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Preface- Charak Samhita New Edition (view source)
Revision as of 08:09, 15 October 2020
, 08:09, 15 October 2020Created page with "{{#seo: |title=Preface -Charak Samhita New Edition |titlemode=append |keywords= Ayurveda, Indian system of medicine, charak samhita. |description= |image=http://www.carakasam..."
{{#seo:
|title=Preface -Charak Samhita New Edition
|titlemode=append
|keywords= Ayurveda, Indian system of medicine, charak samhita.
|description=
|image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg
|image_alt=charak samhita
|type=article
}}
{{Infobox
|title = Preface -Charak Samhita New Edition
|label1 = Author
|data1 = Dr.Gopal K. Basisht MD, Orlando, Florida, USA
|label2 = Affiliation
|data2 = [[Charak Samhita Research, Training and Development Centre]]
|label3 = Correspondence email:
|data3 = carakasamhita@gmail.com
|label4 = Date of publication:
|data4 = 15 October 2020
|label5 = DOI
|data5 = Under process
}}
<div style="text-align:justify;">
It is indeed a moment of great pleasure to present this first edited version of [[Charak Samhita]]. This is the result of cumulative efforts of seven years by over 150 ayurvedic scholars since its inception in 2013.
</div>
== Current scenario ==
<div style="text-align:justify;">
In early years of last century, there was prevalence of acute infectious diseases like cholera, polio etc. and millions of people lost their lives and suffered from disability. Thanks to discovery of antibiotics that many of those diseases have been eradicated and average lifespan of people in the world has increased. Besides infectious diseases there have been great advancements in treatment of disease like cancer, surgical procedures, transplants and what not. In spite of such progress, diseases are increasing, and more people are suffering and healthcare costs are skyrocketing. The current, so-called healthcare system is dominated by allopathic system which is mainly the disease care system and has a system to recognize a disease by identifying the physical symptoms, signs and laboratory abnormalities. The system works mainly by answering four questions:
</div>
<div style="text-align:justify;">
# What disease is causing the symptoms? (diagnosis)
# What is causing the disease? (etiology)
# What is the effect of disease on body? (pathology and pathophysiology).
# What modality to use to remove or control disease? (treatment)
<div style="text-align:justify;">
In other words, we identify the disease and try to remove it? Which is an offense strategy. This is like arresting more and more criminals in a crime infested society without working on its deranged societal conditions. We understand the solution for such crime infested areas is to improve the “Health” of such neighborhoods besides punishing the criminals. For prevention of diseases or to have defence strategy, system needs to identify the “symptoms and signs of health” which are not clear to the modern healthcare system and thus lacks the preventive strategy. In order to win war against disease we must have dual strategy of offense and defence. On the other hand Ayurveda has comprehensive understanding of health as described by Charak and Sushruta where five components of health are described as follows:
</div>
<div style="text-align:justify;">
* Three [[dosha]] (interaction between epigenes and genes)- [[vata]], [[pitta]], and [[kapha]] - are the fundamental physiological governing regulators of the body,
* [[Agni]] (metabolic and digestive processes by various enzymes and interaction with microsomes)
* [[Dhatu]] (principles that uphold the formation of body tissues).
* [[Mala]] or bodily wastes produced that are either reutilized or excreted well, and
* The state of sense organs, mind and the Soul.
<div style="text-align:justify;">
A trained Ayurvedic physician can clinically identify disequilibrium of these factors and rectify them to prevent disease.
</div>
== Relationship of humans with environment ==
<div style="text-align:justify;">
Humanity, today, faces three challenges needing urgent attention.
# Rising incidence of chronic and autoimmune diseases, while newer diseases are emerging.
# Increasing polarity/discord in the thinking of people in the society and increasing violence.
# Environmental degradation evidenced by global warming, pollution, melting of glaciers and polar ice caps.
</div>
<div style="text-align:justify;">
Is there a relationship between these three phenomena and is there a common causative factor? Is there a common, workable solution to these challenges? The possible answers to these questions should be debated and then implemented.
</div>
<div style="text-align:justify;">
Vedic scholars in India for thousands of years have known a concept - ''Yatha Pinde Tatha Bramhande'' - meaning that the state of a human body corresponds to – or mirrors - the state of the universe. In other words, a human being is a microcosm of the universe or the planet. Leonardo Da Vinci compared human organs and tissues with nature. His Vitruvius Man reflects this same concept, of a man as a microcosm and the world as a macrocosm. The common causative factor for the abovementioned challenges is the deteriorating health of the humans, the society and the planet. Considering the above viewpoint, it can be argued that if the health of human beings improves, the other two challenges should also get sorted.
</div>
<div style="text-align:justify;">
Hence, there is an urgent need of “A Better Healthcare system” for the globe.
The Health shall be defined and understood well to promote a better healthcare system. Any definition of health should not only be inclusive but also actionable. And any effective implementation of any roadmap to attaining health needs to have offense (treatment) and defense (prevention) strategies. A combination of offense (treatment of disease) and defense (restoration of health) would provide for such an actionable roadmap. For implementing such a roadmap, healthcare providers should be trained to assess the following nine key factors:
</div>
{| class="wikitable"
|+ Comprehensive healthcare management
|-
! Components of Offense system !! Components of Defense system
|-
| Diagnosis || Equilibrium of three [[dosha]]
|-
| Etiology || Equilibrium of [[agni]]
|-
| Pathology/Pathogenesis || Equilibrium of [[Dhatu]]
|-
| Treatment || Proper excretion of [[mala]] (waste products)
|-
| -- || Blissful state of [[mana]] (mind), [[indriya]](five senses) and [[atma]] (soul)
|}
== [[Symbiohealth]] ==
<div style="text-align:justify;">
I practiced modern medicine for fifty years. When I started using this system in my practice, I call [[Symbiohealth]], I found better results. The dose of medicine required, started to come down and in many patients the disease went into remission. Thus, an effective implementation of both these strategies would help attain the physical, mental and social well-being of individuals and communities, while decreasing the incidence of occurrence of diseases. Such a system would certainly be more sustainable, less expensive, more effective, and less toxic leading to healthier people, the society and the planet. The foundational base of any proposed system is its core treatise or reference manual used for practice. Allopathy has many advanced texts to refer, but Ayurveda has a few and have not been updated.
</div>
== Need for a new edition of Ayurveda compendiums ==
<div style="text-align:justify;">
[[Ayurveda]], the science of life, is known for centuries in its original Sanskrit textual form. This science of lifecare, healthcare and disease care has not been updated since centuries. With increasing urbanization of societies, dietary habits, lifestyle patterns, social structures, geographical distributions of medicinal flora, etc. have enormously changed. However, still the ancient Ayurveda medical system is following same Sanskrit texts for defending the newer challenges. The principles of [[Ayurveda]] are universally applicable and have potential to help humanity to live healthy and happy life. Therefore, the edition of ancient compendium to make them contemporarily applicable in today’s era is need of the hour. [[Charak Samhita]] is the most referred text of [[Ayurveda]]. This attempt to update ancient text [[Charak Samhita]] was started with the help of [[Ayurveda]] experts in the year 2013. The methods followed and details of earlier phases can be read on the link of [[Charak Samhita New Edition (Wiki) Project|Charak Samhita New Edition Project]].
</div>
== First ever collaborative work in [[Ayurveda]] ==
<div style="text-align:justify;">
In recent past, mainly English translations of [[Charak Samhita]] have been published by authors in print format. However, the translations are person centric and thus limit the presentation to individualistic wisdom of that scholar. This also limits the authenticity and scientific validity of the work. Proposition, debate, critical comments, acceptance or rejection and continuous improvement after being examined by reviewers is the process of establishment of any scientific theory as documented by Charak in [[Vimana Sthana]]. The present [[Charak Samhita]] New Edition is the first ever collaborative edition of any [[Ayurveda]] compendium following the original traditional methods described in Ayurveda. More than 150 experts of Ayurveda have contributed in various capacities of translator, commentator, editor and reviewer in this edition to make the content diversified, yet precise. This edition proposes to validate age old theories of Ayurveda through the research methods described in the text and acceptable to current society. The online edition is already available for open access in wiki format. This electronic edition is made available for scholars to help in offline reading and referencing.
</div>
== Unique features of [[Charak Samhita]] ==
<div style="text-align:justify;">
[[Charak Samhita]] includes many important concepts which are unique and helpful to understand human biology. The concepts of holistic human being ([[purusha]]), basic constitution of individual ([[prakriti]]), five fundamental elements ([[panchamahabhuta]]), physiology of digestion and metabolism ([[agni]]), adaptability ([[satmya]]) are some of the concepts which add to medical knowledge database. These concepts are researched and published in the form of monographs. If these concepts are kept in mind, while doing research, we can develop a more comprehensive system of medicine.
</div>
== Making concepts contemporary ==
<div style="text-align:justify;">
A separate section on such important concepts and their contemporary practices is developed in this edition and thirty monographs are published in this edition for better understanding. The monographs include literary review of concepts in Ayurveda texts, research done on the topic followed by contemporary practices. This can form a bridge between the two medical systems and lead to better symbiotic research.
</div>
== Future vision ==
<div style="text-align:justify;">
In the present edition, the core concepts of [[Charak Samhita]] in its original form are focused in the content up to tattva vimarsha part. However, the vidhi vimarsha part i.e. the clinical applications and research updates is still in progress. As we say, the online version of [[Charak Samhita]] is a live edition, vidhi vimarsha of every chapter and content is continuously being updated with contemporary researches. We intend to publish the offline electronic version with the updates periodically. The technological features are adopted to make the text better understandable. Audio visual recordings of deliberations by experts is also in progress, so that the classical Sanskrit texts can be better understood in contemporary biomedical language. The [[Charak Samhita Research, Training and Skill Development Centre]] is established for this purpose. We invite interested scholars to contribute to the live edition and be a part of this journey. I wish this continuous update of [[Ayurveda]] text [[Charak Samhita]] be ideal reference manual to make healthcare system even better across the globe.
<div style="text-align:justify;">
Sanskrit is a very rich language with largest vocabulary of all languages, thus it becomes difficult to translate accurately. Efforts have been made to be accurate. Any suggestions will be appreciated.
</div>
|title=Preface -Charak Samhita New Edition
|titlemode=append
|keywords= Ayurveda, Indian system of medicine, charak samhita.
|description=
|image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg
|image_alt=charak samhita
|type=article
}}
{{Infobox
|title = Preface -Charak Samhita New Edition
|label1 = Author
|data1 = Dr.Gopal K. Basisht MD, Orlando, Florida, USA
|label2 = Affiliation
|data2 = [[Charak Samhita Research, Training and Development Centre]]
|label3 = Correspondence email:
|data3 = carakasamhita@gmail.com
|label4 = Date of publication:
|data4 = 15 October 2020
|label5 = DOI
|data5 = Under process
}}
<div style="text-align:justify;">
It is indeed a moment of great pleasure to present this first edited version of [[Charak Samhita]]. This is the result of cumulative efforts of seven years by over 150 ayurvedic scholars since its inception in 2013.
</div>
== Current scenario ==
<div style="text-align:justify;">
In early years of last century, there was prevalence of acute infectious diseases like cholera, polio etc. and millions of people lost their lives and suffered from disability. Thanks to discovery of antibiotics that many of those diseases have been eradicated and average lifespan of people in the world has increased. Besides infectious diseases there have been great advancements in treatment of disease like cancer, surgical procedures, transplants and what not. In spite of such progress, diseases are increasing, and more people are suffering and healthcare costs are skyrocketing. The current, so-called healthcare system is dominated by allopathic system which is mainly the disease care system and has a system to recognize a disease by identifying the physical symptoms, signs and laboratory abnormalities. The system works mainly by answering four questions:
</div>
<div style="text-align:justify;">
# What disease is causing the symptoms? (diagnosis)
# What is causing the disease? (etiology)
# What is the effect of disease on body? (pathology and pathophysiology).
# What modality to use to remove or control disease? (treatment)
<div style="text-align:justify;">
In other words, we identify the disease and try to remove it? Which is an offense strategy. This is like arresting more and more criminals in a crime infested society without working on its deranged societal conditions. We understand the solution for such crime infested areas is to improve the “Health” of such neighborhoods besides punishing the criminals. For prevention of diseases or to have defence strategy, system needs to identify the “symptoms and signs of health” which are not clear to the modern healthcare system and thus lacks the preventive strategy. In order to win war against disease we must have dual strategy of offense and defence. On the other hand Ayurveda has comprehensive understanding of health as described by Charak and Sushruta where five components of health are described as follows:
</div>
<div style="text-align:justify;">
* Three [[dosha]] (interaction between epigenes and genes)- [[vata]], [[pitta]], and [[kapha]] - are the fundamental physiological governing regulators of the body,
* [[Agni]] (metabolic and digestive processes by various enzymes and interaction with microsomes)
* [[Dhatu]] (principles that uphold the formation of body tissues).
* [[Mala]] or bodily wastes produced that are either reutilized or excreted well, and
* The state of sense organs, mind and the Soul.
<div style="text-align:justify;">
A trained Ayurvedic physician can clinically identify disequilibrium of these factors and rectify them to prevent disease.
</div>
== Relationship of humans with environment ==
<div style="text-align:justify;">
Humanity, today, faces three challenges needing urgent attention.
# Rising incidence of chronic and autoimmune diseases, while newer diseases are emerging.
# Increasing polarity/discord in the thinking of people in the society and increasing violence.
# Environmental degradation evidenced by global warming, pollution, melting of glaciers and polar ice caps.
</div>
<div style="text-align:justify;">
Is there a relationship between these three phenomena and is there a common causative factor? Is there a common, workable solution to these challenges? The possible answers to these questions should be debated and then implemented.
</div>
<div style="text-align:justify;">
Vedic scholars in India for thousands of years have known a concept - ''Yatha Pinde Tatha Bramhande'' - meaning that the state of a human body corresponds to – or mirrors - the state of the universe. In other words, a human being is a microcosm of the universe or the planet. Leonardo Da Vinci compared human organs and tissues with nature. His Vitruvius Man reflects this same concept, of a man as a microcosm and the world as a macrocosm. The common causative factor for the abovementioned challenges is the deteriorating health of the humans, the society and the planet. Considering the above viewpoint, it can be argued that if the health of human beings improves, the other two challenges should also get sorted.
</div>
<div style="text-align:justify;">
Hence, there is an urgent need of “A Better Healthcare system” for the globe.
The Health shall be defined and understood well to promote a better healthcare system. Any definition of health should not only be inclusive but also actionable. And any effective implementation of any roadmap to attaining health needs to have offense (treatment) and defense (prevention) strategies. A combination of offense (treatment of disease) and defense (restoration of health) would provide for such an actionable roadmap. For implementing such a roadmap, healthcare providers should be trained to assess the following nine key factors:
</div>
{| class="wikitable"
|+ Comprehensive healthcare management
|-
! Components of Offense system !! Components of Defense system
|-
| Diagnosis || Equilibrium of three [[dosha]]
|-
| Etiology || Equilibrium of [[agni]]
|-
| Pathology/Pathogenesis || Equilibrium of [[Dhatu]]
|-
| Treatment || Proper excretion of [[mala]] (waste products)
|-
| -- || Blissful state of [[mana]] (mind), [[indriya]](five senses) and [[atma]] (soul)
|}
== [[Symbiohealth]] ==
<div style="text-align:justify;">
I practiced modern medicine for fifty years. When I started using this system in my practice, I call [[Symbiohealth]], I found better results. The dose of medicine required, started to come down and in many patients the disease went into remission. Thus, an effective implementation of both these strategies would help attain the physical, mental and social well-being of individuals and communities, while decreasing the incidence of occurrence of diseases. Such a system would certainly be more sustainable, less expensive, more effective, and less toxic leading to healthier people, the society and the planet. The foundational base of any proposed system is its core treatise or reference manual used for practice. Allopathy has many advanced texts to refer, but Ayurveda has a few and have not been updated.
</div>
== Need for a new edition of Ayurveda compendiums ==
<div style="text-align:justify;">
[[Ayurveda]], the science of life, is known for centuries in its original Sanskrit textual form. This science of lifecare, healthcare and disease care has not been updated since centuries. With increasing urbanization of societies, dietary habits, lifestyle patterns, social structures, geographical distributions of medicinal flora, etc. have enormously changed. However, still the ancient Ayurveda medical system is following same Sanskrit texts for defending the newer challenges. The principles of [[Ayurveda]] are universally applicable and have potential to help humanity to live healthy and happy life. Therefore, the edition of ancient compendium to make them contemporarily applicable in today’s era is need of the hour. [[Charak Samhita]] is the most referred text of [[Ayurveda]]. This attempt to update ancient text [[Charak Samhita]] was started with the help of [[Ayurveda]] experts in the year 2013. The methods followed and details of earlier phases can be read on the link of [[Charak Samhita New Edition (Wiki) Project|Charak Samhita New Edition Project]].
</div>
== First ever collaborative work in [[Ayurveda]] ==
<div style="text-align:justify;">
In recent past, mainly English translations of [[Charak Samhita]] have been published by authors in print format. However, the translations are person centric and thus limit the presentation to individualistic wisdom of that scholar. This also limits the authenticity and scientific validity of the work. Proposition, debate, critical comments, acceptance or rejection and continuous improvement after being examined by reviewers is the process of establishment of any scientific theory as documented by Charak in [[Vimana Sthana]]. The present [[Charak Samhita]] New Edition is the first ever collaborative edition of any [[Ayurveda]] compendium following the original traditional methods described in Ayurveda. More than 150 experts of Ayurveda have contributed in various capacities of translator, commentator, editor and reviewer in this edition to make the content diversified, yet precise. This edition proposes to validate age old theories of Ayurveda through the research methods described in the text and acceptable to current society. The online edition is already available for open access in wiki format. This electronic edition is made available for scholars to help in offline reading and referencing.
</div>
== Unique features of [[Charak Samhita]] ==
<div style="text-align:justify;">
[[Charak Samhita]] includes many important concepts which are unique and helpful to understand human biology. The concepts of holistic human being ([[purusha]]), basic constitution of individual ([[prakriti]]), five fundamental elements ([[panchamahabhuta]]), physiology of digestion and metabolism ([[agni]]), adaptability ([[satmya]]) are some of the concepts which add to medical knowledge database. These concepts are researched and published in the form of monographs. If these concepts are kept in mind, while doing research, we can develop a more comprehensive system of medicine.
</div>
== Making concepts contemporary ==
<div style="text-align:justify;">
A separate section on such important concepts and their contemporary practices is developed in this edition and thirty monographs are published in this edition for better understanding. The monographs include literary review of concepts in Ayurveda texts, research done on the topic followed by contemporary practices. This can form a bridge between the two medical systems and lead to better symbiotic research.
</div>
== Future vision ==
<div style="text-align:justify;">
In the present edition, the core concepts of [[Charak Samhita]] in its original form are focused in the content up to tattva vimarsha part. However, the vidhi vimarsha part i.e. the clinical applications and research updates is still in progress. As we say, the online version of [[Charak Samhita]] is a live edition, vidhi vimarsha of every chapter and content is continuously being updated with contemporary researches. We intend to publish the offline electronic version with the updates periodically. The technological features are adopted to make the text better understandable. Audio visual recordings of deliberations by experts is also in progress, so that the classical Sanskrit texts can be better understood in contemporary biomedical language. The [[Charak Samhita Research, Training and Skill Development Centre]] is established for this purpose. We invite interested scholars to contribute to the live edition and be a part of this journey. I wish this continuous update of [[Ayurveda]] text [[Charak Samhita]] be ideal reference manual to make healthcare system even better across the globe.
<div style="text-align:justify;">
Sanskrit is a very rich language with largest vocabulary of all languages, thus it becomes difficult to translate accurately. Efforts have been made to be accurate. Any suggestions will be appreciated.
</div>