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== Clinical aspects ==
 
== Clinical aspects ==
<div style='text-align:justify;'>'''Preventive aspect:''' A person with pitta dominant body constitution should avoid the diet and lifestyle mentioned above to maintain equilibrium and healthy status. </div>
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<div style='text-align:justify;'>'''Preventive aspect:''' A person with pitta dominant [[Sharira|body]] constitution should avoid the diet and lifestyle mentioned above to maintain equilibrium and healthy status. </div>
 
=== Stages of dosha: ===
 
=== Stages of dosha: ===
<div style='text-align:justify;'>Dosha continues to exist in three states: hypofunction (kshaya), hyperfunction (vriddhi), and normal physiological state (sama). [Cha.Sa. Sutra Sthana17/110]Increase and reduction in dosha functioning (karma) can be used to understand dosha increase and decline in the body.Dosha, when increased, produce their respective features in excess; when decreased, cut off their functions and when in normal state, they perform their normal functions. </div>
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<div style='text-align:justify;'>[[Dosha|Dosha]] continues to exist in three states: hypofunction (kshaya), hyperfunction (vriddhi), and normal physiological state (sama). [Cha.Sa. Sutra Sthana17/110]Increase and reduction in [[Dosha|dosha]] functioning ([[Karma|karma]]) can be used to understand [[Dosha|dosha]] increase and decline in the [[Sharira|body]]. [[Dosha|Dosha]], when increased, produce their respective features in excess; when decreased, cut off their functions and when in normal state, they perform their normal functions.</div>
    
=== Hyperfunctioning of pitta (vriddhi lakshana): ===
 
=== Hyperfunctioning of pitta (vriddhi lakshana): ===
<div style='text-align:justify;'>When pitta levels increase, the body exhibits various signs and symptoms as stated below: [Su.Sa. Sutra Sthana 15/13]<ref name="ref2"/>, [A.Hr. Sutra Sthana 11/7]<ref name="ref8"/>, [A.S. Sutra Sthana 19/5]<ref name="ref5"/>:
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<div style='text-align:justify;'>When pitta levels increase, the [[Sharira|body]] exhibits various signs and symptoms as stated below: [Su.Sa. Sutra Sthana 15/13]<ref name="ref2"/>, [A.Hr. Sutra Sthana 11/7]<ref name="ref8"/>, [A.S. Sutra Sthana 19/5]<ref name="ref5"/>:
<ul><li>Yellowish coloration of stool(purisha), urine(mutra), eyes(netra) and skin(twacha). </li>
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<ul><li>Yellowish coloration of stool([[Purisha|purisha]]), urine([[Mutra|mutra]]), eyes(netra) and skin(twacha). </li>
 
<li>Increased hunger (kshudha) </li>
 
<li>Increased hunger (kshudha) </li>
<li>Increased  thirst (trishna) </li>
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<li>Increased  thirst ([[Trishna Chikitsa|trishna]]) </li>
 
<li>Burning sensation(daha) </li>
 
<li>Burning sensation(daha) </li>
 
<li>Less sleep(alpanidrata) </li>
 
<li>Less sleep(alpanidrata) </li>
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<li>Bitter feeling in mouth(tiktasyata) </li>
 
<li>Bitter feeling in mouth(tiktasyata) </li>
 
<li>Giddiness(murchha) </li>
 
<li>Giddiness(murchha) </li>
<li>Excessive anger(krodhi) </li>
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<li>Excessive anger(krodhi)</li>
<li>Less strength(balahani) </li></ul></div>
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<li>Less strength(balahani)</li></ul></div>
    
=== Hypofunctioning of pitta (kshaya lakshana): ===
 
=== Hypofunctioning of pitta (kshaya lakshana): ===
<div style='text-align:justify;'>When pitta levels decline, the body exhibits various signs and symptoms as below: [Su.Sa. Sutra Sthana15/7]<ref name="ref3"/>, [A.Hr. Sutra Sthana11/16]<ref name="ref8"/>, [A.S. Sutra Sthana19/8]<ref name="ref5"/>  
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<div style='text-align:justify;'>When pitta levels decline, the [[Sharira|body]] exhibits various signs and symptoms as below: [Su.Sa. Sutra Sthana15/7]<ref name="ref3"/>, [A.Hr. Sutra Sthana11/16]<ref name="ref8"/>, [A.S. Sutra Sthana19/8]<ref name="ref5"/>  
 
<ul><li>Poor digestive capacity and decreased digestive functions (mandaanala) </li>
 
<ul><li>Poor digestive capacity and decreased digestive functions (mandaanala) </li>
 
<li>Coldness(shita) </li>
 
<li>Coldness(shita) </li>
<li>Loss of skin luster (prabha hani) </li>
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<li>Loss of skin luster ([[Prabha|prabha]] hani) </li>
<li>Stiffness(stambha) </li>
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<li>Stiffness([[Stambhana|stambha]]) </li>
 
<li>Pricking pain(toda) </li>
 
<li>Pricking pain(toda) </li>
 
<li>Less desire of food(arochaka) </li>
 
<li>Less desire of food(arochaka) </li>
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=== Diagnosis: ===
 
=== Diagnosis: ===
<div style='text-align:justify;'>The state of pitta dosha can be diagnosed and assessed based on clinical features. The most common clinical features of pitta dosha are burning sensation(daha), feeling of hotness (ushnata), suppuration(paka), strava(discharge), redness(raga) rigidity(stambhana), wasting (shosha)and harshness(parusha). [Cha.Sa. Sutra Sthana 20/15] [K.S. Sutra Sthana 27/39]<ref name="ref9"/> <br/>Forty types of diseases are caused due to an imbalance of pitta dosha (pitta nanatmaja vyadhi).[Cha.Sa. Sutra Sthana  20/14][Table 02]:</div>
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<div style='text-align:justify;'>The state of pitta dosha can be diagnosed and assessed based on clinical features. The most common clinical features of pitta dosha are burning sensation(daha), feeling of hotness (ushnata), suppuration(paka), strava(discharge), redness(raga) rigidity([[Stambhana|stambhana]]), wasting ([[Shosha Nidana|shosha]])and harshness(parusha). [Cha.Sa. Sutra Sthana 20/15] [K.S. Sutra Sthana 27/39]<ref name="ref9"/> <br/>Forty types of [[Vyadhi|diseases]] are caused due to an imbalance of pitta dosha (pitta nanatmaja [[Vyadhi|vyadhi]]).[Cha.Sa. Sutra Sthana  20/14][Table 02]:</div>
 
{| class="wikitable"
 
{| class="wikitable"
 
|+ Table 2: Disorders due to pitta dosha (pitta nanatmaja vikara)<ref name="ref11">Bhel. Bhel Samhita. Edited by Priya Vrat Sharma. Reprint ed. Varanasi: Chaukhambha  Visvabharti;2008.</ref>   
 
|+ Table 2: Disorders due to pitta dosha (pitta nanatmaja vikara)<ref name="ref11">Bhel. Bhel Samhita. Edited by Priya Vrat Sharma. Reprint ed. Varanasi: Chaukhambha  Visvabharti;2008.</ref>   
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|-
 
|-
 
| Tearing of body parts (angavadarana)  
 
| Tearing of body parts (angavadarana)  
| Retention of metabolites in blood (shonita kleda)  
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| Retention of metabolites in blood (shonita [[Kleda|kleda]])  
| Retention of metabolites in muscles (mamsa kleda)  
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| Retention of metabolites in muscles ([[Mamsa dhatu|mamsa]] [[Kleda|kleda]])  
 
| Burning sensation in skin (tvag daha)  
 
| Burning sensation in skin (tvag daha)  
 
|-
 
|-
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| Pustules (rakta visphota)  
 
| Pustules (rakta visphota)  
 
|-
 
|-
| Bleeding disorders (raktapitta)  
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| Bleeding disorders ([[Raktapitta|raktapitta]])  
 
| Hemorrhagic rounded patches/ echymosis (raktamandala)  
 
| Hemorrhagic rounded patches/ echymosis (raktamandala)  
 
| Greenish discolouration (haritatva)  
 
| Greenish discolouration (haritatva)  
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| Blue moles (neelika)  
 
| Blue moles (neelika)  
 
| Furunculosis (kaksha)  
 
| Furunculosis (kaksha)  
| Jaundice (kamala)  
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| Jaundice ([[Kamala|kamala]])  
 
| Bitter taste in mouth (tiktasyata)  
 
| Bitter taste in mouth (tiktasyata)  
 
|-
 
|-

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