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<big>''' Abstract </big>'''
 
<big>''' Abstract </big>'''
 
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This chapter describes importance of three vital organs viz. ''hridaya'' (heart), ''shiras'' (head) and ''basti'' (urinary bladder) during purification procedures. The etio-pathogenesis of ''marma'' disorders are elaborated in detail with their management. The diseases include ''apatantraka'' (Opisthotomus), ''tandra'' (drowsiness) related to ''hridaya'' involvement, thirteen types of ''mutra dosha'' (diseases caused due to vitiation of urine), and diseases related to head viz. ''shankhaka'' (acute temporal headache ), ''ardhavabhedaka'' (one sided headache or migraine), ''suryavarta'' (headache that increases with sun rise) and ''anantavata'' (headache that starts from an area and then gradually involves the entire head and face). ''Uttara basti'' (per urethral and per vaginal drug delivery) as a treatment modality, its procedure of administration and dimensions of ''netra'' (nozzle) are discussed in detail for the management of urinary and reproductive systemic disorders. ''Nasya'' therapy (nasal errhines) is described for the management of disorders of head. The chapter emphasizes on importance of sustaining health of ''marma'' by following preventive measures and timely treatment.  
 
This chapter describes importance of three vital organs viz. ''hridaya'' (heart), ''shiras'' (head) and ''basti'' (urinary bladder) during purification procedures. The etio-pathogenesis of ''marma'' disorders are elaborated in detail with their management. The diseases include ''apatantraka'' (Opisthotomus), ''tandra'' (drowsiness) related to ''hridaya'' involvement, thirteen types of ''mutra dosha'' (diseases caused due to vitiation of urine), and diseases related to head viz. ''shankhaka'' (acute temporal headache ), ''ardhavabhedaka'' (one sided headache or migraine), ''suryavarta'' (headache that increases with sun rise) and ''anantavata'' (headache that starts from an area and then gradually involves the entire head and face). ''Uttara basti'' (per urethral and per vaginal drug delivery) as a treatment modality, its procedure of administration and dimensions of ''netra'' (nozzle) are discussed in detail for the management of urinary and reproductive systemic disorders. ''Nasya'' therapy (nasal errhines) is described for the management of disorders of head. The chapter emphasizes on importance of sustaining health of ''marma'' by following preventive measures and timely treatment.  
    
'''Keywords''': ''Marma'' (vital points), Diseases of head and nervous system, Heart and cardiovascular system, bladder, kidney and urinary system, ''Apatantraka, Ardhavabhedaka, Basti, Hridaya, Mutradosha, Nasya, Shiromarma, Suravarta, Tandra, Trimarma, Udavarta,Uttara basti,'' per vaginal drug delivery, per urethral drug delivery.
 
'''Keywords''': ''Marma'' (vital points), Diseases of head and nervous system, Heart and cardiovascular system, bladder, kidney and urinary system, ''Apatantraka, Ardhavabhedaka, Basti, Hridaya, Mutradosha, Nasya, Shiromarma, Suravarta, Tandra, Trimarma, Udavarta,Uttara basti,'' per vaginal drug delivery, per urethral drug delivery.
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{{Infobox
 
{{Infobox
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== Introduction ==
 
== Introduction ==
 
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[[Panchakarma]] and ''basti'' in particular can cause complications pertaining to ''marmas'' especially to the three vital points (''trimarma-hridaya, shiras'' and ''basti'') and successful treatment entails the proper administration of ''basti''. All marmas fall under the ''madhyama rogamarga'' (disease pathways including internal systems Ca.Su.11/48), and their diseases are difficult to manage. ''Vata dosha'' is important in etio-pathology of any disease, because the it is responsible for movement of vitiated ''doshas'' to other sites of disease (''roga marga''). ''Basti'' is the best treatment to alleviate ''vata'' and manage these diseases (Ca.Si.1/38-39). Some diseases described in this chapter are not mentioned in the [[Trimarmiya Chikitsa]] chapter (Cha.Chi.26) described earlier.
 
[[Panchakarma]] and ''basti'' in particular can cause complications pertaining to ''marmas'' especially to the three vital points (''trimarma-hridaya, shiras'' and ''basti'') and successful treatment entails the proper administration of ''basti''. All marmas fall under the ''madhyama rogamarga'' (disease pathways including internal systems Ca.Su.11/48), and their diseases are difficult to manage. ''Vata dosha'' is important in etio-pathology of any disease, because the it is responsible for movement of vitiated ''doshas'' to other sites of disease (''roga marga''). ''Basti'' is the best treatment to alleviate ''vata'' and manage these diseases (Ca.Si.1/38-39). Some diseases described in this chapter are not mentioned in the [[Trimarmiya Chikitsa]] chapter (Cha.Chi.26) described earlier.
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* [[Trimarmiya Chikitsa]]
 
* [[Trimarmiya Chikitsa]]
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