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|title=Chikitsaprabhritiya Adhyaya

|title=Chikitsaprabhritiya Adhyaya

|titlemode=append

|titlemode=append

|keywords=Chikitsaprabhrita (equipped physician), bahudosha (signs of aggravated dosha), samshodhana (purification therapy), vishuddha koshtha (purified bowel), svabhavoparamavada (theory of natural destruction),Panchakarma, patient care, assessment criteria of purification

|keywords=Chikitsaprabhrita (equipped physician), bahudosha (signs of aggravated dosha), samshodhana (purification therapy), vishuddha koshtha (purified bowel), svabhavoparamavada (theory of natural destruction),Panchakarma, patient care, assessment criteria of purification,Ayurveda, Indian system of medicine, charak samhita.

|description=Sutra Sthana Chapter 16. Assessment and care in Panchakarma therapies

|description=Sutra Sthana Chapter 16. Assessment and care in Panchakarma therapies

}}

}}

<big>'''Sutra Sthana Chapter 16. Assessment and care in [[Panchakarma]] therapies'''</big>

<big>'''Sutra Sthana Chapter 16. Assessment and care in [[Panchakarma]] therapies'''</big>

{{Infobox

{{Infobox

|label5 = Other Sections

|label5 = Other Sections

|data5 = [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]

|data5 = [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Chikitsa Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]

== Introduction ==

== Introduction ==

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Now, I will explain the chapter on the “Assessment and care in [[Panchakarma]] therapies.”  Thus said Lord Atreya.[1-2]

Now we shall expound the chapter "Chikitsaprabhritiya" (Assessment and care in [[Panchakarma]] therapies).”  Thus said Lord Atreya.[1-2]

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In cases of inadequate administration or application, one should be given oleation therapy followed by evacuative therapy again, considering the dose, time, strength of the patient and factors responsible for inadequate cleansing earlier. Management of disorders arising out of improper oleation, fomentation and purification therapies as well as post- purification dietetic regimen program is described subsequently in [[Siddhi Sthana]] (i.e., the Siddhi section of this treatise). [24-26]

In cases of inadequate administration or application, one should be given oleation therapy followed by evacuative therapy again, considering the dose, time, strength of the patient and factors responsible for inadequate cleansing earlier. Management of disorders arising out of improper oleation, fomentation and purification therapies as well as post- purification dietetic regimen program is described subsequently in [[Siddhi Sthana]] (i.e., the Siddhi section of this treatise). [24-26]

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=== ''Swabhavoparama vada'' (theory of natural destruction) ===

=== Swabhavoparama vada (theory of natural destruction) ===

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== Vidhi Vimarsha (Applied Inferences) ==

== Vidhi Vimarsha (Applied Inferences) ==

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*The physician should be especially skilled in ''vamana'' and ''virechana'' procedures.

*The physician should be especially skilled in therapeutic emesis [[vamana]] and therapeutic purgation [[virechana]] procedures.

*If the patient develops weight loss and debility after purification therapy, he should be given a rejuvenation treatment in the form of a nourishing dietary regimen that includes ''ghrita'' (clarified butter), meat soup, milk, appetizing broth, massage and medicated enema.

*If the patient develops weight loss and debility after purification therapy, he should be given a rejuvenation treatment in the form of a nourishing dietary regimen that includes ghee, meat soup, milk, appetizing broth, massage and medicated enema.

*Treatment for ''atiyoga'' involves a regimen of medicated ''ghrita'' and an oleation enema with oil prepared from ''jeevaniya dravya'' (vitality enhancer drugs).

*Treatment for condition of excess purification (atiyoga) involves a regimen of medicated ghee and an oleation enema with oil prepared from vitality enhancer drugs (jeevaniya dravya).

*Treatment for ''ayoga'' considers analysing mistakes made in the earlier procedure and repeating the procedure with correct doses or measures of drugs,  while factoring in seasonal effects,  and the physical constitution of the patient.

*Treatment for condition of insufficient/less purification (ayoga) considers analyzing mistakes made in the earlier procedure and repeating the procedure with correct doses or measures of drugs,  while factoring in seasonal effects,  and the physical constitution of the patient.

*Details of the procedures are given in [[Siddhi Sthana]].

*Details of the procedures are given in [[Siddhi Sthana]].

*The purpose of understanding ''svabhaavaparamavada'' is to understand the cause and effect relationship between health and disease. The factors that cause abnormality in tissues, when removed, lead to a healthy state. ''Ahara'' (diet) with the same qualities as those of the tissues enhance or strengthen the qualities of the tissues, while diet with opposite qualities will decrease it. Regeneration and degeneration of body tissues is a continuous process. Healthy diet and other regimen help in maintaining longevity. However, the cause of death is unknown.

*The purpose of understanding the theory of natural destruction of causative factors of disease (svabhaavaparamavada) is to understand the cause and effect relationship between health and disease. The factors that cause abnormality in tissues, when removed, lead to a healthy state. Diet ([[Ahara]]) with the same qualities as those of the tissues enhance or strengthen the qualities of the tissues, while diet with opposite qualities will decrease it. Regeneration and degeneration of body tissues is a continuous process. A healthy diet and other regimens help in maintaining longevity. However, the cause of death is unknown.

*At the end of the chapter, qualities of a physician skilled in therapeutics are described. Such a physician helps in maintaining the normal tissues and provides a healthy life with longevity so that a person can achieve ''dharma, artha, kama'' and ''moksha''.

*A skilled physician helps in maintaining the normal tissues and provides a healthy life with longevity. This helps in attaining four objectives of life viz. virtue(dharma), wealth (artha), gratification(kama) and emancipation(moksha).

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=== Further reading ===

=== Further reading ===

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#Charak, [[Charak Samhita]], [[Sutra Sthana]] 16, [[Ayurveda]] Deepika Commentry of Chakrapani edited by Vd. Jadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi

#Sushruta, Sushruta Samhita,  Nibadha Samgraha commentary by Dalhana, Chaukhamba Orientelia, 6th edition, Varanasi, 1997 quotations from Sutra Sthana chapter 41/6, chapter 21, chapter 6/13

#Charak, [[Charak Samhita]], [[Sutra Sthana]] 16/34, [[Ayurveda]] Deepika Commentry of Chakrapani edited by Vd. Jadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi  

#Kashyapa, Kashyapa Samhita, Khila Sthana 5/6-7, Chaukhamba Orientalia, Varanasi

#Vagbhata, Ashtanga Hridaya, , Chaukhamba Amarabharati Prakashan, 2nd  edition, Varanasi Sutra Sthana 12/ 24

#Susruta, Susruta Samhita, Sutrasthana 41/6, Nibadhasangraha commentry by Dalhana, Chaukhamba Orientelia, 6th edition, Varanasi, 1997  

#Charak, [[Charak Samhita]], [[Sutra Sthana]] 16/16, [[Ayurveda]] Deepika Commentry of Chakrapani edited by Vd. Jadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi

#Charak, Charak Samhita, Vimana Sthana 8/89-90, [[Ayurveda]] Deepika Commentry of Chakrapani edited by Vd. Jadavji Trikamji Acharya, Chaukhamba Surbharati Prakashan, Varanasi

#Susruta, Susruta Samhita, Sutrasthana 21, Nibadhasangraha commentry by Dalhana, Chaukhamba Orientelia, 6th edition, Varanasi, 1997 #Kashyapa, Kashyapa Samhita, Khilasthana 5/6-7, Chaukhamba Orientelia, Varanasi

#Susruta, Susruta Samhita, Sutrasthana 6/13, Nibadhasangraha commentry by Dalhana, Chaukhamba Orientelia, 6th edition, Varanasi, 1997

#Vagbhata, Ashtanga Hridaya, Sutrasthana 12/ 24, Chaukhamba Amarabharati Prakashan, 2nd  edition, Varanasi

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