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→Consequences of prameha
mRutyuH prameharUpeNa kShipramAdAya gacchati||51||
mRutyuH prameharUpeNa kShipramAdAya gacchati||51||
yastvAhAraM sharIrasya dhAtusAmyakaraM naraH|
yastvAhAraM sharIrasya dhAtusAmyakaraM naraH|
sevate vividhAshcAnyAshceShTAHsa sukhamashnute||52||
Thus, it can be said: As the birds are attracted towards the trees where their nests are situated, similarly prameha is attracted to people who are gluttonous, who have an aversion to bathing, or who have an aversion to physical exercises. Death immediately comes in the form of prameha to those who are very lethargic and morbidly obese.
Thus, it can be said: As the birds are attracted towards the trees where their nests are situated, similarly prameha is attracted to people who are gluttonous, who have an aversion to bathing, or who have an aversion to physical exercises. Death immediately comes in the form of prameha to those who are very lethargic and morbidly obese.
The individual who follows a dietary regimen or lifestyle that brings his doshas and dhatus to a state of equilibrium is said to be leading a healthy life. [50-52]
The individual who follows a dietary regimen or lifestyle that brings his doshas and dhatus to a state of equilibrium is said to be leading a healthy life. [50-52]
Summary:
==== Summary ====
तत्रश्लोकाः-
तत्रश्लोकाः-
हेतुर्व्याधिविशेषाणांप्रमेहाणांचकारणम्|
हेतुर्व्याधिविशेषाणांप्रमेहाणांचकारणम्|
साध्यासाध्यविशेषाश्चपूर्वरूपाण्युपद्रवाः|
साध्यासाध्यविशेषाश्चपूर्वरूपाण्युपद्रवाः|
प्रमेहाणांनिदानेऽस्मिन्क्रियासूत्रंचभाषितम्||५५||
प्रमेहाणांनिदानेऽस्मिन्क्रियासूत्रंचभाषितम्||५५||
tatra ślōkāḥ- hēturvyādhiviśēṣāṇāṁ pramēhāṇāṁ ca kāraṇam|
tatra ślōkāḥ- hēturvyādhiviśēṣāṇāṁ pramēhāṇāṁ ca kāraṇam|
dōṣadhātusamāyōgō rūpaṁ vividhamēva ca||53||
dōṣadhātusamāyōgō rūpaṁ vividhamēva ca||53||
daśa ślēṣmakr̥tā yasmāt pramēhāḥ ṣaṭ ca pittajāḥ|
daśa ślēṣmakr̥tā yasmāt pramēhāḥ ṣaṭ ca pittajāḥ|
yathā ca vāyuścaturaḥ pramēhān kurutē balī||54||
yathā ca vāyuścaturaḥ pramēhān kurutē balī||54||
sādhyāsādhyaviśēṣāśca pūrvarūpāṇyupadravāḥ|
sādhyāsādhyaviśēṣāśca pūrvarūpāṇyupadravāḥ|
pramēhāṇāṁ nidānē'smin kriyāsūtraṁ ca bhāṣitam||55||
pramēhāṇāṁ nidānē'smin kriyāsūtraṁ ca bhāṣitam||55||
Tatra shlokAH- heturvyAdhivisheShANAM pramehANAM ca kAraNam| doShadhAtusamAyogo rUpaM vividhameva ca||53||
Tatra shlokAH- heturvyAdhivisheShANAM pramehANAM ca kAraNam| doShadhAtusamAyogo rUpaM vividhameva ca||53||
Dasha shleShmakRutA yasmAt pramehAH ShaT ca pittajAH| yathA ca vAyushcaturaH pramehAn kurute balI||54||
Dasha shleShmakRutA yasmAt pramehAH ShaT ca pittajAH| yathA ca vAyushcaturaH pramehAn kurute balI||54||
sAdhyAsAdhyavisheShAshca pUrvarUpANyupadravAH| pramehANAM nidAne~asmin kriyAsUtraM ca bhAShitam||55||
sAdhyAsAdhyavisheShAshca pUrvarUpANyupadravAH| pramehANAM nidAne~asmin kriyAsUtraM ca bhAShitam||55||
To sum up:
To sum up:
In this chapter on the diagnosis of prameha the following topics were discussed:
In this chapter on the diagnosis of prameha the following topics were discussed:
1. Causative factors of the diseases and those about various types of prameha;
1. Causative factors of the diseases and those about various types of prameha;
इत्यग्निवेशकृतेतन्त्रेचरकप्रतिसंस्कृतेनिदानस्थानेप्रमेहनिदानंनाम
इत्यग्निवेशकृतेतन्त्रेचरकप्रतिसंस्कृतेनिदानस्थानेप्रमेहनिदानंनाम
चतुर्थोऽध्यायः||४||
चतुर्थोऽध्यायः||४||
ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē nidānasthānē pramēhanidānaṁ nāma caturthō'dhyāyaḥ||4||
ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē nidānasthānē pramēhanidānaṁ nāma caturthō'dhyāyaḥ||4||
ityagniveshakRute tantre CharakapratisaMskRute nidAnasthAne pramehanidAnaM nAma caturtho~adhyAyaH||4||
ityagniveshakRute tantre CharakapratisaMskRute nidAnasthAne pramehanidAnaM nAma caturtho~adhyAyaH||4||
Thus, ends the fourth chapter on the diagnosis of prameha.
Thus, ends the fourth chapter on the diagnosis of prameha.
Tattva Vimarsha:
=== Tattva Vimarsha ===
1. Nidana (etiological factors), dosha, and dushya are three major factors that cause any disease. Besides these, there are temporal influences, pre-existing conditions, genetic predispositions, as well as the presence or absence of resisting factors in the host body that decide the propensity of the affliction of a disease, including prameha.
1. Nidana (etiological factors), dosha, and dushya are three major factors that cause any disease. Besides these, there are temporal influences, pre-existing conditions, genetic predispositions, as well as the presence or absence of resisting factors in the host body that decide the propensity of the affliction of a disease, including prameha.
2. The onset of disease pathology, its severity and progress depend upon the cumulative effect of interaction between above-mentioned factors. If the disease resisting factors in the host body are stronger than the disease provoking factors, then the disease doesn't occur or occurs with less severity or with fewer symptoms. On the contrary, the disease is severe, acute, and fully manifested in the case of stronger disease provoking factors.
2. The onset of disease pathology, its severity and progress depend upon the cumulative effect of interaction between above-mentioned factors. If the disease resisting factors in the host body are stronger than the disease provoking factors, then the disease doesn't occur or occurs with less severity or with fewer symptoms. On the contrary, the disease is severe, acute, and fully manifested in the case of stronger disease provoking factors.
8. The quality and specific characteristics observed in urine are biomarkers in diagnosis and assessment of prameha.
8. The quality and specific characteristics observed in urine are biomarkers in diagnosis and assessment of prameha.
Vidhi Vimarsha:
=== Vidhi Vimarsha ===
The process of onset of disease:
==== The process of onset of disease ====
Nidana, dosha, and dushya are the inherent factors involved in the pathogenesis of diseases. In addition to these inherent factors, the host also has antibodies and disease resisting factors in him. If the resisting factors are weak and kala, or temporal influences (seasonal variations, age), are strong enough for the inherent causes of the disease, then the disease will be severe with complications and rapid progression. If all the four factors (i.e., nidana, dosha, dushya, and kala) are not strong enough then any of the following manifestations may occur:
Nidana, dosha, and dushya are the inherent factors involved in the pathogenesis of diseases. In addition to these inherent factors, the host also has antibodies and disease resisting factors in him. If the resisting factors are weak and kala, or temporal influences (seasonal variations, age), are strong enough for the inherent causes of the disease, then the disease will be severe with complications and rapid progression. If all the four factors (i.e., nidana, dosha, dushya, and kala) are not strong enough then any of the following manifestations may occur:
In this chapter, the importance of exogenous (disease causative agents/pathogens), endogenous (deranged body defense mechanism) factors and tissue response in the development of the disease is emphasized. The disease appears either when the exogenous factor (pathogen) is strong enough to overcome the defense mechanism of the body or when the tissue response to exogenous factors or adaptive responses to foreign agents is deranged.
In this chapter, the importance of exogenous (disease causative agents/pathogens), endogenous (deranged body defense mechanism) factors and tissue response in the development of the disease is emphasized. The disease appears either when the exogenous factor (pathogen) is strong enough to overcome the defense mechanism of the body or when the tissue response to exogenous factors or adaptive responses to foreign agents is deranged.
The etymology of prameha:
==== The etymology of prameha ====
In Sanskrit, the word mih (from which meha is derived) denotes water, to wet, and to emit semen. Regarding the above explanation, we can easily postulate that the disease prameha resulted because of an excessive excretion of something (ati-pravrittija). Prameha comprises of all those diseases that cause clinical abnormalities in urine due to derangement of metabolism at the level of tissues (dhatvagnimandya).
In Sanskrit, the word mih (from which meha is derived) denotes water, to wet, and to emit semen. Regarding the above explanation, we can easily postulate that the disease prameha resulted because of an excessive excretion of something (ati-pravrittija). Prameha comprises of all those diseases that cause clinical abnormalities in urine due to derangement of metabolism at the level of tissues (dhatvagnimandya).