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→Premonitory signs and symptoms
===== Premonitory signs and symptoms =====
===== Premonitory signs and symptoms =====
Clinical manifestations may not be apparent because of vague manifestation of symptoms (Avyaktaṁ lakṣaṇam). This occurs in two situations, either the pathogenesis is extremely slow or it is abrupt. In the initial case, it is unable to appreciate the prodromal symptoms and presenting complaints separately. If it is an abrupt pathology the clinical presentation immediately follows the prodromal symptoms without appreciable gap. (verse 19-20)
Clinical manifestations may not be apparent because of vague manifestation of symptoms (''Avyaktam lakshanam''). This occurs in two situations, either the pathogenesis is extremely slow or it is abrupt. In the initial case, it is unable to appreciate the prodromal symptoms and presenting complaints separately. If it is an abrupt pathology the clinical presentation immediately follows the prodromal symptoms without appreciable gap. (verse 19-20)
Clinical features:The clinical presentations vary according to the specificity of hetu (cause) and sthāna (location). The treatment options also vary accordingly. For example if vāta prakopa takes place due to rūkṣa vriddhi in pakvāśaya it may lead to habitual constipation in which snigdha, ushṇā and tikshna aushadha like mishraka snēha may be a good treatment option. If the same vāta gets vitiated in āmāshaya due to snigdha vriddhi, it leads to gastro-esophageal reflux disease (GERD), rūkṣa uṣṇā and tikshna like gomūtra bhavita shaddharana is the ideal treatment option. Anuvasana is the ideal therapy in vata vitiated in pakwashaya, whereas vamana is the best therapy in vata vitiated in amashaya. (verse 20-24)
Three modes of pathogenesis of vata diseases:
===== Clinical features =====
The clinical presentations vary according to the specificity of ''hetu'' (cause) and ''sthana'' (location). The treatment options also vary accordingly. For example if ''vata prakopa'' takes place due to ''ruksha vriddhi'' in ''pakvashaya'' it may lead to habitual constipation in which ''snigdha, ushna'' and ''tikshna aushadha'' like ''mishraka sneha'' may be a good treatment option.
If the same ''vata'' gets vitiated in ''amashaya'' due to ''snigdha vriddhi'', it leads to gastro-esophageal reflux disease (GERD), ''ruksha ushna'' and ''tikshna'' like ''gomutra bhavita shaddharana'' is the ideal treatment option. ''Anuvasana'' is the ideal therapy in ''vata'' vitiated in ''pakwashaya'', whereas ''vamana'' is the best therapy in ''vata'' vitiated in ''amashaya''. (verse 20-24)
===== Three modes of pathogenesis of ''vata'' diseases =====
The three characteristics of vāta vitiation viz. svātantra dushti (vitiation due to independent specific causes), gata vāta (increased movement of vata) and āvarana (obstruction to movement of vata). imply three possible modes of pathogenesis in vāta diseases. These can be further analysed as follows; due to the following three important properties of vāta, it is regarded entirely different from other dōsha5.
The three characteristics of vāta vitiation viz. svātantra dushti (vitiation due to independent specific causes), gata vāta (increased movement of vata) and āvarana (obstruction to movement of vata). imply three possible modes of pathogenesis in vāta diseases. These can be further analysed as follows; due to the following three important properties of vāta, it is regarded entirely different from other dōsha5.
1. Asamghāta (Incorporeal)
1. Asamghāta (Incorporeal)