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Trimarmiya Chikitsa (view source)
Revision as of 22:31, 23 September 2021
, 22:31, 23 September 2021→Related Chapters
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The ''dosha'' viz, ''vayu, pitta'' and ''kapha'' never destroy each other inspite of having contradictory properties, they coexist in a harmonious state. This happens because of their ''sahaja- satmya'' (natural wholesome disposition of coexistence), as even fatal poison does not effect snakes [293].
The [[dosha]] viz, [[vayu]], [[pitta]] and [[kapha]] never destroy each other inspite of having contradictory properties, they coexist in a harmonious state. This happens because of their ''sahaja- satmya'' (natural wholesome disposition of coexistence), as even fatal poison does not effect snakes [293].
==== In Conclusion ====
==== In Conclusion ====
*There are one hundred and seven vital points called ''marma'' in the body which are junctures of body components and ''prana'' (life force) resides in them. Among the ten ''pranayatana'', three ''marma'' i.e., ''shira, hridaya'' and ''basti'' are important.
*There are one hundred and seven vital points called ''marma'' in the body which are junctures of body components and ''prana'' (life force) resides in them. Among the ten ''pranayatana'', three ''marma'' i.e., ''shira, hridaya'' and ''basti'' are important.
*If ''dosha'' affect these three ''marma'', they will have impact on the ''prana''. Hence their protection is crucial for preservation of health and management of disorders.
*If ''dosha'' affect these three ''marma'', they will have impact on the ''prana''. Hence their protection is crucial for preservation of health and management of disorders.
*''Udavarta'' means abnormal upward frequent movement of ''vata dosha''. Commonly this condition is caused by suppression of natural urges and ''vata'' aggravating factors. ''Udavarta'' hampers digestion and metabolism at micro channels. This leads to accumulation of the toxic elements to cause various diseases.
*''Udavarta'' means abnormal upward frequent movement of [[vata]] [[dosha]]. Commonly this condition is caused by suppression of natural urges and [[vata]] aggravating factors. ''Udavarta'' hampers digestion and metabolism at micro channels. This leads to accumulation of the toxic elements to cause various diseases.
*''Vata dosha'' can be aggravated due to its own causes or due to obstruction by other two vitiated ''dosha''.
*[[Vata]] [[dosha]] can be aggravated due to its own causes or due to obstruction by other two vitiated [[dosha]].
*In ''udavarta'', the pathogenesis takes place at ''pakvashaya'' (colon) and ''apana vata'' is aggravated to turn into opposite movements. The ''apana'' can cause various disorders after affecting the sites.
*In ''udavarta'', the pathogenesis takes place at ''pakvashaya'' (colon) and apana [[vata]] is aggravated to turn into opposite movements. The ''apana'' can cause various disorders after affecting the sites.
*''Anulomana'' (treatment leading to normal movement of ''vata'') is the principle of treatment in ''udavarta''. This includes therapies for pacification of ''vata'' and removing obstruction in its movement.
*''Anulomana'' (treatment leading to normal movement of [[vata]]) is the principle of treatment in ''udavarta''. This includes therapies for pacification of [[vata]] and removing obstruction in its movement.
*In ''vata'' predominance, the enema added with sour, salty and oily medicines is administered. In ''pitta'' predominance, the enema added with milk is administered. In ''kapha'' predominance, the enema added with urine (cow’s urine) is administered.
*In [[vata]] predominance, the enema added with sour, salty and oily medicines is administered. In [[pitta]] predominance, the enema added with milk is administered. In [[kapha]] predominance, the enema added with urine (cow’s urine) is administered.
*The management of ''udavarta'' depends upon condition of ''dosha'' vitiation and its clinical presentation in patient. Excess unctuousness is treated with dryness and vice versa.
*The management of ''udavarta'' depends upon condition of [[dosha]] vitiation and its clinical presentation in patient. Excess unctuousness is treated with dryness and vice versa.
*Emesis therapy, ''langhana'' (fasting therapy) and ''pachana'' (carminatives) are advised in ''sama dosha'' located in upper part of abdomen.
*Emesis therapy, [[langhana]] (fasting therapy) and [[pachana]] (carminatives) are advised in same [[dosha]] located in upper part of abdomen.
*Castor oil is an excellent remedy for obstruction caused by excess fat, ''kapha, pitta'' and ''rakta''.
*Castor oil is an excellent remedy for obstruction caused by excess fat, [[kapha]], [[pitta]] and [[rakta]].
*Diet and lifestyle factors along with vitiation of ''annavaha srotasa'' (gastrointestinal tract) are important causative factors for vitiation of ''dosha'' in urinary system disorders. This is caused when the vitiated ''dosha'' located in urinary bladder, kidney and urinary system.
*Diet and lifestyle factors along with vitiation of ''annavaha srotasa'' (gastrointestinal tract) are important causative factors for vitiation of [[dosha]] in urinary system disorders. This is caused when the vitiated [[dosha]] located in urinary bladder, kidney and urinary system.
*When the aggravated ''vata'' dries up semen and urine along with ''pitta'' and ''kapha'' which is located in urinary bladder the calculus is formed. The clinical presentation and composition of ''ashmari'' (calculus) depends upon vitiation of ''dosha''.
*When the aggravated [[vata]] dries up semen and urine along with [[pitta]] and [[kapha]] which is located in urinary bladder the calculus is formed. The clinical presentation and composition of ''ashmari'' (calculus) depends upon vitiation of [[dosha]].
*The treatment of ''ashmari'' includes massage, unctuous and non-unctuous medicated enema, unctuous poultice, ''uttara basti'' (urethral douche) and ''sekam'' (affusion) as well as the diet of soup prepared with ''dosha'' alleviating drugs. The main ''dosha'' shall be treated first.
*The treatment of ''ashmari'' includes massage, unctuous and non-unctuous medicated enema, unctuous poultice, ''uttara basti'' (urethral douche) and ''sekam'' (affusion) as well as the diet of soup prepared with [[dosha]] alleviating drugs. The main [[dosha]] shall be treated first.
*''Tikshna''(sharply acting) and ''anulomana''(facilitating movement) medicines along with specific procedures like riding fast moving vehicle are administered for breaking, moving and flushing out of calculus.
*''Tikshna''(sharply acting) and ''anulomana''(facilitating movement) medicines along with specific procedures like riding fast moving vehicle are administered for breaking, moving and flushing out of calculus.
*Diet, lifestyle and psychological factors are responsible for causing heart diseases. The clinical presentation is based upon vitiation of ''dosha'' and accordingly treatment is planned. ''Langhana, pachana'' and purification are principles of treatment.
*Diet, lifestyle and psychological factors are responsible for causing heart diseases. The clinical presentation is based upon vitiation of [[dosha]] and accordingly treatment is planned. [[Langhana]], [[pachana]] and purification are principles of treatment.
*In addition to the dietary and lifestyle causes, environmental factors like change in weather conditions, temperature are responsible for ''pratishyaya'' (rhinitis). ''Kapha/vata dosha'' with ''rasa'' and ''rakta dushya'' are vitiating factors in its pathogenesis.
*In addition to the dietary and lifestyle causes, environmental factors like change in weather conditions, temperature are responsible for ''pratishyaya'' (rhinitis). [[Kapha]]/[[vata]] [[dosha]] with [[rasa]] and ''rakta dushya'' are vitiating factors in its pathogenesis.
*In diseases of head, eyes, nose, oral cavity and ears, the treatment of local ''dosha'' as well as vitiated ''dosha'' is important. Local treatment with generalized treatment is advised.
*In diseases of head, eyes, nose, oral cavity and ears, the treatment of local [[dosha]] as well as vitiated [[dosha]] is important. Local treatment with generalized treatment is advised.
*The route of administration of drug is the nearest route to site of vitiation of ''dosha''.
*The route of administration of drug is the nearest route to site of vitiation of [[dosha]].
*Treatment of ''arochaka'' (anorexia) due to psychological factors includes counseling therapy and ''harshana'' (happiness) therapy.
*Treatment of ''arochaka'' (anorexia) due to psychological factors includes counseling therapy and ''harshana'' (happiness) therapy.
*In human beings, ''vata, pitta'' and ''kapha'' are located in the ''basti'' (region of the urinary bladder, i.e pelvic region), heart (cardiac region) and ''murdha'' (head) respectively. The treatment of ''dosha'' located in these places is administered from the nearby region appropriately by medicated enema, purgation and emetic therapy respectively.
*In human beings, [[vata]], [[pitta]] and [[kapha]] are located in the ''basti'' (region of the urinary bladder, i.e pelvic region), heart (cardiac region) and ''murdha'' (head) respectively. The treatment of [[dosha]] located in these places is administered from the nearby region appropriately by medicated enema, purgation and emetic therapy respectively.
*As the ''loka'' (macrocosm) is afflicted or maintained respectively by the morbidity and normal state of the wind, sun and moon, so also the ''adhyatma loka'' (sentient world or microcosm) is either afflicted or maintained respectively by the morbidity and normal state of ''vayu, pitta'' and ''kapha''.
*As the ''loka'' (macrocosm) is afflicted or maintained respectively by the morbidity and normal state of the wind, sun and moon, so also the ''adhyatma loka'' (sentient world or microcosm) is either afflicted or maintained respectively by the morbidity and normal state of [[vayu]], [[pitta]] and [[kapha]].
*The dosha viz. ''vayu, pitta'' and ''kapha'' never destroy each other in spite of having contradictory properties, they coexist in a harmonious state. This happens because of their ''sahaja satmya'' (natural wholesome disposition of coexistence).
*The dosha viz. [[vayu]], [[pitta]] and [[kapha]] never destroy each other in spite of having contradictory properties, they coexist in a harmonious state. This happens because of their ''sahaja satmya'' (natural wholesome disposition of coexistence).
== Vidhi Vimarsha (Applied Inferences ) ==
== Vidhi Vimarsha (Applied Inferences ) ==
'''Disease specific therapies:'''
'''Disease specific therapies:'''
#Pacification of ''dosha''
#Pacification of [[dosha]]
#''Snehana''
#[[Snehana]]
#''Swedana''
#[[Swedana]]
'''Important medicines:'''
'''Important medicines:'''
| scope="col"| ''Anupana''
| scope="col"| ''Anupana''
|-
|-
| rowspan="4"|''Vata'' dominant
| rowspan="4"|[[Vata]] dominant
| ''Mriga shringa''
| ''Mriga shringa''
| 125-250 mg
| 125-250 mg
| Water
| Water
|-
|-
| ''Kaphanubandha''
| [[Kapha]]nubandha
| ''Karaskara kalpa''
| ''Karaskara kalpa''
| 250-500 mg
| 250-500 mg
| Medicated milk processed with ''Arjuna''
| Medicated milk processed with ''Arjuna''
|-
|-
| rowspan="2"|''Pitta'' dominant
| rowspan="2"|[[Pitta]] dominant
| ''Makshika'' mixture
| ''Makshika'' mixture
| 500-1000 mg
| 500-1000 mg
| ''Amalakavaleha''
| ''Amalakavaleha''
|-
|-
| rowspan="4"|''Kapha'' dominant
| rowspan="4"|[[Kapha]] dominant
| ''Shringyadi kwatha''
| ''Shringyadi kwatha''
| 25-50 ml
| 25-50 ml
| scope="col"| ''Anupana''
| scope="col"| ''Anupana''
|-
|-
| ''Virechana''
| [[Virechana]]
| ''Virechana Kashaya''
| [[Virechana]] Kashaya
| 20-40 ml
| 20-40 ml
| Morning one time
| Morning one time
| Hot water
| Hot water
|-
|-
| ''Niruha basti''
| Niruha [[basti]]
| ''Dashamulika''
| ''Dashamulika''
| 900 ml
| 900 ml
'''External applications:'''
'''External applications:'''
#''Snehana'' : ''Eranda sneha''
#[[Snehana]] : ''Eranda sneha''
#''Swedana'' : ''Atasi upanaha''
#[[Swedana]] : ''Atasi upanaha''
'''Causes, prevalence, clinical features and management of diseases of head:'''
'''Causes, prevalence, clinical features and management of diseases of head:'''
''Shiras'' (head) is the site of the ''indriyas'' (the seat of special senses), the ''srotas'' (channels) pertaining to the conduction of ''indriya'' and ''prana''.(Cha.Si.9/5) Moreover, ''prana vayu'' and ''tarpaka kapha'' are located in head. ''Alochaka pitta'' is specifically located in eyes. All the ''indriyas'' are controlled by mind. Hence the coordination of mind and senses takes place at head.
''Shiras'' (head) is the site of the [[indriya]](the seat of special senses), the ''srotas'' (channels) pertaining to the conduction of [[indriya]] and ''prana''.[Cha.Sa.[[Siddhi Sthana]] 9/5] Moreover, prana [[vayu]] and tarpaka [[kapha]] are located in head. Alochaka [[pitta]] is specifically located in eyes. All the [[indriya]] are controlled by mind. Hence the coordination of mind and senses takes place at head.
Complex structures of brain and spinal cord, roots of nervous system are located in head. All the functions of nervous system are regulated by brain and spinal cord. Twelve cranial nerves are important to be considered in this context.
Complex structures of brain and spinal cord, roots of nervous system are located in head. All the functions of nervous system are regulated by brain and spinal cord. Twelve cranial nerves are important to be considered in this context.
'''Clinical features:'''
'''Clinical features:'''
Clinical features are observed as per ''dosha'' dominance and described in the text in [[Kiyanta Shiraseeya Adhyaya]].
Clinical features are observed as per [[dosha]] dominance and described in the text in [[Kiyanta Shiraseeya Adhyaya]].
'''Diagnosis and assessment:'''
'''Diagnosis and assessment:'''
| ||Goghrita nasya || || ||
| ||Goghrita nasya || || ||
|-
|-
| Vata dominant pratishyaya || Malla + Naga mishrana || 250-500 mg || Between meals || Honey
| [[Vata]] dominant pratishyaya || Malla + Naga mishrana || 250-500 mg || Between meals || Honey
|-
|-
|Pitta dominant pratishyaya || Makshika mish-rana || 250-500 mg ||Between meals || Vasavaleha
|[[Pitta]] dominant pratishyaya || Makshika mish-rana || 250-500 mg ||Between meals || Vasavaleha
|-
|-
|Kapha dominant pratishyaya || Naga guti ||60-120 mg ||Between meals|| Honey + Ka-nakasava
|[[Kapha]] dominant pratishyaya || Naga guti ||60-120 mg ||Between meals|| Honey + Kanakasava
|}
|}
* [[Trimarmiya Siddhi]]
* [[Trimarmiya Siddhi]]
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