Changes

*Impotency is caused by the ''beeja-upaghata'' (hereditary/congenital defect), ''dhwajopaghata'' (erectile dysfunction), ''jaraya'' (senility), ''shukrasamkshaya'' (diminished semen).

*Impotency is caused by the ''beeja-upaghata'' (hereditary/congenital defect), ''dhwajopaghata'' (erectile dysfunction), ''jaraya'' (senility), ''shukrasamkshaya'' (diminished semen).

*The treatment mentioned for the ''shukra'' (semen) disorders as well as ''kshataksheena'' shall be applied for alleviation of impotency. Indications are ''basti, ksheera-sarpi'' (combination of milk and ghee), ''vrishya yoga''(aphrodisiac), & ''rasayana prayoga'' (rejuvenating medicines); all together shall be administered for the treatment of impotency, caused by excess coitus, ''dhatu viparyaya'', considering ''deha-bala'' (strength of the patient), ''dosha–bala'' (degree of ''dosha'' vitiation), ''agni-bala'' (power of ''agni'') & ''bheshaja-kala'' (time of medicine administration).

*The treatment mentioned for the ''shukra'' (semen) disorders as well as ''kshataksheena'' shall be applied for alleviation of impotency. Indications are ''basti, ksheera-sarpi'' (combination of milk and ghee), ''vrishya yoga''(aphrodisiac), & ''rasayana prayoga'' (rejuvenating medicines); all together shall be administered for the treatment of impotency, caused by excess coitus, ''dhatu viparyaya'', considering ''deha-bala'' (strength of the patient), ''dosha–bala'' (degree of ''dosha'' vitiation), ''agni-bala'' (power of ''agni'') & ''bheshaja-kala'' (time of medicine administration).

*The vitiated dosha affect menstrual blood and increase quantity and duration of menstruation leading to pradara. The clinical manifestations of pradara depend upon dosha dominance involved in pathogenesis.  

*The vitiated ''dosha'' affect menstrual blood and increase quantity and duration of menstruation leading to ''pradara''. The clinical manifestations of ''pradara'' depend upon ''dosha'' dominance involved in pathogenesis.  

• If menstrual discharge (artava) comes after a month without stickiness (sliminess), burning sensation and pain, persists for five days, neither too little nor excess in quantity then it is considered as free from doshas or normal. In colour, artava (menstrual blood) should be red like gunja fruit, red lotus flower or mahavara or red as indragopaka insect, such artava is considered as normal menstrual blood. (225-226)

*If menstrual discharge (''artava'') comes after a month without stickiness (sliminess), burning sensation and pain, persists for five days, neither too little nor excess in quantity then it is considered as free from ''doshas'' or normal. In color, ''artava'' (menstrual blood) should be red like ''gunja'' fruit, red lotus flower or ''mahavara'' or red as ''indragopaka'' insect, such ''artava'' is considered as normal menstrual blood. (225-226)

• The treatment of pradara is as per principles of management for raktatisara (diarrhoea with expulsion of blood), raktapitta (internal haemorrhage) and  raktarsha (bleeding piles).

*The treatment of ''pradara'' is as per principles of management for ''raktatisara'' (diarrhea with expulsion of blood), ''raktapitta'' (internal hemorrhage) and  ''raktarsha'' (bleeding piles).

• The breast milk can be affected by vitiated dosha due to improper diet and lifestyle of mother or wet nurse. The clinical manifestation is observed in change in colour and consistency of breast milk, signs on the breast milk fed baby and mother too. The treatment of mother or wet nurse is done in order to treat the defects.     

*The breast milk can be affected by vitiated ''dosha'' due to improper diet and lifestyle of mother or wet nurse. The clinical manifestation is observed in change in color and consistency of breast milk, signs on the breast milk fed baby and mother too. The treatment of mother or wet nurse is done in order to treat the defects.     

• The vitiation of dosha, body elements, mala and the diseases which affect adults also affect children similarly, but to lesser degree.  

*The vitiation of ''dosha'', body elements, ''mala'' and the diseases which affect adults also affect children similarly, but to lesser degree.  

• The paediatrician should not administer emesis like purification procedures in children due to tender nature, dependency, inability to fully express themselves in speech and gestures.

*The pediatrician should not administer emesis like purification procedures in children due to tender nature, dependency, inability to fully express themselves in speech and gestures. He should give only small doses of medicines as per the disease. Sweet decoction, medicated milk and medicines with mild potency shall be administered in children by wise pediatrician. The medicines, food and beverages with excess unctuousness, dryness, hot potency, sour, pungent in post digestive effect, and heavy to digest property are contraindicated in children. (282-286)

He should give only small doses of medicines as per the disease. Sweet decoction, medicated milk and medicines with mild potency shall be administered in children by wise pediatrician.

*The new diseases which are not described in this text due to their various names and clinical presentations shall also be treated according to the dominance of ''dosha'', etc.factors(as mentioned earlier). (291)

The medicines, food and beverages with excess unctuousness, dryness, hot potency, sour, pungent in post digestive effect, and heavy to digest property are contraindicated in children. (282-286)

*The treatment that is opposite to ''dosha, dushya'' and ''nidana'' (causative factors) is always beneficial.

• The new diseases which are not described in this text due to their various names and clinical presentations shall also be treated according to the dominance of dosha etc.factors(as mentioned earlier). (291)

*The medicines shall be prescribed after due consideration of ''desha'' (habitat), ''kala'' (season), ''pramana'' (dosage), ''satmya'' (adaptability) and ''asatmya'' (non-adaptability). If this is properly considered, then it is ''pathya'' (beneficial to body systems). Otherwise it is non-beneficial. (293)

• The treatment that is opposite to dosha, dushya and nidana (causative factors) is always beneficial.

*The medicines shall always be administered through nearest route to the site of affliction. If the ''doshas'' are located in stomach, then medicines shall be administered orally; if at head region, then through nose; and if at colon then medicines quickly act if given per rectum. The ''doshas'' at other body parts and diseases originated from them like ''visarpa, pidaka'' etc, shall be treated with ''pradeha'' etc. specific local pacification procedures. (294-295)

• The medicines shall be prescribed after due consideration of desha (habitat), kala (season), pramana (dosage), satmya (adaptability) and asatmya (non-adaptability). If this is properly considered, then it is pathya (beneficial to body systems).Otherwise it is non-beneficial. (293)

*Medicines must be administered taking into consideration day (time), the diseased person, type of medicine, disease, digestive status, and season. The time of administration of medicine depends on the day like emetics should be given early in the morning.(296)

• The medicines shall always be administered through nearest route to the site of affliction. If the doshas are located in stomach, then medicines shall be administered orally; if at head region, then through nose; and if at colon then medicines quickly act if given per rectum. The doshas at other body parts and diseases originated from them like visarpa, pidaka etc, shall be treated with pradeha etc. specific local pacification procedures. (294-295)

*The time of administration of drug depends upon circadian rhythm of ''dosha'', status of digestion, interaction with food and type of ''vata'' vitiated in body.  

• Medicines must be administered taking into consideration day (time), the diseased person, type of medicine, disease, digestive status, and season. The time of administration of medicine depends on the day like emetics should be given early in the morning.(296)

*In vitiation of ''apana vayu'' medicines must be consumed before food , in vitiation of ''samana vayu'' food must be consumed in between meals, in ''vyana vayu'' vitiation, early morning medication is advised and in ''udana vayu'' vitiation medicine is advised after meals. When ''prana vayu'' is vitiated medicines is to be advocated along with each morsel and in between two morsel. In diseases like ''shwasa, kasa, pipasa'' (thirst) frequent doses of medicines must be given.

• The time of administration of drug depends upon circadian rhythm of dosha, status of digestion, interaction with food and type of vata vitiated in body.  

*Good appetite, natural passage of urges like stools and urine, lightness in the body and unobstructed ''vata dosha'' are the symptoms of ''jeerna'' (complete digestion).

• In vitiation of apana vayu medicines must be consumed before food , in vitiation of samana vayu food must be consumed in between meals, in vyana vayu vitiation, early morning medication is advised and in udana vayu vitiation medicine is advised after meals. When prana vayu is vitiated medicines is to be advocated along with each morsel and in between two morsel. In diseases like shwas, kasa, pipasa (thirst) frequent doses of medicines must be given.

*Generally ''kaphaja'' disorders are manifested in ''vasanta ritu; pittaja'' disorders appear during ''sharada ritu'' and ''vataja'' disorders manifest during ''varsha ritu''. (308-309)

• Good appetite, natural passage of urges like stools and urine, lightness in the body and unobstructed vata dosha are the symptoms of jeerna (complete digestion).

• Generally kaphaja disorders are manifested in vasanta ritu; pittaja disorders appear during sharada ritu and vataja disorders manifest during varsha ritu. (308-309)

• End of night, end  of day, end of rainy season time is prone for vataja disorders. Beginning of day,  morning and evening times is susceptible  for kaphaja disorders and middle time of day  is prone for pittaja disorders.(310)

• End of night, end  of day, end of rainy season time is prone for vataja disorders. Beginning of day,  morning and evening times is susceptible  for kaphaja disorders and middle time of day  is prone for pittaja disorders.(310)

• In prathama vaya (childhood), there is predominance of kapha; in madhya vaya (youth and adulthood), there is predominance of pitta and in anta vaya (old age), there is predominance of vata dosha. These doshas have a natural predominance as per the age of the person.(311)

• In prathama vaya (childhood), there is predominance of kapha; in madhya vaya (youth and adulthood), there is predominance of pitta and in anta vaya (old age), there is predominance of vata dosha. These doshas have a natural predominance as per the age of the person.(311)

• The feeling of  satisfaction, enthusiasm, energy, taste, strength and happiness through food and other subjects reduces the influence  of disease.

• The feeling of  satisfaction, enthusiasm, energy, taste, strength and happiness through food and other subjects reduces the influence  of disease.

 

=== ''Vidhi Vimarsha'' ===

 

Vidhi vimarsha:

Female genital tract and its disorders:  

Female genital tract and its disorders:  

Female is considered most important to have progeny. Amongst the four factors responsible for fetus, i.e. ritu, kshetra, ambu and beeja; all four are present in female. Hence reproductive health maintainece will lead to procuring a healthy progeny. [5]

Female is considered most important to have progeny. Amongst the four factors responsible for fetus, i.e. ritu, kshetra, ambu and beeja; all four are present in female. Hence reproductive health maintainece will lead to procuring a healthy progeny. [5]