Atisara Chikitsa: Difference between revisions

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|title=Atisara Chikitsa
|title=Atisara Chikitsa
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|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
|label6 = Translator and commentator
|label6 = Translator and commentator
|data6 = Byadgi P.S.,Dube N.
|data6 = Byadgi P.S., Dube N.
|label7 = Reviewer  
|label7 = Reviewer  
|data7  = Prasad B.S.
|data7  = Prasad B.S.
|label8 = Editors
|label8 = Editors
|data8  = Singh G., Goyal M., Deole Y.S., Basisht G.
|data8  = Singh G., Goyal M., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
|label9 = Year of publication  
|label9 = Year of publication  
|data9 =  2020
|data9 =  2020
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<big>''' Abstract </big>'''
<big>''' Abstract </big>'''
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<p style='text-align:justify;'>The chapter on [[Atisara Chikitsa]] (management of diarrhea) traces the historical origin of the disorder since the Vedic period and attributes it to eating of heavy and hot foods specially meat products. There are six types of diarrhea, three of which are caused by single [[dosha]] ([[vata]]ja, [[pitta]]ja and [[kapha]]ja) while a fourth is caused by the combination of all the three [[dosha]]. The fifth and sixth types are caused due to psychological factors such as fear and grief. Some of these variants could be further classified based on their constituents, e.g., [[vata]]ja atisara (diarrhea caused due to [[vata]] [[dosha]]) is further divided into ''ama'' and ''nirama atisara'' (with or without mucoid substances diarrhea) and it has been emphasized not to stop the lose motions in initial or ''ama'' stage.  
The chapter on [[Atisara Chikitsa]] (management of diarrhea) traces the historical origin of the disorder since the Vedic period and attributes it to eating of heavy and hot foods specially meat products. There are six types of diarrhea, three of which are caused by single [[dosha]] ([[vata]]ja, [[pitta]]ja and [[kapha]]ja) while a fourth is caused by the combination of all the three [[dosha]]. The fifth and sixth types are caused due to psychological factors such as fear and grief. Some of these variants could be further classified based on their constituents, e.g., [[vata]]ja atisara (diarrhea caused due to [[vata]] [[dosha]]) is further divided into ''ama'' and ''nirama atisara'' (with or without mucoid substances diarrhea) and it has been emphasized not to stop the lose motions in initial or ''ama'' stage.  
<br/>
 
The etiology, pathology, signs and symptoms of each of these six types of diarrhea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhea, such as bleeding, suppuration, ulceration and  prolapsed anus are also described along with various measures to tackle the problems effectively.  
The etiology, pathology, signs and symptoms of each of these six types of diarrhea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhea, such as bleeding, suppuration, ulceration and  prolapsed anus are also described along with various measures to tackle the problems effectively.  
 
<br/>
''Sangrahi'' (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease because of presence of ''ama'' inside the body. Instead, mild laxative should be given to eliminate the accumulated [[dosha]]. Diarrhea should be allowed to continue and should not be stopped by constipating or bowel binding drugs. The patients shall be managed with light to digest, nutritive and liquid diet regimen which enhances the power of [[agni]] as well as it helps to stop diarrhea. </div>
''Sangrahi'' (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease because of presence of ''ama'' inside the body. Instead, mild laxative should be given to eliminate the accumulated [[dosha]]. Diarrhea should be allowed to continue and should not be stopped by constipating or bowel binding drugs. The patients shall be managed with light to digest, nutritive and liquid diet regimen which enhances the power of [[agni]] as well as it helps to stop diarrhea. </p>


'''Keywords''': atisara, diarrhea, ama, nirama, sangrahi treatment, pichcha [[basti]].
'''Keywords''': atisara, diarrhea, ama, nirama, sangrahi treatment, pichcha [[basti]].
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=== Sannipataja atisara ===
=== Sannipataja atisara ===
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अतिशीतस्निग्धरूक्षोष्णगुरुखरकठिनविषमविरुद्धासात्म्यभोजनादभोजनात्कालातीतभोजनाद्यत्किञ्चिदभ्यवहरणात्प्रदुष्टमद्यपानीयपानादतिमद्यपानादसंशोधनात्प्रतिकर्मणांविषमगमनादनुपचाराज्ज्वलनादित्यपवनसलिलातिसेवनादस्वप्ना- दतिस्वप्नाद्वेगविधारणादृतुविपर्ययादयथाबलमारम्भाद्भयशोकचित्तोद्वेगातियोगात्कृमिशोषज्वरार्शोविकारातिकर्षणाद्वाव्यापन्नाग्नेस्त्रयोदोषाःप्रकुपिताभूयएवाग्निमुपहत्यपक्वाशयमनुप्रविश्यातीसारंसर्वदोषलिङ्गंजनयन्ति ||८||  
अतिशीतस्निग्धरूक्षोष्णगुरुखरकठिनविषमविरुद्धासात्म्यभोजनादभोजनात्कालातीतभोजनाद्यत्किञ्चिदभ्यवहरणात्प्रदुष्टमद्यपानीयपानादतिमद्यपानादसंशोधनात्प्रतिकर्मणां
विषमगमनादनुपचाराज्ज्वलनादित्यपवनसलिलातिसेवनादस्वप्ना-दतिस्वप्नाद्वेगविधारणादृतुविपर्ययादयथाबलमारम्भाद्भयशोकचित्तोद्वेगातियोगात्कृमि
शोषज्वरार्शोविकारातिकर्षणाद्वाव्यापन्नाग्नेस्त्रयोदोषाः
प्रकुपिताभूयएवाग्निमुपहत्यपक्वाशयमनुप्रविश्यातीसारंसर्वदोषलिङ्गंजनयन्ति ||८||  
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*Intake of food long after the scheduled time;
*Intake of food long after the scheduled time;
*Intake of food without caring for its wholesomeness or otherwise;
*Intake of food without caring for its wholesomeness or otherwise;
*Drinking of alcohol and other drinks which are “polluted”, toxic or harmful;
*Drinking alcohol and other drinks which are “polluted”, toxic or harmful;
*Drinking of alcohol in excess;  
*Drinking alcohol in excess;  
*Not resorting to elimination therapies (in appropriate seasons);
*Not resorting to elimination therapies (in appropriate seasons);
*Inappropriate administration or non-administration of therapeutics;  
*Inappropriate administration or non-administration of therapeutics;  
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*Suppression of natural urges;  
*Suppression of natural urges;  
*Not resorting to appropriate regimens during different seasons,
*Not resorting to appropriate regimens during different seasons,
*Over courageous attitude;
*Over-courageous attitude;
*Excessive exposure to fear, grief and anxiety; and  
*Excessive exposure to fear, grief and anxiety; and  
*Excessive emaciation due to worm-infection, consumption, fever and piles (bleeding).
*Excessive emaciation due to worm-infection, consumption, fever and piles (bleeding).