Changes

*Complete knowledge of patient’s condition is required before starting the treatment, which is done by tenfold examination. These ten entities are:

*Complete knowledge of patient’s condition is required before starting the treatment, which is done by tenfold examination. These ten entities are:

#''Desha'' (place) which is of two types – habitat and patient’s body;

#''Desha'' (place) which is of two types – habitat and patient’s body;

#Examination of ''prakriti'' and ''vikriti'' according to ''dosha'',  

#Examination of [[Prakriti]] and ''vikriti'' according to [[dosha]],  

#Description of eight type of ''sara'' (essence of body tissues),

#Description of eight type of ''sara'' (essence of body tissues),

#Compactness, structure and body mass,  

#Compactness, structure and body mass,  

#Exercise endurance and  

#Exercise endurance and  

#Age.

#Age.

*Knowledge of seven types of ''prakriti'' and their features are necessary to understand normal state of body.  

*Knowledge of seven types of [[Prakriti]] and their features are necessary to understand normal state of body.  

*The factors such as constitution of sperm and ovum, the time (of conception) and status of health of uterus, diet and lifestyle of mother (during pregnancy), and interaction of ''mahabhutas'' determine the basic constitution (''prakriti'') of fetus (''garbha''). The genetic map of an individual is determined by these factors.

*The factors such as constitution of sperm and ovum, the time (of conception) and status of health of uterus, diet and lifestyle of mother (during pregnancy), and interaction of [[mahabhuta]] determine the basic constitution ([[Prakriti]]) of fetus ([[garbha]]). The genetic map of an individual is determined by these factors.

*''Shleshma'' is naturally unctuous (''snigdha''), smooth (''shlakshna''), soft (''mridu''), sweet (''madhura''), essence (''sara''), dense (''sandra''), slow acting (''manda''), stable (''stimita''), heavy (''guru''), cold (''sheeta''), slimy (''vijjala'') and clear (''acchah'').

*[[Kapha]] is naturally unctuous (''snigdha''), smooth (''shlakshna''), soft (''mridu''), sweet (''madhura''), essence (''sara''), dense (''sandra''), slow acting (''manda''), stable (''stimita''), heavy (''guru''), cold (''sheeta''), slimy (''vijjala'') and clear (''acchah'').

*''Pitta'' is naturally hot (''ushna''), sharply/acutely acting (''tikshna''), liquid (''drava''), of fleshy smell (''visram''), sour (''amla'') and pungent (''katu'').

*[[Pitta]] is naturally hot (''ushna''), sharply/acutely acting (''tikshna''), liquid (''drava''), of fleshy smell (''visram''), sour (''amla'') and pungent (''katu'').

*''Vata'' is naturally rough (''ruksha''), light (''laghu''), mobile (''chala''), abundant (''bahu''), swift (''shighra''), cold (''sheeta''), coarse (''parusha'') and non-slimy (''vishada'').

*[[Vata]] is naturally rough (''ruksha''), light (''laghu''), mobile (''chala''), abundant (''bahu''), swift (''shighra''), cold (''sheeta''), coarse (''parusha'') and non-slimy (''vishada'').

*Pathological condition (''vikriti'') needs to be evaluated to be able to provide effective treatment. The disorder should be examined in terms of the strength of the cause (''hetu''), ''dosha'' (vitiating intermediary factors), ''dushya'' (vitiated factors), constitution (''prakriti''), place (''desha''), time (''kala'') and the symptoms. These factors determine the severity of disease.  

*Pathological condition (''vikriti'') needs to be evaluated to be able to provide effective treatment. The disorder should be examined in terms of the strength of the cause ([[hetu]]), [[dosha]] (vitiating intermediary factors), ''dushya'' (vitiated factors), constitution ([[Prakriti]]), place (''desha''), time (''kala'') and the symptoms. These factors determine the severity of disease.  

*Eight types of ''sara'' (best quality of body tissues) determine the strength of body tissues. Indeed, innate immunity of body tissues depends upon ''sara'', and it can be examined by the given features.

*Eight types of ''sara'' (best quality of body tissues) determine the strength of body tissues. Indeed, innate immunity of body tissues depends upon ''sara'', and it can be examined by the given features.

*Assessment of ''samhanana'' (compactness) is important to examine the differentiation and organization of muscle, fat, bones. These determine the strength of person.

*Assessment of ''samhanana'' (compactness) is important to examine the differentiation and organization of muscle, fat, bones. These determine the strength of person.

*Analyzing the compactness (''samhanana''), proportionate relation of different parts (''pramana''), suitability (''satmya''), mental state (''sattva''), intake and digestive capacity (''ahara''), exercise tolerance (''vyayama'') and age (''vaya'') helps the physician to classify the strength of the patient into three categories viz. superior (''pravara''), medium (''madhya'') and inferior (''avara''). It is on this basis that physician decides to give strong (''tikshna''), mild (''mridu'') and moderate (''madhya'') medicaments.

*Analyzing the compactness (''samhanana''), proportionate relation of different parts (''pramana''), suitability (''satmya''), mental state (''sattva''), intake and digestive capacity (''ahara''), exercise tolerance (''vyayama'') and age (''vaya'') helps the physician to classify the strength of the patient into three categories viz. superior (''pravara''), medium (''madhya'') and inferior (''avara''). It is on this basis that physician decides to give strong (''tikshna''), mild (''mridu'') and moderate (''madhya'') medicaments.

*The basic unit to measure the body parts is height, breadth and circumference of one’s own finger (''anguli''). This is used in personified medicine to determine one’s own standard proportion of body parts. There cannot be a single standard for overall population.

*The basic unit to measure the body parts is height, breadth and circumference of one’s own finger (''anguli''). This is used in personified medicine to determine one’s own standard proportion of body parts. There cannot be a single standard for overall population.

*Assessment of ''satmya'' (suitability) determines the overall diet and lifestyle of an individual and this affects lifespan of the person.  

*Assessment of [[satmya]] (suitability) determines the overall diet and lifestyle of an individual and this affects lifespan of the person.  

*The mental strength is important to assess the behavioral response of patient to disease. It is essential to assess mental strength in every disease, because, a person having big stature may pretend a mild disease as like a critical condition and physician may be misled to incorrect diagnosis.  

*The mental strength is important to assess the behavioral response of patient to disease. It is essential to assess mental strength in every disease, because, a person having big stature may pretend a mild disease as like a critical condition and physician may be misled to incorrect diagnosis.  

*The physiological and psychological functions depend upon age of a person. Similarly, there is dominance of a specific ''dosha'' according to ''dosha''. ''Kapha'' is dominant is childhood, ''pitta'' in adulthood and ''vata'' in old age. If there is pathological dominance of a particular ''dosha'' in a certain age, then there will be changes according to respective ''dosha''. Thus, the lifespan will differ as per ''dosha'' dominance in respect to age.  

*The physiological and psychological functions depend upon age of a person. Similarly, there is dominance of a specific [[dosha]] according to [[dosha]]. [[Kapha]] is dominant is childhood, [[pitta]] in adulthood and [[vata]] in old age. If there is pathological dominance of a particular [[dosha]] in a certain age, then there will be changes according to respective [[dosha]]. Thus, the lifespan will differ as per [[dosha]] dominance in respect to age.  

*The severity of morbidity depends upon degree of ''dosha'' aggravation. Medicaments shall be prescribed considering severity of morbidity and strength of patient.  

*The severity of morbidity depends upon degree of [[dosha]] aggravation. Medicaments shall be prescribed considering severity of morbidity and strength of patient.  

*Purificatory therapies need to be performed at appropriate time of the year (''kala'') which is divided into six ''ritus'', namely ''hemant'' (early winter), ''grishma'' (summer) and ''varsha'' (rainy season) these are the three season characterized by cold, heat and rains. In between them there are other three seasons having common characters as ''pravrita'' (early rain), ''sharad'' (autumn) and ''vasanta'' (spring). Last three are termed as ''sadharan ritu'' during which purificatory (''shodhana'') treatment can be done.  

*Purificatory therapies need to be performed at appropriate time of the year (''kala'') which is divided into six ''ritus'', namely ''hemant'' (early winter), ''grishma'' (summer) and ''varsha'' (rainy season) these are the three season characterized by cold, heat and rains. In between them there are other three seasons having common characters as ''pravrita'' (early rain), ''sharad'' (autumn) and ''vasanta'' (spring). Last three are termed as ''sadharan ritu'' during which purificatory (''shodhana'') treatment can be done.  

Similarly, medicine should be given at appropriate time to the patient (''kala'') and when not to be given (''akala'').

Similarly, medicine should be given at appropriate time to the patient (''kala'') and when not to be given (''akala'').

*Purification therapies shall be performed as per the seasonal vitiation of respective ''dosha''. The medicines shall be administered considering stage of disease and appropriate time as per the morbidity.

*Purification therapies shall be performed as per the seasonal vitiation of respective [[dosha]]. The medicines shall be administered considering stage of disease and appropriate time as per the morbidity.

== Vidhi Vimarsha (Applied Inferences) ==

== Vidhi Vimarsha (Applied Inferences) ==