Changes

''Upajihvika, galashundika, galagraha, rohini'' are basically infectious disorders affecting the mouth and throat area. ''Galaganda'' closely resembles goitre which is caused due to thyroid disorders. ''Visarpa'' and ''pidika'' are caused due to skin infections, whereas ''tilaka, piplu, vyanga'' and ''nilika'' are the problems present in skin due melanin pigment disorders. ''Pliha vridhi'' or spleenomegaly is condition where spleen gets enlarged due to many reasons such as infections, hematological disorders, malignancies etc. ''Gulma, udara roga, aanaha'' are diseases mainly located and related to gastrointestinal tract, having main features of fullness or protuberance. Eight ''udara rogas'' described in [[Ayurveda]] are actually diseases present as protuberances in abdomen. But all ''udara rogas'' are not directly related to the gastrointestinal tract e.g. ''plihodara'' (splenomegaly), ''yakradaludara'' (hepatomegaly), and ''jalodara'' (ascites). Still their manifestation is similar to ''shotha'' i.e. swellings. Swelling at the roots of ears, commonly known as ''Karnamoola shotha'' (Parotitis), is mostly due to viral infections. ''Vriddhi roga'' is a kind of hernia, i.e., inguinal, femoral, umbilical or incision hernia with visible swelling. ''Adhimansa'' (increased muscles bulk) and ''arbuda''(tumor) are swellings associated with extra or new growth that could be benign or malignant. ''Rohini'' can be closely correlated with diphtheria which is caused by a bacterial infection i.e. Corynibacterium diphtheriae <ref>Textbook of microbiology – Orient Longman, chapter-26 page-23, 4th edition. </ref>. It can affect many sites in the body but most commonly the throat where if not treated properly may cause death due to suffocation or asphyxia. [19-36]

''Upajihvika, galashundika, galagraha, rohini'' are basically infectious disorders affecting the mouth and throat area. ''Galaganda'' closely resembles goitre which is caused due to thyroid disorders. ''Visarpa'' and ''pidika'' are caused due to skin infections, whereas ''tilaka, piplu, vyanga'' and ''nilika'' are the problems present in skin due melanin pigment disorders. ''Pliha vridhi'' or spleenomegaly is condition where spleen gets enlarged due to many reasons such as infections, hematological disorders, malignancies etc. ''Gulma, udara roga, aanaha'' are diseases mainly located and related to gastrointestinal tract, having main features of fullness or protuberance. Eight ''udara rogas'' described in [[Ayurveda]] are actually diseases present as protuberances in abdomen. But all ''udara rogas'' are not directly related to the gastrointestinal tract e.g. ''plihodara'' (splenomegaly), ''yakradaludara'' (hepatomegaly), and ''jalodara'' (ascites). Still their manifestation is similar to ''shotha'' i.e. swellings. Swelling at the roots of ears, commonly known as ''Karnamoola shotha'' (Parotitis), is mostly due to viral infections. ''Vriddhi roga'' is a kind of hernia, i.e., inguinal, femoral, umbilical or incision hernia with visible swelling. ''Adhimansa'' (increased muscles bulk) and ''arbuda''(tumor) are swellings associated with extra or new growth that could be benign or malignant. ''Rohini'' can be closely correlated with diphtheria which is caused by a bacterial infection i.e. Corynibacterium diphtheriae <ref>Textbook of microbiology – Orient Longman, chapter-26 page-23, 4th edition. </ref>. It can affect many sites in the body but most commonly the throat where if not treated properly may cause death due to suffocation or asphyxia. [19-36]

=== ''Dosha'' and disease ===

=== [[Dosha]] and disease ===

Over the years, as a result of changes in lifestyle, multiple etiological factors, and decreased body resistance, new diseases are appearing. Therefore, naming all the diseases is a problem that all branches of medical sciences face. In modern medicine where the cause of a disease is not very clear, symptom-based or descriptive diagnosis is given to various conditions, e.g.,  APD (Acid Peptic Diseases) is the term given to problems having symptoms of hyperacidity, pain in the abdomen, indigestion etc. Similarly, NUD (Non Ulcer Dyspepsia) term is applied to the symptoms of indigestion without pain. CAD (Coronary Artery Disease), CHD (Congenital Heart Disease), CVA (Cerebro- Vascular Accidents), COPD (Chronic Obstructive Pulmonary Disease), HE (Hepatic-encephalopaty), Renal parenchymal disease, Coagulopathies, Myopathies, Neuropathies, etc. are a few other examples of grouping various ailments by their symptoms. In a similar manner, certain Ayurvedic conditions have been grouped into ''Twak vikara'' (skin disorders), ''Udara vikara'', ''Mutra vikara'', ''Mano vikara'', ''vāta vikara, pitta vikara, kapha vikara'' etc. and an appropriate course of treatment is administered after understanding the possible etiopathogenesis. [44-47]   

Over the years, as a result of changes in lifestyle, multiple etiological factors, and decreased body resistance, new diseases are appearing. Therefore, naming all the diseases is a problem that all branches of medical sciences face. In modern medicine where the cause of a disease is not very clear, symptom-based or descriptive diagnosis is given to various conditions, e.g.,  APD (Acid Peptic Diseases) is the term given to problems having symptoms of hyperacidity, pain in the abdomen, indigestion etc. Similarly, NUD (Non Ulcer Dyspepsia) term is applied to the symptoms of indigestion without pain. CAD (Coronary Artery Disease), CHD (Congenital Heart Disease), CVA (Cerebro- Vascular Accidents), COPD (Chronic Obstructive Pulmonary Disease), HE (Hepatic-encephalopaty), Renal parenchymal disease, Coagulopathies, Myopathies, Neuropathies, etc. are a few other examples of grouping various ailments by their symptoms. In a similar manner, certain Ayurvedic conditions have been grouped into ''Twak vikara'' (skin disorders), ''Udara vikara'', ''Mutra vikara'', ''Mano vikara'', [[vata]] vikara, [[[pitta]] vikara, [[kapha]] vikara'' etc. and an appropriate course of treatment is administered after understanding the possible etiopathogenesis. [44-47]   

    

    

If we analyze ''doshas'', then we observe that all solid and watery contents of our body are made up of ''kapha''. Most enzymes, digestive functions and all warmth in body can be attributed to ''pitta''. And all types of micro or macro-movements in our bodies are performed by ''vata''. Therefore, our body and the associated constituents and life-processes could be attributed to the three ''doshas'', along with body tissues (''dhatus''), and secretions (''mala''). In all circumstances, ''doshas, dhatus'' and ''malas'' play an important role and are considered as roots of the body. [A.H.Nidana Sthana 11/1]<ref name=Hridaya/> [48]

If we analyze [[dosha]], then we observe that all solid and watery contents of our body are made up of [[kapha]]. Most enzymes, digestive functions and all warmth in body can be attributed to [[pitta]]. And all types of micro or macro-movements in our bodies are performed by [[vata]]. Therefore, our body and the associated constituents and life-processes could be attributed to the three [[dosha]], along with body tissues ([[dhatu]]), and secretions ([[mala]]). In all circumstances, [[dosha]], [[dhatu]] and [[mala]] play an important role and are considered as roots of the body. [A.H.Nidana Sthana 11/1]<ref name=Hridaya/> [48]

''Vata, pitta'' and ''kapha'' are further sub-categorized into five types of each. They all have their specific sites in the body and specific functions applicable to those sites. (Sha.Pu.Kh. 5/27-35). Specific sites of these ''doshas'' are mentioned in [Cha.Sa.[[Sutra Sthana]] 20/8]. [49-51]

[[Vata]], [[pitta]] and [[kapha]] are further sub-categorized into five types of each. They all have their specific sites in the body and specific functions applicable to those sites. (Sha.Pu.Kh. 5/27-35). Specific sites of these [[dosha]] are mentioned in [Cha.Sa.[[Sutra Sthana]] 20/8]. [49-51]

Many functions and ''gunas'' of ''doshas'' are mostly interrelated (especially opposite to each other). For instance, ''vata'' and ''kapha'' properties are mostly opposite to ''pitta'' properties. Therefore, their functions increase or decrease in inverse relation to each other. [52]

Many functions and [[guna]] of [[dosha]] are mostly interrelated (especially opposite to each other). For instance, [[vata]] and [[kapha]] properties are mostly opposite to [[pitta]] properties. Therefore, their functions increase or decrease in inverse relation to each other. [52]

Typical functions of aggravated ''dosha'' are described such as emaciation, blackening, willingness of warm things, tremors, flatulence, constipation, impaired body power, insomnia, incapability of grasping objects by sense organs, delirium, vertigo and lustlessness are functions or presentations of aggravated ''vata''. Yellowish discoloration of stool, urine, nails and skin, reduction in appetite, thirst, burning and sleep are due to aggravated ''pitta'', whereas anorexia, excessive salivation, laziness, heaviness, white discoloration of body, coldness and loss of muscle tone, increase in breathlessness, coughing and sleep are due to aggravated ''kapha''. [A.H.Sutra Sthana 11/5-7]<ref name=Hridaya/> [53]

Typical functions of aggravated [[dosha]] are described such as emaciation, blackening, willingness of warm things, tremors, flatulence, constipation, impaired body power, insomnia, incapability of grasping objects by sense organs, delirium, vertigo and lustlessness are functions or presentations of aggravated [[vata]]. Yellowish discoloration of stool, urine, nails and skin, reduction in appetite, thirst, burning and sleep are due to aggravated [[pitta]], whereas anorexia, excessive salivation, laziness, heaviness, white discoloration of body, coldness and loss of muscle tone, increase in breathlessness, coughing and sleep are due to aggravated [[kapha]]. [A.H.Sutra Sthana 11/5-7]<ref name=Hridaya/> [53]

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