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→Important factors in management of diseases
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The disease which are not described here 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 disease which are not described here due to their various names and clinical presentations shall also be treated according to the dominance of [[dosha]], etc.factors (as mentioned earlier). [291]
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The pattern of vitiation of ''dosha'' as per the seasonal variation, and what are the dietary do’s and don’ts and which treatment should be administered in which season is well elaborated previously in [[Sutra Sthana]]. [304]
The pattern of vitiation of [[dosha]] as per the seasonal variation, and what are the dietary do’s and don’ts and which treatment should be administered in which season is well elaborated previously in [[Sutra Sthana]]. [304]
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With reference to ''kālā'', the specific classification of diseases (as per the vitiation of ''Dosha'') during different seasons, day and night,different ages and different stages of digestion of food will be described hereafter.
With reference to ''kālā'', the specific classification of diseases (as per the vitiation of [[Dosha]]) during different seasons, day and night,different ages and different stages of digestion of food will be described hereafter.
In general, ''kaphaja'' disorders are manifested in ''vasanta ritu'', ''pittaja'' disorders appear during ''sharada ritu'' and ''vataja'' disorders manifest during ''varsha ritu''. [308-309]
In general, [[kapha]]ja disorders are manifested in ''vasanta ritu'', [[pitta]]ja disorders appear during ''sharada ritu'' and [[vata]]ja disorders manifest during ''varsha ritu''. [308-309]
==== Circadian rhythm of ''dosha'' disorders ====
==== Circadian rhythm of [[dosha]] disorders ====
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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 [[vata]]ja disorders. Beginning of day, morning and evening times is susceptible for [[kapha]]ja disorders and middle time of day is prone for [[pitta]]ja disorders.[310]
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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 [[dosha]] have a natural predominance as per the age of the person.[311]
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Taking into consideration the time of digestion of food, when it gets completely digested, that is at the end of digestion ''vataja'' disorders occur; in middle of digestion ''pittaja'' disorders manifest and immediately when food is under process of digestion ''kapha dosha'' dominant disorders may appear with more severity.[312]
Taking into consideration the time of digestion of food, when it gets completely digested, that is at the end of digestion [[vata]]ja disorders occur; in middle of digestion [[pitta]]ja disorders manifest and immediately when food is under process of digestion [[kapha dosha]] dominant disorders may appear with more severity.[312]
==== Importance of proper dosage ====
==== Importance of proper dosage ====
''Balhika'' means people living in ''balakha bukhara, shadwal, shulik, yawana'' and ''shaka''. They are habituated to the intake of''mamsa'' ( meat), ''godhuma''(wheat), ''madhvika'' ( alcoholic beverages), and they are indicated for ''Shastrakarma'' (surgery) and ''Agnikarma'' (cauterization).People from east are habituated to the use of fish while people living in ''sindha desha'' are accustomed to the intake of milk. Ashmaka and Avantika (Ujjain) residents are used with the consumption of oil and sour substances. People from Vidyanamalaya (Malabar region) are habituated to the intake of ''kanda mūla'' (rhizomes, tuber roots) and fruits. People from south are used with the intake of ''peya'' , and people from north are habituated to the consumption of ''mantha''. People from central part are accustomed to the use of ''yava, godhuma'' and ''gorasa''(milk).
''Balhika'' means people living in ''balakha bukhara, shadwal, shulik, yawana'' and ''shaka''. They are habituated to the intake of''mamsa'' ( meat), ''godhuma''(wheat), ''madhvika'' ( alcoholic beverages), and they are indicated for ''Shastrakarma'' (surgery) and ''Agnikarma'' (cauterization).People from east are habituated to the use of fish while people living in ''sindha desha'' are accustomed to the intake of milk. Ashmaka and Avantika (Ujjain) residents are used with the consumption of oil and sour substances. People from Vidyanamalaya (Malabar region) are habituated to the intake of ''kanda mūla'' (rhizomes, tuber roots) and fruits. People from south are used with the intake of ''peya'' , and people from north are habituated to the consumption of ''mantha''. People from central part are accustomed to the use of ''yava, godhuma'' and ''gorasa''(milk).
Medicines must be administered along with the food which is ''satmya''(wholesome) to the patient . Medicines given with ''satmya'' food nourish the body quickly and do not create much untoward effects. The physician treating the patients simply with recepies, without consideration of ''desha'', ''kala'' etc.,may commit mistakes.[315-320]
Medicines must be administered along with the food which is [[satmya]](wholesome) to the patient . Medicines given with [[satmya] ]food nourish the body quickly and do not create much untoward effects. The physician treating the patients simply with recepies, without consideration of ''desha'', ''kala'' etc.,may commit mistakes.[315-320]
==== ''Viparitarthakari chikitsa'' (contradictory treatment) ====
==== ''Viparitarthakari chikitsa'' (contradictory treatment) ====
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On the basis of age, strength, physical characters etc there are innumerable types or combinations.To manage the Dosha which is deeply seated into the tissue, many procedures which seems to be opposite or contradictory as per the classical concepts may have to be advocated. For example ''pitta'' which is ''ushna'' (hot) in nature is treated by ''sheeta'' (cold) procedures generally, but the deep seated vitiated ''pitta'' is to be treated by giving hot fomentation or poultice. If cold procedures are implemented in this condition, it may worsen the condition. Similarly , deep seated ''kapha dosha'' is to be treated with''sheeta'' procedures . Here,''Lepas'' made out of ''sheeta dravyas'' like ''chandana'' may be applied. Even though ''chandana'' is a ''sheeta dravya'',the ''lepa'' made out of superfine powder of ''chandana'' , if it is applied on the lesion, it will block the heat coming out of the skin. This accumulated heat creates burning at the site. In opposite, if ''lepa'' of ''agaru'' which is hot in nature is applied, it will impart coldness in that part. It is said that the stool of fly is having anti-emetic property but if someone consumes the fly,it will induces vomiting. Food substances if boiled or baked may get changed in their properties. Thus it’s important for a ''vaidya'', that he should not depend only on the properties of the ''yoga'' (formulation). He must consider all the ten factors discussed earlier along with different types of factors, their classification and some exceptional rules while treating the disorders. [321-326]
On the basis of age, strength, physical characters etc there are innumerable types or combinations.To manage the Dosha which is deeply seated into the tissue, many procedures which seems to be opposite or contradictory as per the classical concepts may have to be advocated. For example [[pitta]] which is ''ushna'' (hot) in nature is treated by ''sheeta'' (cold) procedures generally, but the deep seated vitiated [[pitta]] is to be treated by giving hot fomentation or poultice. If cold procedures are implemented in this condition, it may worsen the condition. Similarly , deep seated [[kapha dosha]] is to be treated with''sheeta'' procedures . Here,''Lepas'' made out of ''sheeta dravyas'' like ''chandana'' may be applied. Even though ''chandana'' is a ''sheeta dravya'',the ''lepa'' made out of superfine powder of ''chandana'' , if it is applied on the lesion, it will block the heat coming out of the skin. This accumulated heat creates burning at the site. In opposite, if ''lepa'' of ''agaru'' which is hot in nature is applied, it will impart coldness in that part. It is said that the stool of fly is having anti-emetic property but if someone consumes the fly,it will induces vomiting. Food substances if boiled or baked may get changed in their properties. Thus it’s important for a ''vaidya'', that he should not depend only on the properties of the ''yoga'' (formulation). He must consider all the ten factors discussed earlier along with different types of factors, their classification and some exceptional rules while treating the disorders. [321-326]
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As a small sparkle of fire flares up when it comes in contact with wind or wood and gets converted into huge flames of fire. Similarly in a weak body in which previously a disease pathology had occurred and it has just recovered from the disease, whenever it gets chance, the disease may again relapse the body. Hence for the better results of the medicines administered, ''pathya'' (wholesome diet) must be followed even after the disease symptoms are completely disappeared.
As a small sparkle of fire flares up when it comes in contact with wind or wood and gets converted into huge flames of fire. Similarly in a weak body in which previously a disease pathology had occurred and it has just recovered from the disease, whenever it gets chance, the disease may again relapse the body. Hence for the better results of the medicines administered, ''pathya'' (wholesome diet) must be followed even after the disease symptoms are completely disappeared.
If strong or weak medicament has vitiated the ''doshas''internally, they can be pacified by following wholesome diet. If disease status aggravates even if wholesome diet is followed,then the diet pattern should be changed which may help to inhibit the progression of disease. If patient is bored from taking the same food or does not relish the food, then food should be prepared by different methods which will be liked by the patient.
If strong or weak medicament has vitiated the [[dosha]] internally, they can be pacified by following wholesome diet. If disease status aggravates even if wholesome diet is followed,then the diet pattern should be changed which may help to inhibit the progression of disease. If patient is bored from taking the same food or does not relish the food, then food should be prepared by different methods which will be liked by the patient.
If the food and other objects are liked by patient then only he gets satisfaction, enthusiasm, energy, taste, strength and happiness which reduces the influence of disease.
If the food and other objects are liked by patient then only he gets satisfaction, enthusiasm, energy, taste, strength and happiness which reduces the influence of disease.
Greediness in eating, due to the inactivity of ''doshas'' or wrong disease process leads to loss of taste and appetite which can be corrected by wholesome diet and activity or change in the previously advised diet.[327-333]
Greediness in eating, due to the inactivity of [[dosha]] or wrong disease process leads to loss of taste and appetite which can be corrected by wholesome diet and activity or change in the previously advised diet.[327-333]
=== Summary ===
=== Summary ===