Vidhishonitiya Adhyaya: Difference between revisions

A person who is following a regimen or conduct suitable to a location (desha-[[satmya]]), time (kala-[[satmya]]), and habit or lifestyle (oka-[[satmya]]), when he takes food according to ahara vidhi visheshayatana (as described in the first chapter of Charak [[Vimana Sthana]]) - food having six [[rasa]]ja, taken at proper time, proper place, in proper quantity, and that which is wholesome in nature, will have pure (or healthy) blood. Pure blood formed after proper digestion of food is full of nutritional values necessary for life. Formation of pure blood takes place due to extrinsic and intrinsic factors. Extrinsic factors are obtained from dietary sources. On the other hand, intrinsic factors are generated inside the body, such as Ranjaka [[pitta]] and [[majja]]gata substances (bone marrow). The importance of pure blood is described in Sushruta Samhita Vidhishonitiya adhyaya.<ref>Sushruta. Sutra Sthana, Cha.14 Vidhishonitiya Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> [3]

Pure-blood is the basis of life as it nourishes dasha pranayatana(ten important “life areas” of the body: two temples, heart, head, bladder, throat, blood, semen, [[ojas]] and rectum. [Cha.Sa.[[Sharira Sthana]] 7/9] [[Rakta]] increases the physical strength, complexion, immunity, and vitality of life. [4]

Severe indigestion, eating leftover foods, and suppression of urge of vomiting can form vasoactive intestinal peptides and in turn lead to allergic diathesis. [5-10]

The recommended therapies for the treatment of vitiated blood disorders – such as bloodletting - are not to be administered or applied in all diseases. Like in the case of any disease, treatment measures are to be selected according to the nature of the disease and condition of the patient. Bloodletting should be administered till the vitiated [[dosha]] are eliminated from blood. [18]

Any line of treatment should be planned to keep in mind the basic principles of blood coagulation as described in Ayurvedic texts. [20-21]

After bloodletting is administered, the patient should be prescribed a nourishing diet and regimen that rejuvenates his blood, and thus, vitalizes his life. The diet shall not interfere with the coagulation process or vitiate his blood but should aid in the bodily processes to replenish blood.[23]

Without going for blood investigations, a person with pure blood can be recognized by his physical appearance: glowing complexion, well-functioning sense organs, and a cheerful persona. Such a person has normal digestion, and natural urges are unobstructed. [24]

Blood supply, neuronal metabolism of the cerebral cortex, especially reticular formation, and limbic system are affected by vitiated [[dosha]] to impair consciousness, from acute confusion to deep coma. [25-29]

In any drug addiction or narcosis, the dominant [[dosha]] should be diagnosed and managed accordingly. [34]

The absence of abnormal movements and postures differentiates ''murchcha'' (syncope) from ''apasmara'' (epilepsy). If there are abnormal movements or postures while falling unconscious, syncope and pseudo-syncope should be ruled out. [35-41]

Various medicated ''ghrita'' are indicated for ''sanyasa'' since lipid matrix helps to cross the blood-brain barrier and act on the brain. [54-58]

Metabolic acidosis and alkalosis should be considered to gain an understanding of [[rakta]]ja vikara. Electrolyte imbalances should be evaluated for the keen diagnosis of ''mada, murchcha,'' and ''sanyasa''. [59-60]

=== Related Chapters ===