Changes

268 bytes added , 23 February

no edit summary

Line 1: Line 1: +

{{#seo:

|title=Trimarmiya Chikitsa

|titlemode=append

−

|keywords=trimarma (three vital organs), prana (life force), uttarabasti,varti prayoga, udavarta, mutra kruchchra, hridroga, nasya karma, pratishyaya (rhinitis), dushta pratishyaya (persistent rhinitis), apinasa (chronic rhinitis), puya rakta (purulent and sanguinous rhinitis), nasa paka (suppurative rhinitis), nasa shotha (edematous rhinitis), kshavathu (sneezing), nasa shosha (dryness of nasal mucosal membrane), pratinaha (nasal obstruction), pratisrava (nasal discharge), puti nasya (ozena), nasa arbuda (nasal tumor), arumshi (furunculosis), nasa dipta (burnt nose), anaha (constipation), arochaka (anorexia),Ayurveda, Indian system of medicine, charak samhita.

+

|keywords=trimarma (three vital organs), prana (life force), uttarabasti,varti prayoga, udavarta, mutra kruchchra, hridroga, nasya karma, pratishyaya (rhinitis), dushta pratishyaya (persistent rhinitis), apinasa (chronic rhinitis), puya rakta (purulent and sanguinous rhinitis), nasa paka (suppurative rhinitis), nasa shotha (edematous rhinitis), kshavathu (sneezing), nasa shosha (dryness of nasal mucosal membrane), pratinaha (nasal obstruction), pratisrava (nasal discharge), puti nasya (ozena), nasa arbuda (nasal tumor), arumshi (furunculosis), nasa dipta (burnt nose), anaha (constipation), arochaka (anorexia),Ayurveda, Indian system of medicine, charak samhita,Ojha S.N., Samant A.,Deole Y.S., Basisht G.

|description=Chikitsa Sthana Chapter 26. Management of Tri marma (diseases of three vital organs)

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

Line 8: Line 9:

|type=article

}}

−

<big>'''[[Chikitsa Sthana]] Chapter 26. Management of Trimarma (diseases of three vital organs)</big>'''

{{Infobox

Line 26: Line 26:

|data7 = Dixit U.

|label8 = Editors

−

|data8 = Ojha S.N.,Deole Y.S., Basisht G.

+

|data8 = Ojha S.N., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

|label9 = Year of publication

|data9 = 2020

Line 37: Line 37:

}}

<big>'''Abstract </big>'''

−

<~~div~~ style="text-align:justify;">

+

<p style="text-align:justify;">This chapter highlights the importance of ''trimarma'' (three vital organs, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (''marma'') on the body which when injured cause disease, disability or death. Three of these ''marma'' are located in ''hridaya'' (heart), ''shira'' (head) and ''basti'' (urinary bladder). Impairment of these three ''marma'' can cause life threatening conditions in cardio-vascular system, cerebrovascular system and urinary system respectively. An internal relationship exists between these ''marma'' and respective body systems. Disease of one system affects the functioning of the other. The disease conditions caused by impairment of these three ''marma'' account for higher mortality and morbidity in society. The present chapter deals with etiology, signs and symptoms, classification, principles of treatment for the diseases pertaining to these three ''marma''. The chapter also includes description of various categories of diseases like diseases of ear, nose, throat, eyes under the heading of diseases of head; diseases like urinary calculi under diseases of renal system. <br/>

−

This chapter highlights the importance of ''trimarma'' (three vital organs, viz, cardiovascular system, cerebrovascular system and renal system) and treatment of their diseases. There are one hundred seven vital points (''marma'') on the body which when injured cause disease, disability or death. Three of these ''marma'' are located in ''hridaya'' (heart), ''shira'' (head) and ''basti'' (urinary bladder). Impairment of these three ''marma'' can cause life threatening conditions in cardio-vascular system, cerebrovascular system and urinary system respectively. An internal relationship exists between these ''marma'' and respective body systems. Disease of one system affects the functioning of the other. The disease conditions caused by impairment of these three ''marma'' account for higher mortality and morbidity in society. The present chapter deals with etiology, signs and symptoms, classification, principles of treatment for the diseases pertaining to these three ''marma''. The chapter also includes description of various categories of diseases like diseases of ear, nose, throat, eyes under the heading of diseases of head; diseases like urinary calculi under diseases of renal system.

'''Keywords''': ''trimarma'' (three vital organs), ''prana'' (life force), ''uttarabasti,varti prayoga, udavarta, mutra kruchchra, hridroga, nasya karma, pratishyaya'' (rhinitis), ''dushta pratishyaya'' (persistent rhinitis), ''apinasa'' (chronic rhinitis), ''puya rakta'' (purulent and sanguinous rhinitis), ''nasa paka'' (suppurative rhinitis), ''nasa shotha'' (edematous rhinitis), ''kshavathu'' (sneezing), ''nasa shosha'' (dryness of nasal mucosal membrane), ''pratinaha'' (nasal obstruction), ''pratisrava'' (nasal discharge), ''puti nasya'' (ozena), ''nasa arbuda'' (nasal tumor), ''arumshi'' (furunculosis), ''nasa dipta'' (burnt nose), ''anaha'' (constipation), ''arochaka'' (anorexia)

−

</~~div~~>

+

</p>

−

== Introduction ==

Line 624: Line 622:

''Dosha'' aggravated separately or all together when being provoked by their vitiating factors which get located in kidney or urinary bladder and distress the urinary passage, leads to ''mutrakricchra''(dysuria).[33]

−

====== Signs of [[vata]]ja dysuria ======

+

====== Signs of [[vata]]ja dysuria ======

Severe pain in groins, urinary bladder and genitals and the patient frequently passes urine in small quantity.

−

====== Signs of [[pitta]]ja dysuria ======

+

====== Signs of [[pitta]]ja dysuria ======

The patient passes yellow or bloody urine with pain and burning sensation frequently and with difficulty. [34]

−

====== Signs of [[kapha]]ja dysuria ======

+

====== Signs of [[kapha]]ja dysuria ======

Heaviness and oedema in urinary bladder and phallus and the urine is associated with slimy materials.

Line 801: Line 799:

If the vitiated blood due to ''kshata'' (trauma) or ''kshaya'' (emaciation caused by excessive discharge of semen) when accumulated in urinary bladder, it causes obstruction and severe pain in the bladder. Vitiated blood when associate with urine forms the calculus, which causes the distention of abdomen and heaviness in the region of urinary bladder however the patient feels lightness when the calculus passes out. Thus, ends the diagnosis of dysuria (''mootra krucchrara''). [43-44]

−

==== Treatment of [[vata]]ja dsyuria ====

+

==== Treatment of [[vata]]ja dsyuria ====

Line 860: Line 858:

Intake of oil seeds along with sour things in lukewarm form is also useful. [48]

−

==== Treatment of [[pitta]]ja dysuria ====

+

==== Treatment of [[pitta]]ja dysuria ====

Line 909: Line 907:

The decoction of ''kamala'' and ''utpala'' (water lily) or ''shringhataka'' or ''vidari'' or the root of ''danairaka'' with honey and sugar is useful in [[pitta]]ja type of dysuria. Simple cold water mixed with water, honey, and sugar is also helpful in ''paittika'' type of dysuria. [51]

−

==== Remedies for [[pitta]]ja dysuria ====

+

==== Remedies for [[pitta]]ja dysuria ====

Line 942: Line 940:

#Drink prepared out of ''daruharidra''-Berberis vulgaris L, juice of ''amalaki''-Emblica officinalis Gaertn mixed with honey is helpful in [[pitta]]ja mutra krucchra''.[53]

−

==== Treatment of [[kapha]]ja type of dysuria ====

+

==== Treatment of [[kapha]]ja type of dysuria ====

Line 1,399: Line 1,397:

===== Specific features of different types of ''hridrogas'' =====

−

====== In predominance of [[vata]] ([[vata]]ja heart disease) ======

+

====== In predominance of [[vata]] ([[vata]]ja heart disease) ======

Feeling of emptiness in the cardiac region, palpitation/ tachycardia, dryness of cardiac muscles (wasting/ atrophy), pricking pain, obstructed movement and mental confusion (unconsciousness) are the specific features of ''vatika'' type of heart disease. [79]

−

====== In predominance of [[pitta]] ([[pitta]]ja heart disease) ======

+

====== In predominance of [[pitta]] ([[pitta]]ja heart disease) ======

Darkness of vision/ blackout, giddiness, distress, burning sensation, confusion/unconsciousness, heat sensation, pyrexia and yellowishness are the specific features of ''paittika hridroga'' [80]

−

====== In predominance of [[kapha]] ([[kapha]]ja heart disease) ======

+

====== In predominance of [[kapha]] ([[kapha]]ja heart disease) ======

Bradycardia, heaviness, timidity of heart/ dullness associated with salivation, fever, cough and drowsiness are the specific features of [[kapha]]ja hridroga.

Line 1,419: Line 1,417:

There is intense discomfort/acute pain and piercing pain with itching. [80]

−

===== Treatment of [[vata]]ja hridroga =====

+

===== Treatment of [[vata]]ja hridroga =====

Line 1,543: Line 1,541:

One ''prasta'' of ghee and buffalo’s curd to be added and cook all the above together and taken in dose of one ''pala'', mixed with half ''pala'' of honey. It useful in dyspnea, cough, anemia, ''halimaka'' (type of jaundice), heart disease and disorders of ''grahani'' (malabsorption syndrome) [86-89]

−

===== Treatment of [[pitta]]ja hridroga =====

+

===== Treatment of [[pitta]]ja hridroga =====

Line 1,634: Line 1,632:

#Cold juice of sweet fruits or sugar cane is useful in ''paittika hridroga''.[95]

−

===== Treatment of [[kapha]]ja hridroga =====

+

===== Treatment of [[kapha]]ja hridroga =====

Line 1,699: Line 1,697:

#Decoction (three part) of ''udumbara, asvattha, vata, arjuna, palasa, rohitaka, khadira'' and powder of ''trivrita, trikatu''(''shunti ,maricha, pippali'') and made into a linctus (''lehya'').Taken with warm water cures [[kapha]]ja hridroga''. [98]

−

====== ''Rasayanas'' for [[kapha]]ja hridroga ======

+

====== ''Rasayanas'' for [[kapha]]ja hridroga ======

An expert physician may also administer ''silajatu'' according to the method prescribed in [[rasayana]] section to get its rejuvenating effect. ''Chyavanaprasha, agastyaharitaki, brahma rasayana'' or ''amalaki rasayana'' may also be used for the patient suffering from [[kapha]]ja type of ''hridroga''. [99]

−

===== Treatment of tri[[dosha]]ja/sannipatika hridroga =====

+

===== Treatment of tri[[dosha]]ja/sannipatika hridroga =====

Line 2,429: Line 2,427:

===== Treatment of supra-clavicular diseases (''urdhva jatrugata roga'') =====

−

===== Treatment of [[vata]]ja pinasa =====

+

===== Treatment of [[vata]]ja pinasa =====

Line 2,580: Line 2,578:

Patient should live in wind-free warm room and avoid anxiety, exertion, excessive speech and sexual intercourse considering once own well being. [143]

−

===== Treatment of [[pitta]]ja pinasa =====

+

===== Treatment of [[pitta]]ja pinasa =====

Line 2,751: Line 2,749:

</div></div>

−

====== Treatment of [[kapha]]ja pinasa ======

+

====== Treatment of [[kapha]]ja pinasa ======

#In [[kapha]]ja pinasa, associated with heaviness and anorexia, fasting therapy should be advised. For digestion (of impurity) head should be smeared with ghee and then, fomentation and affusion therapies should be administered. [149]

#Garlic mixed with powder of green gram, ''trikatu, yavakshara'' and ghee should be given to reduce the alleviated [[kapha]]. When [[kapha]] is in excess alleviated condition then emetic therapy should be given with [[kapha]] alleviating medicines. [150]

Line 2,760: Line 2,758:

#Treatment for diminished/ milder [[kapha]]ja pinasa: The patient should be given oleation therapy followed by emetic therapy. Gruel prepared out of ''tila'' and black gram by adding milk boiled with emetic drugs should be used in this emetic therapy. [155]

−

====== Diet for [[kapha]]ja pinasa ======

+

====== Diet for [[kapha]]ja pinasa ======

Soups of ''vartaka, patola, trikatu, kulattha, adhaki, mudga'' and [[kapha]] alleviating cereals and affusion of hot water is to be advised. [156]

Line 2,858: Line 2,856:

</div></div>

−

===== Treatment of [[vata]]ja head diseases =====

+

===== Treatment of [[vata]]ja head diseases =====

#General treatment of [[vata]]ja head diseases: oleation, fomentation and snuffing/ inhalation therapy, [[vata]] alleviating diet and poultices are used. [158]

#Hot poultices/''upanaha'': One should use the paste of drugs of the ''agaru'' etc group, ''jivaniya'' group, ''sumanas'' (flowers of ''jati'') or of fish or meat fried in oil and used for lukewarm poultices. [159]

Line 2,978: Line 2,976:

“A wise physician may prepare ''ghrita'', with the above mentioned ingredients and the procedure, with rats, chickens, swans and rabbits (substituted for the peacock (''mayura'')) which also cure supraclavicular disorders” [175]

−

===== Treatment of [[pitta]]ja diseases of head =====

+

===== Treatment of [[pitta]]ja diseases of head =====

Line 3,024: Line 3,022:

#The [[nasya]] in diseases of head: Ghee fortified with ingredients such as ''madhuyashti, chandana, ananta'' and milk is used for [[nasya]]. Similarly medicated ghee prepared from ''sharkara, draksha, madhuka'' is useful in [[pitta]]ja head disease. [179]

−

===== Treatment of [[kapha]]ja, sannipatika and krimija head diseases =====

+

===== Treatment of [[kapha]]ja, sannipatika and krimija head diseases =====

Line 3,104: Line 3,102:

</div></div>

−

====== General treatment of [[kapha]]ja head diseases ======

+

====== General treatment of [[kapha]]ja head diseases ======

Fomentation therapy, smoking, snuffing and insufflation of powders in to nostrils and then managed with [[kapha]]-alleviating paste and diet along with intake of old ghee and teekshna [[basti]] (medicated enema having strong cleansing property). [180-181]

Line 4,360: Line 4,358:

</div></div>

−

To sum up, 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 therefore, the morbid matter located in these places is eliminated from the nearby region appropriately by emetic therapy etc. [291]

+

To sum up, 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 therefore, the morbid matter located in these places is eliminated from the nearby region appropriately by emetic therapy etc. [291]

==== Microcosm and macrocosm ====

Line 4,376: Line 4,374:

</div></div>

−

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''. [292]

+

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]]. [292]

==== Harmony among the dosha ====

Line 4,392: Line 4,390:

</div></div>

−

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 ====

Line 4,427: Line 4,425:

Thus, ends the 26th chapter of [[Chikitsa Sthana]] dealing with the treatment of diseases of the three vital organs in Agnivesha’s work as redacted by Charak, and supplemented by Dridhabala.

−

=== Tattva Vimarsha (Fundamental Principles) ===

+

== Tattva Vimarsha (Fundamental Principles) ==

*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.

−

*''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.

−

*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.

−

*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 ) ==

Line 4,597: Line 4,595:

==== Researches done on [[Trimarmiya Chikitsa]] ====

#Mohanlal P.K. (1976): A study on Tri-marma W.S.R. to Hridaya, , Trivandrum

−

#Thakare S.S. (1992): Charakokta Trimarmo mein Basti marma ka rachanatmaka ~~Visihesh Adhayana.~~ , Nagpur

+

#Thakare S.S. (1992): Charakokta Trimarmo mein Basti marma ka rachanatmaka Vishesh Adhyayana , Nagpur

−

#Waghmare S.S. (2003): Charak samhita varnita trimarmi paiki Hridaya Marma cha itar samhitatil sthana va tya babat vivechanatkaka rugna adhyanana, R K T. [[Ayurveda]] ~~Maha-vidhyalaya~~, Akola

+

#Waghmare S.S. (2003): Charak samhita varnita trimarmi paiki Hridaya Marma cha itar samhitatil sthana va tya babat vivechanatkaka rugna adhyanana, R K T. [[Ayurveda]] Mahavidyalaya, Akola

#Chirag Goradiya, (2006): An applied aspect of Trimarmiya Adhyaya (Charak Chikitsa 26 and Siddhi 9) wsr to Mutraukasada, Jamnagar.

Line 4,848: Line 4,846:

#Dr. D. K. Udaya (1989): “Effect of Veeratarvaadi Compound in Mootraashmari w.s.r. to its Etiopathogenesis”.

#Dr. Mehta J. J. (1990): “Role of indigenous drug compound in the management of Moot-raashmari”.

−

#Dr. C. M. Vaghani (1993): “Structures and Functions of Urinary System w.s.r. to Moot-ravaha Srotodushti & its Principle of Management by ~~Aayurvedic~~ Indigenous ~~Com-pound~~ i.e. Ashmarihara Kwaatha”.

+

#Dr. C. M. Vaghani (1993): “Structures and Functions of Urinary System w.s.r. to Moot-ravaha Srotodushti & its Principle of Management by Ayurvedic Indigenous Compound i.e. Ashmarihara Kwaatha”.

#Dr. Ramesh Chand (1994): “Role of Indigenous Compound in Mootraashmari”. I.P.G.T. & R.A., Jamnagar

#Dr. Vankata Ramaiah (1994): “Role of Shunthyaadi Kwaatha in the Management of Mootraashmari”.

#Dr. Deepak Kulsreshtha (1996): “Role of Punarnavaadi Compound in the Management of Mootraashmari”.

#Dr. Dhiraj V. Malaviya (1997): “Role of Badaraashma Pishti in the Management of Mootraashmari”.

−

#Dr. Sharma Anil Kumar (2001): “Role of Imaging Techniques in the Diagnosis of ~~Moot-raashmari~~ (Urolithiasis) and Shikhaadi Compound in its Management”.

+

#Dr. Sharma Anil Kumar (2001): “Role of Imaging Techniques in the Diagnosis of Mootraashmari (Urolithiasis) and Shikhaadi Compound in its Management”.

#Dr. Shailesh Chovatiya (2004): “Role of Naagaraadi Kashaaya in the Management of Mootraashmari (urolithiasis)”.

#Dr. Mukesh Kumar Meena (2006): “Experimental and Clinical Evaluation on Nephro-protective and Lithotripsic Activity of Naagaraadi Kashaaya”.

#Dr. Asim Mandal (2007): “A Comparative Study on Vrikka Samrakshanaatmaka and Ashmarighna Effect of Tilaadi Kshaara and Varunaadi Ghrita (Nephroprotective and Lithotripsic effect)”.

−

#Dr. S. K. Gupta (2012): “A clinical & Experimental study of Ashmari and its ~~Manage-ment~~ with Paashaanabhedaadi Ghrita w.s.r. to Urolithiasis”.

+

#Dr. S. K. Gupta (2012): “A clinical & Experimental study of Ashmari and its Management with Paashaanabhedaadi Ghrita w.s.r. to Urolithiasis”.

−

#Dr.Sheetal Kumar Solanki (2013): A comparative clinical evaluation of Ashmarihara Kwaatha & Palaasha Kshaara in the management of Mootraashmari

+

#Dr.Sheetal Kumar Solanki (2013): A comparative clinical evaluation of Ashmarihara Kwaatha & Palaasha Kshaara in the management of Mootraashmari

+

===== B. H. U., Varanasi =====

#Gupta S. K. (1995): “Effect of Paashaanabheda (Saxifraga ligulata) in the Management of Ashmari Roga- A Clinical and Experimental Study”.

Line 4,866: Line 4,865:

#Chaudhari R. C. (1997): “Mootraashmari Par Aayurvedeeya Aushadhiyon Kaa Prab-haavaatmaka Adhyayana”.

===== Puri =====

−

#Sunita Mahapatra (2003): “Management of Mootraashmari (Urinary Calculus) with ~~In-digenous~~ Drugs”.

+

#Sunita Mahapatra (2003): “Management of Mootraashmari (Urinary Calculus) with Indigenous Drugs”.

==== Causes, prevalence, clinical features and management of diseases of heart ====

Line 4,925: Line 4,924:

====== Preventive aspect ======

−

Prevention of cardiac diseases can be done by following dietary regulations, lifestyle modifications, [[Panchakarma]] (body purification therapies), psychotherapies as per ''dosha'' dominance in ''prakriti''.

+

Prevention of cardiac diseases can be done by following dietary regulations, lifestyle modifications, [[Panchakarma]] (body purification therapies), psychotherapies as per [[dosha]] dominance in [[prakriti]].

−

The management emphasizes upon prevention of any obstruction to flow of ''vata dosha''. Facilitating the movement of ''vata'' in its proper direction is the key factor in management of heart diseases. The flow of ''vata'' with respect to cardiac functions is observed in respiration, digestive processes, nervous conduction, and blood circulation. If there is any obstruction in any of these functions, then cardiac function is affected. Hence the preventive and curative aspect focuses on proper unobstructed functioning of ''vata'' in body.

+

The management emphasizes upon prevention of any obstruction to flow of [[vata dosha]]. Facilitating the movement of [[vata]] in its proper direction is the key factor in management of heart diseases. The flow of [[vata]] with respect to cardiac functions is observed in respiration, digestive processes, nervous conduction, and blood circulation. If there is any obstruction in any of these functions, then cardiac function is affected. Hence the preventive and curative aspect focuses on proper unobstructed functioning of [[vata]] in body.

====== Management of disease ======

'''Disease specific therapies:'''

−

#Pacification of ''dosha''

+

#Pacification of [[dosha]]

−

#''Snehana''

+

#[[Snehana]]

−

#''Swedana''

+

#[[Swedana]]

'''Important medicines:'''

Line 4,950: Line 4,949:

| scope="col"| ''Anupana''

|-

−

| rowspan="4"|''Vata'' dominant

+

| rowspan="4"|[[Vata]] dominant

| ''Mriga shringa''

| 125-250 mg

Line 4,971: Line 4,970:

| Water

|-

−

| ~~''Kaphanubandha''~~

+

| [[Kapha]]nubandha

| ''Karaskara kalpa''

| 250-500 mg

Line 4,977: Line 4,976:

| Medicated milk processed with ''Arjuna''

|-

−

| rowspan="2"|''Pitta'' dominant

+

| rowspan="2"|[[Pitta]] dominant

| ''Makshika'' mixture

| 500-1000 mg

Line 4,988: Line 4,987:

| ''Amalakavaleha''

|-

−

| rowspan="4"|''Kapha'' dominant

+

| rowspan="4"|[[Kapha]] dominant

| ''Shringyadi kwatha''

| 25-50 ml

Line 5,019: Line 5,018:

| scope="col"| ''Anupana''

|-

−

| ''Virechana''

+

| [[Virechana]]

−

| ''Virechana Kashaya''

+

| [[Virechana]] Kashaya

| 20-40 ml

| Morning one time

Line 5,047: Line 5,046:

| Hot water

|-

−

| ''Niruha basti''

+

| Niruha [[basti]]

| ''Dashamulika''

| 900 ml

Line 5,055: Line 5,054:

'''External applications:'''

−

#''Snehana'' : ''Eranda sneha''

+

#[[Snehana]] : ''Eranda sneha''

−

#''Swedana'' : ''Atasi upanaha''

+

#[[Swedana]] : ''Atasi upanaha''

'''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.

Line 5,072: Line 5,071:

'''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:'''

Line 5,180: Line 5,179:

| ||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

|}

Line 5,192: Line 5,191:

* [[Trimarmiya Siddhi]]

</div>

+

<big>'''[[Special:ContactMe|Send us your suggestions and feedback on this page.]]'''</big>

<div id="BackToTop" class="noprint" style="background-color:#DDEFDD; position:fixed;

bottom:32px; left:2%; z-index:9999; padding:0; margin:0;"><span style="color:blue;

Agnivesha

Administrators, Editors, Bots, Bureaucrats, Charaksamhita, Moderators (CommentStreams), Interface administrators, Administrators

10,113

edits

Changes

Trimarmiya Chikitsa (view source)

Revision as of 10:26, 23 February 2024