Nidana Sthana: Difference between revisions
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|title=Nidana Sthana | |title=Nidana Sthana | ||
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|keywords=Nidana Sthana,Jwara Nidana, Raktapitta Nidana, Gulma Nidana, Prameha Nidana, Kushtha Nidana, Shosha Nidana, Unmada Nidana, Apasmara Nidana | |keywords=Nidana Sthana,Jwara Nidana, Raktapitta Nidana, Gulma Nidana, Prameha Nidana, Kushtha Nidana, Shosha Nidana, Unmada Nidana, Apasmara Nidana | ||
|description=The section Nidana Sthana deals with principles of diagnosis of diseases. The term Nidana is applied for knowing the origin of disease (vyadhijanaka) and comprehensive information of disease (vyadhibodhaka). | |description=The section Nidana Sthana deals with principles of diagnosis of diseases. The term Nidana is applied for knowing the origin of disease (vyadhijanaka) and comprehensive information of disease (vyadhibodhaka). | ||
|image=http://www.carakasamhitaonline.com | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | ||
|image_alt=charak samhita | |image_alt=charak samhita | ||
|type=article | |type=article | ||
}} | }} | ||
{{Infobox | {{Infobox | ||
|title = [[Charak Samhita]] Nidana Sthana-Preamble | |title = [[Charak Samhita]] Nidana Sthana-Preamble | ||
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|data4 = [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | |data4 = [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | ||
|label5 = Author | |label5 = Author | ||
|data5 = Deole Y. S. | |data5 = [[Yogesh Deole|Deole Y. S.]] | ||
|label6 = Reviewer | |label6 = Reviewer | ||
|data6 = Basisht G. | |data6 = [[Gopal Basisht|Basisht G.]] | ||
|label7 = Editor | |label7 = Editor | ||
|data7 = Basisht G. | |data7 = [[Gopal Basisht|Basisht G.]] | ||
|label8 = Year of publication | |label8 = Year of publication | ||
|data8 = 2020 | |data8 = 2020 | ||
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'''<big>Preamble of Nidana Sthana (Section on Diagnosis)</big>''' | '''<big>Preamble of Nidana Sthana (Section on Diagnosis)</big>''' | ||
<p style="text-align:justify;">The section Nidana Sthana deals with principles of diagnosis of diseases. The term Nidana is applied for knowing the origin of disease (vyadhijanaka) and comprehensive information of disease (vyadhibodhaka). [Chakrapani on Cha.Sa.[[Nidana Sthana]] 1/1-2] </p> | |||
The section Nidana Sthana deals with principles of diagnosis of diseases. The term Nidana is applied for knowing the origin of disease (vyadhijanaka) and comprehensive information of disease (vyadhibodhaka). [Chakrapani on Cha.Sa.[[Nidana Sthana]] 1/1-2] | |||
===Fundamental principles of diagnosis=== | ===Fundamental principles of diagnosis=== | ||
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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. | 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 happens naturally in the course of time. So the nature itself heals disequilibrium.[[Chikitsaprabhritiya Adhyaya#Swabhavoparama vada (theory of natural destruction) | 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.Sa.[[Sutra Sthana]].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.Sa. [[Nidana Sthana]] 4/4]. If the host defense factors are stronger than aggravating ones, then the disease will not occur and vice versa. Therefore, before making a 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 the patient[Cha.Sa.[[Vimana Sthana]] 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=== | ||
After thorough examination of an individual, one shall evaluate the disease. The second part of diagnostic protocol provides comprehensive knowledge of disease. This includes the methods to elucidate causative factors ([[hetu]]), observe premonitory signs and symptoms ([[purvarupa]]), clinical features[[rupa]], pathogenesis ([[samprapti]]), and pacifying factors ([[upashaya]]). The set of these five diagnostic tools is called as 'Nidana Panchaka'. This is described and applied in clinical practice to know each disequilibrium condition. | After thorough examination of an individual, one shall evaluate the disease. The second part of diagnostic protocol provides comprehensive knowledge of disease. This includes the methods to elucidate causative factors ([[hetu]]), observe premonitory signs and symptoms ([[purvarupa]]), clinical features ([[rupa]]), pathogenesis ([[samprapti]]), and pacifying factors ([[upashaya]]). The set of these five diagnostic tools is called as 'Nidana Panchaka'. This is described and applied in clinical practice to know each disequilibrium condition. | ||
The phenomena of a disease causing another disease is described as [[Nidanarthakara roga]]. [[Upadrava]] (complications), [[Udarka]] (marks of disease after it is cured) are applied for knowing the cause-effect relationship in pathogenesis of disease. | The phenomena of a disease causing another disease is described as [[Nidanarthakara roga]]. [[Upadrava]] (complications), [[Udarka]] (marks of disease after it is cured) are applied for knowing the cause-effect relationship in pathogenesis of disease. | ||
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* The third chapter, [[Gulma Nidana]], deals with [[mamsa]] [[dhatu]](muscle tissue) predominantly. This chapter describes diagnosis of lumps in abdomen, tumors. | * The third chapter, [[Gulma Nidana]], deals with [[mamsa]] [[dhatu]](muscle tissue) predominantly. This chapter describes diagnosis of lumps in abdomen, tumors. | ||
* The fourth chapter, [[Prameha Nidana]], involves [[meda]] [[dhatu]] (tissue fat) predominantly. This chapter describes the diagnosis of disorders of lipid metabolism, obstinate urinary disorders including diabetes. | * The fourth chapter, [[Prameha Nidana]], involves [[Meda dhatu|meda]] [[dhatu]] (tissue fat) predominantly. This chapter describes the diagnosis of disorders of lipid metabolism, obstinate urinary disorders including diabetes. | ||
* The fifth chapter, [[Kushtha Nidana]], involves seven [[ | * The fifth chapter, [[Kushtha Nidana]], involves seven [[dushya]] (vitiated factors). This chapter deals with diagnosis of skin disorders. | ||
* The sixth chapter, [[Shosha Nidana]], deals with the pathology of emaciation. This chapter describes diagnosis of degenerative disorders that involve depletion of body tissues. | * The sixth chapter, [[Shosha Nidana]], deals with the pathology of emaciation. This chapter describes diagnosis of degenerative disorders that involve depletion of body tissues. | ||
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* Its pathogenesis | * Its pathogenesis | ||
* Origin or site of lesion and location of presentation | * Origin or site of lesion and location of presentation | ||
* Etiological factors. [[ | * Etiological factors. [[Sutra Sthana|[Cha. Sa. Sutra Sthana 18/44-47]]] | ||
===Importance of studying Nidana section === | ===Importance of studying Nidana section === | ||
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* [[Rogabhishagjitiya Vimana]] | * [[Rogabhishagjitiya Vimana]] | ||
Moreover each chapter of [[Chikitsa sthana]] describes the five assessment tools (nidana panchaka) of respective diseases. | Moreover each chapter of [[Chikitsa Sthana|Chikitsa sthana]] describes the five assessment tools (nidana panchaka) of respective diseases. | ||
=== All Abstracts === | === All Abstracts === | ||
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The new learners of Nidana sthana can read all abstracts of chapters of this section on the [[Abstracts- Nidana Sthana]] page. | The new learners of Nidana sthana can read all abstracts of chapters of this section on the [[Abstracts- Nidana Sthana]] page. | ||
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==References== | ==References== | ||
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