Atisara Chikitsa: Difference between revisions

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ebhirvarNairatisAryamANaM sopadravamAturamasAdhyo~ayamiti pratyAcakShIta; tadyathA-pakvashoNitAbhaM [2] yakRutkhaNDopamaM medomAMsodakasannikAshaMdadhighRutamajjatailavasAkShIravesavArAbhamatinIlamatiraktamatikRuShNamudakamivAcchaMpunarmecakAbhamatisnigdhaM haritanIlakaShAyavarNaM karburamAvilaM picchilaM tantumadAmaMcandrakopagatamatikuNapapUtipUyagandhyAmAmamatsyagandhi makShikAkAntaM [3]kuthitabahudhAtusrAvamalpapurIShamapurIShaM vA~atisAryamANaMtRuShNAdAhajvarabhramatamakahikkAshvAsAnubandhamativedanamavedanaM vA srastapakvagudaMpatitagudavaliM muktanAlamatikShINabalamAMsashoNitaMsarvaparvAsthishUlinamarocakAratipralApasammohaparItaM sahasoparatavikAramatisAriNamacikitsyaMvidyAt; iti sannipAtAtisAraH||9||

The three aggravated doshas cause excessive vitiation of dhatus (tissue elements, e.g., rakta (blood)), resulting in the appearance of different ~~colours~~ (in the stool). The nature of these ~~colours~~ depends upon the nature of the vitiated dhatus and doshas. If the ~~dhātus~~ like rakta are excessively vitiated then the following signs and symptoms are manifested:

The three aggravated ''doshas'' cause excessive vitiation of ''dhatus'' (tissue elements, e.g., ''rakta'' (blood)), resulting in the appearance of different colors (in the stool). The nature of these colors depends upon the nature of the vitiated ''dhatus'' and ''doshas''.

• The patient passes stool having yellow (like the ~~colour~~ of turmeric), green, blue, reddish (like the ~~colour~~ of ~~manjisthā~~), pink (like the ~~colour~~ of water in which meat is washed), red, black, white and yellowish (like the ~~colour~~ of pig-fat) in ~~colour~~;

• The patient suffers from continuous pain or may be free from any pain (in the abdomen). The above mentioned signs and symptoms may be manifested in their entirety or only some of these may be manifested.

If the ''dhatus'' like ''rakta'' are excessively vitiated then the following signs and symptoms are manifested:

• Sometimes, the patient may pass scybalous stool, sometimes it may be mixed with mucus (ama) and sometimes, the stool may be free from mucus (pakva);

*The patient passes stool having yellow (like the color of turmeric), green, blue, reddish (like the color of ''manjistha''), pink (like the color of water in which meat is washed), red, black, white and yellowish (like the color of pig-fat) in color;

• There is depletion of the muscle tissue, blood and strength;

*The patient suffers from continuous pain or may be free from any pain (in the abdomen). The above mentioned signs and symptoms may be manifested in their entirety or only some of these may be manifested.

• The power of digestion (agni) of the patient is suppressed; and

*Sometimes, the patient may pass scybalous stool, sometimes it may be mixed with mucus (''ama'') and sometimes, the stool may be free from mucus (''pakva'');

• There is impairment of the taste in the mouth of the patient.

*There is depletion of the muscle tissue, blood and strength;

Such a patient is difficult to cure (~~kricchra~~-sadhya).

*The power of digestion (''agni'') of the patient is suppressed; and

The patient becomes incurable (asadhya), if the ~~diarrhoea~~ is associated with the ~~colours~~ and complications as follows:

*There is impairment of the taste in the mouth of the patient.

• The ~~colour~~ of stool is like dark blood (melena), piece of liver, appearance like washing of fat or flesh, curd,ghee, marrow, fat, milk and vesavara(minced meat); or dark blue, dark red, dark black, or clear like water.

• The stool is exceedingly greasy; or green, blue, saffron color;

Such a patient is difficult to cure (''krichchra-sadhya'').

• Certain patients passes the stool with turbidity, slimy, fibrous, mixed with mucus and spotted with chandraka (~~coloured~~ patches circular in shape and shining like moon);

• The stool has exceedingly bad smell like that of a dead body or it is exceedingly putrid in smell or the stool bears the smell of undigested products or it is like (raw) fish;

The patient becomes incurable (''asadhya''), if the diarrhea is associated with the colors and complications as follows:

• The stool attracts flies in excess;

*The color of stool is like dark blood (melena), piece of liver, appearance like washing of fat or flesh, curd,ghee, marrow, fat, milk and ''vesavara''(minced meat); or dark blue, dark red, dark black, or clear like water.

• The stool contains slough and tissue elements in excess;

*The stool is exceedingly greasy; or green, blue, saffron color;

• The stool contains less or no fecal matter;

*Certain patients passes the stool with turbidity, slimy, fibrous, mixed with mucus and spotted with ''chandraka'' (colored patches circular in shape and shining like moon);

• The patient continuously suffers from morbid thirst, burning sensation, fever, giddiness, fainting, hiccup, asthma, excessive pain or no pain;

*The stool has exceedingly bad smell like that of a dead body or it is exceedingly putrid in smell or the stool bears the smell of undigested products or it is like (raw) fish;

• There is prolapse and inflammation of the anal canal or the anal sphincters come out of their sites or the whole of the rectum comes out (mukta-~~nāla~~);

*The stool attracts flies in excess;

• There is excessive loss of strength, muscle tissue and blood;

*The stool contains slough and tissue elements in excess;

• There is pain in all the joints and bones; and

*The stool contains less or no fecal matter;

• There is sudden cessation of the signs and symptoms of the disease.

*The patient continuously suffers from morbid thirst, burning sensation, fever, giddiness, fainting, hiccup, asthma, excessive pain or no pain;

*There is prolapse and inflammation of the anal canal or the anal sphincters come out of their sites or the whole of the rectum comes out (''mukta-nala'');

*There is excessive loss of strength, muscle tissue and blood;

*There is pain in all the joints and bones; and

*There is sudden cessation of the signs and symptoms of the disease.

Such a patient should be rejected for the treatment (as it is incurable). [9]

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 ebhirvarNairatisAryamANaM sopadravamAturamasAdhyo~ayamiti pratyAcakShIta; tadyathA-pakvashoNitAbhaM [2] yakRutkhaNDopamaM medomAMsodakasannikAshaMdadhighRutamajjatailavasAkShIravesavArAbhamatinIlamatiraktamatikRuShNamudakamivAcchaMpunarmecakAbhamatisnigdhaM haritanIlakaShAyavarNaM karburamAvilaM picchilaM tantumadAmaMcandrakopagatamatikuNapapUtipUyagandhyAmAmamatsyagandhi makShikAkAntaM [3]kuthitabahudhAtusrAvamalpapurIShamapurIShaM vA~atisAryamANaMtRuShNAdAhajvarabhramatamakahikkAshvAsAnubandhamativedanamavedanaM vA srastapakvagudaMpatitagudavaliM muktanAlamatikShINabalamAMsashoNitaMsarvaparvAsthishUlinamarocakAratipralApasammohaparItaM sahasoparatavikAramatisAriNamacikitsyaMvidyAt; iti sannipAtAtisAraH||9||
-The three aggravated doshas cause excessive vitiation of dhatus (tissue elements, e.g., rakta (blood)), resulting in the appearance of different colours (in the stool). The nature of these colours depends upon the nature of the vitiated dhatus and doshas. If the dhātus like rakta are excessively vitiated then the following signs and symptoms are manifested:
+The three aggravated ''doshas'' cause excessive vitiation of ''dhatus'' (tissue elements, e.g., ''rakta'' (blood)), resulting in the appearance of different colors (in the stool). The nature of these colors depends upon the nature of the vitiated ''dhatus'' and ''doshas''.
-•	The patient passes stool having yellow (like the colour of turmeric), green, blue, reddish (like the colour of manjisthā), pink (like the colour of water in which meat is washed), red, black, white and yellowish (like the colour of pig-fat) in colour;
-•	The patient suffers from continuous pain or may be free from any pain (in the abdomen). The above mentioned signs and symptoms may be manifested in their entirety or only some of these may be manifested.
+If the ''dhatus'' like ''rakta'' are excessively vitiated then the following signs and symptoms are manifested:
-•	Sometimes, the patient may pass scybalous stool, sometimes it may be mixed with mucus (ama) and sometimes, the stool may be free from mucus (pakva);
+*The patient passes stool having yellow (like the color of turmeric), green, blue, reddish (like the color of ''manjistha''), pink (like the color of water in which meat is washed), red, black, white and yellowish (like the color of pig-fat) in color;
-•	There is depletion of the muscle tissue, blood and strength;
+*The patient suffers from continuous pain or may be free from any pain (in the abdomen). The above mentioned signs and symptoms may be manifested in their entirety or only some of these may be manifested.
-•	The power of digestion (agni) of the patient is suppressed; and
+*Sometimes, the patient may pass scybalous stool, sometimes it may be mixed with mucus (''ama'') and sometimes, the stool may be free from mucus (''pakva'');
-•	There is impairment of the taste in the mouth of the patient.
+*There is depletion of the muscle tissue, blood and strength;
-Such a patient is difficult to cure (kricchra-sadhya).
+*The power of digestion (''agni'') of the patient is suppressed; and
-The patient becomes incurable (asadhya), if the diarrhoea is associated with the colours and complications as follows:
+*There is impairment of the taste in the mouth of the patient.
-•	The colour of stool is like dark blood (melena), piece of liver, appearance like washing of fat or flesh, curd,ghee, marrow, fat, milk and vesavara(minced meat); or dark blue, dark red, dark black, or clear like water.
-•	The stool is exceedingly greasy; or green, blue, saffron color;
+Such a patient is difficult to cure (''krichchra-sadhya'').
-•	Certain patients passes the  stool with turbidity, slimy, fibrous, mixed with mucus and spotted with chandraka (coloured patches circular in shape and shining like moon);
-•	The stool has exceedingly bad smell like that of a dead body or it is exceedingly putrid in smell or the stool bears the smell of undigested products or it is like (raw) fish;
+The patient becomes incurable (''asadhya''), if the diarrhea is associated with the colors and complications as follows:
-•	The stool attracts flies in excess;
+*The color of stool is like dark blood (melena), piece of liver, appearance like washing of fat or flesh, curd,ghee, marrow, fat, milk and ''vesavara''(minced meat); or dark blue, dark red, dark black, or clear like water.
-•	The stool contains slough and tissue elements in excess;
+*The stool is exceedingly greasy; or green, blue, saffron color;
-•	The stool contains less or no fecal matter;
+*Certain patients passes the  stool with turbidity, slimy, fibrous, mixed with mucus and spotted with ''chandraka'' (colored patches circular in shape and shining like moon);
-•	The patient continuously suffers from morbid thirst, burning sensation, fever, giddiness, fainting, hiccup, asthma, excessive pain or no pain;
+*The stool has exceedingly bad smell like that of a dead body or it is exceedingly putrid in smell or the stool bears the smell of undigested products or it is like (raw) fish;
-•	There is prolapse and inflammation of the anal canal or the anal sphincters come out of their sites or the whole of the rectum comes out (mukta-nāla);
+*The stool attracts flies in excess;
-•	There is excessive loss of strength, muscle tissue and blood;
+*The stool contains slough and tissue elements in excess;
-•	There is pain in all the joints and bones; and
+*The stool contains less or no fecal matter;
-•	There is sudden cessation of the signs and symptoms of the disease.
+*The patient continuously suffers from morbid thirst, burning sensation, fever, giddiness, fainting, hiccup, asthma, excessive pain or no pain;
+*There is prolapse and inflammation of the anal canal or the anal sphincters come out of their sites or the whole of the rectum comes out (''mukta-nala'');
+*There is excessive loss of strength, muscle tissue and blood;
+*There is pain in all the joints and bones; and
+*There is sudden cessation of the signs and symptoms of the disease.
 Such a patient should be rejected for the treatment (as it is incurable). [9]