Changes

शेषत्वादायुषोयाप्यमसाध्यंपथ्यसेवया|  

शेषत्वादायुषोयाप्यमसाध्यंपथ्यसेवया|  

लब्धाल्पसुखमल्पेनहेतुनाऽऽशुप्रवर्तकम्||१७||

लब्धाल्पसुखमल्पेनहेतुनाऽऽशुप्रवर्तकम्||१७||

गम्भीरंबहुधातुस्थंमर्मसन्धिसमाश्रितम्|  

गम्भीरंबहुधातुस्थंमर्मसन्धिसमाश्रितम्|  

नित्यानुशायिनंरोगंदीर्घकालमवस्थितम्||१८||

नित्यानुशायिनंरोगंदीर्घकालमवस्थितम्||१८||

विद्याद्द्विदोषजं,...|१९|

विद्याद्द्विदोषजं,...|१९|

sheShatvAdAyuShoyApyamasAdhyaMpathyasevayA| labdhAlpasukhamalpenahetunA~a~ashupravartakam||17||

sheShatvAdAyuShoyApyamasAdhyaMpathyasevayA| labdhAlpasukhamalpenahetunA~a~ashupravartakam||17||

gambhIraMbahudhAtusthaMmarmasandhisamAshritam|

gambhIraMbahudhAtusthaMmarmasandhisamAshritam|

nityAnushAyinaMrogaMdIrghakAlamavasthitam||18||  

nityAnushAyinaMrogaMdIrghakAlamavasthitam||18||  

vidyAddviDoshajaM,...|19|

vidyAddviDoshajaM,...|19|

The palliable group of diseases are characterized as follows:

The palliable group of diseases are characterized as follows:

1. As pre-ordained, the patient has survived for a certain period by following a wholesome regimen and as such has enjoyed a little relief, but even a slightest carelessness might quickly aggravate the condition

 

2. The disease has affected deep seated dhatus

# As pre-ordained, the patient has survived for a certain period by following a wholesome regimen and as such has enjoyed a little relief, but even a slightest carelessness might quickly aggravate the condition

3. The disease involves a number of dhatus

# The disease has affected deep seated dhatus

4. It affects the vital organs and joints  

# The disease involves a number of dhatus

5. It affects the patient continuously for a long time (chronic), and

# It affects the vital organs and joints  

6. The disease is caused by the vitiation of the two doshas. [17-18]

# It affects the patient continuously for a long time (chronic), and

Prognostic criteria for incurable diseases:

# The disease is caused by the vitiation of the two doshas. [17-18]

 

==== Prognostic criteria for incurable diseases ====

...तद्वत्प्रत्याख्येयंत्रिदोषजम्|  

...तद्वत्प्रत्याख्येयंत्रिदोषजम्|  

क्रियापथमतिक्रान्तंसर्वमार्गानुसारिणम्||१९||  

क्रियापथमतिक्रान्तंसर्वमार्गानुसारिणम्||१९||  

औत्सुक्यारतिसम्मोहकरमिन्द्रियनाशनम्|  

औत्सुक्यारतिसम्मोहकरमिन्द्रियनाशनम्|  

दुर्बलस्यसुसंवृद्धंव्याधिंसारिष्टमेव च||२०||

दुर्बलस्यसुसंवृद्धंव्याधिंसारिष्टमेव च||२०||

...tadvatpratyAkhyeyaMtriDoshajam|  

...tadvatpratyAkhyeyaMtriDoshajam|  

kriyApathamatikrAntaMsarvamArgAnusAriNam||19||

kriyApathamatikrAntaMsarvamArgAnusAriNam||19||

autsukyAratisammohakaramindriyanAshanam| durbalasyasusaMvRuddhaMvyAdhiMsAriShTameva ca||20||

autsukyAratisammohakaramindriyanAshanam| durbalasyasusaMvRuddhaMvyAdhiMsAriShTameva ca||20||

Likewise, the following factors would determine the absolute incurability of the disease:

Likewise, the following factors would determine the absolute incurability of the disease:

1. Disease caused by the vitiation of all the three doshas

 

2. Disease that transcend all therapeutic measures

# Disease caused by the vitiation of all the three doshas

3. Diseases that involves all the systems

# Disease that transcend all therapeutic measures

4. Disease causing excitement, restlessness and confusion

# Diseases that involves all the systems

5. Disease which affects the sense organs

# Disease causing excitement, restlessness and confusion

6. The affected person is usually weak and the disease is sufficiently advanced, and

# Disease which affects the sense organs

7. The disease having bad prognostic signs. What prognostic signs? [19-20]

# The affected person is usually weak and the disease is sufficiently advanced, and

Importance of prognosis:

# The disease having bad prognostic signs. What prognostic signs? [19-20]

 

==== Importance of prognosis ====

 

भिषजाप्राक्परीक्ष्यैवंविकाराणांस्वलक्षणम्|  

भिषजाप्राक्परीक्ष्यैवंविकाराणांस्वलक्षणम्|  

पश्चात्कर्मसमारम्भःकार्यःसाध्येषुधीमता||२१||  

पश्चात्कर्मसमारम्भःकार्यःसाध्येषुधीमता||२१||

साध्यासाध्यविभागज्ञोयःसम्यक्प्रतिपत्तिमान्|  

साध्यासाध्यविभागज्ञोयःसम्यक्प्रतिपत्तिमान्|  

न स मैत्रेयतुल्यानांमिथ्याबुद्धिंप्रकल्पयेत्||२२||

न स मैत्रेयतुल्यानांमिथ्याबुद्धिंप्रकल्पयेत्||२२||

bhiShajAprAkparIkShyaivaMvikArANAMsvalakShaNam|  

bhiShajAprAkparIkShyaivaMvikArANAMsvalakShaNam|  

pashcAtkarmasamArambhaH

pashcAtkarmasamArambhaH

kAryaHsAdhyeShudhImatA||21||  

kAryaHsAdhyeShudhImatA||21||  

sAdhyAsAdhyavibhAgaj~joyaHsamyakpratipattimAn|

sAdhyAsAdhyavibhAgaj~joyaHsamyakpratipattimAn|

nasamaitreyatulyAnAMmithyAbuddhiMprakalpayet||22||

nasamaitreyatulyAnAMmithyAbuddhiMprakalpayet||22||

A wise physician should examine the distinctive features of the diseases first and then start his treatment (only) of the curable diseases. So a physician who can distinguish between curable and incurable diseases, and who possesses the right applications, will not subscribe to the wrong notions prevailing among pseudo- physicians like Maitreya, and say that he will certainly succeed in curing diseases. [21-22]

A wise physician should examine the distinctive features of the diseases first and then start his treatment (only) of the curable diseases. So a physician who can distinguish between curable and incurable diseases, and who possesses the right applications, will not subscribe to the wrong notions prevailing among pseudo- physicians like Maitreya, and say that he will certainly succeed in curing diseases. [21-22]

Summary:

 

तत्रश्लोकौ- इहौषधंपादगुणाःप्रभवोभेषजाश्रयः|  

==== Summary ====

 

तत्रश्लोकौ-  

 

इहौषधंपादगुणाःप्रभवोभेषजाश्रयः|  

आत्रेयमैत्रेयमतीमतिद्वैविध्यनिश्चयः||२३||  

आत्रेयमैत्रेयमतीमतिद्वैविध्यनिश्चयः||२३||  

चतुर्विधविकल्पाश्चव्याधयःस्वस्वलक्षणाः|  

चतुर्विधविकल्पाश्चव्याधयःस्वस्वलक्षणाः|  

उक्तामहाचतुष्पादेयेष्वायत्तंभिषग्जितम्||२४||

उक्तामहाचतुष्पादेयेष्वायत्तंभिषग्जितम्||२४||

tatrashlokau- ihauShadhaMpAdaguNAHprabhavobheShajAshrayaH| AtreyamaitreyamatImatidvaividhyanishcayaH||23|| caturvidhavikalpAshcavyAdhayaHsvasvalakShaNAH| uktAmahAcatuShpAdeyeShvAyattaMbhiShagjitam||24||

 

tatrashlokau-  

 

ihauShadhaMpAdaguNAHprabhavobheShajAshrayaH| AtreyamaitreyamatImatidvaividhyanishcayaH||23||  

 

caturvidhavikalpAshcavyAdhayaHsvasvalakShaNAH| uktAmahAcatuShpAdeyeShvAyattaMbhiShagjitam||24||

 

In brief, therapies, prognostic criteria of the disease and its importance in therapeutics, two different views (in this connection) of Atreya and Maitreya,  the conclusion, four types of prognosis of diseases and its characteristics are described in this “Detailed chapter on Therapeutics”. Treatment of diseases depends upon these considerations. [23-24]

In brief, therapies, prognostic criteria of the disease and its importance in therapeutics, two different views (in this connection) of Atreya and Maitreya,  the conclusion, four types of prognosis of diseases and its characteristics are described in this “Detailed chapter on Therapeutics”. Treatment of diseases depends upon these considerations. [23-24]

इत्यग्निवेशकृतेतन्त्रेचरकप्रतिसंस्कृतेश्लोकस्थानेमहाचतुष्पादोनामदशमोऽध्यायः||१०||

इत्यग्निवेशकृतेतन्त्रेचरकप्रतिसंस्कृतेश्लोकस्थानेमहाचतुष्पादोनामदशमोऽध्यायः||१०||

ityagniveshakRutetantrecarakapratisaMskRuteshlokasthAnemahAcatuShpAdonAmadashamo~adhyAyaH||10||

ityagniveshakRutetantrecarakapratisaMskRuteshlokasthAnemahAcatuShpAdonAmadashamo~adhyAyaH||10||

Thus ends the tenth “Detailed chapter on four important components of the Therapeutics” chapter of Sutra section of Agnivesa’s work as redacted by Charaka.[10]

Thus ends the tenth “Detailed chapter on four important components of the Therapeutics” chapter of Sutra section of Agnivesa’s work as redacted by Charaka.[10]

Tattva vimarsha:

 

=== Tattva vimarsha ===

 

• Proper administration of therapeutic measures hastens the process of cure in case of curable diseases. Therefore, correct diagnosis and prognosis at the earliest by the physician is important for getting better results with treatment. [5]

• Proper administration of therapeutic measures hastens the process of cure in case of curable diseases. Therefore, correct diagnosis and prognosis at the earliest by the physician is important for getting better results with treatment. [5]

• The treatment should be aimed at restoring physiological equilibrium. The various ways to bring this equilibrium are to increase the depleted nutrients, nourish those who are weak and emaciated, and reduce the one who are obese, those afflicted by heat with cooling measures and those afflicted by cold with heating measures. Proper measures to replenish the deficient dhatus (tissue elements, doshas and malas) and deplete those that are in excess should be adopted. Thus these therapeutic measures give us the best result in the management of diseases. [6]The diseases can be categorized under four types on the basis of their prognosis viz. 1. easily curable, 2. Curable with some difficulty, 3. palliable and 4. Absolutely irreversible or incurable. (9-10)

• The treatment should be aimed at restoring physiological equilibrium. The various ways to bring this equilibrium are to increase the depleted nutrients, nourish those who are weak and emaciated, and reduce the one who are obese, those afflicted by heat with cooling measures and those afflicted by cold with heating measures. Proper measures to replenish the deficient dhatus (tissue elements, doshas and malas) and deplete those that are in excess should be adopted. Thus these therapeutic measures give us the best result in the management of diseases. [6]The diseases can be categorized under four types on the basis of their prognosis viz. 1. easily curable, 2. Curable with some difficulty, 3. palliable and 4. Absolutely irreversible or incurable. (9-10)