Changes

== Treatment ==

== Treatment ==

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Disturbance, either excess or decline, leads to disease. To manage and or prevent disease, the clinician must follow the theory of similarity and dissimilarity (samanya- visheshasiddhanta) based on rasa and food, which decline vata (shamaka) and aggaravatevata(prakopa).Controlling the increase of the vatadosha requires avoiding foods and ways of living that increase it,  while indulging in foods that reduce it (vatashamaka).Contrarily, the decline of vatais treated by consuming foods and leading lifestyles that stimulate it, rather than suppressing it.  

Disturbance, either excess or decline, leads to [[Vyadhi|disease]]. To manage and or prevent [[Vyadhi|disease]], the clinician must follow the theory of similarity and dissimilarity ([[Samanya|samanya]]- visheshasiddhanta) based on [[Rasa|rasa]] and food, which decline vata (shamaka) and [[Prakopa|aggaravatevata(prakopa)]]. Controlling the increase of the vatadosha requires avoiding foods and ways of living that increase it,  while indulging in foods that reduce it (vatashamaka). Contrarily, the decline of vatais treated by consuming foods and leading lifestyles that stimulate it, rather than suppressing it.  

Three tastes (rasa) that helps in controlling the vitiated vata are – sweet(madhura), sour(amla) and salty(lavana).[Cha.Sa. Sutra Sthana1/66]Medicated enema (basti) is the best interventionindicated for vitiated vata.[Cha.Sa. Sutra Sthana20/13] Oil is best therapeutic drug for the treatment of vata. [Cha. Sa. Sutra Sthana 25/40]

Three [[Rasa|tastes(rasa)]] that helps in controlling the vitiated vata are – [[Madhura|sweet(madhura)]], [[Amla|sour(amla)]] and [[Lavana|salty(lavana)]].[Cha.Sa. Sutra Sthana1/66]Medicated [[Basti|enema(basti)]] is the best interventionindicated for vitiated vata.[Cha.Sa. Sutra Sthana20/13] Oil is best therapeutic drug for the treatment of vata. [Cha. Sa. Sutra Sthana 25/40]

The herbs having sweet, sour, salty, unctuous and hot qualities used in single or combination along with therapies like oleation, fomentation, asthapana and anuvasana types of enema, inhalation, diet, massage, hot shower etc are helpful in the treatment of vatika disorders.[Cha.Sa. Sutra Sthana20/13] </div>

The herbs having sweet, sour, salty, unctuous and hot qualities used in single or combination along with therapies like [[Snehana (unction therapy)|oleation]], fomentation, [[Asthapana|asthapana]] and [[Anuvasana|anuvasana]] types of [[Basti|enema]], inhalation, diet, massage, hot shower etc are helpful in the treatment of vatika disorders.[Cha.Sa. Sutra Sthana20/13] </div>

=== Diagnostic and assessment tools ===

=== Diagnostic and assessment tools ===

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Vatadosha can be assessed by its functionality either normal orabnormalthrough subjective methods like questionnairesand objective methods. There are some objectives methods which may be used to assess the functions of vata. Currently, there are no validated and standardized tools for dosha assessment within the body. Vatavriddhi and kshaya features will be assessed through a subjective questionnaire Ayurvedic physicians assess the normalcy and abnormality through the ayurvedic principles of examination (pariksha).  

Vatadosha can be assessed by its functionality either normal orabnormalthrough subjective methods like questionnairesand objective methods. There are some objectives methods which may be used to assess the functions of vata. Currently, there are no validated and standardized tools for [[Dosha|dosha]] assessment within the [[Sharira|body]]. Vatavriddhi and kshaya features will be assessed through a subjective questionnaire Ayurvedic physicians assess the normalcy and abnormality through the ayurvedic principles of examination (pariksha).  

Some of the objective methods which may be used to assess the normalfunctioning of vata are:

Some of the objective methods which may be used to assess the normalfunctioning of vata are:

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<ul>

<li>Examination of cranial nerves<ref name="multiple13">Rothwell P. Examination of the cranial nerves. BMJ. 2000 Mar 4;320(7235):655A.</ref></li>

<li>Examination of cranial nerves<ref name="multiple13">Rothwell P. Examination of the cranial nerves. BMJ. 2000 Mar 4;320(7235):655A.</ref></li>

<li>Examination of reflexes –superficial and deep<ref name="multiple14">Rodriguez-Beato FY, De Jesus O. Physiology, Deep Tendon Reflexes. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.</ref>.</li>

<li>Examination of reflexes –superficial and deep<ref name="multiple14">Rodriguez-Beato FY, De Jesus O. Physiology, Deep Tendon Reflexes. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.</ref>.</li>

<li>Examination of higher mental function-like memory and speech<ref name="multiple15">Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005; 53(4): 695– 699.</ref><ref name="multiple16">Libon DJ, Rascovsky K, Gross RG, et al. The Philadelphia Brief Assessment of Cognition (PBAC): a validated screening measure for dementia. Clin Neuropsychol 2011; 25(8): 1314– 1330.</ref>.</li>

<li>Examination of higher mental function-like [[Memory|memory]] and speech<ref name="multiple15">Nasreddine ZS, Phillips NA, Bédirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc 2005; 53(4): 695– 699.</ref><ref name="multiple16">Libon DJ, Rascovsky K, Gross RG, et al. The Philadelphia Brief Assessment of Cognition (PBAC): a validated screening measure for dementia. Clin Neuropsychol 2011; 25(8): 1314– 1330.</ref>.</li>

<li>Electromyogram(EMG)<ref name="multiple17">Kamen G, Caldwell GE. Physiology and interpretation of the electromyogram. J Clin Neurophysiol. 1996 Sep;13(5):366-84</ref></li>

<li>Electromyogram(EMG)<ref name="multiple17">Kamen G, Caldwell GE. Physiology and interpretation of the electromyogram. J Clin Neurophysiol. 1996 Sep;13(5):366-84</ref></li>

<li>Assessment of autonomic function test<ref name="multiple18">Cheshire WP, Freeman R, Gibbons CH, Cortelli P, Wenning GK, Hilz MJ, Spies JM, Lipp A, Sandroni P, Wada N, Mano A, Ah Kim H, Kimpinski K, Iodice V, Idiáquez J, Thaisetthawatkul P, Coon EA, Low PA, Singer W. Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology. Clin Neurophysiol. 2021 Feb;132(2):666-682.</ref></li>

<li>Assessment of autonomic function test<ref name="multiple18">Cheshire WP, Freeman R, Gibbons CH, Cortelli P, Wenning GK, Hilz MJ, Spies JM, Lipp A, Sandroni P, Wada N, Mano A, Ah Kim H, Kimpinski K, Iodice V, Idiáquez J, Thaisetthawatkul P, Coon EA, Low PA, Singer W. Electrodiagnostic assessment of the autonomic nervous system: A consensus statement endorsed by the American Autonomic Society, American Academy of Neurology, and the International Federation of Clinical Neurophysiology. Clin Neurophysiol. 2021 Feb;132(2):666-682.</ref></li>