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=== Prognosis of disease ===
=== Prognosis of disease ===
<div style='text-align:justify;'>By calculating the strength of the vikriti, the strength of disease can be calculated. If vikriti factors are strong enough, then the disease's severity is higher, and it has a poor prognosis. <sup>[Cha.Sa. Vimana Sthana 8/101]</sup> Contemporary medical sciences use several prognosis tools to determine the patients prognosis like TNM classification for cancer staging and prognosis, Glasgow Coma Scale for comatose patients, Child pugh score for the determination of the liver disease severity. These tools can be utilized to assess vikriti.<br/>By examining the vikriti stage in context to arishta lakshana, the patient's remaining life span can be assessed, which is to be ascertained for before starting a patients treatment. </div>
<div style='text-align:justify;'>By calculating the strength of the vikriti, the strength of disease can be calculated. If vikriti factors are strong enough, then the disease's severity is higher, and it has a poor prognosis. <sup>[Cha.Sa. Vimana Sthana 8/101]</sup> Contemporary medical sciences use several prognosis tools to determine the patients prognosis like TNM classification for cancer staging and prognosis, Glasgow Coma Scale for comatose patients, Child pugh score for the determination of the liver disease severity. These tools can be utilized to assess vikriti.<br/>By examining the vikriti stage in context to arishta lakshana, the patient's remaining life span can be assessed, which is to be ascertained for before starting a patients treatment. </div>
== Current researches ==
=== Baghel Prakash Prognosis Scoring System - Conceptual framework and preliminary psychometric validation<ref name="ref11">Ashwathykutty V, Rakesh Narayanan V. Baghel Prakash Prognosis Scoring System - Conceptual framework and preliminary psychometric validation. J Ayurveda Integr Med. 2022 Nov 17;13(4):100666. doi: 10.1016/j.jaim.2022.100666. Epub ahead of print. PMID: 36403500; PMCID: PMC9676147.</ref> ===
<div style='text-align:justify;'>V. Ashwathy kutty and V. Rakesh Narayanan have developed a tool for prognosis scoring system named as Baghel Prakash Prognosis scoring system. It includes a set of early clinical warning signs and a prognosis scoring system of 30 items with a provision for clinical adjustment of scores for selected items. The scoring system was pilot-tested in a sample of 30 patients with various disease conditions. The initial psychometric validation studies of the tool yielded satisfactory results. </div>
=== Relationships among classifications of ayurvedic medicine diagnostics for imbalances and western measures of psychological states: An exploratory study<ref name="ref12">Paul J. Mills, Christine Tara Peterson, Kathleen L. Wilson, Meredith A. Pung, Sheila Patel, Lizabeth Weiss, Suhas G. Kshirsagar, Rudolph E. Tanzi, Deepak Chopra,Relationships among classifications of ayurvedic medicine diagnostics for imbalances and western measures of psychological states: An exploratory study,Journal of Ayurveda and Integrative Medicine,Volume 10, Issue 3,2019,Pages 198-202,ISSN 0975-9476,https://doi.org/10.1016/j.jaim.2018.02.001.</ref> ===
<div style='text-align:justify;'>Paul J Mill’s et. Al. made an attempt to examine the relationship among imbalances in the dosha (termed Vikriti) reported via questionnaire and Western measures of psychological states. The 60 item vikriti questionnaire assess vikriti of each of the three dosha. The 101 participants were asked to rate the symptoms as “very often”, “sometimes”, or “not often” with a score of 5, 3, and 1, respectively. A higher vikruti score equates to more imbalance, or accumulation, of that respective dosha. PROMIS Anxiety Scale, Centre for Epidemiology Studies-Depression (CES-D), Perceived Stress Scale (PSS), Mindful Attention Awareness Scale (MAAS), Rumination-Reflection Questionnaire (RRQ), Ryff Scale of Wellbeing scales were used as western measures of psychological states. Study concluded that symptoms of mind-body imbalances in Ayurveda are differentially associated with western assessments of psychological states. Ayurvedic dosha assessment may be an effective way to assess physical as well as emotional wellbeing in research and clinical settings. </div>
=== Development and validation of vikrti measuring scale – A pilot study<ref name="ref13">https://www.ijaim.in/citation.asp?issn=27726010;year=2021;volume=2;issue=2;spage=78;epage=85;aulast=Patil;aid=IndianJAyurvedalntegrMed_2021_2_2_78_331491</ref> ===
<div style='text-align:justify;'>Suchitra S Patil et al has developed a tool for assessing pathology of tridosha in a group of diseases using ayurvedic concepts. The 97 item tridosha diagnosis scale was developed and administered in 35 samples. Scale can be used in assessing the pathological state of dosha and aid in decision of appropriate medications.</div>
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