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Thus ends the fifteenth chapter on “Prerequisites for therapeutic ([[Panchakarma]]) treatment” of [[Sutra Sthana]] , of Agnivesha’s work as redacted by Charak.
 
Thus ends the fifteenth chapter on “Prerequisites for therapeutic ([[Panchakarma]]) treatment” of [[Sutra Sthana]] , of Agnivesha’s work as redacted by Charak.
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=== ''Tattva Vimarsha'' ===
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=== ''Tattva Vimarsha'' / Fundamental Principles ===
 
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<div style="text-align:justify;">  
 
*It is necessary to manage the [[Panchakarma]] hospital properly, equipping it with good quality medicines and skilled staff for assuring successful administration of purification therapies.
 
*It is necessary to manage the [[Panchakarma]] hospital properly, equipping it with good quality medicines and skilled staff for assuring successful administration of purification therapies.
 
*All possibilities of complications and their management should be considered before initiating any treatment.  
 
*All possibilities of complications and their management should be considered before initiating any treatment.  
*Clinical observation of patients at each stage during purification theapy is necessary to assess movement of ''dosha''.  
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*Clinical observation of patients at each stage during purification therapy is necessary to assess movement of ''dosha''.  
 
*The dose of emetics should be decided according to individual needs considering all key variables such as ''dosha,'' potency of medicine, place of residence, time of administration, strength of patient, constitution, dietary pattern, suitability and age. A suitable post-therapeutic rehabilitative dietary regimen should be designed (taking into consideration the needs and predisposition of the patient) and administered, after therapeutic emesis and purgation, in order to restore the normal levels of ''agni'' and strength of the patient.  
 
*The dose of emetics should be decided according to individual needs considering all key variables such as ''dosha,'' potency of medicine, place of residence, time of administration, strength of patient, constitution, dietary pattern, suitability and age. A suitable post-therapeutic rehabilitative dietary regimen should be designed (taking into consideration the needs and predisposition of the patient) and administered, after therapeutic emesis and purgation, in order to restore the normal levels of ''agni'' and strength of the patient.  
 
*Sometimes all enlisted pre-requisites cannot be made available, especially when treating poorer or less resourceful patients. In such cases, the procedures can be followed with the available and suitable medicines.  
 
*Sometimes all enlisted pre-requisites cannot be made available, especially when treating poorer or less resourceful patients. In such cases, the procedures can be followed with the available and suitable medicines.  
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=== ''Vidhi Vimarsha'' ===
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=== ''Vidhi Vimarsha'' Applied Inferences ===
 
   
 
   
 
==== Construction of a hospital ====
 
==== Construction of a hospital ====