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[[Sutra Sthana]] Chapter 10:
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==([[Sutra Sthana]] Chapter 10, Chapter on the Four Important Components of Therapeutics)==
Mahachatushpada Adhyaya
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(Chapter on the four important components of therapeutics)
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=== Abstract ===
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Abstract
   
In the preceding chapter, four important aspects of treatment including the best qualities of physician, nursing staff, medicine and the patient were described. This chapter deals with guidelines for healthcare management based on four types of prognosis of diseases. It is important to determine prognosis of a disease before starting the treatment to decide the quality of remaining life of the patient, and whether it will be diseased or disease free. Therefore, as the title suggests, the chapter is about four important components of management of diseases.
 
In the preceding chapter, four important aspects of treatment including the best qualities of physician, nursing staff, medicine and the patient were described. This chapter deals with guidelines for healthcare management based on four types of prognosis of diseases. It is important to determine prognosis of a disease before starting the treatment to decide the quality of remaining life of the patient, and whether it will be diseased or disease free. Therefore, as the title suggests, the chapter is about four important components of management of diseases.
Key Words:  Prognosis of diseases, types of prognosis, importance of prognosis in therapeutics, curable, incurable, palliable diseases
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Introduction:
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'''Keywords''':  Prognosis of diseases, types of prognosis, importance of prognosis in therapeutics, curable, incurable, palliable diseases
This chapter describes four types of diseases on the basis of prognosis and emphasizes the importance of knowledge of prognosis for successful management of disease. It is important to assess the prognosis of a patient before initiating treatment. Acharya Atreya responds to the queries of Maitreya regarding the role of therapeutics in the eradication of disease and prescribes the four components of Healthcare Management. He suggests that even the most wise physician and the most efficient therapeutic measure cannot prevent or cure an ailment without knowing its prognosis. The chapter gives details of all the factors that are helpful in deciding the prognosis of a disease including prakriti (body type). Some fundamental principles of management like nourishment therapy, fasting therapy, treating the root cause of disease, hot therapy and cold therapy are mentioned to exemplify the principle of dhatu samyata (maintanence of stable equilibrium or concept of homeostasis)
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=== Introduction ===
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This chapter describes four types of diseases on the basis of prognosis and emphasizes the importance of knowledge of prognosis for successful management of disease. It is important to assess the prognosis of a patient before initiating treatment. Acharya Atreya responds to the queries of Maitreya regarding the role of therapeutics in the eradication of disease and prescribes the four components of Healthcare Management. He suggests that even the most wise physician and the most efficient therapeutic measure cannot prevent or cure an ailment without knowing its prognosis. The chapter gives details of all the factors that are helpful in deciding the prognosis of a disease including prakriti (body type). Some fundamental principles of management like nourishment therapy, fasting therapy, treating the root cause of disease, hot therapy and cold therapy are mentioned to exemplify the principle of dhatu samyata (maintanence of stable equilibrium or concept of homeostasis).
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===Sanskrit text, transliteration and english translation===
    
अथातोमहाचतुष्पादमध्यायंव्याख्यास्यामः||१||
 
अथातोमहाचतुष्पादमध्यायंव्याख्यास्यामः||१||
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इति ह स्माहभगवानात्रेयः||२||
 
इति ह स्माहभगवानात्रेयः||२||
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athAtomahAcatuShpAdamadhyAyaMvyAkhyAsyAmaH||1||
 
athAtomahAcatuShpAdamadhyAyaMvyAkhyAsyAmaH||1||
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iti ha smAhabhagavAnAtreyaH||2||
 
iti ha smAhabhagavAnAtreyaH||2||
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We shall now expound a detailed chapter on the four important components of therapeutics. Thus, said Lord Atreya.[1-2]
 
We shall now expound a detailed chapter on the four important components of therapeutics. Thus, said Lord Atreya.[1-2]
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Four components of therapeutics:  
 
Four components of therapeutics:  
 
चतुष्पादंषोडशकलंभेषजमितिभिषजोभाषन्ते, यदुक्तंपूर्वाध्यायेषोडशगुणमिति, तद्भेषजंयुक्तियुक्तमलमारोग्यायेतिभगवान्पुनर्वसुरात्रेयः||३||
 
चतुष्पादंषोडशकलंभेषजमितिभिषजोभाषन्ते, यदुक्तंपूर्वाध्यायेषोडशगुणमिति, तद्भेषजंयुक्तियुक्तमलमारोग्यायेतिभगवान्पुनर्वसुरात्रेयः||३||

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