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| |keywords=Chikitsa Sthana, Rasayana Chikitsa, Vajikarana Chikitsa, Jwara Chikitsa, Raktapitta Chikitsa, Gulma Chikitsa, Prameha Chikitsa, Kushtha Chikitsa, Rajayakshma Chikitsa, Unmada Chikitsa, Apasmara Chikitsa, Kshatakshina Chikitsa, Shvayathu Chikitsa, Udara Chikitsa, Arsha Chikitsa, Grahani Chikitsa, Pandu Chikitsa, Hikka Shwasa Chikitsa, Kasa Chikitsa, Atisara Chikitsa, Chhardi Chikitsa, Visarpa Chikitsa, Trishna Chikitsa, Visha Chikitsa, Madatyaya Chikitsa, Dwivraniya Chikitsa, Trimarmiya Chikitsa , Urustambha Chikitsa, Vatavyadhi Chikitsa,Vatarakta Chikitsa, Yonivyapat Chikitsa | | |keywords=Chikitsa Sthana, Rasayana Chikitsa, Vajikarana Chikitsa, Jwara Chikitsa, Raktapitta Chikitsa, Gulma Chikitsa, Prameha Chikitsa, Kushtha Chikitsa, Rajayakshma Chikitsa, Unmada Chikitsa, Apasmara Chikitsa, Kshatakshina Chikitsa, Shvayathu Chikitsa, Udara Chikitsa, Arsha Chikitsa, Grahani Chikitsa, Pandu Chikitsa, Hikka Shwasa Chikitsa, Kasa Chikitsa, Atisara Chikitsa, Chhardi Chikitsa, Visarpa Chikitsa, Trishna Chikitsa, Visha Chikitsa, Madatyaya Chikitsa, Dwivraniya Chikitsa, Trimarmiya Chikitsa , Urustambha Chikitsa, Vatavyadhi Chikitsa,Vatarakta Chikitsa, Yonivyapat Chikitsa |
| |description=Chikitsa Sthana deals with the study of preservation of health, prevention and management of various diseases | | |description=Chikitsa Sthana deals with the study of preservation of health, prevention and management of various diseases |
− | |image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg | + | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg |
| |image_alt=charak samhita | | |image_alt=charak samhita |
| |type=article | | |type=article |
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| |data3 = [[Kalpa Sthana]] | | |data3 = [[Kalpa Sthana]] |
| |label4 = Other Sections | | |label4 = Other Sections |
− | |data4 = [[Sutra Sthana]], [[Nidhana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Siddhi Sthana]] | + | |data4 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Siddhi Sthana]] |
| |label5 = Author | | |label5 = Author |
| |data5 = Singh G. | | |data5 = Singh G. |
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| |label7 = Editors | | |label7 = Editors |
| |data7 = Deole Y.S.,Basisht G. | | |data7 = Deole Y.S.,Basisht G. |
− | |label8 = Date of publication | + | |label8 = Year of publication |
− | |data8 = December 17, 2018 | + | |data8 = 2020 |
| |label9 = DOI | | |label9 = DOI |
− | |data9 = | + | |data9 = [https://doi.org/10.47468/CSNE.2020.e01.s06.001 10.47468/CSNE.2020.e01.s06.001] |
| |header10 = Chapters | | |header10 = Chapters |
| |label11 = | | |label11 = |
− | |data11 = [[Rasayana Chikitsa]], [[Vajikarana Chikitsa]], [[Jwara Chikitsa]], [[Raktapitta Chikitsa]], [[Gulma Chikitsa]], [[Prameha Chikitsa]], [[Kushtha Chikitsa]], [[Rajayakshma Chikitsa]], [[Unmada Chikitsa]], [[Apasmara Chikitsa]], [[Kshatakshina Chikitsa]], [[Shvayathu Chikitsa]], [[Udara Chikitsa]], [[Arsha Chikitsa]], [[Grahani Chikitsa]], [[Pandu Chikitsa]], [[Hikka Shwasa Chikitsa]], [[Kasa Chikitsa]], [[Atisara Chikitsa]], [[Chhardi Chikitsa]], [[Visarpa Chikitsa]], [[Trishna Chikitsa]], [[Visha Chikitsa]], [[Madatyaya Chikitsa]], [[Dwivraniya Chikitsa]], [[Trimarmiya Chikitsa]] , [[Urustambha Chikitsa]], [[Vatavyadhi Chikitsa]],[[Vatarakta Chikitsa]], [[Yonivyapat Chikitsa]] | + | |data11 = 1.[[Rasayana Chikitsa]], 2.[[Vajikarana Chikitsa]], 3.[[Jwara Chikitsa]], 4.[[Raktapitta Chikitsa]], 5.[[Gulma Chikitsa]], 6.[[Prameha Chikitsa]], 7.[[Kushtha Chikitsa]], 8.[[Rajayakshma Chikitsa]], 9.[[Unmada Chikitsa]], 10.[[Apasmara Chikitsa]], 11.[[Kshatakshina Chikitsa]], 12.[[Shvayathu Chikitsa]], 13.[[Udara Chikitsa]], 14.[[Arsha Chikitsa]], 15.[[Grahani Chikitsa]], 16.[[Pandu Chikitsa]], 17.[[Hikka Shwasa Chikitsa]], 18.[[Kasa Chikitsa]], 19.[[Atisara Chikitsa]], 20.[[Chhardi Chikitsa]], 21.[[Visarpa Chikitsa]], 22.[[Trishna Chikitsa]], 23.[[Visha Chikitsa]], 24.[[Madatyaya Chikitsa]], 25.[[Dwivraniya Chikitsa]], 26.[[Trimarmiya Chikitsa]] , 27.[[Urustambha Chikitsa]], 28.[[Vatavyadhi Chikitsa]], 29.[[Vatarakta Chikitsa]], 30.[[Yonivyapat Chikitsa]]}} |
− | }}
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− | <div style="text-align:justify;">
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| '''<big>Preamble of Chikitsa Sthana</big>''' | | '''<big>Preamble of Chikitsa Sthana</big>''' |
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| ==Fundamental principles== | | ==Fundamental principles== |
− | The term ''Chikitsa'' means treatment or therapy. <ref> Available from http://spokensanskrit.org/index.php?tran_input=cikitsA&direct=se&script=hk&link=yes&mode=3</ref> . It is important to note that the status of health and etio-pathogenesis of disease depends upon status of Agni (digestion and metabolism). (Cha.Chi.15/4) Therefore, the treatment is based upon correcting the digestion and metabolism. | + | <div style="text-align:justify;"> |
| + | The term ''Chikitsa'' means treatment or therapy. <ref> Available from http://spokensanskrit.org/index.php?tran_input=cikitsA&direct=se&script=hk&link=yes&mode=3</ref> . It is important to note that the status of health and etio-pathogenesis of disease depends upon status of Agni (digestion and metabolism). [Cha.Sa.[[Chikitsa Sthana]] 15/4] Therefore, the treatment is based upon correcting the digestion and metabolism. |
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− | Literally, the term Kaya comprehends entire process of metabolism, rather than either anabolism as denoted by Deha or catabolism denoted by Sharira. Therefore, the word “Kaya-chikitsa” indicates medical management of diseases caused by impaired “Agni”. The medical practice of Kayachikitsa is based upon an intimate understanding of nutrition and the factors responsible for digestion, absorption and metabolism.<ref> Dwarkanath C. Introduction to Kayachikitsa.Chaukhambha Orientalia;third edition. Varanasi. 1996 p.2</ref> [[Chikitsa Sthana]] is the most important section focusing on objectives of [[Ayurveda]] for preservation of health and treatment of diseased.[[Arthedashmahamooliya Adhyaya#Objectives of Ayurveda|(Cha.Su.30/25)]] | + | Literally, the term Kaya comprehends entire process of metabolism, rather than either anabolism as denoted by Deha or catabolism denoted by Sharira. Therefore, the word “Kaya-chikitsa” indicates medical management of diseases caused by impaired “Agni”. The medical practice of Kayachikitsa is based upon an intimate understanding of nutrition and the factors responsible for digestion, absorption and metabolism.<ref> Dwarkanath C. Introduction to Kayachikitsa.Chaukhambha Orientalia;third edition. Varanasi. 1996 p.2</ref> [[Chikitsa Sthana]] is the most important section focusing on objectives of [[Ayurveda]] for preservation of health and treatment of diseased[Cha.Sa.[[Sutra Sthana]] 30/25] |
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| ==Structural dimensions of the section== | | ==Structural dimensions of the section== |
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− | This section relates mainly to therapeutics. However each chapter in this section starts with comprehensive information about etio-pathogenesis along with symptomatology, prognosis and classification of diseases before delving into detailed treatment. In therapeutic section of chapters, a general pattern is adopted to describe the management: The first principle of treatment (''chikitsa sutra'') of that particular disease is given in terms of ''langhana'' or ''brimhana, snehana'' or ''rukshana, svedana'' or ''stambhana'' and related measures of ''shodhana'' followed by their judicious use in particular state and stage of the disease. It is followed by description of single or compound preparations along with their constituents, method of preparation and indications. The drugs are mentioned in the form of fresh juice and paste, powder, tablet, decoctions, ''avaleha'' (jam), ''asava'' (fermented preparations mainly from juices), ''arishta'' (fermented preparations mainly from decoctions), medicated ghee and oil etc. | + | This section relates mainly to therapeutics. However each chapter in this section starts with comprehensive information about etio-pathogenesis along with symptomatology, prognosis and classification of diseases before delving into detailed treatment. In therapeutic section of chapters, a general pattern is adopted to describe the management: The first principle of treatment (''chikitsa sutra'') of that particular disease is given in terms of ''[[langhana]]'' or ''[[brimhana]], [[snehana]]'' or ''[[rukshana]], [[swedana]]'' or ''[[stambhana]]'' and related measures of ''shodhana'' followed by their judicious use in particular state and stage of the disease. It is followed by description of single or compound preparations along with their constituents, method of preparation and indications. The drugs are mentioned in the form of fresh juice and paste, powder, tablet, decoctions, ''avaleha'' (jam), ''asava'' (fermented preparations mainly from juices), ''arishta'' (fermented preparations mainly from decoctions), medicated ghee and oil etc. |
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| ==Specialties of [[Ayurveda]] therapeutics == | | ==Specialties of [[Ayurveda]] therapeutics == |
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| *The second chapter, on [[Vajikarana Chikitsa]], also comprises of four sub-chapters and deals with enhancing sexual health in healthy persons, consequently leading to healthy progeny. The chapter reveals principles of aphrodisiac medicines. | | *The second chapter, on [[Vajikarana Chikitsa]], also comprises of four sub-chapters and deals with enhancing sexual health in healthy persons, consequently leading to healthy progeny. The chapter reveals principles of aphrodisiac medicines. |
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− | *The management of ''Jwara'' (fever) associated diseases are described in the 3rd chapter, [[Jwara Chikitsa]]. It includes therapeutic measures for acute and chronic fever, continuous, intermittent, malarial and seasonal fevers, mild, moderate and severe fevers, fever with or without ''ama'', fevers occurring from one, two or three combination of ''dosha'', fever occurring in ''dhatu'' and so on. All the aspects affecting treatment and prognosis of various types of fever are also described. This chapter describes principles related with thermo-regulatory mechanisms in the body. | + | *The management of ''[[Jwara]]'' (fever) associated diseases are described in the 3rd chapter, [[Jwara Chikitsa]]. It includes therapeutic measures for acute and chronic fever, continuous, intermittent, malarial and seasonal fevers, mild, moderate and severe fevers, fever with or without [[ama]], fevers occurring from one, two or three combination of [[dosha]], fever occurring in [[dhatu]] and so on. All the aspects affecting treatment and prognosis of various types of fever are also described. This chapter describes principles related with thermo-regulatory mechanisms in the body. |
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| *The fourth chapter deals with the management of bleeding disorders under the heading of [[Raktapitta Chikitsa]], which is of two types i.e. bleeding from the upper and lower channels. Management principles of bleeding disorders are mentioned in this chapter. | | *The fourth chapter deals with the management of bleeding disorders under the heading of [[Raktapitta Chikitsa]], which is of two types i.e. bleeding from the upper and lower channels. Management principles of bleeding disorders are mentioned in this chapter. |
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| *Types of hemorrhoids and warts etc. are described along with their treatment in the next chapter entitled [[Arsha Chikitsa]]. The chapter describes medical or conservative management of haemorrhoids. | | *Types of hemorrhoids and warts etc. are described along with their treatment in the next chapter entitled [[Arsha Chikitsa]]. The chapter describes medical or conservative management of haemorrhoids. |
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− | * [[Grahani Chikitsa]], the fifteenth chapter elaborates physiological principles of Agni (digestion and metabolism) at various levels and its importance in clinical practice. Various processes of digestion, metabolism leading to the formation of ''dhatu'' ( body tissues) and ''mala'' (metabolic wastes) are also described. The comprehensive management of disorders of gastrointestinal tract is described. | + | * [[Grahani Chikitsa]], the fifteenth chapter elaborates physiological principles of Agni (digestion and metabolism) at various levels and its importance in clinical practice. Various processes of digestion, metabolism leading to the formation of ''[[dhatu]]'' ( body tissues) and ''[[mala]]'' (metabolic wastes) are also described. The comprehensive management of disorders of gastrointestinal tract is described. |
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− | *Two diseases caused mainly by vitiation of ''rakta'' (blood tissue) viz. ''pandu roga'' (anemia and blood deficiency disorders) and ''kamala'' (jaundice and hepatic disorders) are described in sixteenth chapter entitled [[Pandu Chikitsa]]. Thus management principles of haematological disorders are described in this chapter. | + | *Two diseases caused mainly by vitiation of ''[[rakta]]'' (blood tissue) viz. ''pandu roga'' (anemia and blood deficiency disorders) and ''kamala'' (jaundice and hepatic disorders) are described in sixteenth chapter entitled [[Pandu Chikitsa]]. Thus management principles of haematological disorders are described in this chapter. |
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| * The seventeenth chapter, entitled [[Hikka Shwasa Chikitsa]] deals with disorders of respiratory system. Clinical presentations and management of five types of hiccups and dyspnoea are described. | | * The seventeenth chapter, entitled [[Hikka Shwasa Chikitsa]] deals with disorders of respiratory system. Clinical presentations and management of five types of hiccups and dyspnoea are described. |
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| *The next chapter, [[Visha Chikitsa]] deals with the management of acute and slow poisoning (''visha'') relating with ''agada-tantra'' (toxicology). | | *The next chapter, [[Visha Chikitsa]] deals with the management of acute and slow poisoning (''visha'') relating with ''agada-tantra'' (toxicology). |
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− | *The management of its various acute and chronic stages of alcoholic intoxication and its complications are tackled in twenty fourth chapter entitled [[Madatyaya Chikitsa]]. The management principles for substance abuse and addiction can be referred in this chapter. | + | *The management of its various acute and chronic stages of alcoholic intoxication and its complications are tackled in twenty fourth chapter entitled [[Madatyaya Chikitsa]]. The management principles for substance abuse and addiction can be referred in this chapter. |
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| *Wound management and surgical procedures (''shalya'') are described in twenty fifth chapter entitled [[Dwivraniya Chikitsa]]. | | *Wound management and surgical procedures (''shalya'') are described in twenty fifth chapter entitled [[Dwivraniya Chikitsa]]. |
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− | *The next chapter, [[Trimarmiya Chikitsa]] describes disorders due to obstruction to free movement of vata dosha. The gastrointestinal diseases such as ''udavarta''(reverse movement of vata), ''anaha'' (distension of abdomen), ''aruchi'' (anorexia) etc. are described. Disorders of three vital organs like heart, brain and kidney are described as main context of chapter. Thus this chapter describes management principles of disorders in cardiac region, head region and urinary system. Brief description of management of diseases pertaining to hair, ear, nose and throat with passing reference to eye diseases is also dealt in this chapter. | + | *The next chapter, [[Trimarmiya Chikitsa]] describes disorders due to obstruction to free movement of [[vata dosha]]. The gastrointestinal diseases such as ''udavarta''(reverse movement of [[vata]]), ''anaha'' (distension of abdomen), ''aruchi'' (anorexia) etc. are described. Disorders of three vital organs like heart, brain and kidney are described as main context of chapter. Thus this chapter describes management principles of disorders in cardiac region, head region and urinary system. Brief description of management of diseases pertaining to hair, ear, nose and throat with passing reference to eye diseases is also dealt in this chapter. |
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| *Disorders of spinal- neuro- muscular degeneration in thigh and hip joint are described in twenty seventh chapter entitled [[Urustambha Chikitsa]]. | | *Disorders of spinal- neuro- muscular degeneration in thigh and hip joint are described in twenty seventh chapter entitled [[Urustambha Chikitsa]]. |
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− | *Vata dosha is the key initiating factor responsible for all physiological and psychological mechanisms in the body. The types of vata dosha, their functions and disorders are described in [[Vatavyadhi Chikitsa]]. Disorders caused by Vata dosha in body, like digestive system, nervous system, musculo-skeletal system and their managements are described in this chapter. | + | *[[Vata dosha]] is the key initiating factor responsible for all physiological and psychological mechanisms in the body. The types of [[vata dosha]], their functions and disorders are described in [[Vatavyadhi Chikitsa]]. Disorders caused by [[Vata dosha]] in body, like digestive system, nervous system, musculo-skeletal system and their managements are described in this chapter. |
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− | *The next chapter, [[Vatarakta Chikitsa]] specifically describes disorders due to vitiation of vata dosha and rakta dhatu. The conditions involving deformities in small joints, those of vascular system involving blood vessels are highlighted in this chapter with their management. | + | *The next chapter, [[Vatarakta Chikitsa]] specifically describes disorders due to vitiation of [[vata dosha]] and [[rakta dhatu]]. The conditions involving deformities in small joints, those of vascular system involving blood vessels are highlighted in this chapter with their management. |
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| *The last chapter, entitled [[Yonivyapat Chikitsa]]) describes disorders related to male and female reproductive system, infertility and other gynecological disorders. The diseases in children (''kaumarabhritya'') are mentioned as well. The principles related to time of administration of medicine and dose is also highlighted. | | *The last chapter, entitled [[Yonivyapat Chikitsa]]) describes disorders related to male and female reproductive system, infertility and other gynecological disorders. The diseases in children (''kaumarabhritya'') are mentioned as well. The principles related to time of administration of medicine and dose is also highlighted. |
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| The section is a quick reference manual for therapeutics. This section provides comprehensive information about all aspects of clinical practice including etio-pathogenesis, management and drug formulary. It is obvious from the foregoing that [[Chikitsa Sthana]] is a treasure of therapeutic knowledge and by mastering this part one can become expert physician who can tackle all types of acute and chronic disease successfully. | | The section is a quick reference manual for therapeutics. This section provides comprehensive information about all aspects of clinical practice including etio-pathogenesis, management and drug formulary. It is obvious from the foregoing that [[Chikitsa Sthana]] is a treasure of therapeutic knowledge and by mastering this part one can become expert physician who can tackle all types of acute and chronic disease successfully. |
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| [[Category: Ayurveda therapeutics]] | | [[Category: Ayurveda therapeutics]] |
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| ==References== | | ==References== |
| </div> | | </div> |
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