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==== ''Viparitarthakari chikitsa'' (contradictory treatment) ====
 
==== ''Viparitarthakari chikitsa'' (contradictory treatment) ====
   −
वयोबलशरीरादिभेदा हि बहवो मताः [१] |३२१|
+
वयोबलशरीरादिभेदा हि बहवो मताः [१] |
 
   
तथाऽन्तःसन्धिमार्गाणां दोषाणां गूढचारिणाम् ||३२१||  
 
तथाऽन्तःसन्धिमार्गाणां दोषाणां गूढचारिणाम् ||३२१||  
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छर्दिघ्नी मक्षिकाविष्ठा मक्षिकैव तु वामयेत् ||३२५||  
 
छर्दिघ्नी मक्षिकाविष्ठा मक्षिकैव तु वामयेत् ||३२५||  
   −
द्रव्येषु स्विन्नजग्धेषु चैव तेष्वेव विक्रिया |३२६|  
+
द्रव्येषु स्विन्नजग्धेषु चैव तेष्वेव विक्रिया |
 +
तस्माद्दोषौषधादीनि परीक्ष्य दशतत्वतः ||३२६||
   −
vayōbalaśarīrādibhēdā hi bahavō matāḥ [1] |321|  
+
कुर्याच्चिकित्सितं प्राज्ञो न योगैरेव केवलम् |
    +
vayōbalaśarīrādibhēdā hi bahavō matāḥ [1] |
 
tathā'ntaḥsandhimārgāṇāṁ dōṣāṇāṁ gūḍhacāriṇām||321||  
 
tathā'ntaḥsandhimārgāṇāṁ dōṣāṇāṁ gūḍhacāriṇām||321||  
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tasmāddōṣauṣadhādīni parīkṣya daśa tattvataḥ||326||
 
tasmāddōṣauṣadhādīni parīkṣya daśa tattvataḥ||326||
   −
vayobalasharIrAdibhedA hi bahavo matAH [1] |321|
+
kuryācchikitsitam prājno na yogaireva kevalam |
    +
vayobalasharIrAdibhedA hi bahavo matAH [1] |
 
tathA~antaHsandhimArgANAM doShANAM gUDhacAriNAm ||321||  
 
tathA~antaHsandhimArgANAM doShANAM gUDhacAriNAm ||321||  
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chardighnI makShikAviShThA makShikaiva tu vAmayet ||325||  
 
chardighnI makShikAviShThA makShikaiva tu vAmayet ||325||  
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dravyeShu svinnajagdheShu caiva teShveva vikriyA |326|
+
dravyeShu svinnajagdheShu caiva teShveva vikriyA |
 +
tasmAddoShauShadhAdIni parIkShya dasha tattvataH ||326||
   −
tasmAddoShauShadhAdIni parIkShya dasha tattvataH ||326||  
+
kuryAcchikitsitam prAjno na yogaireva kevalam |
 
+
Medicines should be advised, taking into consideration the ''dushyas, doshas,'' and different types of factors related to the status of the body like age, strength etc. The ''doshas'' which are situated in the deeper tissues are also of different types and these ''doshas'' move through the different types of channels which are connected to each other. To manage any disease which is deeply seated into the tissue, many procedures much seems to be opposite as per the classical text are to be advocated. For example ''pitta'' which is ''ushna'' (hot) in nature is treated by ''sheeta'' (cold) procedures, but in  deep seated vitiated ''pitta'' which is ''ushna'' in nature ,is to be treated by giving hot fomentation or poultice. If cold procedures are implemented in this condition it will worsen the condition. Similarly if deep seated ''kapha dosha'' is to be treated with''sheeta'' procedures . ''Lepas'' made out of ''sheeta dravyas'' like ''chandana'' are applied. Though ''chandana'' is ''sheeta dravya, lepa'' made out of superfine powder of ''chandana'' applied on the lesion will block the heat coming out from the skin. This accumulated heat creates burning at the site. In opposite, if ''lepa'' of ''agaru'' which is hot in nature and is applied, it will impart coldness in that part. It is known that stool of fly has vomiting inhibiting activity but fly if consumed induces vomiting. Food substances if boiled or baked changes their properties. Thus it’s important for a ''vaidya'', that he should not depend only on the properties of the ''yoga'' (formulation) but must consider all the ten factors discussed earlier along with different type of factors, their classification and some exceptional rules while treating disorders. [321-326]
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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]
    
निवृत्तोऽपि पुनर्व्याधिः स्वल्पेनायाति हेतुना ||३२७||
 
निवृत्तोऽपि पुनर्व्याधिः स्वल्पेनायाति हेतुना ||३२७||
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तस्मात्तमनुबध्नीयात् प्रयोगेणानपायिना ||३२८||  
 
तस्मात्तमनुबध्नीयात् प्रयोगेणानपायिना ||३२८||  
   −
सिद्ध्यर्थं प्राक्प्रयुक्तस्य सिद्धस्याप्यौषधस्य तु |३२९|
+
सिद्ध्यर्थं प्राक्प्रयुक्तस्य सिद्धस्याप्यौषधस्य तु |  
 
   
काठिन्यादूनभावाद्वा दोषोऽन्तः कुपितो महान् ||३२९||  
 
काठिन्यादूनभावाद्वा दोषोऽन्तः कुपितो महान् ||३२९||  
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पथ्यमप्यश्नतस्तस्माद्यो व्याधिरुपजायते ||३३०||  
 
पथ्यमप्यश्नतस्तस्माद्यो व्याधिरुपजायते ||३३०||  
   −
ज्ञात्वैवं वृद्धिमभ्यासमथवा तस्य कारयेत् |३३१|
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ज्ञात्वैवं वृद्धिमभ्यासमथवा तस्य कारयेत् |
 
   
सातत्यात्स्वाद्वभावाद्वा पथ्यं द्वेष्यत्वमागतम् ||३३१||  
 
सातत्यात्स्वाद्वभावाद्वा पथ्यं द्वेष्यत्वमागतम् ||३३१||  
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लौल्याद्दोषक्षयाद्व्याधेर्वैधर्म्याच्चापि या रुचिः ||३३३||  
 
लौल्याद्दोषक्षयाद्व्याधेर्वैधर्म्याच्चापि या रुचिः ||३३३||  
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तासु पथ्योपचारः स्याद्योगेनाद्यं विकल्पयेत् |३३४|  
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तासु पथ्योपचारः स्याद्योगेनाद्यं विकल्पयेत् |  
    
kuryāccikitsitaṁ prājñō na yōgairēva kēvalam|  
 
kuryāccikitsitaṁ prājñō na yōgairēva kēvalam|  
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pathyamapyaśnatastasmādyō vyādhirupajāyatē||330||  
 
pathyamapyaśnatastasmādyō vyādhirupajāyatē||330||  
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jñātvaivaṁ vr̥ddhimabhyāsamathavā tasya kārayēt|331|
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jñātvaivaṁ vr̥ddhimabhyāsamathavā tasya kārayēt|  
 
   
sātatyātsvādvabhāvādvā pathyaṁ dvēṣyatvamāgatam||331||  
 
sātatyātsvādvabhāvādvā pathyaṁ dvēṣyatvamāgatam||331||  
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laulyāddōṣakṣayādvyādhērvaidharmyāccāpi yā ruciḥ||333||  
 
laulyāddōṣakṣayādvyādhērvaidharmyāccāpi yā ruciḥ||333||  
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tāsu pathyōpacāraḥ syādyōgēnādyaṁ vikalpayēt|
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tāsu pathyopacārah syādyogenādyaM vikalpayet |
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kuryAccikitsitaM prAj~jo na yogaireva kevalam |
   
nivRutto~api punarvyAdhiH svalpenAyAti hetunA ||327||  
 
nivRutto~api punarvyAdhiH svalpenAyAti hetunA ||327||  
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tasmAttamanubadhnIyAt prayogeNAnapAyinA ||328||  
 
tasmAttamanubadhnIyAt prayogeNAnapAyinA ||328||  
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siddhyarthaM prAkprayuktasya siddhasyApyauShadhasya tu |329|
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siddhyarthaM prAkprayuktasya siddhasyApyauShadhasya tu |
 
   
kAThinyAdUnabhAvAdvA doSho~antaH kupito mahAn ||329||  
 
kAThinyAdUnabhAvAdvA doSho~antaH kupito mahAn ||329||  
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pathyamapyashnatastasmAdyo vyAdhirupajAyate ||330||  
 
pathyamapyashnatastasmAdyo vyAdhirupajAyate ||330||  
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j~jAtvaivaM vRuddhimabhyAsamathavA tasya kArayet |331|
+
j~jAtvaivaM vRuddhimabhyAsamathavA tasya kArayet |
 
   
sAtatyAtsvAdvabhAvAdvA pathyaM dveShyatvamAgatam ||331||  
 
sAtatyAtsvAdvabhAvAdvA pathyaM dveShyatvamAgatam ||331||  
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laulyAddoShakShayAdvyAdhervaidharmyAccApi yA ruciH ||333||  
 
laulyAddoShakShayAdvyAdhervaidharmyAccApi yA ruciH ||333||  
   −
tAsu pathyopacAraH syAdyogenAdyaM vikalpayet |334|
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tAsu pathyopacAraH syAdyogenAdyaM vikalpayet |
 
   
 
   
As a small sparkle of fire flare ups when it comes in contact with wind or wood and gets converted into huge flames of fire similarly already a weak body in which previously a disease pathology has occurred and disease has recovered, whenever gets chance may again relapse. Hence for the better results of the medicines given before to treat the disease, ''pathya'' (wholesome diet) must be followed after the disease is completely treated.
+
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 ''doshas'', they can be pacified by following wholesome diet. If disease status aggravates even when followed by wholesome diet, diet pattern should be changed which can help to inhibit the 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 ''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 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.  
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