Mahachatushpada Adhyaya: Difference between revisions

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# The following factors should be considered to determine prognosis of disease [ 11-20]

Factors/criteria Curable Incurable

{| class="wikitable"

Easily curable Curable with difficulty Palliable Absolutely incurable

! rowspan="1"| Factors/criteria

Causative factors Less More More All

! colspan="2"| Curable

Premonitory signs Less More More All

! colspan="2" | Incurable

Severity of signs/ symptoms Mild Moderate Severe Severe and advanced stages

|-

Dosha involved in disease Opposite to one’s prakriti [constitution] Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease

! !! Easily curable !! Curable with difficulty !! Palliable !! Absolutely incurable

Dushya [body tissues affected] Opposite to one’s prakriti [constitution] Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease Many tissues, deep seated and Favorable to disease

|-

Place of living of patient Opposite to one’s prakriti [constitution] Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease

| Causative factors || Less || More || More || All

Season/ time of affection /Age Opposite to one’s prakriti [constitution] Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease Same as of prakriti /favorable to disease

|-

Movement of dosha One sided Two sided Many ways for movements All ways for movements/all systems involved

| Premonitory signs || Less || More || More || All

Duration of onset New onset Chronic, but still recent Very chronic and continuously affecting the patient Very chronic and continuously affecting the patient

|-

Complications No Minor/less complications Many complications Many complications with bad prognostic signs

| Severity of signs/ symptoms || Mild || Moderate || Severe || Severe and advanced stages

Number of involved Dosha One Two Two Three

|-

Body Can tolerate all medicines Occurred in pregnancy, children, old age Affecting vital organs, major joints Weak body, Affecting vital organs, major joints

| Dosha involved in disease || Opposite to one’s prakriti [constitution] || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease

Nature of treatment Medicines Surgical/ agni/ kshara Continuous treatment needed transcend all therapeutic measures

|-

Four pillars of management /patients nature With all qualities of physician, patient, nurse and medicines available Not with all qualities The patient lives, get relief for some time after following wholesome regimen and the disease gets triggered after a little exposure to causative factors also. All senses of patients are affected, signs like undue excitement, restlessness, confused state of mind with bad prognostic signs

| Dushya [body tissues affected] || Opposite to one’s prakriti [constitution] || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease || Many tissues, deep seated and Favorable to disease

|-

| Place of living of patient || Opposite to one’s prakriti [constitution] || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease

|-

| Season/ time of affection /Age || Opposite to one’s prakriti [constitution] || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease || Same as of prakriti /favorable to disease

|-

| Movement of dosha || One sided || Two sided || Many ways for movements || All ways for movements/all systems involved

|-

| Duration of onset || New onset || Chronic, but still recent || Very chronic and continuously affecting the patient || Very chronic and continuously affecting the patient

|-

| Complications || No || Minor/less complications || Many complications || Many complications with bad prognostic signs

|-

| Number of involved Dosha || One || Two || Two || Three

|-

| Body || Can tolerate all medicines || Occurred in pregnancy, children, old age || Affecting vital organs, major joints || Weak body, Affecting vital organs, major joints

|-

| Nature of treatment || Medicines || Surgical/ agni/ kshara || Continuous treatment needed || transcend all therapeutic measures

|-

| Four pillars of management /patients nature || With all qualities of physician, patient, nurse and medicines available || Not with all qualities || The patient lives, get relief for some time after following wholesome regimen and the disease gets triggered after a little exposure to causative factors also || All senses of patients are affected, signs like undue excitement, restlessness, confused state of mind with bad prognostic signs

|-

|}

A wise physician should always consider above factors to determine prognosis of a disease and then start treatment. [21]

@@ Line 280: / Line 280: @@
 # The following factors should be considered to determine prognosis of disease [ 11-20]
-Factors/criteria 	Curable	Incurable
+{| class="wikitable"
-	Easily curable 	Curable with difficulty 	Palliable	Absolutely incurable
+! rowspan="1"| Factors/criteria
-Causative factors 	Less 	More 	More 	All
+! colspan="2"| Curable
-Premonitory signs	Less 	More 	More 	All
+! colspan="2" | Incurable
-Severity of signs/ symptoms	Mild 	Moderate 	Severe 	Severe and advanced stages
+|-
-Dosha  involved in disease  	Opposite to one’s prakriti [constitution] 	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease
+!   !! Easily curable  !! Curable with difficulty !! Palliable !! Absolutely incurable
-Dushya [body tissues affected] 	Opposite to one’s prakriti [constitution]	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease 	Many tissues, deep seated and Favorable to disease
+|-
-Place of living of patient 	Opposite to one’s prakriti [constitution]	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease
+| Causative factors || Less || More ||  More || All
-Season/ time of affection /Age 	Opposite to one’s prakriti [constitution]	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease 	Same as of prakriti /favorable to disease
+|-
-Movement of dosha	One sided 	Two sided 	Many ways for movements	All ways for movements/all systems involved
+| Premonitory signs || Less || More || More  || All
-Duration of onset	New onset 	Chronic, but still recent 	Very chronic and continuously affecting the patient 	Very chronic and continuously affecting the patient
+|-
-Complications	No	Minor/less complications 	Many complications 	Many complications with bad prognostic signs
+| Severity of signs/ symptoms ||  Mild  || Moderate || Severe  || Severe and advanced stages
-Number of involved Dosha	One 	Two	Two 	Three
+|-
-Body 	Can tolerate all medicines 	Occurred in pregnancy, children, old age 	Affecting vital organs, major joints	Weak body, Affecting vital organs, major joints
+| Dosha  involved in disease   || Opposite to one’s prakriti [constitution]   ||  Same as of prakriti /favorable to disease  || Same as of prakriti /favorable to disease  || Same as of prakriti /favorable to disease
-Nature of treatment 	Medicines	Surgical/ agni/ kshara	Continuous treatment needed 	transcend all therapeutic measures
+|-
-Four pillars of management /patients nature 	With all qualities of physician, patient, nurse and medicines available Not with all qualities 	The patient lives, get relief for some time after following wholesome regimen and the disease gets triggered after a little exposure to causative factors also.   	All senses of patients are affected, signs like undue excitement, restlessness, confused state of mind with  bad prognostic signs
+| Dushya [body tissues affected]  || Opposite to one’s prakriti [constitution]  || Same as of prakriti /favorable to disease   || Same as of prakriti /favorable to disease  || Many tissues, deep seated and Favorable to disease
+|-
+| Place of living of patient   ||  Opposite to one’s prakriti [constitution] || Same as of prakriti /favorable to disease   || Same as of prakriti /favorable to disease  || Same as of prakriti /favorable to disease
+|-
+| Season/ time of affection /Age   || Opposite to one’s prakriti [constitution]  ||  Same as of prakriti /favorable to disease  || Same as of prakriti /favorable to disease  || Same as of prakriti /favorable to disease
+|-
+| Movement of dosha || One sided   ||  Two sided  || Many ways for movements || All ways for movements/all systems involved
+|-
+| Duration of onset || New onset  ||  Chronic, but still recent || Very chronic and continuously affecting the patient  || Very chronic and continuously affecting the patient
+|-
+| Complications || No  ||  Minor/less complications  || Many complications  || Many complications with bad prognostic signs
+|-
+| Number of involved Dosha ||  One  ||  Two || Two  || Three
+|-
+| Body  || Can tolerate all medicines   ||  Occurred in pregnancy, children, old age  || Affecting vital organs, major joints || Weak body, Affecting vital organs, major joints
+|-
+| Nature of treatment  || Medicines  || Surgical/ agni/ kshara  || Continuous treatment needed  || transcend all therapeutic measures
+|-
+| Four pillars of management /patients nature  ||  With all qualities of physician, patient, nurse and medicines available  || Not with all qualities   || The patient lives, get relief for some time after following wholesome regimen and the disease gets triggered after a little exposure to causative factors also || All senses of patients are affected, signs like undue excitement, restlessness, confused state of mind with  bad prognostic signs
+|-
+|}
 A wise physician should always consider above factors to determine prognosis of a disease and then start treatment. [21]