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{{#seo:

{{#seo:

|title=Kiyanta Shiraseeya Adhyaya

|title=Kiyanta Shiraseeya Adhyaya

|titlemode=append

|titlemode=append

|keywords=Shiroroga (diseases of head), hridaya roga(diseases of heart), imbalances in [[dosha]], [[dhatu]]-kshaya, [[mala]]-kshaya, pidaka, madhumeha, [[dosha]]-gati, sannipata, samsarga, ojokshaya, [[ojas]], signs of depletion of [[dosha]], [[dhatu]] and [[mala]], disorders of [[ojas]], movement of [[dosha]], [[Ayurveda]], Indian system of medicine, charak samhita.  

|keywords=Shiroroga (diseases of head), hridaya roga(diseases of heart), imbalances in [[dosha]], [[dhatu]]-kshaya, [[mala]]-kshaya, pidaka, madhumeha, [[dosha]]-gati, sannipata, samsarga, ojokshaya, [[ojas]], signs of depletion of [[dosha]], [[dhatu]] and [[mala]], disorders of [[ojas]], movement of [[dosha]], [[Ayurveda]], Indian system of medicine, charak samhita,Goyal M.,Singh G.,Pol A.,Kar A., Rai S., Deole Y.S., Basisht G.  

|description=Sutra Sthana Chapter 17. Diseases of three vital organs including Head and other conditions

|description=Sutra Sthana Chapter 17. Diseases of three vital organs including Head and other conditions

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|type=article

|type=article

}}

}}

<big>'''Sutra Sthana Chapter 17. Diseases of three vital organs including Head and other conditions'''</big>

<big>'''Sutra Sthana Chapter 17. Diseases of three vital organs including Head and other conditions'''</big>

{{Infobox

{{Infobox

|title =  Kiyanta Shiraseeya Adhyaya

|title =  Kiyanta Shiraseeya Adhyaya

|data1 = [[Sutra Sthana]] Chapter 17

|data1 = [[Sutra Sthana]] Chapter 17

|label2 = Tetrad/Sub-section

|label2 = Tetrad/Sub-section

|data2 = ''Roga Chatushka''

|data2 = Roga Chatushka

|label3 = Preceding Chapter

|label3 = Preceding Chapter

|data3 = [[Chikitsaprabhritiya Adhyaya]]

|data3 = [[Chikitsaprabhritiya Adhyaya]]

|data7  = Pol A.

|data7  = Pol A.

|label8 = Editors

|label8 = Editors

|data8  = Kar A., Rai S., Deole Y.S., Basisht G.

|data8  = Kar A., Rai S., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

|label9 = Year of publication  

|label9 = Year of publication  

|data9 =  2020

|data9 =  2020

|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s01.019 10.47468/CSNE.2020.e01.s01.019]

|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s01.019 10.47468/CSNE.2020.e01.s01.019]

}}

}}

<big>'''Abstract'''</big>

<big>'''Abstract'''</big>

 

<p style="text-align:justify;">This is the first chapter of Roga Chatushka (tetrad on classification of diseases) dealing with description of diseases of the vital organs, the head and the heart. Diseases are caused by disequilibrium of [[dosha]] in body. The signs and symptoms of various permutations and combinations of [[dosha]] imbalances are enlisted in this chapter. It also enlists and describes signs of depletion of [[dhatu]] and [[mala]]. The disorders of [[ojas]] are narrated, which continues with description of madhumeha (diabetes mellitus), and carbuncles produced as its complications. Various types of [[dosha]] gati (movements) are mentioned. The comprehensive information about principles of basic Ayurvedic pathology is included in the chapter. </br>

<div style="text-align:justify;">This is the first chapter of Roga Chatushka (tetrad on classification of diseases) dealing with description of diseases of the vital organs, the head and the heart. Diseases are caused by disequilibrium of [[dosha]] in body. The signs and symptoms of various permutations and combinations of [[dosha]] imbalances are enlisted in this chapter. It also enlists and describes signs of depletion of [[dhatu]] and [[mala]]. The disorders of [[ojas]] are narrated, which continues with description of madhumeha (diabetes mellitus), and carbuncles produced as its complications. Various types of [[dosha]] gati (movements) are mentioned. The comprehensive information about principles of basic Ayurvedic pathology is included in the chapter. </div>

'''Keywords''': Shiroroga(diseases of head), hridaya roga(diseases of heart), imbalances in [[dosha]], [[dhatu]]-kshaya, [[mala]]-kshaya, pidaka, madhumeha, [[dosha]]-gati, sannipata, samsarga, ojokshaya, [[ojas]], signs of depletion of [[dosha]], [[dhatu]] and [[mala]], disorders of [[ojas]], movement of [[dosha]].

'''Keywords''': Shiroroga(diseases of head), hridaya roga(diseases of heart), imbalances in [[dosha]], [[dhatu]]-kshaya, [[mala]]-kshaya, pidaka, madhumeha, [[dosha]]-gati, sannipata, samsarga, ojokshaya, [[ojas]], signs of depletion of [[dosha]], [[dhatu]] and [[mala]], disorders of [[ojas]], movement of [[dosha]].

 

 

 

 

== Introduction ==

== Introduction ==

</div>

</div>

=== Symptoms of ''krimaja shiroroga'' ===

=== Symptoms of ''krimija shiroroga'' ===

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Grief, fasting, over-exercise, intake of rough (non oily or ununctuous) or dry food articles, or food items of low nutritional value are the key etiological factors of [[vata]] dominant dseases of heart. Provoked [[vata]] , due to these causes, produces severe chest pain by affecting the heart [30]

Grief, fasting, over-exercise, intake of rough (non oily or ununctuous) or dry food articles, or food items of low nutritional value are the key etiological factors of [[vata]] dominant diseases of heart. Provoked [[vata]] , due to these causes, produces severe chest pain by affecting the heart. [30]

=== Symptoms of [[vata]]-dominant disease of heart  ===

=== Symptoms of [[vata]]-dominant disease of heart  ===

<div style="text-align:justify;">

<div style="text-align:justify;">

An unfortunate person already suffering from ''tridoshaja hridroga'', if further indulges in excessive intake of sesame, milk, and molasses, then he develops thrombosis (''granthi'') in  the ''rasavaha srotas'' of the heart, leading to softening of the affected area and making it vulnerable to worm infestations. This infestation then spreads and consumes (''bhakṣyanti'') the heart tissues. It is ''krimija hridroga'' [36-38]

An unfortunate person already suffering from ''tridoshaja hridroga'', if further indulges in excessive intake of sesame, milk, and molasses, then he develops swelling (''granthi'') in  the channels carrying nutrient fluid (rasavaha srotas) of the heart, leading to softening of the affected area and making it vulnerable to worm infestations. This infestation then spreads and consumes (''bhakṣyanti'') the heart tissues. It is ''krimija hridroga''. [36-38]

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</div>

=== Symptoms of ''krimija hridroga'' ===

=== Symptoms of ''krimija hridroga'' ===

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**12 conditions of ''sannipata'' where one [[dosha]] is normal, second is increased and the third is decreased.

**12 conditions of ''sannipata'' where one [[dosha]] is normal, second is increased and the third is decreased.

In this way,  62 conditions of various combinations of normal, increased and decreased [[dosha]] have been mentioned in this chapter(verses from 41 to 62), of which only 12 types are described in detail. Chakrapāni mentions that combinations of [[dosha]] may occur in two ways i.e. ''prakriti-sama-samveta'' and ''vikriti-vishama-samveta''. ''Prakriti-sama-samveta'' akin to a sugar and salt solution in water where the tastes of sugar and salt remain intact and in such types of ''samsarga'' or ''sannipata'' of [[dosha]], no specific description is given in the text but simply mentioned that mix features of involved [[dosha]] will present.  

In this way,  62 conditions of various combinations of normal, increased and decreased [[dosha]] have been mentioned in this chapter(verses from 41 to 62), of which only 12 types are described in detail. Chakrapāni mentions that combinations of [[dosha]] may occur in two ways i.e. [[prakriti]]-sama-samveta and [[vikriti]]-vishama-samveta''. [[Prakriti]]-sama-samveta'' akin to a sugar and salt solution in water where the tastes of sugar and salt remain intact and in such types of ''samsarga'' or ''sannipata'' of [[dosha]], no specific description is given in the text but simply mentioned that mix features of involved [[dosha]] will present.  

On the other hand, ''vikriti-vishama-samveta'' a combination of provoked [[dosha]] wherein new symptoms are produced that are neither of any of the [[dosha]] involved. For example, red colour appears on mixing of white lime and yellow turmeric, and in such a case the specific symptoms produced by the combination are described. Here in 17th chapter, specific symptoms of 12 types of ''vikriti-vishama-samveta'' ''sannipata'' are given in detail, but symptoms of ''sama sannipata'' are not given as it is ''prakriti-sama-samveta'' (Verses 41-72).

On the other hand, [[vikriti]]-vishama-samveta a combination of provoked [[dosha]] wherein new symptoms are produced that are neither of any of the [[dosha]] involved. For example, red colour appears on mixing of white lime and yellow turmeric, and in such a case the specific symptoms produced by the combination are described. Here in 17th chapter, specific symptoms of 12 types of [[vikriti]]-vishama-samveta'' ''sannipata'' are given in detail, but symptoms of ''sama sannipata'' are not given as it is [[prakriti]]-sama-samveta'' (Verses 41-72).

</div>

</div>

'''Table 1:  Clinical features of different states of [[dosha]] and sannipata:'''  

'''Table 1:  Clinical features of different states of [[dosha]] and sannipata:'''  

* [[Trimarmiya Chikitsa]]  

* [[Trimarmiya Chikitsa]]  

* [[Trimarmiya Siddhi]]

* [[Trimarmiya Siddhi]]

==References==

==References==