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Line 843: − + − • Excess intake of curds, soup of the meat of domesticated, aquatic animals and animals inhabiting marshy land, milk and its preparations, freshly harvested food articles, freshly prepared drinks, preparations of jaggery and all kapha- aggravating factors are responsible for the causation of prameha.+ − • Over-indulgence in the pleasure of sedentary habits, excess sleep are lifestyle factors leading to prameha. + − • Aggravated kapha vitiates medas, mamsa and kleda of the body located in basti (bladder and urinary system) and causes different types of kapha dominant meha. + − • Similarly, pitta aggravated by hot things vitiates those elements and causes different types of pitta dominant meha.+ − • When other two doshas are in a relatively diminished state, the aggravated vayu draws tissues elements (viz. ojas, majja, and lasika) into the urinary tract and vitiates them to cause vata dominant pramehas. Different doshas having entered the urinary tract in vitiated condition give rise to the respective types of meha with their own dominance. + − • Doshas like kapha, pitta and vata, and dushyas like medas, rakta, shukra, ambu (body fluid), vasa (muscle fat), lasika (lymph), majja, rasa, ojas and mamsa are responsible for the causation of prameha which is of twenty types. Prameha is classified on the basis of characteristics of urine as observed. Indeed the classification depends upon response of urinary system towards internal imbalance of cellular metabolism. This depends upon waste products excreted through urine after interaction of aggravated dosha and dushya. + − • Different types of prameha are characterized by the colour, taste, touch and smell of the respective dosha.+ − • Patients suffering from prameha are classified into two categories, viz. (1) those who are obese and strong, and (2) those who are emaciated and weak. The clinical presentation and treatment is different for both categories. Patients belonging to the latter category should be given nourishing therapy. Patient of the former category who are strong and who have more doshas in the body should be treated with elimination therapy. + − • After elimination therapy, nourishment therapy shall be prescribed to the patient. If nourishment therapy is not done, then the aggravated vata dosha leads to complications of prameha. + − • The food preparations like yava (barley) which have dry, light to digest and hot properties are predominantly indicated in prameha.+ − • Aggravated kleda (liquid element of the body), medas (adipose tissue) and kapha are responsible for the causation of prameha. Considering this aggravation, apatarpana (depletion therapies) is the first principle of treatment in kapha and pitta dominant types of prameha.+ − • If vata is primarily aggravated in prameha because of excessive depletion of tissue elements, then it is incurable. If vata is associated and secondarily aggravated, then it is treatable upto some extent. + − • Persistently avoiding etiological factors after manifestation of disease and during treatment of disease are important principles of management of disease. + − • The curability of kapha and pitta dominant prameha depends upon intensity of involvement of meda dhatu. + − • Patients who suffer from prameha since birth (congenital) and those who are borne of prameha parents (hereditary) are not curable because of the morbidity in their bija (genes). Similarly, other hereditary (kulaja/familial) ailments are considered as incurable.+
→Tattva Vimarsha
Thus, ends the sixth chapter dealing with the treatment of ''prameha'' of [[Chikitsa Sthana]] of Agnivesha’s work as redacted by Charaka.[6]
Thus, ends the sixth chapter dealing with the treatment of ''prameha'' of [[Chikitsa Sthana]] of Agnivesha’s work as redacted by Charaka.[6]
=== Tattva Vimarsha ===
=== ''Tattva Vimarsha'' ===
*Excess intake of curds, soup of the meat of domesticated, aquatic animals and animals inhabiting marshy land, milk and its preparations, freshly harvested food articles, freshly prepared drinks, preparations of jaggery and all kapha- aggravating factors are responsible for the causation of prameha.
*Over-indulgence in the pleasure of sedentary habits, excess sleep are lifestyle factors leading to prameha.
*Aggravated kapha vitiates medas, mamsa and kleda of the body located in basti (bladder and urinary system) and causes different types of kapha dominant meha.
*Similarly, pitta aggravated by hot things vitiates those elements and causes different types of pitta dominant meha.
*When other two doshas are in a relatively diminished state, the aggravated vayu draws tissues elements (viz. ojas, majja, and lasika) into the urinary tract and vitiates them to cause vata dominant pramehas. Different doshas having entered the urinary tract in vitiated condition give rise to the respective types of meha with their own dominance.
*Doshas like kapha, pitta and vata, and dushyas like medas, rakta, shukra, ambu (body fluid), vasa (muscle fat), lasika (lymph), majja, rasa, ojas and mamsa are responsible for the causation of prameha which is of twenty types. Prameha is classified on the basis of characteristics of urine as observed. Indeed the classification depends upon response of urinary system towards internal imbalance of cellular metabolism. This depends upon waste products excreted through urine after interaction of aggravated dosha and dushya.
*Different types of prameha are characterized by the colour, taste, touch and smell of the respective dosha.
*Patients suffering from prameha are classified into two categories, viz. (1) those who are obese and strong, and (2) those who are emaciated and weak. The clinical presentation and treatment is different for both categories. Patients belonging to the latter category should be given nourishing therapy. Patient of the former category who are strong and who have more doshas in the body should be treated with elimination therapy.
*After elimination therapy, nourishment therapy shall be prescribed to the patient. If nourishment therapy is not done, then the aggravated vata dosha leads to complications of prameha.
*The food preparations like yava (barley) which have dry, light to digest and hot properties are predominantly indicated in prameha.
*Aggravated kleda (liquid element of the body), medas (adipose tissue) and kapha are responsible for the causation of prameha. Considering this aggravation, apatarpana (depletion therapies) is the first principle of treatment in kapha and pitta dominant types of prameha.
*If vata is primarily aggravated in prameha because of excessive depletion of tissue elements, then it is incurable. If vata is associated and secondarily aggravated, then it is treatable upto some extent.
*Persistently avoiding etiological factors after manifestation of disease and during treatment of disease are important principles of management of disease.
*The curability of kapha and pitta dominant prameha depends upon intensity of involvement of meda dhatu.
*Patients who suffer from prameha since birth (congenital) and those who are borne of prameha parents (hereditary) are not curable because of the morbidity in their bija (genes). Similarly, other hereditary (kulaja/familial) ailments are considered as incurable.
=== Vidhi Vimarsha ===
=== Vidhi Vimarsha ===