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=== Introduction ===
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== Introduction ==
 
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In this chapter, diseases are classified into four types - exogenous, ''vataja, pittaja'' and ''kaphaja''. Because single-''dosha'' endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the [[Sutra Sthana]] and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-''dosha'' endogenous diseases play a secondary role in the genesis of exogenous diseases.
 
In this chapter, diseases are classified into four types - exogenous, ''vataja, pittaja'' and ''kaphaja''. Because single-''dosha'' endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the [[Sutra Sthana]] and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-''dosha'' endogenous diseases play a secondary role in the genesis of exogenous diseases.
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=== Sanskrit text, Transliteration and English Translation ===
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== Sanskrit text, Transliteration and English Translation ==
 
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Now we shall expound this main chapter on the “Enumeration of major diseases”. Thus said Lord Atreya [1-2]
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Now I shall explain the chapter “Dosha specific classification of diseases”. Thus said Lord Atreya. [1-2]
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==== Classification of diseases ====
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=== Classification of diseases ===
 
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==== Etiological factors of diseases ====
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=== Etiological factors of diseases ===
 
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While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, raping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of ''vata, pitta'' and ''kapha dosha''.[4]
 
While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, raping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of ''vata, pitta'' and ''kapha dosha''.[4]
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==== Three major causes of diseases ====
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=== Three major causes of diseases ===
 
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All these four types of diseases when aggravated get transform into each other to share common symptoms. Even then, the distinctive features of each one of these diseases are too clearly manifested to allow any confusion. [6]
 
All these four types of diseases when aggravated get transform into each other to share common symptoms. Even then, the distinctive features of each one of these diseases are too clearly manifested to allow any confusion. [6]
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==== Difference between endogenous and exogenous diseases ====
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=== Difference between endogenous and exogenous diseases ===
 
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Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of ''doshas''. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of ''doshas'' and then cause pain. [7]
 
Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of ''doshas''. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of ''doshas'' and then cause pain. [7]
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==== Sites of three ''doshas'' ====
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=== Sites of three ''doshas'' ===
 
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==== Specific diseases caused by ''dosha'' ====
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=== Specific diseases caused by ''dosha'' ===
 
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==== Eighty disorders caused due to ''vata dosha'' ====
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=== Eighty disorders caused due to ''vata dosha'' ===
 
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(Anavasthita chittatva (Unstable mind))
 
(Anavasthita chittatva (Unstable mind))
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==== Causative properties of ''vata'' disorders ====
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=== Causative properties of ''vata'' disorders ===
 
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#Khanja   – Lameness etc. [11]
 
#Khanja   – Lameness etc. [11]
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==== Management principles of ''vata'' disorders ====
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=== Management principles of ''vata'' disorders ===
 
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==== Disorders of ''pitta dosha'' ====
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=== Disorders of ''pitta dosha'' ===
 
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#Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool)
 
#Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool)
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==== Causative properties of ''pitta'' disorders ====
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=== Causative properties of ''pitta'' disorders ===
 
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#Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15]
 
#Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15]
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==== Management principles of ''pitta'' disorders ====
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=== Management principles of ''pitta'' disorders ===
 
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==== Disorders of ''kapha dosha'' ====
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=== Disorders of ''kapha dosha'' ===
 
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(Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17]
 
(Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17]
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==== Causative properties of ''kapha'' disorders ====
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=== Causative properties of ''kapha'' disorders ===
 
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All the above are the actions of ''kapha dosha'' and the same may be diagnosed as ''kaphaja'' variety of diseases. [18]
 
All the above are the actions of ''kapha dosha'' and the same may be diagnosed as ''kaphaja'' variety of diseases. [18]
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==== Management of ''kapha'' disorders ====
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=== Management of ''kapha'' disorders ===
 
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==== Importance of diagnosis before planning treatment ====
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=== Importance of diagnosis before planning treatment ===
 
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==== Summary ====
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=== Summary ===
 
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=== ''Tattva Vimarsha'' / Fundamental Principles ===
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== ''Tattva Vimarsha'' / Fundamental Principles ==
 
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#Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases.  
 
#Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases.  
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=== ''Vidhi Vimarsha'' / Applied Inferences ===
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== ''Vidhi Vimarsha'' / Applied Inferences ==
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=====Following table compares disorders enlisted in various texts.=====
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====Following table compares disorders enlisted in various texts.====
 
{| class="wikitable"
 
{| class="wikitable"
 
! ''S.N.'' !! ''Charak<ref name=ref1>Agnivesha, Charak, Dridhabala, Charak Samhita with [[Ayurveda]] Dipika commentary, Sutra Sthana, Maharoga Adhyaya, 20/11,14,17, edited by Vaidya Jadavaji Trikamji Aacharya, Chaukhamba Prakashan,2007;113-115.</ref>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S <ref name=ref2>Vriddha Vagbhatta, Astangha Sangraha with commentary of Indu (Sashilekha), Sutra sthana, Doshabhediya Adhyaya, 20/15-17, edited by Dr.Shivprasad Sharma, 2nd edition, Chaukhamba Sanskrit Series office, Varanasi, 2008;158-159.  </ref>'' !! ''SH<ref name=ref3>Sharangdhar Samhita, Purva Khanda, Rogagannadhyaya, 7/105-126,  edited by Dr. SMT. Shelja Srivastava, Chaukhamba Orientalia, Varanasi,2007;100- 126 . </ref>'' !! ''SudantaSen<ref name=ref4>Dr. P.S. Byadgi, Dr.Ajai Pandey. Text book of Kayachikitsa, Volume 1, 1st edition; Chaukambha Sankrit Sansthan, Varanasi,
 
! ''S.N.'' !! ''Charak<ref name=ref1>Agnivesha, Charak, Dridhabala, Charak Samhita with [[Ayurveda]] Dipika commentary, Sutra Sthana, Maharoga Adhyaya, 20/11,14,17, edited by Vaidya Jadavaji Trikamji Aacharya, Chaukhamba Prakashan,2007;113-115.</ref>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S <ref name=ref2>Vriddha Vagbhatta, Astangha Sangraha with commentary of Indu (Sashilekha), Sutra sthana, Doshabhediya Adhyaya, 20/15-17, edited by Dr.Shivprasad Sharma, 2nd edition, Chaukhamba Sanskrit Series office, Varanasi, 2008;158-159.  </ref>'' !! ''SH<ref name=ref3>Sharangdhar Samhita, Purva Khanda, Rogagannadhyaya, 7/105-126,  edited by Dr. SMT. Shelja Srivastava, Chaukhamba Orientalia, Varanasi,2007;100- 126 . </ref>'' !! ''SudantaSen<ref name=ref4>Dr. P.S. Byadgi, Dr.Ajai Pandey. Text book of Kayachikitsa, Volume 1, 1st edition; Chaukambha Sankrit Sansthan, Varanasi,
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A.H<ref>Laghu Vagbhatta, Astangha Hridaya with Sarvanga Sundara and [[Ayurveda]]rasayana commentary, Nidana Sthana, Adhyaya, 15, edited by Bhisagacharya Harisastri Paradakara Vaidya, 9th edition, Chaukhamba Orientalia, 2005;530-535. </ref>. – Akshepaka,  Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga,  Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha.
 
A.H<ref>Laghu Vagbhatta, Astangha Hridaya with Sarvanga Sundara and [[Ayurveda]]rasayana commentary, Nidana Sthana, Adhyaya, 15, edited by Bhisagacharya Harisastri Paradakara Vaidya, 9th edition, Chaukhamba Orientalia, 2005;530-535. </ref>. – Akshepaka,  Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga,  Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha.
 
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=====pitta disorders:=====
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====pitta disorders:====
 
{| class="wikitable"
 
{| class="wikitable"
 
! ''S.N.'' !! ''Charak<ref name=ref1/>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S<ref name=ref2/>'' !! ''Sh<ref name=ref3/>'' !! '' Pittaja Vyadhi (Bhava Prakash )<ref>Ibidem Bhava Prakasha (6), Pittavyadhiadhikara 27/2-9; 293.</ref> '' !! ''SudantaSen<ref name=ref4/>''
 
! ''S.N.'' !! ''Charak<ref name=ref1/>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S<ref name=ref2/>'' !! ''Sh<ref name=ref3/>'' !! '' Pittaja Vyadhi (Bhava Prakash )<ref>Ibidem Bhava Prakasha (6), Pittavyadhiadhikara 27/2-9; 293.</ref> '' !! ''SudantaSen<ref name=ref4/>''
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Bhava prakasha (Pittaja Vyadhi)- Akalapalitam, Netra raktata, Mutra raktata, Nidra alpatata, Ucchvasa ushnata, Bhrama, Klama, Krodho, Bheda, Tejodvesha, Sheetaksha and Arati are different from Charak.
 
Bhava prakasha (Pittaja Vyadhi)- Akalapalitam, Netra raktata, Mutra raktata, Nidra alpatata, Ucchvasa ushnata, Bhrama, Klama, Krodho, Bheda, Tejodvesha, Sheetaksha and Arati are different from Charak.
 
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=====kapha disorders:=====
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====kapha disorders:====
 
{| class="wikitable"
 
{| class="wikitable"
 
! ''S.N.'' !! ''Charak<ref name=ref1/>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S<ref name=ref2/>'' !! ''Sharangdhara3<ref name=ref3/>'' !! '' Bhava prakasha (Kaphaja Vyadhi)10<ref>Ibidem Bhava Prakasha (6), Shlesmavyadhiadhikara 28/2-5; 294.  </ref> '' !! ''SudantaSen<ref name=ref4/>''
 
! ''S.N.'' !! ''Charak<ref name=ref1/>'' !! ''Chakrapani<ref name=ref1/>'' !! ''A.S<ref name=ref2/>'' !! ''Sharangdhara3<ref name=ref3/>'' !! '' Bhava prakasha (Kaphaja Vyadhi)10<ref>Ibidem Bhava Prakasha (6), Shlesmavyadhiadhikara 28/2-5; 294.  </ref> '' !! ''SudantaSen<ref name=ref4/>''
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|}
 
|}
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=== Further reading for information on diseases ===
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== Further reading for information on diseases ==
 
   
 
   
 
*AFMC Primer on Health (http://phprimer.afmc.ca/Part1TheoryThinkingAboutHealth/Chapter1ConceptsOfHealthAndIllness/IllnessSicknessandDisease)
 
*AFMC Primer on Health (http://phprimer.afmc.ca/Part1TheoryThinkingAboutHealth/Chapter1ConceptsOfHealthAndIllness/IllnessSicknessandDisease)
 
*International Classification of Diseases (ICD): http://www.who.int/classifications/icd/en/)
 
*International Classification of Diseases (ICD): http://www.who.int/classifications/icd/en/)
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=== References ===
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== References ==
 
<references/>
 
<references/>
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=== Glossary ===
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== Glossary ==
    
*Agantuja- Exogenous
 
*Agantuja- Exogenous

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