cure in curable diseases and management of palliable diseases can only be achieved after [[Nidana Parivarjana]] (removing the cause). If the cause is removed, then half the treatment is done. This stops progression of disease as well as helps the host to return to the normal state. The focus of current healthcare system is more on disease management after its complete manifestation; while [[Ayurveda]] emphasizes on identification of abnormality at an early stage, to prevent its further progression.  

* The journey of a disease from the initial stage of accumulation of vitiating factors to complete manifestation of its symptoms shall be studied well for its complete knowledge.  

* The journey of a disease from the initial stage of accumulation of vitiating factors to complete manifestation of its symptoms shall be studied well for its complete knowledge.  

* The knowledge of Nidana can be helpful in reducing healthcare cost by reducing use of invasive and non invasive medical diagnostic tools.

* The knowledge of Nidana can be helpful in reducing healthcare cost by reducing use of invasive and non invasive medical diagnostic tools.

=== More information ===

=== More information ===

The following chapters in other sections deal with detail information about diagnostic principles and classification of disease.

The following chapters in other sections deal with detailed information about diagnostic principles and classification of disease.

* [[Mahachatushpada Adhyaya]]

* [[Mahachatushpada Adhyaya]]

* [[Tistraishaniya Adhyaya]]

* [[Tistraishaniya Adhyaya]]

* [[Rogabhishagjitiya Vimana]]

* [[Rogabhishagjitiya Vimana]]

Moreover each chapter of [[Chikitsa sthana]] described the five assessment tools (nidana panchaka) of respective diseases.

Moreover each chapter of [[Chikitsa sthana]] describes the five assessment tools (nidana panchaka) of respective diseases.

=== All Abstracts ===

=== All Abstracts ===