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Patient examination should be done with respect of vikriti as well. Vikriti is vikara (disorder or pathological manifestation). The disorder should be examined in terms of the strength of the cause (hetu), dosha(vitiating factors), dushya(vitiated factors), constitution (prakriti), place (desha), time (kala) and the symptoms. The severity of the disease cannot be known without knowing the strength of the cause etc. factors. The disease having common dushya, constitution, place and time along with strong cause and severity of symptoms is more, then such diseases are severe. The contrary is mild. The moderate disease has similarity in one of the dosha, dushya etc. and as such moderate strength of cause and severity of symptoms.[101]
 
Patient examination should be done with respect of vikriti as well. Vikriti is vikara (disorder or pathological manifestation). The disorder should be examined in terms of the strength of the cause (hetu), dosha(vitiating factors), dushya(vitiated factors), constitution (prakriti), place (desha), time (kala) and the symptoms. The severity of the disease cannot be known without knowing the strength of the cause etc. factors. The disease having common dushya, constitution, place and time along with strong cause and severity of symptoms is more, then such diseases are severe. The contrary is mild. The moderate disease has similarity in one of the dosha, dushya etc. and as such moderate strength of cause and severity of symptoms.[101]
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==== Assessment of sara (best qualities of body tissues) ====
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==== Assessment of ''sara'' (best qualities of body tissues) ====
    
सारतश्चेतिसाराण्यष्टौपुरुषाणांबलमानविशेषज्ञानार्थमुपदिश्यन्ते; तद्यथा- त्वग्रक्तमांसमेदोऽस्थिमज्जशुक्रसत्त्वानीति||१०२||  
 
सारतश्चेतिसाराण्यष्टौपुरुषाणांबलमानविशेषज्ञानार्थमुपदिश्यन्ते; तद्यथा- त्वग्रक्तमांसमेदोऽस्थिमज्जशुक्रसत्त्वानीति||१०२||  
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sārataścēti sārāṇyaṣṭau puruṣāṇāṁ balamānaviśēṣajñānārthamupadiśyantē; tadyathā- tvagraktamāṁsamēdō'sthimajjaśukrasattvānīti||102||  
 
sārataścēti sārāṇyaṣṭau puruṣāṇāṁ balamānaviśēṣajñānārthamupadiśyantē; tadyathā- tvagraktamāṁsamēdō'sthimajjaśukrasattvānīti||102||  
sAratashceti sArANyaShTau puruShANAM balamAnavisheShaj~jAnArthamupadishyante; tadyathA-tvagraktamAMsamedo~asthimajjashukrasattvAnIti||102||  
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Moreover a patient should be examined in respect of sara i.e. (best qualities of body tissues). There are eight types of sara in human beings which are described here for the knowledge of degree of strength such as –tvak, rakta, mamsa, meda, asthi, majja, shukra and sattva.[102]
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sAratashceti sArANyaShTau puruShANAM balamAnavisheShaj~jAnArthamupadishyante; tadyathA-tvagraktamAMsamedo~asthimajjashukrasattvAnIti||102||
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Moreover a patient should be examined in respect of ''sara'' i.e. (best qualities of body tissues). There are eight types of ''sara'' in human beings which are described here for the knowledge of degree of strength such as –''tvak, rakta, mamsa, meda, asthi, majja, shukra'' and ''sattva''.[102]
    
==== Characteristics of ''twak sara'' (best quality of skin) ====
 
==== Characteristics of ''twak sara'' (best quality of skin) ====