Changes

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|data9 = [https://doi.org/10.47468/CSNE.2020.e01.s09.028 10.47468/CSNE.2020.e01.s09.028]

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<p style="text-align:justify;">The diagnosis and therapeutics in Ayurveda are based on clinical observation and assessment. Diagnosis at an early stage of the disease is emphasized, when abnormalities in body-mind functions are vague and non-specific. In current times, the diseases are diagnosed when pathological, biochemical manifestations have surfaced. However, at this stage, many times it is difficult to reverse the pathogenesis and restore health. Clinical diagnosis at an early stage can provide great input to manage a disease and prevent it from being untreatable.

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<br/>More than 30 centuries ago, Sushruta - the father of Surgery in his compendium Sushruta Samhita has given the concept of shatkriyakala (six stages of disease evolution for treatment interventions). In this compendium, after careful study of the inflammatory process in open wounds (vrana)<ref name="Sushruta Samhita">Sushruta. Sutra Sthana, Cha.21 Vranaprashnam Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 8th ed. Varanasi: Chaukhambha Orientalia;2005. p.99-107</ref>, he conceptualized the natural history of disease evolution. The concept of kriyakala (stage of treatment intervention or strategy) describes the mode and stages of the development of the disease.  

The diagnosis and therapeutics in Ayurveda are based on clinical observation and assessment. Diagnosis at an early stage of the disease is emphasized, when abnormalities in body-mind functions are vague and non-specific. In current times, the diseases are diagnosed when pathological, biochemical manifestations have surfaced. However, at this stage, many times it is difficult to reverse the pathogenesis and restore health. Clinical diagnosis at an early stage can provide great input to manage a disease and prevent it from being untreatable.

More than 30 centuries ago, Sushruta - the father of Surgery in his compendium Sushruta Samhita has given the concept of shatkriyakala (six stages of disease evolution for treatment interventions). In this compendium, after careful study of the inflammatory process in open wounds (vrana)<ref name="Sushruta Samhita">Sushruta. Sutra Sthana, Cha.21 Vranaprashnam Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 8th ed. Varanasi: Chaukhambha Orientalia;2005. p.99-107</ref>, he conceptualized the natural history of disease evolution. The concept of kriyakala (stage of treatment intervention or strategy) describes the mode and stages of the development of the disease.  

There are six distinct formative patterns or stages of manifestation of diseases. Each stage has its own characteristic symptoms to enable a treating physician to recognize the disturbance at the early formative stage of the disease.   

There are six distinct formative patterns or stages of manifestation of diseases. Each stage has its own characteristic symptoms to enable a treating physician to recognize the disturbance at the early formative stage of the disease.   

 

It also helps with prognosis and adopting preventive and curative measures.

It also helps with prognosis and adopting preventive and curative measures.

Ayurveda advocates that if the deranged dosha is checked or subdued in their primitive evolutionary phase (chayavastha), they may not be able to proceed with subsequent changes. [Su.Sa. Sutra Sthana 21/37]<ref name="Sushruta Samhita"/> However if left unresolved, they may gain strength and intensity. Therefore, good knowledge of the concept of kriyakala (stage of treatment intervention or strategy) is necessary for the recognition of the disease process at an early stage, viz. the stage of accumulation (chayavastha) to arrest further developments.

Ayurveda advocates that if the deranged dosha is checked or subdued in their primitive evolutionary phase (chayavastha), they may not be able to proceed with subsequent changes. [Su.Sa. Sutra Sthana 21/37]<ref name="Sushruta Samhita"/> However if left unresolved, they may gain strength and intensity. Therefore, good knowledge of the concept of kriyakala (stage of treatment intervention or strategy) is necessary for the recognition of the disease process at an early stage, viz. the stage of accumulation (chayavastha) to arrest further developments.

 

== Six stages of pathogenesis ==

== Six stages of pathogenesis ==